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Prior Parkinson’s Medication Screening

1 forms  
PRIOR PARKINSON’S MEDICATION
Description

PRIOR PARKINSON’S MEDICATION

Alias
UMLS CUI-1
C0013227
UMLS CUI-2
C0030567
Patient Number
Description

Patient Number

Data type

text

Alias
UMLS CUI [1]
C1830427
Centre Number
Description

Centre Number

Data type

integer

Alias
UMLS CUI [1,1]
C0600091
UMLS CUI [1,2]
C0019994
Has the subject taken any Parkinson’s medication within 30 days PRIOR to the study?
Description

Medication Parkinson Disease

Data type

boolean

Alias
UMLS CUI [1,1]
C0013227
UMLS CUI [1,2]
C0030567
Drug Name
Description

Drug Name

Data type

text

Alias
UMLS CUI [1]
C2360065
SINGLE Dose/Unit
Description

dose

Data type

text

Alias
UMLS CUI [1]
C3174092
Frequency of this Dose
Description

dose frequency

Data type

text

Alias
UMLS CUI [1]
C2826654
Route
Description

IA = intra-articular IAR = intra-arterial ID = intra-dermal IH = inhalation IM = intra-muscular IT = intra-thecal IV = intra-venous NA = nasal PO = oral PR = rectal SC = subcutaneous SL = sublingual TD = transdermal TO = topical VA = vaginal

Data type

text

Alias
UMLS CUI [1]
C0013153
Indication- Parkinson’s
Description

Indication

Data type

boolean

Alias
UMLS CUI [1]
C3146298
Duration of Therapy
Description

Duration of Therapy

Data type

text

Alias
UMLS CUI [1]
C0444921
End Date
Description

End Date

Data type

date

Alias
UMLS CUI [1]
C0806020
Continuing at end of study?
Description

Continuing at end of study

Data type

boolean

Alias
UMLS CUI [1]
C1553904
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Similar models

Prior Parkinson’s Medication Screening

1 forms
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
PRIOR PARKINSON’S MEDICATION
C0013227 (UMLS CUI-1)
C0030567 (UMLS CUI-2)
Patient Number
Item
Patient Number
text
C1830427 (UMLS CUI [1])
Centre Number
Item
Centre Number
integer
C0600091 (UMLS CUI [1,1])
C0019994 (UMLS CUI [1,2])
Medication Parkinson Disease
Item
Has the subject taken any Parkinson’s medication within 30 days PRIOR to the study?
boolean
C0013227 (UMLS CUI [1,1])
C0030567 (UMLS CUI [1,2])
Drug Name
Item
Drug Name
text
C2360065 (UMLS CUI [1])
dose
Item
SINGLE Dose/Unit
text
C3174092 (UMLS CUI [1])
dose frequency
Item
Frequency of this Dose
text
C2826654 (UMLS CUI [1])
Route
Item
Route
text
C0013153 (UMLS CUI [1])
Indication
Item
Indication- Parkinson’s
boolean
C3146298 (UMLS CUI [1])
Duration of Therapy
Item
Duration of Therapy
text
C0444921 (UMLS CUI [1])
End Date
Item
End Date
date
C0806020 (UMLS CUI [1])
Continuing at end of study
Item
Continuing at end of study?
boolean
C1553904 (UMLS CUI [1])
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