Eligibility

1 forms
  1. StudyEvent: Eligibility
    1. Eligibility
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Inclusion Criteria
CL425202 (UMLS CUI 2011AA)
age at least 18 Years
Item
age at least 18 Years
boolean
C0001779 (UMLS CUI 2011AA)
397669002 (SNOMED CT 2011_0131)
De novo patients with cervical dystonia
Item
De novo patients with cervical dystonia
boolean
C1515568 (UMLS CUI 2011AA)
C0030705 (UMLS CUI 2011AA)
116154003 (SNOMED CT 2011_0131)
C0949445 (UMLS CUI 2011AA)
10064124 (MedDRA 14.1)
C0011900 (UMLS CUI 2011AA)
439401001 (SNOMED CT 2011_0131)
MTHU008876 (LOINC Version 232)
Outpatient
Item
Outpatient, Out-Patient
boolean
C0029921 (UMLS CUI 2011AA)
373864002 (SNOMED CT 2011_0131)
MTHU011902 (LOINC Version 232)
Written informed consent to participate in the study
Item
Written informed consent to participate in the study
boolean
C0021430 (UMLS CUI 2011AA)
Item Group
Exclusion Criteria
CL425201 (UMLS CUI 2011AA)
Pre-treatment of cervical dystonia with botulinum toxin
Item
Pre-treatment of cervical dystonia with botulinum toxin
boolean
C1514463 (UMLS CUI 2011AA)
C0949445 (UMLS CUI 2011AA)
10064124 (MedDRA 14.1)
C0006055 (UMLS CUI 2011AA)
11894001 (SNOMED CT 2011_0131)
MTHU002713 (LOINC Version 232)
Pre-treatment with botulinum toxin for any indication other than cervical dystonia within the past 12 months
Item
Pre-treatment with botulinum toxin for any indication other than cervical dystonia within the past 12 months
boolean
C1514463 (UMLS CUI 2011AA)
C0006055 (UMLS CUI 2011AA)
11894001 (SNOMED CT 2011_0131)
MTHU002713 (LOINC Version 232)
CL335836 (UMLS CUI 2011AA)
CL411789 (UMLS CUI 2011AA)
C0949445 (UMLS CUI 2011AA)
10064124 (MedDRA 14.1)
C1444637 (UMLS CUI 2011AA)
410513005 (SNOMED CT 2011_0131)
C0439234 (UMLS CUI 2011AA)
258707000 (SNOMED CT 2011_0131)
Y (HL7 V3 2006_05)
Pure retro- or antecollis
Item
Pure retro- or antecollis
boolean
C0040485 (UMLS CUI 2011AA)
70070008 (SNOMED CT 2011_0131)
10044074 (MedDRA 14.1)
M43.6 (ICD-10-CM Version 2010)
723.5 (ICD-9-CM Version 2011)
C1698476 (UMLS CUI 2011AA)
10065261 (MedDRA 14.1)
Neurological or other diseases which may affect head and neck motor function or neuromuscular transmission, e.g. polyneuropathy with pareses, myasthenia, myopathy, motor neurone diseases, Bekhterev's disease
Item
Neurological or other diseases which may affect head and neck motor function or neuromuscular transmission, e.g. polyneuropathy with pareses, myasthenia, myopathy, motor neurone diseases, Bekhterev's disease
boolean
C0027765 (UMLS CUI 2011AA)
118940003 (SNOMED CT 2011_0131)
10029202 (MedDRA 14.1)
G98.8 (ICD-10-CM Version 2010)
349.9 (ICD-9-CM Version 2011)
C0205394 (UMLS CUI 2011AA)
74964007 (SNOMED CT 2011_0131)
C0012634 (UMLS CUI 2011AA)
64572001 (SNOMED CT 2011_0131)
C0392760 (UMLS CUI 2011AA)
247591002 (SNOMED CT 2011_0131)
C0018670 (UMLS CUI 2011AA)
69536005 (SNOMED CT 2011_0131)
MTHU001435 (LOINC Version 232)
C0027530 (UMLS CUI 2011AA)
45048000 (SNOMED CT 2011_0131)
MTHU002688 (LOINC Version 232)
C0234130 (UMLS CUI 2011AA)
52479005 (SNOMED CT 2011_0131)
MTHU015052 (LOINC Version 232)
C0260043 (UMLS CUI 2011AA)
C0152025 (UMLS CUI 2011AA)
42345000 (SNOMED CT 2011_0131)
10036105 (MedDRA 14.1)
G62.9 (ICD-10-CM Version 2010)
C0030552 (UMLS CUI 2011AA)
10033985 (MedDRA 14.1)
C0947912 (UMLS CUI 2011AA)
10028415 (MedDRA 14.1)
C0026848 (UMLS CUI 2011AA)
129565002 (SNOMED CT 2011_0131)
10028641 (MedDRA 14.1)
G72.9 (ICD-10-CM Version 2010)
359.9 (ICD-9-CM Version 2011)
C0085084 (UMLS CUI 2011AA)
37340000 (SNOMED CT 2011_0131)
10028003 (MedDRA 14.1)
G12.20 (ICD-10-CM Version 2010)
335.2 (ICD-9-CM Version 2011)
C0038013 (UMLS CUI 2011AA)
9631008 (SNOMED CT 2011_0131)
10002556 (MedDRA 14.1)
M45 (ICD-10-CM Version 2010)
720.0 (ICD-9-CM Version 2011)
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