ID

44216

Beschreibung

Screening, Baseline and Visit 1 CRFs of DIMAT-MS and ALAIN studies for semantic analysis of Multiple Sclerosis study documentation. Provided by Prof. Dr. Luisa Klotz of the Department of Neurology of the University Hospital Muenster.

Stichworte

Versionen (4)
  1. 27.02.18 27.02.18 -
  2. 29.01.19 29.01.19 - Sarah Riepenhausen
  3. 13.04.21 13.04.21 - Dr. rer. medic Philipp Neuhaus
  4. 20.09.21 20.09.21 -
Rechteinhaber

Prof. Dr. Luisa Klotz

Hochgeladen am

20. September 2021

DOI

Für eine Beantragung loggen Sie sich ein.

Lizenz

Creative Commons BY-NC 3.0
Modell Kommentare :

Hier können Sie das Modell kommentieren. Über die Sprechblasen an den Itemgruppen und Items können Sie diese spezifisch kommentieren.

Zurück zu Modell Kommentaren
Itemgroup Kommentare für :

Item Kommentare für :

  • Neueste
  • Älteste
  • Beliebt
  • Neueste
    • Neueste
    • Älteste
    • Beliebt

Keine Kommentare

Um Formulare herunterzuladen müssen Sie angemeldet sein. Bitte loggen Sie sich ein oder registrieren Sie sich kostenlos.

Multiple sclerosis studies NCT02461069 NCT02419378

Englisch

Baseline: Repitition of AssessmentsMSFC Multiple Sclerosis ALAIN01 NCT02419378

18 Formulare  
Multiple Sclerosis Functional Composite
Beschreibung

Multiple Sclerosis Functional Composite

Patient ID (derived)
Beschreibung

Patient ID (derived)

Datentyp

text

Alias
UMLS CUI [1]
C2348585
MSFC+ Quest.: add. quarterly inf. consent yes/no
Beschreibung

informed consent, quarterly

Datentyp

text

Alias
UMLS CUI [1,1]
C0021430
UMLS CUI [1,2]
C0332179
MSFC+ Quest.: add. semiannual inf. consent yes/no
Beschreibung

Informed consent, semi annual

Datentyp

text

Alias
UMLS CUI [1,1]
C0021430
UMLS CUI [1,2]
C0585339
MSFC + Questionnaires: Date
Beschreibung

MSFC + Questionnaires: Date

Datentyp

date

Alias
UMLS CUI [1,1]
C0034394
UMLS CUI [1,2]
C0011008
Timed 25-Foot Walk
Beschreibung

Timed 25-Foot Walk

Alias
UMLS CUI-1
C0430517
Timed 25-Foot Walk: AFO yes/no
Beschreibung

AFO

Datentyp

text

Alias
UMLS CUI [1]
C3843016
Timed 25-Foot Walk: assistive device yes/no
Beschreibung

assistive device

Datentyp

text

Alias
UMLS CUI [1]
C0036605
Timed 25-Foot Walk: Unilateral Ass.
Beschreibung

Unilateral Assistance

Datentyp

text

Alias
UMLS CUI [1,1]
C0205092
UMLS CUI [1,2]
C0036605
Timed 25-Foot Walk: Bilateral Ass.
Beschreibung

Bilateral Assistance

Datentyp

text

Alias
UMLS CUI [1,1]
C0238767
UMLS CUI [1,2]
C0036605
Timed 25-Foot Walk: Unilateral Ass. (Category)
Beschreibung

Unilateral Assistance (Category)

Datentyp

text

Alias
UMLS CUI [1,1]
C0205092
UMLS CUI [1,2]
C0036605
UMLS CUI [1,3]
C0683312
Timed 25-Foot Walk: Bilateral Ass. (Category)
Beschreibung

Bilateral Assistance (Category)

Datentyp

text

Alias
UMLS CUI [1,1]
C0238767
UMLS CUI [1,2]
C0036605
UMLS CUI [1,3]
C0683312
Timed 25-Foot Walk: Time Trial 1
Beschreibung

Time 25-Foot Walk Trial 1

Datentyp

float

Maßeinheiten
  • sec
Alias
UMLS CUI [1,1]
C0430517
UMLS CUI [1,2]
C0750480
UMLS CUI [1,3]
C0040223
sec
Timed 25-Foot Walk: not completed Trial 1
Beschreibung

Timed 25-Foot Walk: not completed Trial 1

Datentyp

text

Alias
UMLS CUI [1,1]
C0430517
UMLS CUI [1,2]
C0750480
UMLS CUI [1,3]
C2732579
Timed 25-Foot Walk: Time Trial 2
Beschreibung

Time 25-Foot Walk Trial 2

Datentyp

float

Maßeinheiten
  • sec
Alias
UMLS CUI [1,1]
C0430517
UMLS CUI [1,2]
C0750480
UMLS CUI [1,3]
C0040223
sec
Timed 25-Foot Walk: not completed Trial 2
Beschreibung

Timed 25-Foot Walk: not completed Trial 2

Datentyp

text

Alias
UMLS CUI [1,1]
C0430517
UMLS CUI [1,2]
C0750480
UMLS CUI [1,3]
C2732579
9-Hole Peg Test
Beschreibung

9-Hole Peg Test

Alias
UMLS CUI-1
C0451335
9-Hole Peg Test: dominant hand
Beschreibung

Dominant hand

Datentyp

text

Alias
UMLS CUI [1,1]
C0451335
UMLS CUI [1,2]
C0449722
9-Hole Peg Test: Time dom. Trial 1
Beschreibung

9 hole peg test Time dominant hand Trial 1

Datentyp

float

Maßeinheiten
  • sec
Alias
UMLS CUI [1,1]
C0451335
UMLS CUI [1,2]
C0449722
UMLS CUI [1,3]
C0750480
UMLS CUI [1,4]
C0040223
sec
9-Hole Peg Test: not completed dom. Trial 1
Beschreibung

9-Hole Peg Test: not completed dom. Trial 1

Datentyp

text

Alias
UMLS CUI [1,1]
C0451335
UMLS CUI [1,2]
C0449722
UMLS CUI [1,3]
C0750480
UMLS CUI [1,4]
C2732579
9-Hole Peg Test: Time non-dom. Trial 1
Beschreibung

9-Hole Peg Test Time non-dominant hand Trial 1

Datentyp

float

Maßeinheiten
  • sec
Alias
UMLS CUI [1,1]
C0451335
UMLS CUI [1,2]
C0445549
UMLS CUI [1,3]
C0750480
UMLS CUI [1,4]
C0040223
sec
9-Hole Peg Test: not completed non-dom. Trial 1
Beschreibung

9-Hole Peg Test: not completed non-dom. Trial 1

Datentyp

text

Alias
UMLS CUI [1,1]
C0451335
UMLS CUI [1,2]
C0445549
UMLS CUI [1,3]
C0750480
UMLS CUI [1,4]
C2732579
9-Hole Peg Test: Time (sec) dom. Trial 2
Beschreibung

9-Hole Peg Test: Time (sec) dom. Trial 2

Datentyp

float

Alias
UMLS CUI [1,1]
C0451335
UMLS CUI [1,2]
C0449722
UMLS CUI [1,3]
C0750480
UMLS CUI [1,4]
C0040223
9-Hole Peg Test: not completed dom. Trial 2
Beschreibung

9-Hole Peg Test: not completed dom. Trial 2

Datentyp

text

Alias
UMLS CUI [1,1]
C0451335
UMLS CUI [1,2]
C0449722
UMLS CUI [1,3]
C0750480
UMLS CUI [1,4]
C2732579
9-Hole Peg Test: Time (sec) non-dom. Trial 2
Beschreibung

9-Hole Peg Test: Time (sec) non-dom. Trial 2

Datentyp

float

Alias
UMLS CUI [1,1]
C0451335
UMLS CUI [1,2]
C0445549
UMLS CUI [1,3]
C0750480
UMLS CUI [1,4]
C0040223
9-Hole Peg Test: not completed non-dom. Trial 2
Beschreibung

9-Hole Peg Test: not completed non-dom. Trial 2

Datentyp

text

Alias
UMLS CUI [1,1]
C0451335
UMLS CUI [1,2]
C0445549
UMLS CUI [1,3]
C0750480
UMLS CUI [1,4]
C2732579
PASAT
Beschreibung

PASAT

Alias
UMLS CUI-1
C0589060
PASAT Form used
Beschreibung

PASAT Form used

Datentyp

text

Alias
UMLS CUI [1,1]
C0589060
UMLS CUI [1,2]
C0180975
PASAT3: Total correct
Beschreibung

PASAT3 total correct

Datentyp

integer

Alias
UMLS CUI [1,1]
C3898055
UMLS CUI [1,2]
C0205449
PASAT3: not completed
Beschreibung

PASAT3: not completed

Datentyp

text

Alias
UMLS CUI [1,1]
C0589060
UMLS CUI [1,2]
C0205449
UMLS CUI [1,3]
C2732579
PASAT2: Total correct
Beschreibung

PASAT2 total correct

Datentyp

integer

Alias
UMLS CUI [1,1]
C3898055
UMLS CUI [1,2]
C0205448
PASAT2: not completed
Beschreibung

PASAT2: not completed

Datentyp

text

Alias
UMLS CUI [1,1]
C0589060
UMLS CUI [1,2]
C0205448
UMLS CUI [1,3]
C2732579
Zum Seitenanfang zurückkehren

Ähnliche Modelle

Baseline: Repitition of AssessmentsMSFC Multiple Sclerosis ALAIN01 NCT02419378

18 Formulare
Name
Typ
Description | Question | Decode (Coded Value)
Datentyp
Alias
Item Group
Multiple Sclerosis Functional Composite
Patient ID (derived)
Item
Patient ID (derived)
text
C2348585 (UMLS CUI [1])
Item
MSFC+ Quest.: add. quarterly inf. consent yes/no
text
C0021430 (UMLS CUI [1,1])
C0332179 (UMLS CUI [1,2])
MSFC+ Quest.: add. quarterly inf. consent yes/no
Code List
MSFC+ Quest.: add. quarterly inf. consent yes/no
CL Item
yes (1)
CL Item
no (0)
Item
MSFC+ Quest.: add. semiannual inf. consent yes/no
text
C0021430 (UMLS CUI [1,1])
C0585339 (UMLS CUI [1,2])
MSFC+ Quest.: add. semiannual inf. consent yes/no
Code List
MSFC+ Quest.: add. semiannual inf. consent yes/no
CL Item
yes (1)
CL Item
no (0)
Questionnaire, date
Item
MSFC + Questionnaires: Date
date
C0034394 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
Item Group
Timed 25-Foot Walk
C0430517 (UMLS CUI-1)
Item
Timed 25-Foot Walk: AFO yes/no
text
C3843016 (UMLS CUI [1])
Timed 25-Foot Walk: AFO yes/no
Code List
Timed 25-Foot Walk: AFO yes/no
CL Item
yes (1)
CL Item
no (0)
Item
Timed 25-Foot Walk: assistive device yes/no
text
C0036605 (UMLS CUI [1])
Timed 25-Foot Walk: assistive device yes/no
Code List
Timed 25-Foot Walk: assistive device yes/no
CL Item
yes (1)
CL Item
no (0)
Item
Timed 25-Foot Walk: Unilateral Ass.
text
C0205092 (UMLS CUI [1,1])
C0036605 (UMLS CUI [1,2])
Timed 25-Foot Walk: Unilateral Ass.
Code List
Timed 25-Foot Walk: Unilateral Ass.
CL Item
Unilateral Assistance (1)
Item
Timed 25-Foot Walk: Bilateral Ass.
text
C0238767 (UMLS CUI [1,1])
C0036605 (UMLS CUI [1,2])
Timed 25-Foot Walk: Bilateral Ass.
Code List
Timed 25-Foot Walk: Bilateral Ass.
CL Item
Bilateral Assistance (1)
Item
Timed 25-Foot Walk: Unilateral Ass. (Category)
text
C0205092 (UMLS CUI [1,1])
C0036605 (UMLS CUI [1,2])
C0683312 (UMLS CUI [1,3])
Timed 25-Foot Walk: Unilateral Ass. (Category)
Code List
Timed 25-Foot Walk: Unilateral Ass. (Category)
CL Item
Cane (1)
C0006856 (UMLS CUI-1)
CL Item
Crutch (2)
C0010397 (UMLS CUI-1)
Item
Timed 25-Foot Walk: Bilateral Ass. (Category)
text
C0238767 (UMLS CUI [1,1])
C0036605 (UMLS CUI [1,2])
C0683312 (UMLS CUI [1,3])
Timed 25-Foot Walk: Bilateral Ass. (Category)
Code List
Timed 25-Foot Walk: Bilateral Ass. (Category)
CL Item
Cane (1)
C0006856 (UMLS CUI-1)
CL Item
Crutch (2)
C0010397 (UMLS CUI-1)
CL Item
Walker/Rollator (3)
C0184339 (UMLS CUI-1)
Time 25-Foot Walk Trial 1
Item
Timed 25-Foot Walk: Time Trial 1
float
C0430517 (UMLS CUI [1,1])
C0750480 (UMLS CUI [1,2])
C0040223 (UMLS CUI [1,3])
Item
Timed 25-Foot Walk: not completed Trial 1
text
C0430517 (UMLS CUI [1,1])
C0750480 (UMLS CUI [1,2])
C2732579 (UMLS CUI [1,3])
Timed 25-Foot Walk: not completed Trial 1
Code List
Timed 25-Foot Walk: not completed Trial 1
CL Item
Unable due to physical limitations (1)
CL Item
Other (9)
Time 25-Foot Walk Trial 2
Item
Timed 25-Foot Walk: Time Trial 2
float
C0430517 (UMLS CUI [1,1])
C0750480 (UMLS CUI [1,2])
C0040223 (UMLS CUI [1,3])
Item
Timed 25-Foot Walk: not completed Trial 2
text
C0430517 (UMLS CUI [1,1])
C0750480 (UMLS CUI [1,2])
C2732579 (UMLS CUI [1,3])
Timed 25-Foot Walk: not completed Trial 2
Code List
Timed 25-Foot Walk: not completed Trial 2
CL Item
Unable due to physical limitations (1)
CL Item
Other (9)
Item Group
9-Hole Peg Test
C0451335 (UMLS CUI-1)
Item
9-Hole Peg Test: dominant hand
text
C0451335 (UMLS CUI [1,1])
C0449722 (UMLS CUI [1,2])
9-Hole Peg Test: dominant hand
Code List
9-Hole Peg Test: dominant hand
CL Item
right (1)
C0205090 (UMLS CUI-1)
CL Item
left (2)
C0205091 (UMLS CUI-1)
9 hole peg test Time dominant hand Trial 1
Item
9-Hole Peg Test: Time dom. Trial 1
float
C0451335 (UMLS CUI [1,1])
C0449722 (UMLS CUI [1,2])
C0750480 (UMLS CUI [1,3])
C0040223 (UMLS CUI [1,4])
Item
9-Hole Peg Test: not completed dom. Trial 1
text
C0451335 (UMLS CUI [1,1])
C0449722 (UMLS CUI [1,2])
C0750480 (UMLS CUI [1,3])
C2732579 (UMLS CUI [1,4])
9-Hole Peg Test: not completed dom. Trial 1
Code List
9-Hole Peg Test: not completed dom. Trial 1
CL Item
Unable due to physical limitations (1)
CL Item
Other (9)
9-Hole Peg Test Time non-dominant hand Trial 1
Item
9-Hole Peg Test: Time non-dom. Trial 1
float
C0451335 (UMLS CUI [1,1])
C0445549 (UMLS CUI [1,2])
C0750480 (UMLS CUI [1,3])
C0040223 (UMLS CUI [1,4])
Item
9-Hole Peg Test: not completed non-dom. Trial 1
text
C0451335 (UMLS CUI [1,1])
C0445549 (UMLS CUI [1,2])
C0750480 (UMLS CUI [1,3])
C2732579 (UMLS CUI [1,4])
9-Hole Peg Test: not completed non-dom. Trial 1
Code List
9-Hole Peg Test: not completed non-dom. Trial 1
CL Item
Unable due to physical limitations (1)
CL Item
Other (9)
9-Hole Peg Test: Time (sec) dom. Trial 2
Item
9-Hole Peg Test: Time (sec) dom. Trial 2
float
C0451335 (UMLS CUI [1,1])
C0449722 (UMLS CUI [1,2])
C0750480 (UMLS CUI [1,3])
C0040223 (UMLS CUI [1,4])
Item
9-Hole Peg Test: not completed dom. Trial 2
text
C0451335 (UMLS CUI [1,1])
C0449722 (UMLS CUI [1,2])
C0750480 (UMLS CUI [1,3])
C2732579 (UMLS CUI [1,4])
9-Hole Peg Test: not completed dom. Trial 2
Code List
9-Hole Peg Test: not completed dom. Trial 2
CL Item
Unable due to physical limitations (1)
CL Item
Other (9)
9-Hole Peg Test: Time (sec) non-dom. Trial 2
Item
9-Hole Peg Test: Time (sec) non-dom. Trial 2
float
C0451335 (UMLS CUI [1,1])
C0445549 (UMLS CUI [1,2])
C0750480 (UMLS CUI [1,3])
C0040223 (UMLS CUI [1,4])
Item
9-Hole Peg Test: not completed non-dom. Trial 2
text
C0451335 (UMLS CUI [1,1])
C0445549 (UMLS CUI [1,2])
C0750480 (UMLS CUI [1,3])
C2732579 (UMLS CUI [1,4])
9-Hole Peg Test: not completed non-dom. Trial 2
Code List
9-Hole Peg Test: not completed non-dom. Trial 2
CL Item
Unable due to physical limitations (1)
CL Item
Other (9)
Item Group
PASAT
C0589060 (UMLS CUI-1)
Item
PASAT Form used
text
C0589060 (UMLS CUI [1,1])
C0180975 (UMLS CUI [1,2])
PASAT Form used
Code List
PASAT Form used
CL Item
Form A (1)
CL Item
Form B (2)
PASAT3 total correct
Item
PASAT3: Total correct
integer
C3898055 (UMLS CUI [1,1])
C0205449 (UMLS CUI [1,2])
Item
PASAT3: not completed
text
C0589060 (UMLS CUI [1,1])
C0205449 (UMLS CUI [1,2])
C2732579 (UMLS CUI [1,3])
PASAT3: not completed
Code List
PASAT3: not completed
CL Item
Unable due to physical limitations (1)
CL Item
Other (9)
PASAT2 total correct
Item
PASAT2: Total correct
integer
C3898055 (UMLS CUI [1,1])
C0205448 (UMLS CUI [1,2])
Item
PASAT2: not completed
text
C0589060 (UMLS CUI [1,1])
C0205448 (UMLS CUI [1,2])
C2732579 (UMLS CUI [1,3])
PASAT2: not completed
Code List
PASAT2: not completed
CL Item
Unable due to physical limitations (1)
CL Item
Other (9)
Zum Seitenanfang zurückkehren 

Hilfe

Benötigen Sie Hilfe bei der Suche? Um mehr Details zu erfahren und die Suche effektiver nutzen zu können schauen Sie sich doch das entsprechende Video auf unserer Tutorial Seite an.

Zum Video