SIG

Table Description: Signature Form

View Source CRFs

1.0 CRFs: Click on any PAG_NAME link below to be taken to the CRF used in the PPMI 1.0 Study.

1.0 Data Dictionary

ITM_NAME

DSCR_1.0

ASSESCMP

Were all assessments for visit completed

COMM

Comments

COSTAFF

Coordinator Staff Code

INVSTAFF

Investigator Staff Code

LGAE2

Reviewed AE -2

LGCMED2

Reviewed ConMed -2

LGCONDTN

Reviewed Med Conditions

VISMSCM

Visit Missed Reason Comment

VISMSRSN

Visit Missed Reason

VISSTAT

Visit completion status

VISSTCM

Visit completion status comment

1.0 Code Book

ITM_NAME

CODE

DECODE_1.0

ASSESCMP

0

No

ASSESCMP

1

Yes

LGAE2

1

Updated log at this visit

LGAE2

2

No data updates, log not blank

LGAE2

3

No events reported, log is blank

LGCMED2

1

Updated log at this visit

LGCMED2

2

No data updates, log not blank

LGCMED2

3

No con meds reported, log is blank

LGCONDTN

1

Updated log at this visit

LGCONDTN

2

No data updates, log not blank

LGCONDTN

3

No med conditions reported, log is blank

VISMSRSN

1

Scheduling issue with the subject

VISMSRSN

2

Scheduling issue with the staff.

VISMSRSN

3

Family / Social issues with the subject.

VISMSRSN

4

Subject did not return phone calls

VISMSRSN

5

Travel Distance

VISMSRSN

6

Medical Problems

VISMSRSN

7

Military Duty

VISMSRSN

8

Financial Issues

VISMSRSN

9

Lost to Follow up

VISMSRSN

10

Other (specify)

VISMSRSN

11

Institutionalized

VISMSRSN

13

Replaced by Symptomatic Therapy Visit

VISSTAT

1

Within window / by investigator / Coord

VISSTAT

2

Within window / NOT by Invest / Coord

VISSTAT

3

Not Done (Enter Target Date in Header)

VISSTAT

4

Out of window / by Investigator / Coord

VISSTAT

5

Out of window / NOT by Invest / Coord

VISSTAT

6

Unscheduled Visit

VISSTAT

7

Other (specify)