MUTTEST

Table Description: Genetic Mutation Testing Form

1.0 Data Dictionary

ITM_NAME

DSCR_1.0

BIRTHDT

Date of Birth

BLDDRDT

Date of blood draw

BLDVOLML

Volume of blood collected (milliliters)

COMM

Comments

GENDER

Gender

GMUCNSDT

Informed consent date for gen test rev

GMUSNCNS

Signed Consent for Genetic Test Review

KNOWRSLT

Know or want to know results

PDDURYRS

Duration of PD (years)

PDUNAFF

PD Status

PRVGNTST

Previous genetic testing with results

REL1DPRT

First degree relative participating

RL1DGBA

Has 1st degree rel with GBA mutation

RL1DLRRK

Has 1st degree rel with LRRK2 mutation

RL1DSNCA

Has 1st degree rel with SNCA mutation

RSLTXFDT

Date results transferred

RSLTXFR

Results transferred

SMPLCLDT

Date of sample collection

SMPLCOLL

Was sample collected

SMPLTYPE

Type of sample collected

SMPLVOL

Volume of sample collected

TSITACM

Other Test SIte received from

TSITBCM

Other Test SIte shipped to

TSTSITEA

Testing Site results received from

TSTSITEB

Testing Site sample shipped to

1.0 Code Book

ITM_NAME

CODE

DECODE_1.0

GENDER

0

Female of child bearing potential

GENDER

1

Female of non-child bearing potential

GENDER

2

Male

KNOWRSLT

0

No

KNOWRSLT

1

Yes

PDUNAFF

1

PD

PDUNAFF

2

Unaffected

PRVGNTST

0

No

PRVGNTST

1

Yes

REL1DPRT

0

No

REL1DPRT

1

Yes

RL1DGBA

0

No

RL1DGBA

1

Yes

RL1DLRRK

0

No

RL1DLRRK

1

Yes

RL1DSNCA

0

No

RL1DSNCA

1

Yes

RSLTXFR

0

No

RSLTXFR

1

Yes

SMPLCOLL

0

No

SMPLCOLL

1

Yes

SMPLTYPE

1

Blood

SMPLTYPE

2

Saliva

SMPLTYPE

3

DNA

TSTSITEA

1

MGH

TSTSITEA

2

23andMe

TSTSITEA

3

Other

TSTSITEB

1

MGH

TSTSITEB

2

Other, specify

TSTSITEB

3

BMGL