CDE Detailed Report

Disease: Parkinson's Disease
Sub-Domain: Other Non-Motor
CRF: Scale for Outcomes in Parkinson's Disease Autonomic (SCOPA-AUT)

Displaying 1 - 35 of 35
CDE ID CDE Name Variable Name Definition Short Description Question Text Permissible Values Description Data Type Disease Specific Instructions Disease Specific Reference Population Classification (e.g., Core) Version Number Version Date CRF Name (CRF Module / Guideline) Sub Domain Name Domain Name Size Input Restrictions Min Value Max Value Measurement Type External Id Loinc External Id Snomed External Id caDSR External Id CDISC
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. 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 3.00 2013-07-22 09:34:41.527 Scale for Outcomes in Parkinson's Disease Autonomic (SCOPA-AUT) Other Non-Motor Outcomes and End Points

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. 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 3.00 2013-07-22 09:34:41.527 Scale for Outcomes in Parkinson's Disease Autonomic (SCOPA-AUT) Other Non-Motor Outcomes and End Points

Single Pre-Defined Value Selected

C10374 Scale for Outcomes in PD Autonomic (SCOPA-AUT) - blood pressure medication name SCOPAAutBloodPressrMedctnName The name of blood pressure medicine the participant/subject has taken in the past month, as part of the Scales for Outcomes in PD-Autonomic (SCOPA-Aut) form. The name of blood pressure medicine the participant/subject has taken in the past month, as part of the Scales for Outcomes in PD-Autonomic (SCOPA-Aut) form. Specify medication Alphanumeric

Answers should reflect the participant/subject's problems with various bodily functions in the past month. If you use medication, give the name of the substance.

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 3.00 2013-07-22 09:34:41.527 Scale for Outcomes in Parkinson's Disease Autonomic (SCOPA-AUT) Other Non-Motor Outcomes and End Points 255

Free-Form Entry

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. 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 3.00 2013-07-22 09:34:41.527 Scale for Outcomes in Parkinson's Disease Autonomic (SCOPA-AUT) Other Non-Motor Outcomes and End Points

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. 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 3.00 2013-07-22 09:34:41.527 Scale for Outcomes in Parkinson's Disease Autonomic (SCOPA-AUT) Other Non-Motor Outcomes and End Points

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. 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 3.00 2013-07-22 09:34:41.527 Scale for Outcomes in Parkinson's Disease Autonomic (SCOPA-AUT) Other Non-Motor Outcomes and End Points

Single Pre-Defined Value Selected

C10375 Scale for Outcomes in PD Autonomic (SCOPA-AUT) - other medication indicator SCOPAAutOthrMedctnInd The indicator of whether the participant/subject has taken medication for other symptoms unrelated to Parkinson's Disease in the past month, as part of the Scales for Outcomes in PD-Autonomic (SCOPA-Aut) form. The indicator of whether the participant/subject has taken medication for other symptoms unrelated to Parkinson's Disease in the past month, as part of the Scales for Outcomes in PD-Autonomic (SCOPA-Aut) form. In the past month, have you used medication for other symptoms (not symptoms related to Parkinson's disease) No;Yes No;Yes Alphanumeric

Answers should reflect the participant/subject's problems with various bodily functions in the past month. The question is about the use of medication for which you may have or have not needed a doctor's prescription.

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 3.00 2013-07-22 09:34:41.527 Scale for Outcomes in Parkinson's Disease Autonomic (SCOPA-AUT) Other Non-Motor Outcomes and End Points

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. 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 3.00 2013-07-22 09:34:41.527 Scale for Outcomes in Parkinson's Disease Autonomic (SCOPA-AUT) Other Non-Motor Outcomes and End Points

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. 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 3.00 2013-07-22 09:34:41.527 Scale for Outcomes in Parkinson's Disease Autonomic (SCOPA-AUT) Other Non-Motor Outcomes and End Points

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. 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? No;Yes No;Yes 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 3.00 2013-07-22 09:34:41.527 Scale for Outcomes in Parkinson's Disease Autonomic (SCOPA-AUT) Other Non-Motor Outcomes and End Points

Single Pre-Defined Value Selected

C10376 Scale for Outcomes in PD Autonomic (SCOPA-AUT) - other medication name SCOPAAutOthrMedctnName The name of other medicine the participant/subject has taken in the past month, as part of the Scales for Outcomes in PD-Autonomic (SCOPA-Aut) form. The name of other medicine the participant/subject has taken in the past month, as part of the Scales for Outcomes in PD-Autonomic (SCOPA-Aut) form. Specify medication Alphanumeric

Answers should reflect the participant/subject's problems with various bodily functions in the past month. If you use medication, give the name of the substance.

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 3.00 2013-07-22 09:34:41.527 Scale for Outcomes in Parkinson's Disease Autonomic (SCOPA-AUT) Other Non-Motor Outcomes and End Points 255

Free-Form Entry

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. 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 3.00 2013-07-22 09:34:41.527 Scale for Outcomes in Parkinson's Disease Autonomic (SCOPA-AUT) Other Non-Motor Outcomes and End Points

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. 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 3.00 2013-07-22 09:34:41.527 Scale for Outcomes in Parkinson's Disease Autonomic (SCOPA-AUT) Other Non-Motor Outcomes and End Points

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. 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 3.00 2013-07-22 09:34:41.527 Scale for Outcomes in Parkinson's Disease Autonomic (SCOPA-AUT) Other Non-Motor Outcomes and End Points 255

Free-Form Entry

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. 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 3.00 2013-07-22 09:34:41.527 Scale for Outcomes in Parkinson's Disease Autonomic (SCOPA-AUT) Other Non-Motor Outcomes and End Points

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. 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 3.00 2013-07-22 09:34:41.527 Scale for Outcomes in Parkinson's Disease Autonomic (SCOPA-AUT) Other Non-Motor Outcomes and End Points

Single Pre-Defined Value Selected

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. 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 3.00 2013-07-22 09:34:41.527 Scale for Outcomes in Parkinson's Disease Autonomic (SCOPA-AUT) Other Non-Motor Outcomes and End Points

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. 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 3.00 2013-07-22 09:34:41.527 Scale for Outcomes in Parkinson's Disease Autonomic (SCOPA-AUT) Other Non-Motor Outcomes and End Points

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. 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 3.00 2013-07-22 09:34:41.527 Scale for Outcomes in Parkinson's Disease Autonomic (SCOPA-AUT) Other Non-Motor Outcomes and End Points

Single Pre-Defined Value Selected

C10368 Scale for Outcomes in PD Autonomic (SCOPA-AUT) - difficulty orgasm indicator SCOPAAutDiffcltyOrgasmInd The indicator of whether the female participant/subject had difficulty reaching an orgasm in the past month, as part of the Scales for Outcomes in PD-Autonomic (SCOPA-Aut) form. The indicator of whether the female participant/subject had difficulty reaching an orgasm 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 reaching an orgasm? 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 3.00 2013-07-22 09:34:41.527 Scale for Outcomes in Parkinson's Disease Autonomic (SCOPA-AUT) Other Non-Motor Outcomes and End Points

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. 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 3.00 2013-07-22 09:34:41.527 Scale for Outcomes in Parkinson's Disease Autonomic (SCOPA-AUT) Other Non-Motor Outcomes and End Points

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. 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 3.00 2013-07-22 09:34:41.527 Scale for Outcomes in Parkinson's Disease Autonomic (SCOPA-AUT) Other Non-Motor Outcomes and End Points

Single Pre-Defined Value Selected

C10369 Scale for Outcomes in PD Autonomic (SCOPA-AUT) - constipation medication indicator SCOPAAutConstipationMedctnInd The indicator of whether the participant/subject has taken medication for constipation in the past month, as part of the Scales for Outcomes in PD-Autonomic (SCOPA-Aut) form. The indicator of whether the participant/subject has taken medication for constipation in the past month, as part of the Scales for Outcomes in PD-Autonomic (SCOPA-Aut) form. In the past month, have you used medication for constipation? No;Yes No;Yes Alphanumeric

Answers should reflect the participant/subject's problems with various bodily functions in the past month. The question is about the use of medication for which you may have or have not needed a doctor's prescription.

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 3.00 2013-07-22 09:34:41.527 Scale for Outcomes in Parkinson's Disease Autonomic (SCOPA-AUT) Other Non-Motor Outcomes and End Points

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. 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 3.00 2013-07-22 09:34:41.527 Scale for Outcomes in Parkinson's Disease Autonomic (SCOPA-AUT) Other Non-Motor Outcomes and End Points

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. 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 3.00 2013-07-22 09:34:41.527 Scale for Outcomes in Parkinson's Disease Autonomic (SCOPA-AUT) Other Non-Motor Outcomes and End Points

Single Pre-Defined Value Selected

C10370 Scale for Outcomes in PD Autonomic (SCOPA-AUT) - constipation medication name SCOPAAutConstipationMedctnName The name of constipation medicine the participant/subject has taken in the past month, as part of the Scales for Outcomes in PD-Autonomic (SCOPA-Aut) form. The name of constipation medicine the participant/subject has taken in the past month, as part of the Scales for Outcomes in PD-Autonomic (SCOPA-Aut) form. Specify medication Alphanumeric

Answers should reflect the participant/subject's problems with various bodily functions in the past month. If you use medication, give the name of the substance.

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 3.00 2013-07-22 09:34:41.527 Scale for Outcomes in Parkinson's Disease Autonomic (SCOPA-AUT) Other Non-Motor Outcomes and End Points 255

Free-Form Entry

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. 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 3.00 2013-07-22 09:34:41.527 Scale for Outcomes in Parkinson's Disease Autonomic (SCOPA-AUT) Other Non-Motor Outcomes and End Points

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. 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 3.00 2013-07-22 09:34:41.527 Scale for Outcomes in Parkinson's Disease Autonomic (SCOPA-AUT) Other Non-Motor Outcomes and End Points

Single Pre-Defined Value Selected

C10371 Scale for Outcomes in PD Autonomic (SCOPA-AUT) - urinary medication indicator SCOPAAutUrinaryMedctnInd The indicator of whether the participant/subject has taken medication for urinary problems in the past month, as part of the Scales for Outcomes in PD-Autonomic (SCOPA-Aut) form. The indicator of whether the participant/subject has taken medication for urinary problems in the past month, as part of the Scales for Outcomes in PD-Autonomic (SCOPA-Aut) form. In the past month, have you used medication for urinary problems? No;Yes No;Yes Alphanumeric

Answers should reflect the participant/subject's problems with various bodily functions in the past month. The question is about the use of medication for which you may have or have not needed a doctor's prescription.

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 3.00 2013-07-22 09:34:41.527 Scale for Outcomes in Parkinson's Disease Autonomic (SCOPA-AUT) Other Non-Motor Outcomes and End Points

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. 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 3.00 2013-07-22 09:34:41.527 Scale for Outcomes in Parkinson's Disease Autonomic (SCOPA-AUT) Other Non-Motor Outcomes and End Points

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. 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 3.00 2013-07-22 09:34:41.527 Scale for Outcomes in Parkinson's Disease Autonomic (SCOPA-AUT) Other Non-Motor Outcomes and End Points

Single Pre-Defined Value Selected

C10372 Scale for Outcomes in PD Autonomic (SCOPA-AUT) - urinary medication name SCOPAAutUrinaryMedctnName The name of medicine the participant/subject has taken in the past month for their urinary problems, as part of the Scales for Outcomes in PD-Autonomic (SCOPA-Aut) form. The name of medicine the participant/subject has taken in the past month for their urinary problems, as part of the Scales for Outcomes in PD-Autonomic (SCOPA-Aut) form. Specify medication Alphanumeric

Answers should reflect the participant/subject's problems with various bodily functions in the past month. If you use medication, give the name of the substance.

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 3.00 2013-07-22 09:34:41.527 Scale for Outcomes in Parkinson's Disease Autonomic (SCOPA-AUT) Other Non-Motor Outcomes and End Points 255

Free-Form Entry

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. 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 3.00 2013-07-22 09:34:41.527 Scale for Outcomes in Parkinson's Disease Autonomic (SCOPA-AUT) Other Non-Motor Outcomes and End Points

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. 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 3.00 2013-07-22 09:34:41.527 Scale for Outcomes in Parkinson's Disease Autonomic (SCOPA-AUT) Other Non-Motor Outcomes and End Points

Single Pre-Defined Value Selected

C10373 Scale for Outcomes in PD Autonomic (SCOPA-AUT) - blood pressure medication indicator SCOPAAutBloodPressrMedctnInd The indicator of whether the participant/subject has taken medication for blood pressure in the past month, as part of the Scales for Outcomes in PD-Autonomic (SCOPA-Aut) form. The indicator of whether the participant/subject has taken medication for blood pressure in the past month, as part of the Scales for Outcomes in PD-Autonomic (SCOPA-Aut) form. In the past month, have you used medication for blood pressure? No;Yes No;Yes Alphanumeric

Answers should reflect the participant/subject's problems with various bodily functions in the past month. The question is about the use of medication for which you may have or have not needed a doctor's prescription.

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 3.00 2013-07-22 09:34:41.527 Scale for Outcomes in Parkinson's Disease Autonomic (SCOPA-AUT) Other Non-Motor Outcomes and End Points

Single Pre-Defined Value Selected

CSV