Q5-6 Clinical Status Prior to Mobilization

* The Loes composite score is reported on the Disease Classification (2402) Form. The date of that score is reported here.

Question 5: Date of Loes composite score

Indicate the date (YYYY-DD-MM) of the Loes composite score that was reported on the Disease Classification (2402) Form.

Question 6: Was there evidence of isolated pyramidal track disease?

Indicate Yes or No if there was evidence of isolated pyramidal track disease from the MRI results. If not documented, answer Unknown.

Section Updates:

Question Number	Date of Change	Add/Remove/Modify	Description	Reasoning (If applicable)
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