2.2.0 - ci-build

VoiceaBiomarkerforAI - Local Development build (v2.2.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

Questionnaire: dneuroamyotrophiclateralsclerosisalsschema

Official URL: https://kind-lab.github.io/vbai-fhir/Questionnaire-dneuroamyotrophiclateralsclerosisalsschema Version: 2.2.0
Active as of 2024-05-29 Computable Name:
Structure
LinkIDTextCardinalityTypeDescription & Constraintsdoco
.. Questionnairehttps://kind-lab.github.io/vbai-fhir/Questionnaire-dneuroamyotrophiclateralsclerosisalsschema#2.2.0
... diagnosis_als_gsd_category_11. Gold Standard Diagnosis Does the patient meet the diagnostic criteria for Amyotrophic Lateral Sclerosis (ALS) based on:: (1) Progressive motor impairment documented by history or repeated clinical assessment, preceded by normal motor function;0..1choiceOptions: 3 options
... diagnosis_als_gsd_category_2(2) presence of UMN and LMN signs in at least 1 body region (with UMN and LMN dysfunction noted in the same body region if only one body region is involved) or LMN dysfunction in at least 2 body regions;0..1choiceOptions: 3 options
... diagnosis_als_gsd_category_3(3) investigations excluding other disease processes.0..1choiceOptions: 3 options
... diagnosis_als_gsd_calculationDoes the patient meet the diagnostic criteria for Amyotrophic Lateral Sclerosis (ALS) based on the criteria above?0..1string
... diagnosis_als_disease_subtype2. Type of ALS: Specify the type of ALS in the patient:0..1choiceOptions: 4 options
... diagnosis_als_disease_subtype_familialIf you selected "Familial ALS", please specify the genetic mutation if known:0..1stringEnable When: diagnosis_als_disease_subtype = 'familialAls'
... diagnosis_als_etiology3. Etiology: What is the suspected or known etiology of ALS in the patient?0..1string
... diagnosis_als_etiology_genetic_factorsGenetic Factors0..1stringEnable When: diagnosis_als_etiology = 1
... diagnosis_als_etiology_genetic_factors_otherIf you selected "Other genetic factors", please specify:0..1stringEnable When: diagnosis_als_etiology_genetic_factors = 1
... diagnosis_als_etiology_environmental_factorsIf you selected "Environmental factors", please specify:0..1stringEnable When: diagnosis_als_etiology = 1
... diagnosis_als_cp4. Clinical Presentation: Describe the clinical features and symptoms of ALS in the patient:0..1string
... diagnosis_als_dp5. Disease Progression: Please provide information on the current stage and progression of ALS:0..1choiceOptions: 3 options
... diagnosis_als_na_alsfrs_r_score6. Neurological Assessment Please provide results from relevant neurological assessments:: Revised ALS Functional Rating Scale (ALSFRS-R) score:0..1string
... diagnosis_als_na_fvc_percentageForced Vital Capacity (FVC) percentage (if measured):0..1string
... diagnosis_als_na_otherOther neurological assessment (please specify):0..1string
... diagnosis_als_idt_emg_ncs7. Imaging and Diagnostic Tests: Electromyography (EMG) and Nerve Conduction Studies (NCS):0..1string
... diagnosis_als_idt_mriMagnetic Resonance Imaging (MRI) of the brain and spinal cord:0..1string
... diagnosis_als_idt_lumbar_punctureLumbar Puncture (if performed, specify findings):0..1string
... diagnosis_als_idt_genetic_testingGenetic testing (if applicable, specify results):0..1string
... diagnosis_als_idt_otherOther diagnostic tests (please specify):0..1string
... diagnosis_als_treatment_and_management8. Treatment and Management: Has the patient undergone any treatment or interventions for ALS?0..1choiceOptions: 2 options
... diagnosis_als_treatment_and_management_yesYes0..1stringEnable When: diagnosis_als_treatment_and_management = 'yes'
... diagnosis_als_treatment_and_management_yes_medicationsMedications (if applicable):0..1stringEnable When:
... diagnosis_als_treatment_and_management_yes_medications_otherIf you selected "Other", please specify:0..1stringEnable When:
... diagnosis_als_treatment_and_management_yes_supportive_careSupportive Care:0..1stringEnable When:
... diagnosis_als_treatment_and_management_yes_supportive_care_otherIf you selected "Other", please specify:0..1stringEnable When:

doco Documentation for this format

Options Sets

Answer options for diagnosis_als_gsd_category_1

  • Yes
  • No
  • Not certain

Answer options for diagnosis_als_gsd_category_2

  • Yes
  • No
  • Not certain

Answer options for diagnosis_als_gsd_category_3

  • Yes
  • No
  • Not certain

Answer options for diagnosis_als_disease_subtype

  • Sporadic ALS
  • Familial ALS
  • Spinal/limb-onset ALS
  • Bulbar-onset ALS

Answer options for diagnosis_als_dp

  • Early Stage
  • Intermediate Stage
  • Advanced Stage

Answer options for diagnosis_als_treatment_and_management

  • Yes
  • No