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Baseline: Repitition of AssessmentsMSFC Multiple Sclerosis ALAIN01 NCT02419378

18 forms  
Multiple Sclerosis Functional Composite
Description

Multiple Sclerosis Functional Composite

Patient ID (derived)
Description

Patient ID (derived)

Data type

text

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

informed consent, quarterly

Data type

text

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

Informed consent, semi annual

Data type

text

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

MSFC + Questionnaires: Date

Data type

date

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

Timed 25-Foot Walk

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

AFO

Data type

text

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

assistive device

Data type

text

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

Unilateral Assistance

Data type

text

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

Bilateral Assistance

Data type

text

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

Unilateral Assistance (Category)

Data type

text

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

Bilateral Assistance (Category)

Data type

text

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

Time 25-Foot Walk Trial 1

Data type

float

Measurement units
  • 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
Description

Timed 25-Foot Walk: not completed Trial 1

Data type

text

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

Time 25-Foot Walk Trial 2

Data type

float

Measurement units
  • 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
Description

Timed 25-Foot Walk: not completed Trial 2

Data type

text

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

9-Hole Peg Test

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

Dominant hand

Data type

text

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

9 hole peg test Time dominant hand Trial 1

Data type

float

Measurement units
  • 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
Description

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

Data type

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
Description

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

Data type

float

Measurement units
  • 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
Description

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

Data type

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
Description

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

Data type

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
Description

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

Data type

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
Description

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

Data type

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
Description

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

Data type

text

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

PASAT

Alias
UMLS CUI-1
C0589060
PASAT Form used
Description

PASAT Form used

Data type

text

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

PASAT3 total correct

Data type

integer

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

PASAT3: not completed

Data type

text

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

PASAT2 total correct

Data type

integer

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

PASAT2: not completed

Data type

text

Alias
UMLS CUI [1,1]
C0589060
UMLS CUI [1,2]
C0205448
UMLS CUI [1,3]
C2732579
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Similar models

Baseline: Repitition of AssessmentsMSFC Multiple Sclerosis ALAIN01 NCT02419378

18 forms
Name
Type
Description | Question | Decode (Coded Value)
Data type
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)
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