Data entry for this CRF completed
Item
Data entry for this CRF completed
boolean
C3899518 (UMLS CUI [1])
Assessment date
Item
Assessment date
date
C0011008 (UMLS CUI [1])
Current patient (ID)
Item
Current patient (ID)
text
C2348585 (UMLS CUI [1])
Last name
Item
Last name
text
C0421448 (UMLS CUI [1])
First name
Item
First name
text
C1443235 (UMLS CUI [1])
Item
Sex
integer
C0079399 (UMLS CUI [1])
Race
Item
Race
text
C0034510 (UMLS CUI [1])
Date of birth
Item
Date of birth
date
C0421451 (UMLS CUI [1])
Screening failure
Item
Screening failure (Patient signed Informed Consent, but failed eligibility-criteria)
boolean
C1512714 (UMLS CUI [1])
Specify reason
Item
Specify reason
text
C1512714 (UMLS CUI [1,1])
C0566251 (UMLS CUI [1,2])
Informed consent (Study)
Item
Informed consent (Study)
boolean
C0021430 (UMLS CUI [1])
Date of Informed consent (Study)
Item
Date of Informed consent (Study)
date
C0021430 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
Informed consent lumbal puncture (optional)
Item
Informed consent lumbal puncture (optional)
boolean
C0021430 (UMLS CUI [1,1])
C0037943 (UMLS CUI [1,2])
Date of Informed Consent lumbar puncture
Item
Date of Informed Consent lumbar puncture
date
C0021430 (UMLS CUI [1,1])
C0037943 (UMLS CUI [1,2])
C0001108 (UMLS CUI [1,3])
Inclusion criteria: Patient meets all inclusion criteria
Item
Inclusion criteria: Patient meets all inclusion criteria
boolean
C1302261 (UMLS CUI [1])
Exclusion criteria: Patient meets any exclusion criteria
Item
Exclusion criteria: Patient meets any exclusion criteria
boolean
C0680251 (UMLS CUI [1])
Diagnosis/Surgery
Item
Diagnosis/Surgery
text
C0011900 (UMLS CUI [1])
C0543467 (UMLS CUI [2])
Date of Diagnosis/Surgery
Item
Date of Diagnosis/Surgery
date
C0011900 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
C0543467 (UMLS CUI [2,1])
C0011008 (UMLS CUI [2,2])
Active at start of study
Item
Active at start of study
date
C2316983 (UMLS CUI [1])
Comments
Item
Comments
text
C0947611 (UMLS CUI [1])
Date of confirmed MS diagnosis
Item
Date of confirmed MS diagnosis
date
C0026769 (UMLS CUI [1,1])
C0011900 (UMLS CUI [1,2])
C0011008 (UMLS CUI [1,3])
Date of first MS symptoms
Item
Date of first MS symptoms
date
C0026769 (UMLS CUI [1,1])
C1457887 (UMLS CUI [1,2])
C0011008 (UMLS CUI [1,3])
Previous MS therapies received
Item
Previous MS therapies received
boolean
C0026769 (UMLS CUI [1,1])
C3539076 (UMLS CUI [1,2])
if yes, please specify
Item
if yes, please specify
text
C4020596 (UMLS CUI [1])
if other, please specify
Item
if other, please specify
text
C0947611 (UMLS CUI [1])