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EDRD-65,1063,757,745 #1407

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Original file line number Diff line number Diff line change
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<?xml version="1.0" encoding="UTF-8"?>
<AssessmentQuestionSet xmlns="http://soap.sforce.com/2006/04/metadata">
<assessmentQuestionDeveloperNames>MPS1246_Initial_Disease_State_Q1</assessmentQuestionDeveloperNames>
<assessmentQuestionDeveloperNames>MPS1246_Initial_Disease_State_Q2</assessmentQuestionDeveloperNames>
<assessmentQuestionDeveloperNames>MPS1246_Initial_Disease_State_Q3</assessmentQuestionDeveloperNames>
<assessmentQuestionDeveloperNames>MPS1246_Initial_Disease_State_Q4</assessmentQuestionDeveloperNames>
<assessmentQuestionDeveloperNames>MPS1246_Initial_Disease_State_Q5</assessmentQuestionDeveloperNames>
<assessmentQuestionDeveloperNames>MPS1246_Initial_Disease_State_Q9_R1</assessmentQuestionDeveloperNames>
<assessmentQuestionDeveloperNames>MPS1246_Initial_Disease_State_Q5_R1</assessmentQuestionDeveloperNames>
<assessmentQuestionDeveloperNames>MPS1246_Initial_Disease_State_Q6</assessmentQuestionDeveloperNames>
<assessmentQuestionDeveloperNames>MPS1246_Initial_Disease_State_Q6_R1</assessmentQuestionDeveloperNames>
<assessmentQuestionDeveloperNames>MPS1246_Initial_Disease_State_Q7</assessmentQuestionDeveloperNames>
<assessmentQuestionDeveloperNames>MPS1246_Initial_Disease_State_Q7_R1</assessmentQuestionDeveloperNames>
<assessmentQuestionDeveloperNames>MPS1246_Initial_Disease_State_Q8</assessmentQuestionDeveloperNames>
<assessmentQuestionDeveloperNames>MPS1246_Initial_Disease_State_Q8_R1</assessmentQuestionDeveloperNames>
<assessmentQuestionDeveloperNames>MPS1246_Initial_Disease_State_Q9</assessmentQuestionDeveloperNames>
<assessmentQuestionDeveloperNames>MPS1246_Initial_Disease_State_Q10</assessmentQuestionDeveloperNames>
<assessmentQuestionDeveloperNames>MPS1246_Initial_Disease_State_Q10_R1</assessmentQuestionDeveloperNames>
<assessmentQuestionDeveloperNames>MPS1246_Initial_Disease_State_Q11</assessmentQuestionDeveloperNames>
<assessmentQuestionDeveloperNames>MPS1246_Initial_Disease_State_Q11_R1</assessmentQuestionDeveloperNames>
<assessmentQuestionDeveloperNames>MPS1246_Initial_Disease_State_Q12</assessmentQuestionDeveloperNames>
<assessmentQuestionDeveloperNames>MPS1246_Initial_Disease_State_Q12_R1</assessmentQuestionDeveloperNames>
<assessmentQuestionDeveloperNames>MPS1246_Initial_Disease_State_Q13</assessmentQuestionDeveloperNames>
<assessmentQuestionDeveloperNames>MPS1246_Initial_Disease_State_Q13_R1</assessmentQuestionDeveloperNames>
<assessmentQuestionDeveloperNames>MPS1246_Initial_Disease_State_Q14</assessmentQuestionDeveloperNames>
<assessmentQuestionDeveloperNames>MPS1246_Initial_Disease_State_Q14_R1</assessmentQuestionDeveloperNames>
<assessmentQuestionDeveloperNames>MPS1246_Initial_Disease_State_Q15</assessmentQuestionDeveloperNames>
<assessmentQuestionDeveloperNames>MPS1246_Initial_Disease_State_Q15_R1</assessmentQuestionDeveloperNames>
<assessmentQuestionDeveloperNames>MPS1246_Initial_Disease_State_Q16</assessmentQuestionDeveloperNames>
<assessmentQuestionDeveloperNames>MPS1246_Initial_Disease_State_Q16_R1</assessmentQuestionDeveloperNames>
<assessmentQuestionDeveloperNames>MPS1246_Initial_Disease_State_Q17</assessmentQuestionDeveloperNames>
<assessmentQuestionDeveloperNames>MPS1246_Initial_Disease_State_Q17_R1</assessmentQuestionDeveloperNames>
<developerName>MPS1246_Initial_Disease_State_QS</developerName>
<name>MPS1246 Initial Disease State QS</name>
</AssessmentQuestionSet>
Original file line number Diff line number Diff line change
@@ -0,0 +1,6 @@
<?xml version="1.0" encoding="UTF-8"?>
<AssessmentQuestionSet xmlns="http://soap.sforce.com/2006/04/metadata">
<assessmentQuestionDeveloperNames>MPS1_Initial_Diagnostic_Info_Submission_Q1</assessmentQuestionDeveloperNames>
<developerName>MPS1246_Initial_Initiation_QS</developerName>
<name>MPS1246 Initial Initiation QS</name>
</AssessmentQuestionSet>
Original file line number Diff line number Diff line change
@@ -0,0 +1,15 @@
<?xml version="1.0" encoding="UTF-8"?>
<AssessmentQuestion xmlns="http://soap.sforce.com/2006/04/metadata">
<assessmentQuestionVersion>
<isActive>true</isActive>
<name>MPS1246_Initial_Disease_State_Q1</name>
<optionSourceResponseValue>false</optionSourceResponseValue>
<questionText>Diagnostic Information</questionText>
<status>Active</status>
<versionNumber>1</versionNumber>
</assessmentQuestionVersion>
<dataType>TextBlock</dataType>
<developerName>MPS1246_Initial_Disease_State_Q1</developerName>
<name>MPS1246_Initial_Disease_State_Q1</name>
<questionCategory>Demographic</questionCategory>
</AssessmentQuestion>
Original file line number Diff line number Diff line change
@@ -0,0 +1,17 @@
<?xml version="1.0" encoding="UTF-8"?>
<AssessmentQuestion xmlns="http://soap.sforce.com/2006/04/metadata">
<assessmentQuestionVersion>
<isActive>true</isActive>
<name>MPS1246_Initial_Disease_State_Q10</name>
<optionSourceResponseValue>false</optionSourceResponseValue>
<questionText>Is there or has there been any indication of progression of the disease manifestations leading to severe disability despite drug therapy?</questionText>
<responseValues>Yes
No</responseValues>
<status>Active</status>
<versionNumber>1</versionNumber>
</assessmentQuestionVersion>
<dataType>Radio</dataType>
<developerName>MPS1246_Initial_Disease_State_Q10</developerName>
<name>MPS1246_Initial_Disease_State_Q10</name>
<questionCategory>Demographic</questionCategory>
</AssessmentQuestion>
Original file line number Diff line number Diff line change
@@ -0,0 +1,15 @@
<?xml version="1.0" encoding="UTF-8"?>
<AssessmentQuestion xmlns="http://soap.sforce.com/2006/04/metadata">
<assessmentQuestionVersion>
<isActive>true</isActive>
<name>MPS1246_Initial_Disease_State_Q10_R1</name>
<optionSourceResponseValue>false</optionSourceResponseValue>
<questionText>Comments</questionText>
<status>Active</status>
<versionNumber>1</versionNumber>
</assessmentQuestionVersion>
<dataType>TextArea</dataType>
<developerName>MPS1246_Initial_Disease_State_Q10_R1</developerName>
<name>MPS1246_Initial_Disease_State_Q10_R1</name>
<questionCategory>Demographic</questionCategory>
</AssessmentQuestion>
Original file line number Diff line number Diff line change
@@ -0,0 +1,17 @@
<?xml version="1.0" encoding="UTF-8"?>
<AssessmentQuestion xmlns="http://soap.sforce.com/2006/04/metadata">
<assessmentQuestionVersion>
<isActive>true</isActive>
<name>MPS1246_Initial_Disease_State_Q11</name>
<optionSourceResponseValue>false</optionSourceResponseValue>
<questionText>Have there been any indications that the patient has severe infusion related adverse reactions that are either life threatening, disproportionately diminish quality of life or are not preventable by pre-medication with anti-histaminic and glucocorticoids?</questionText>
<responseValues>Yes
No</responseValues>
<status>Active</status>
<versionNumber>1</versionNumber>
</assessmentQuestionVersion>
<dataType>Radio</dataType>
<developerName>MPS1246_Initial_Disease_State_Q11</developerName>
<name>MPS1246_Initial_Disease_State_Q11</name>
<questionCategory>Demographic</questionCategory>
</AssessmentQuestion>
Original file line number Diff line number Diff line change
@@ -0,0 +1,15 @@
<?xml version="1.0" encoding="UTF-8"?>
<AssessmentQuestion xmlns="http://soap.sforce.com/2006/04/metadata">
<assessmentQuestionVersion>
<isActive>true</isActive>
<name>MPS1246_Initial_Disease_State_Q11_R1</name>
<optionSourceResponseValue>false</optionSourceResponseValue>
<questionText>Comments</questionText>
<status>Active</status>
<versionNumber>1</versionNumber>
</assessmentQuestionVersion>
<dataType>TextArea</dataType>
<developerName>MPS1246_Initial_Disease_State_Q11_R1</developerName>
<name>MPS1246_Initial_Disease_State_Q11_R1</name>
<questionCategory>Demographic</questionCategory>
</AssessmentQuestion>
Original file line number Diff line number Diff line change
@@ -0,0 +1,17 @@
<?xml version="1.0" encoding="UTF-8"?>
<AssessmentQuestion xmlns="http://soap.sforce.com/2006/04/metadata">
<assessmentQuestionVersion>
<isActive>true</isActive>
<name>MPS1246_Initial_Disease_State_Q12</name>
<optionSourceResponseValue>false</optionSourceResponseValue>
<questionText>Have there been progression of other disease manifestations such that quality of life is no longer improving?</questionText>
<responseValues>Yes
No</responseValues>
<status>Active</status>
<versionNumber>1</versionNumber>
</assessmentQuestionVersion>
<dataType>Radio</dataType>
<developerName>MPS1246_Initial_Disease_State_Q12</developerName>
<name>MPS1246_Initial_Disease_State_Q12</name>
<questionCategory>Demographic</questionCategory>
</AssessmentQuestion>
Original file line number Diff line number Diff line change
@@ -0,0 +1,15 @@
<?xml version="1.0" encoding="UTF-8"?>
<AssessmentQuestion xmlns="http://soap.sforce.com/2006/04/metadata">
<assessmentQuestionVersion>
<isActive>true</isActive>
<name>MPS1246_Initial_Disease_State_Q12_R1</name>
<optionSourceResponseValue>false</optionSourceResponseValue>
<questionText>Comments</questionText>
<status>Active</status>
<versionNumber>1</versionNumber>
</assessmentQuestionVersion>
<dataType>TextArea</dataType>
<developerName>MPS1246_Initial_Disease_State_Q12_R1</developerName>
<name>MPS1246_Initial_Disease_State_Q12_R1</name>
<questionCategory>Demographic</questionCategory>
</AssessmentQuestion>
Original file line number Diff line number Diff line change
@@ -0,0 +1,17 @@
<?xml version="1.0" encoding="UTF-8"?>
<AssessmentQuestion xmlns="http://soap.sforce.com/2006/04/metadata">
<assessmentQuestionVersion>
<isActive>true</isActive>
<name>MPS1246_Initial_Disease_State_Q13</name>
<optionSourceResponseValue>false</optionSourceResponseValue>
<questionText>Does the patient have a forced vital capacity less than 0.3 or require continuous respiratory support?</questionText>
<responseValues>Yes
No</responseValues>
<status>Active</status>
<versionNumber>1</versionNumber>
</assessmentQuestionVersion>
<dataType>Radio</dataType>
<developerName>MPS1246_Initial_Disease_State_Q13</developerName>
<name>MPS1246_Initial_Disease_State_Q13</name>
<questionCategory>Demographic</questionCategory>
</AssessmentQuestion>
Original file line number Diff line number Diff line change
@@ -0,0 +1,15 @@
<?xml version="1.0" encoding="UTF-8"?>
<AssessmentQuestion xmlns="http://soap.sforce.com/2006/04/metadata">
<assessmentQuestionVersion>
<isActive>true</isActive>
<name>MPS1246_Initial_Disease_State_Q13_R1</name>
<optionSourceResponseValue>false</optionSourceResponseValue>
<questionText>Comments</questionText>
<status>Active</status>
<versionNumber>1</versionNumber>
</assessmentQuestionVersion>
<dataType>TextArea</dataType>
<developerName>MPS1246_Initial_Disease_State_Q13_R1</developerName>
<name>MPS1246_Initial_Disease_State_Q13_R1</name>
<questionCategory>Demographic</questionCategory>
</AssessmentQuestion>
Original file line number Diff line number Diff line change
@@ -0,0 +1,17 @@
<?xml version="1.0" encoding="UTF-8"?>
<AssessmentQuestion xmlns="http://soap.sforce.com/2006/04/metadata">
<assessmentQuestionVersion>
<isActive>true</isActive>
<name>MPS1246_Initial_Disease_State_Q14</name>
<optionSourceResponseValue>false</optionSourceResponseValue>
<questionText>For patients with severe variants of disease, have there been discussions with the family regarding the lack of efficacy of enzyme replacement therapy on CNS disease and the potential for discontinuation upon development of significant CNS disease?</questionText>
<responseValues>Yes
No</responseValues>
<status>Active</status>
<versionNumber>1</versionNumber>
</assessmentQuestionVersion>
<dataType>Radio</dataType>
<developerName>MPS1246_Initial_Disease_State_Q14</developerName>
<name>MPS1246_Initial_Disease_State_Q14</name>
<questionCategory>Demographic</questionCategory>
</AssessmentQuestion>
Original file line number Diff line number Diff line change
@@ -0,0 +1,15 @@
<?xml version="1.0" encoding="UTF-8"?>
<AssessmentQuestion xmlns="http://soap.sforce.com/2006/04/metadata">
<assessmentQuestionVersion>
<isActive>true</isActive>
<name>MPS1246_Initial_Disease_State_Q14_R1</name>
<optionSourceResponseValue>false</optionSourceResponseValue>
<questionText>Comments</questionText>
<status>Active</status>
<versionNumber>1</versionNumber>
</assessmentQuestionVersion>
<dataType>TextArea</dataType>
<developerName>MPS1246_Initial_Disease_State_Q14_R1</developerName>
<name>MPS1246_Initial_Disease_State_Q14_R1</name>
<questionCategory>Demographic</questionCategory>
</AssessmentQuestion>
Original file line number Diff line number Diff line change
@@ -0,0 +1,17 @@
<?xml version="1.0" encoding="UTF-8"?>
<AssessmentQuestion xmlns="http://soap.sforce.com/2006/04/metadata">
<assessmentQuestionVersion>
<isActive>true</isActive>
<name>MPS1246_Initial_Disease_State_Q15</name>
<optionSourceResponseValue>false</optionSourceResponseValue>
<questionText>If the patient had HSCT, has 3 months passed? If patient is involved in clinical trial to assess ERT in post-HSCT patients, please specify.</questionText>
<responseValues>Yes
No</responseValues>
<status>Active</status>
<versionNumber>1</versionNumber>
</assessmentQuestionVersion>
<dataType>Radio</dataType>
<developerName>MPS1246_Initial_Disease_State_Q15</developerName>
<name>MPS1246_Initial_Disease_State_Q15</name>
<questionCategory>Demographic</questionCategory>
</AssessmentQuestion>
Original file line number Diff line number Diff line change
@@ -0,0 +1,15 @@
<?xml version="1.0" encoding="UTF-8"?>
<AssessmentQuestion xmlns="http://soap.sforce.com/2006/04/metadata">
<assessmentQuestionVersion>
<isActive>true</isActive>
<name>MPS1246_Initial_Disease_State_Q15_R1</name>
<optionSourceResponseValue>false</optionSourceResponseValue>
<questionText>Comments</questionText>
<status>Active</status>
<versionNumber>1</versionNumber>
</assessmentQuestionVersion>
<dataType>TextArea</dataType>
<developerName>MPS1246_Initial_Disease_State_Q15_R1</developerName>
<name>MPS1246_Initial_Disease_State_Q15_R1</name>
<questionCategory>Demographic</questionCategory>
</AssessmentQuestion>
Original file line number Diff line number Diff line change
@@ -0,0 +1,17 @@
<?xml version="1.0" encoding="UTF-8"?>
<AssessmentQuestion xmlns="http://soap.sforce.com/2006/04/metadata">
<assessmentQuestionVersion>
<isActive>true</isActive>
<name>MPS1246_Initial_Disease_State_Q16</name>
<optionSourceResponseValue>false</optionSourceResponseValue>
<questionText>Is the patient’s forced vital capacity less than 0.3 litres?</questionText>
<responseValues>Yes
No</responseValues>
<status>Active</status>
<versionNumber>1</versionNumber>
</assessmentQuestionVersion>
<dataType>Radio</dataType>
<developerName>MPS1246_Initial_Disease_State_Q16</developerName>
<name>MPS1246_Initial_Disease_State_Q16</name>
<questionCategory>Demographic</questionCategory>
</AssessmentQuestion>
Original file line number Diff line number Diff line change
@@ -0,0 +1,15 @@
<?xml version="1.0" encoding="UTF-8"?>
<AssessmentQuestion xmlns="http://soap.sforce.com/2006/04/metadata">
<assessmentQuestionVersion>
<isActive>true</isActive>
<name>MPS1246_Initial_Disease_State_Q16_R1</name>
<optionSourceResponseValue>false</optionSourceResponseValue>
<questionText>Comments</questionText>
<status>Active</status>
<versionNumber>1</versionNumber>
</assessmentQuestionVersion>
<dataType>TextArea</dataType>
<developerName>MPS1246_Initial_Disease_State_Q16_R1</developerName>
<name>MPS1246_Initial_Disease_State_Q16_R1</name>
<questionCategory>Demographic</questionCategory>
</AssessmentQuestion>
Original file line number Diff line number Diff line change
@@ -0,0 +1,17 @@
<?xml version="1.0" encoding="UTF-8"?>
<AssessmentQuestion xmlns="http://soap.sforce.com/2006/04/metadata">
<assessmentQuestionVersion>
<isActive>true</isActive>
<name>MPS1246_Initial_Disease_State_Q17</name>
<optionSourceResponseValue>false</optionSourceResponseValue>
<questionText>Does the patient require continuous ventilator assistance?</questionText>
<responseValues>Yes
No</responseValues>
<status>Active</status>
<versionNumber>1</versionNumber>
</assessmentQuestionVersion>
<dataType>Radio</dataType>
<developerName>MPS1246_Initial_Disease_State_Q17</developerName>
<name>MPS1246_Initial_Disease_State_Q17</name>
<questionCategory>Demographic</questionCategory>
</AssessmentQuestion>
Original file line number Diff line number Diff line change
@@ -0,0 +1,15 @@
<?xml version="1.0" encoding="UTF-8"?>
<AssessmentQuestion xmlns="http://soap.sforce.com/2006/04/metadata">
<assessmentQuestionVersion>
<isActive>true</isActive>
<name>MPS1246_Initial_Disease_State_Q17_R1</name>
<optionSourceResponseValue>false</optionSourceResponseValue>
<questionText>Comments</questionText>
<status>Active</status>
<versionNumber>1</versionNumber>
</assessmentQuestionVersion>
<dataType>TextArea</dataType>
<developerName>MPS1246_Initial_Disease_State_Q17_R1</developerName>
<name>MPS1246_Initial_Disease_State_Q17_R1</name>
<questionCategory>Demographic</questionCategory>
</AssessmentQuestion>
Original file line number Diff line number Diff line change
@@ -0,0 +1,15 @@
<?xml version="1.0" encoding="UTF-8"?>
<AssessmentQuestion xmlns="http://soap.sforce.com/2006/04/metadata">
<assessmentQuestionVersion>
<isActive>true</isActive>
<name>MPS1246_Initial_Disease_State_Q2</name>
<optionSourceResponseValue>false</optionSourceResponseValue>
<questionText>Please describe biochemical and molecular confirmation of disease or attach any relevant documents at the end of this form.</questionText>
<status>Active</status>
<versionNumber>1</versionNumber>
</assessmentQuestionVersion>
<dataType>TextArea</dataType>
<developerName>MPS1246_Initial_Disease_State_Q2</developerName>
<name>MPS1246_Initial_Disease_State_Q2</name>
<questionCategory>Demographic</questionCategory>
</AssessmentQuestion>
Original file line number Diff line number Diff line change
@@ -0,0 +1,15 @@
<?xml version="1.0" encoding="UTF-8"?>
<AssessmentQuestion xmlns="http://soap.sforce.com/2006/04/metadata">
<assessmentQuestionVersion>
<isActive>true</isActive>
<name>MPS1246_Initial_Disease_State_Q3</name>
<optionSourceResponseValue>false</optionSourceResponseValue>
<questionText>Describe all relevant clinical information regarding the patient or attach a consult note at the end of this form:</questionText>
<status>Active</status>
<versionNumber>1</versionNumber>
</assessmentQuestionVersion>
<dataType>TextArea</dataType>
<developerName>MPS1246_Initial_Disease_State_Q3</developerName>
<name>MPS1246_Initial_Disease_State_Q3</name>
<questionCategory>Demographic</questionCategory>
</AssessmentQuestion>
Original file line number Diff line number Diff line change
@@ -0,0 +1,15 @@
<?xml version="1.0" encoding="UTF-8"?>
<AssessmentQuestion xmlns="http://soap.sforce.com/2006/04/metadata">
<assessmentQuestionVersion>
<isActive>true</isActive>
<name>MPS1246_Initial_Disease_State_Q4</name>
<optionSourceResponseValue>false</optionSourceResponseValue>
<questionText>Please describe the patient’s current quality of life. Feel free to use any relevant age-appropriate quality of life tools.</questionText>
<status>Active</status>
<versionNumber>1</versionNumber>
</assessmentQuestionVersion>
<dataType>TextArea</dataType>
<developerName>MPS1246_Initial_Disease_State_Q4</developerName>
<name>MPS1246_Initial_Disease_State_Q4</name>
<questionCategory>Demographic</questionCategory>
</AssessmentQuestion>
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