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CDE Detailed Report
This report contains detailed information about the selected CDEs.
Note: If at least one CDE was selected from a copyright- or trademark-protected instrument/scale then all of the CDEs from that instrument/scale are included in this report.
Disease: Parkinson's Disease
Sub-Domain: Other Non-Motor
CRF: Scale for Outcomes in Parkinson's Disease Autonomic (SCOPA-AUT)
Item count: 35 (35 distinct CDEs)
CDE ID
CDE Name
Variable Name
Definition / Description
Question Text
Permissible Value
Description
Data Type
Instructions
References
Population
Classification (e.g., Core)
Version #
Version Date
Aliases for Variable Name
CRF Module / Guideline
© or TM
Sub-Domain
Domain
Previous Title
Size
Input Restrictions
Min Value
Max Value
Measurement Type
LOINC ID
SNOMED
caDSR ID
CDISC ID
C10342
Scale for Outcomes in PD Autonomic (SCOPA-AUT) - difficulty swallowing choked indicator
SCOPAAutDiffcltySwllwngChkdInd
The indicator of whether the participant/subject has had difficulty swallowing or has choked in the past month, as part of the Scales for Outcomes in PD-Autonomic (SCOPA-Aut) form.
In the past month, have you had difficulty swallowing or have you choked?
Never;Sometimes;Regularly;Often;
Never;Sometimes;regularly;Often;
Alphanumeric
Answers should reflect the participant/subject's problems with various bodily functions in the past month.
M, Marinus J, Stiggelbout AM, Van Hilten JJ. Assessment of autonomic dysfunction in Parkinson's disease: the SCOPA-AUT. Mov. Disord. 2004 Nov; 19:1306-12.
Adult
Supplemental
3.0
7/22/2013
Aliases for variable name not defined
Scale for Outcomes in Parkinson's Disease Autonomic (SCOPA-AUT)
Other Non-Motor
Outcomes and End Points
SCOPA-Aut Q1
 
Single Pre-Defined Value Selected
       
C10343
Scale for Outcomes in PD Autonomic (SCOPA-AUT) - saliva dribbled indicator
SCOPAAutSalivaDribbledInd
The indicator of whether the participant/subject has had saliva dribbled out of their mouth in the past month, as part of the Scales for Outcomes in PD-Autonomic (SCOPA-Aut) form.
In the past month, has saliva dribbled out of your mouth?
Never;Sometimes;Regularly;Often;
Never;Sometimes;regularly;Often;
Alphanumeric
Answers should reflect the participant/subject's problems with various bodily functions in the past month.
M, Marinus J, Stiggelbout AM, Van Hilten JJ. Assessment of autonomic dysfunction in Parkinson's disease: the SCOPA-AUT. Mov. Disord. 2004 Nov; 19:1306-12.
Adult
Supplemental
3.0
7/22/2013
Aliases for variable name not defined
Scale for Outcomes in Parkinson's Disease Autonomic (SCOPA-AUT)
Other Non-Motor
Outcomes and End Points
SCOPA-Aut Q2
 
Single Pre-Defined Value Selected
       
C10344
Scale for Outcomes in PD Autonomic (SCOPA-AUT) - food stuck throat indicator
SCOPAAutFoodStuckThroatInd
The indicator of whether the participant/subject has had food stuck in their throat in the past month, as part of the Scales for Outcomes in PD-Autonomic (SCOPA-Aut) form.
In the past month, has food ever become stuck in your throat?
Never;Sometimes;Regularly;Often;
Never;Sometimes;regularly;Often;
Alphanumeric
Answers should reflect the participant/subject's problems with various bodily functions in the past month.
M, Marinus J, Stiggelbout AM, Van Hilten JJ. Assessment of autonomic dysfunction in Parkinson's disease: the SCOPA-AUT. Mov. Disord. 2004 Nov; 19:1306-12.
Adult
Supplemental
3.0
7/22/2013
Aliases for variable name not defined
Scale for Outcomes in Parkinson's Disease Autonomic (SCOPA-AUT)
Other Non-Motor
Outcomes and End Points
SCOPA-Aut Q3
 
Single Pre-Defined Value Selected
       
C10345
Scale for Outcomes in PD Autonomic (SCOPA-AUT) - feel full quickly indicator
SCOPAAutFeelFullQuicklyInd
The indicator of whether the participant/subject has felt full very quickly while eating in the past month, as part of the Scales for Outcomes in PD-Autonomic (SCOPA-Aut) form.
In the past month, did you ever have the feeling during a meal that you were full very quickly?
Never;Sometimes;Regularly;Often;
Never;Sometimes;regularly;Often;
Alphanumeric
Answers should reflect the participant/subject's problems with various bodily functions in the past month.
M, Marinus J, Stiggelbout AM, Van Hilten JJ. Assessment of autonomic dysfunction in Parkinson's disease: the SCOPA-AUT. Mov. Disord. 2004 Nov; 19:1306-12.
Adult
Supplemental
3.0
7/22/2013
Aliases for variable name not defined
Scale for Outcomes in Parkinson's Disease Autonomic (SCOPA-AUT)
Other Non-Motor
Outcomes and End Points
SCOPA-Aut Q4
 
Single Pre-Defined Value Selected
       
C10346
Scale for Outcomes in PD Autonomic (SCOPA-AUT) - problem constipation indicator
SCOPAAutProblmConstipationInd
The indicator of whether the participant/subject has problems with constipation in the past month, as part of the Scales for Outcomes in PD-Autonomic (SCOPA-Aut) form.
Constipation is a blockage of the bowel, a condition in which someone has a bowel movement twice a week or less. In the past month, have you had problems with constipation?
Never;Sometimes;Regularly;Often;
Never;Sometimes;regularly;Often;
Alphanumeric
Answers should reflect the participant/subject's problems with various bodily functions in the past month.
M, Marinus J, Stiggelbout AM, Van Hilten JJ. Assessment of autonomic dysfunction in Parkinson's disease: the SCOPA-AUT. Mov. Disord. 2004 Nov; 19:1306-12.
Adult
Supplemental
3.0
7/22/2013
Aliases for variable name not defined
Scale for Outcomes in Parkinson's Disease Autonomic (SCOPA-AUT)
Other Non-Motor
Outcomes and End Points
SCOPA-Aut Q5
 
Single Pre-Defined Value Selected
       
C10347
Scale for Outcomes in PD Autonomic (SCOPA-AUT) - strain hard stool indicator
SCOPAAutStrainHardStoolInd
The indicator of whether the participant/subject has had strain hard to pass stools in the past month, as part of the Scales for Outcomes in PD-Autonomic (SCOPA-Aut) form.
In the past month, did you have to strain hard to pass stools?
Never;Sometimes;Regularly;Often;
Never;Sometimes;regularly;Often;
Alphanumeric
Answers should reflect the participant/subject's problems with various bodily functions in the past month.
M, Marinus J, Stiggelbout AM, Van Hilten JJ. Assessment of autonomic dysfunction in Parkinson's disease: the SCOPA-AUT. Mov. Disord. 2004 Nov; 19:1306-12.
Adult
Supplemental
3.0
7/22/2013
Aliases for variable name not defined
Scale for Outcomes in Parkinson's Disease Autonomic (SCOPA-AUT)
Other Non-Motor
Outcomes and End Points
SCOPA-Aut Q6
 
Single Pre-Defined Value Selected
       
C10348
Scale for Outcomes in PD Autonomic (SCOPA-AUT) - involuntary stool loss indicator
SCOPAAutInvlntryStoolLossInd
The indicator of whether the participant/subject has had involuntary loss of stools in the past month, as part of the Scales for Outcomes in PD-Autonomic (SCOPA-Aut) form.
In the past month, have you had involuntary loss of stools?
Never;Sometimes;Regularly;Often;
Never;Sometimes;regularly;Often;
Alphanumeric
Answers should reflect the participant/subject's problems with various bodily functions in the past month.
M, Marinus J, Stiggelbout AM, Van Hilten JJ. Assessment of autonomic dysfunction in Parkinson's disease: the SCOPA-AUT. Mov. Disord. 2004 Nov; 19:1306-12.
Adult
Supplemental
3.0
7/22/2013
Aliases for variable name not defined
Scale for Outcomes in Parkinson's Disease Autonomic (SCOPA-AUT)
Other Non-Motor
Outcomes and End Points
SCOPA-Aut Q7
 
Single Pre-Defined Value Selected
       
C10349
Scale for Outcomes in PD Autonomic (SCOPA-AUT) - difficulty retaining urine indicator
SCOPAAutDiffcltyRetainUrineInd
The indicator of whether the participant/subject has had difficulty retaining urine in the past month, as part of the Scales for Outcomes in PD-Autonomic (SCOPA-Aut) form.
In the past month, have you had difficulty retaining urine?
Never;Sometimes;Regularly;Often;use catheter;
Never;Sometimes;regularly;Often;use catheter;
Alphanumeric
Answers should reflect the participant/subject's problems with various bodily functions in the past month. If participant/subject uses a catheter they can indicate this by placing a cross in the box "use catheter".
M, Marinus J, Stiggelbout AM, Van Hilten JJ. Assessment of autonomic dysfunction in Parkinson's disease: the SCOPA-AUT. Mov. Disord. 2004 Nov; 19:1306-12.
Adult
Supplemental
3.0
7/22/2013
Aliases for variable name not defined
Scale for Outcomes in Parkinson's Disease Autonomic (SCOPA-AUT)
Other Non-Motor
Outcomes and End Points
SCOPA-Aut Q8
 
Single Pre-Defined Value Selected
       
C10350
Scale for Outcomes in PD Autonomic (SCOPA-AUT) - involuntary urine loss indicator
SCOPAAutInvlntryUrineLossInd
The indicator of whether the participant/subject has had involuntary loss of urine in the past month, as part of the Scales for Outcomes in PD-Autonomic (SCOPA-Aut) form.
In the past month, have you had involuntary loss of urine?
Never;Sometimes;Regularly;Often;use catheter;
Never;Sometimes;regularly;Often;use catheter;
Alphanumeric
Answers should reflect the participant/subject's problems with various bodily functions in the past month. If participant/subject uses a catheter they can indicate this by placing a cross in the box "use catheter".
M, Marinus J, Stiggelbout AM, Van Hilten JJ. Assessment of autonomic dysfunction in Parkinson's disease: the SCOPA-AUT. Mov. Disord. 2004 Nov; 19:1306-12.
Adult
Supplemental
3.0
7/22/2013
Aliases for variable name not defined
Scale for Outcomes in Parkinson's Disease Autonomic (SCOPA-AUT)
Other Non-Motor
Outcomes and End Points
SCOPA-Aut Q9
 
Single Pre-Defined Value Selected
       
C10351
Scale for Outcomes in PD Autonomic (SCOPA-AUT) - ladder not empty indicator
SCOPAAutBladderNotEmptyInd
The indicator of whether the participant/subject has had the feeling that their bladder was not completely empty after urination in the past month, as part of the Scales for Outcomes in PD-Autonomic (SCOPA-Aut) form.
In the past month, have you had the feeling that after passing urine your bladder was not completely empty?
Never;Sometimes;Regularly;Often;use catheter;
Never;Sometimes;regularly;Often;use catheter;
Alphanumeric
Answers should reflect the participant/subject's problems with various bodily functions in the past month. If participant/subject uses a catheter they can indicate this by placing a cross in the box "use catheter".
M, Marinus J, Stiggelbout AM, Van Hilten JJ. Assessment of autonomic dysfunction in Parkinson's disease: the SCOPA-AUT. Mov. Disord. 2004 Nov; 19:1306-12.
Adult
Supplemental
3.0
7/22/2013
Aliases for variable name not defined
Scale for Outcomes in Parkinson's Disease Autonomic (SCOPA-AUT)
Other Non-Motor
Outcomes and End Points
SCOPA-Aut Q10
 
Single Pre-Defined Value Selected
       
C10352
Scale for Outcomes in PD Autonomic (SCOPA-AUT) - weak stream urine indicator
SCOPAAutWeakStreamUrineInd
The indicator of whether the participant/subject has had a weak stream of urine in the past month, as part of the Scales for Outcomes in PD-Autonomic (SCOPA-Aut) form.
In the past month, has the stream of urine been weak?
Never;Sometimes;Regularly;Often;use catheter;
Never;Sometimes;regularly;Often;use catheter;
Alphanumeric
Answers should reflect the participant/subject's problems with various bodily functions in the past month. If participant/subject uses a catheter they can indicate this by placing a cross in the box "use catheter".
M, Marinus J, Stiggelbout AM, Van Hilten JJ. Assessment of autonomic dysfunction in Parkinson's disease: the SCOPA-AUT. Mov. Disord. 2004 Nov; 19:1306-12.
Adult
Supplemental
3.0
7/22/2013
Aliases for variable name not defined
Scale for Outcomes in Parkinson's Disease Autonomic (SCOPA-AUT)
Other Non-Motor
Outcomes and End Points
SCOPA-Aut Q11
 
Single Pre-Defined Value Selected
       
C10353
Scale for Outcomes in PD Autonomic (SCOPA-AUT) - urinate again 2 hour indicator
SCOPAAutUrinateAgain2HrInd
The indicator of whether the participant/subject has had urinate again within 2 hours of the previous urination in the past month, as part of the Scales for Outcomes in PD-Autonomic (SCOPA-Aut) form.
In the past month, have you had to pass urine again within 2 hours of the previous time?
Never;Sometimes;Regularly;Often;use catheter;
Never;Sometimes;regularly;Often;use catheter;
Alphanumeric
Answers should reflect the participant/subject's problems with various bodily functions in the past month. If participant/subject uses a catheter they can indicate this by placing a cross in the box "use catheter".
M, Marinus J, Stiggelbout AM, Van Hilten JJ. Assessment of autonomic dysfunction in Parkinson's disease: the SCOPA-AUT. Mov. Disord. 2004 Nov; 19:1306-12.
Adult
Supplemental
3.0
7/22/2013
Aliases for variable name not defined
Scale for Outcomes in Parkinson's Disease Autonomic (SCOPA-AUT)
Other Non-Motor
Outcomes and End Points
SCOPA-Aut Q12
 
Single Pre-Defined Value Selected
       
C10354
Scale for Outcomes in PD Autonomic (SCOPA-AUT) - urinate night indicator
SCOPAAutUrinateNightInd
The indicator of whether the participant/subject has had to urinate at night in the past month, as part of the Scales for Outcomes in PD-Autonomic (SCOPA-Aut) form.
In the past month, have you had to pass urine at night?
Never;Sometimes;Regularly;Often;use catheter;
Never;Sometimes;regularly;Often;use catheter;
Alphanumeric
Answers should reflect the participant/subject's problems with various bodily functions in the past month. If participant/subject uses a catheter they can indicate this by placing a cross in the box "use catheter".
M, Marinus J, Stiggelbout AM, Van Hilten JJ. Assessment of autonomic dysfunction in Parkinson's disease: the SCOPA-AUT. Mov. Disord. 2004 Nov; 19:1306-12.
Adult
Supplemental
3.0
7/22/2013
Aliases for variable name not defined
Scale for Outcomes in Parkinson's Disease Autonomic (SCOPA-AUT)
Other Non-Motor
Outcomes and End Points
SCOPA-Aut Q13
 
Single Pre-Defined Value Selected
       
C10355
Scale for Outcomes in PD Autonomic (SCOPA-AUT) - lightheaded standing indicator
SCOPAAutLtheadedStandingInd
The indicator of whether the participant/subject has felt lightheaded when standing up in the past month, as part of the Scales for Outcomes in PD-Autonomic (SCOPA-Aut) form.
In the past month, when standing up have you had the feeling of either becoming lightheaded, or no longer being able to see properly, or no longer being able to think clearly?
Never;Sometimes;Regularly;Often;
Never;Sometimes;regularly;Often;
Alphanumeric
Answers should reflect the participant/subject's problems with various bodily functions in the past month.
M, Marinus J, Stiggelbout AM, Van Hilten JJ. Assessment of autonomic dysfunction in Parkinson's disease: the SCOPA-AUT. Mov. Disord. 2004 Nov; 19:1306-12.
Adult
Supplemental
3.0
7/22/2013
Aliases for variable name not defined
Scale for Outcomes in Parkinson's Disease Autonomic (SCOPA-AUT)
Other Non-Motor
Outcomes and End Points
SCOPA-Aut Q14
 
Single Pre-Defined Value Selected
       
C10356
Scale for Outcomes in PD Autonomic (SCOPA-AUT) - lightheaded standing time indicator
SCOPAAutLtheadedStandngTimeInd
The indicator of whether the participant/subject has felt lightheaded when standing for some time in the past month, as part of the Scales for Outcomes in PD-Autonomic (SCOPA-Aut) form.
In the past month, did you become light-headed after standing for some time?
Never;Sometimes;Regularly;Often;
Never;Sometimes;regularly;Often;
Alphanumeric
Answers should reflect the participant/subject's problems with various bodily functions in the past month.
M, Marinus J, Stiggelbout AM, Van Hilten JJ. Assessment of autonomic dysfunction in Parkinson's disease: the SCOPA-AUT. Mov. Disord. 2004 Nov; 19:1306-12.
Adult
Supplemental
3.0
7/22/2013
Aliases for variable name not defined
Scale for Outcomes in Parkinson's Disease Autonomic (SCOPA-AUT)
Other Non-Motor
Outcomes and End Points
SCOPA-Aut Q15
 
Single Pre-Defined Value Selected
       
C10357
Scale for Outcomes in PD Autonomic (SCOPA-AUT) - fainted past 6 month indicator
SCOPAAutFaintedPast6MnthInd
The indicator of whether the participant/subject has fainted in the past 6 months, as part of the Scales for Outcomes in PD-Autonomic (SCOPA-Aut) form.
Have you fainted in the past 6 months?
Never;Sometimes;Regularly;Often;
Never;Sometimes;regularly;Often;
Alphanumeric
Answers should reflect the participant/subject's problems with various bodily functions in the past month.
M, Marinus J, Stiggelbout AM, Van Hilten JJ. Assessment of autonomic dysfunction in Parkinson's disease: the SCOPA-AUT. Mov. Disord. 2004 Nov; 19:1306-12.
Adult
Supplemental
3.0
7/22/2013
Aliases for variable name not defined
Scale for Outcomes in Parkinson's Disease Autonomic (SCOPA-AUT)
Other Non-Motor
Outcomes and End Points
SCOPA-Aut Q16
 
Single Pre-Defined Value Selected
       
C10358
Scale for Outcomes in PD Autonomic (SCOPA-AUT) - Perspired excess day indicator
SCOPAAutPerspiredExcessDayInd
The indicator of whether the participant/subject has perspired excessively during the day in the past month, as part of the Scales for Outcomes in PD-Autonomic (SCOPA-Aut) form.
In the past month, have you ever perspired excessively during the day?
Never;Sometimes;Regularly;Often;
Never;Sometimes;regularly;Often;
Alphanumeric
Answers should reflect the participant/subject's problems with various bodily functions in the past month.
M, Marinus J, Stiggelbout AM, Van Hilten JJ. Assessment of autonomic dysfunction in Parkinson's disease: the SCOPA-AUT. Mov. Disord. 2004 Nov; 19:1306-12.
Adult
Supplemental
3.0
7/22/2013
Aliases for variable name not defined
Scale for Outcomes in Parkinson's Disease Autonomic (SCOPA-AUT)
Other Non-Motor
Outcomes and End Points
SCOPA-Aut Q17
 
Single Pre-Defined Value Selected
       
C10359
Scale for Outcomes in PD Autonomic (SCOPA-AUT) - perspired excess night indicator
SCOPAAutPerspiredExcessNghtInd
The indicator of whether the participant/subject has perspired excessively during the night in the past month, as part of the Scales for Outcomes in PD-Autonomic (SCOPA-Aut) form.
In the past month, have you ever perspired excessively during the night?
Never;Sometimes;Regularly;Often;
Never;Sometimes;regularly;Often;
Alphanumeric
Answers should reflect the participant/subject's problems with various bodily functions in the past month.
M, Marinus J, Stiggelbout AM, Van Hilten JJ. Assessment of autonomic dysfunction in Parkinson's disease: the SCOPA-AUT. Mov. Disord. 2004 Nov; 19:1306-12.
Adult
Supplemental
3.0
7/22/2013
Aliases for variable name not defined
Scale for Outcomes in Parkinson's Disease Autonomic (SCOPA-AUT)
Other Non-Motor
Outcomes and End Points
SCOPA-Aut Q18
 
Single Pre-Defined Value Selected
       
C10360
Scale for Outcomes in PD Autonomic (SCOPA-AUT) - oversensitive light indicator
SCOPAAutOversensitiveLightInd
The indicator of whether the participant/subject has been oversensitive to bright light in the past month, as part of the Scales for Outcomes in PD-Autonomic (SCOPA-Aut) form.
In the past month, have your eyes ever been over-sensitive to bright light?
Never;Sometimes;Regularly;Often;
Never;Sometimes;regularly;Often;
Alphanumeric
Answers should reflect the participant/subject's problems with various bodily functions in the past month.
M, Marinus J, Stiggelbout AM, Van Hilten JJ. Assessment of autonomic dysfunction in Parkinson's disease: the SCOPA-AUT. Mov. Disord. 2004 Nov; 19:1306-12.
Adult
Supplemental
3.0
7/22/2013
Aliases for variable name not defined
Scale for Outcomes in Parkinson's Disease Autonomic (SCOPA-AUT)
Other Non-Motor
Outcomes and End Points
SCOPA-Aut Q19
 
Single Pre-Defined Value Selected
       
C10361
Scale for Outcomes in PD Autonomic (SCOPA-AUT) - trouble tolerate cold indicator
SCOPAAutTroubleTolerateColdInd
The indicator of whether the participant/subject has had trouble tolerating cold in the past month, as part of the Scales for Outcomes in PD-Autonomic (SCOPA-Aut) form.
In the past month, how often have you had trouble tolerating cold?
Never;Sometimes;Regularly;Often;
Never;Sometimes;regularly;Often;
Alphanumeric
Answers should reflect the participant/subject's problems with various bodily functions in the past month.
M, Marinus J, Stiggelbout AM, Van Hilten JJ. Assessment of autonomic dysfunction in Parkinson's disease: the SCOPA-AUT. Mov. Disord. 2004 Nov; 19:1306-12.
Adult
Supplemental
3.0
7/22/2013
Aliases for variable name not defined
Scale for Outcomes in Parkinson's Disease Autonomic (SCOPA-AUT)
Other Non-Motor
Outcomes and End Points
SCOPA-Aut Q20
 
Single Pre-Defined Value Selected
       
C10362
Scale for Outcomes in PD Autonomic (SCOPA-AUT) - trouble tolerate heat indicator
SCOPAAutTroubleTolerateHeatInd
The indicator of whether the participant/subject has had trouble tolerating heat in the past month, as part of the Scales for Outcomes in PD-Autonomic (SCOPA-Aut) form.
In the past month, how often have you had trouble tolerating heat?
Never;Sometimes;Regularly;Often;
Never;Sometimes;regularly;Often;
Alphanumeric
Answers should reflect the participant/subject's problems with various bodily functions in the past month.
M, Marinus J, Stiggelbout AM, Van Hilten JJ. Assessment of autonomic dysfunction in Parkinson's disease: the SCOPA-AUT. Mov. Disord. 2004 Nov; 19:1306-12.
Adult
Supplemental
3.0
7/22/2013
Aliases for variable name not defined
Scale for Outcomes in Parkinson's Disease Autonomic (SCOPA-AUT)
Other Non-Motor
Outcomes and End Points
SCOPA-Aut Q21
 
Single Pre-Defined Value Selected
       
C10363
Scale for Outcomes in PD Autonomic (SCOPA-AUT) - impotent frequency indicator
SCOPAAutImpotentFreqInd
The indicator of whether the male participant/subject has been impotent (can't have/maintain an erection) in the past month, as part of the Scales for Outcomes in PD-Autonomic (SCOPA-Aut) form.
In the past month, have you been impotent (unable to have or maintain an erection)?
Never;Sometimes;Regularly;Often;Not applicable;
Never;Sometimes;regularly;Often;Not applicable;
Alphanumeric
Answers should reflect the participant/subject's problems with various bodily functions in the past month. For men only. The following questions are about sexuality. Although we are aware that sexuality is a highly intimate subject, we would still like you to answer these questions. For the questions on sexual activity, consider every form of sexual contact with a partner or masturbation (self-gratification). An extra response option has been added to these questions. Here you can indicate that the situation described has not been applicable to you in the past month, for example because you have not been sexually active.
M, Marinus J, Stiggelbout AM, Van Hilten JJ. Assessment of autonomic dysfunction in Parkinson's disease: the SCOPA-AUT. Mov. Disord. 2004 Nov; 19:1306-12.
Adult
Supplemental
3.0
7/22/2013
Aliases for variable name not defined
Scale for Outcomes in Parkinson's Disease Autonomic (SCOPA-AUT)
Other Non-Motor
Outcomes and End Points
SCOPA-Aut Q22
 
Single Pre-Defined Value Selected
       
C10364
Scale for Outcomes in PD Autonomic (SCOPA-AUT) - unable ejaculate indicator
SCOPAAutUnableEjaculateInd
The indicator of whether the male participant/subject has been unable to ejaculate in the past month, as part of the Scales for Outcomes in PD-Autonomic (SCOPA-Aut) form.
In the past month, how often have you been unable to ejaculate?
Never;Sometimes;Regularly;Often;Not applicable;
Never;Sometimes;regularly;Often;Not applicable;
Alphanumeric
Answers should reflect the participant/subject's problems with various bodily functions in the past month. For men only. The following questions are about sexuality. Although we are aware that sexuality is a highly intimate subject, we would still like you to answer these questions. For the questions on sexual activity, consider every form of sexual contact with a partner or masturbation (self-gratification). An extra response option has been added to these questions. Here you can indicate that the situation described has not been applicable to you in the past month, for example because you have not been sexually active.
M, Marinus J, Stiggelbout AM, Van Hilten JJ. Assessment of autonomic dysfunction in Parkinson's disease: the SCOPA-AUT. Mov. Disord. 2004 Nov; 19:1306-12.
Adult
Supplemental
3.0
7/22/2013
Aliases for variable name not defined
Scale for Outcomes in Parkinson's Disease Autonomic (SCOPA-AUT)
Other Non-Motor
Outcomes and End Points
SCOPA-Aut Q23
 
Single Pre-Defined Value Selected
       
C10365
Scale for Outcomes in PD Autonomic (SCOPA-AUT) - medication erection disorder indicator
SCOPAAutMedctnErctionDisrdrInd
The indicator of whether the male participant/subject has taken medication for an erection disorder in the past month, as part of the Scales for Outcomes in PD-Autonomic (SCOPA-Aut) form.
In the past month, have you taken medication for an erection disorder?
Yes;No;
Yes;No;
Alphanumeric
Answers should reflect the participant/subject's problems with various bodily functions in the past month. If yes, indicate below. For men only. The following questions are about sexuality. Although we are aware that sexuality is a highly intimate subject, we would still like you to answer these questions. For the questions on sexual activity, consider every form of sexual contact with a partner or masturbation (self-gratification). An extra response option has been added to these questions. Here you can indicate that the situation described has not been applicable to you in the past month, for example because you have not been sexually active.
M, Marinus J, Stiggelbout AM, Van Hilten JJ. Assessment of autonomic dysfunction in Parkinson's disease: the SCOPA-AUT. Mov. Disord. 2004 Nov; 19:1306-12.
Adult
Supplemental
3.0
7/22/2013
Aliases for variable name not defined
Scale for Outcomes in Parkinson's Disease Autonomic (SCOPA-AUT)
Other Non-Motor
Outcomes and End Points
SCOPA-Aut Q23a
 
Single Pre-Defined Value Selected
       
C10366
Scale for Outcomes in PD Autonomic (SCOPA-AUT) - medication erection disorder name
SCOPAAutMedErctionDisrdrName
The name of erection disorder medicine the male participant/subject has taken in the past month, as part of the Scales for Outcomes in PD-Autonomic (SCOPA-Aut) form.
If yes, which medication?
  
Alphanumeric
Answers should reflect the participant/subject's problems with various bodily functions in the past month. Indicate medication type. For men only. The following questions are about sexuality. Although we are aware that sexuality is a highly intimate subject, we would still like you to answer these questions. For the questions on sexual activity, consider every form of sexual contact with a partner or masturbation (self-gratification). An extra response option has been added to these questions. Here you can indicate that the situation described has not been applicable to you in the past month, for example because you have not been sexually active.
M, Marinus J, Stiggelbout AM, Van Hilten JJ. Assessment of autonomic dysfunction in Parkinson's disease: the SCOPA-AUT. Mov. Disord. 2004 Nov; 19:1306-12.
Adult
Supplemental
3.0
7/22/2013
Aliases for variable name not defined
Scale for Outcomes in Parkinson's Disease Autonomic (SCOPA-AUT)
Other Non-Motor
Outcomes and End Points
SCOPA-Aut Q23a specify medication type
255
Free-Form Entry
       
C10367
Scale for Outcomes in PD Autonomic (SCOPA-AUT) - dry vagina indicator
SCOPAAutDryVaginaInd
The indicator of whether the female participant's/subject's vagina has been too dry during sexual activity in the past month, as part of the Scales for Outcomes in PD-Autonomic (SCOPA-Aut) form.
In the past month, was your vagina too dry during sexual activity?
Never;Sometimes;Regularly;Often;Not applicable;
Never;Sometimes;regularly;Often;Not applicable;
Alphanumeric
Answers should reflect the participant/subject's problems with various bodily functions in the past month. For women only. The following questions are about sexuality. Although we are aware that sexuality is a highly intimate subject, we would still like you to answer these questions. For the questions on sexual activity, consider every form of sexual contact with a partner or masturbation (self-gratification). An extra response option has been added to these questions. Here you can indicate that the situation described has not been applicable to you in the past month, for example because you have not been sexually active.
M, Marinus J, Stiggelbout AM, Van Hilten JJ. Assessment of autonomic dysfunction in Parkinson's disease: the SCOPA-AUT. Mov. Disord. 2004 Nov; 19:1306-12.
Adult
Supplemental
3.0
7/22/2013
Aliases for variable name not defined
Scale for Outcomes in Parkinson's Disease Autonomic (SCOPA-AUT)
Other Non-Motor
Outcomes and End Points
SCOPA-Aut Q24
 
Single Pre-Defined Value Selected
       
07-22-2019
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