ID

22739

Description

Terms of use: You may not use this document or the information contained herein to a regulatory authority in connection with an application for a marketing authorization or any other regulatory submission without the express written consent of Roche Study #: FVF4170g Drug: Ranibizumab Study Title: A Phase III, Double-Masked, Multicenter, Randomized, Sham-Controlled Study Of The Efficacy And Safety Of Ranibizumab Injection In Subjects With Clinically Significant Macular Edema With Center Involvement Secondary To Diabetes Mellitus

Keywords

Versions (1)
  1. 6/11/17 6/11/17 -
Copyright Holder

Genentech, Inc.

Uploaded on

June 11, 2017

DOI

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License

Creative Commons BY-NC 3.0
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PHYSICAL EXAM (MONTH 12) CRFs Roche FVF4170G Macular Edema NCT00473382

English

PHYSICAL EXAM (MONTH 12) CRFs Roche FVF4170G Macular Edema NCT00473382

1 forms  
Patient administration
Description

Patient administration

Subject Number
Description

PT

Data type

integer

Alias
UMLS CUI [1]
C2348585
Subject Initials:
Description

PTINIT

Data type

text

Alias
UMLS CUI [1,1]
C1997894
UMLS CUI [1,2]
C2986440
Report Date:
Description

VDT

Data type

date

Alias
UMLS CUI [1,1]
C1302584
PHYSICAL EXAM (MONTH 12)
Description

PHYSICAL EXAM (MONTH 12)

Was physical exam performed?
Description

Record any new or worsened findings / conditions on the appropriate Adverse Event CRF.

Data type

boolean

Alias
UMLS CUI [1]
C0031809
Exam Date:
Description

PHYS_EXAM_DT [PEDT]

Data type

date

Measurement units
  • DD/MMM/YY
Alias
UMLS CUI [1,1]
C0031809
UMLS CUI [1,2]
C0011008
DD/MMM/YY
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Similar models

PHYSICAL EXAM (MONTH 12) CRFs Roche FVF4170G Macular Edema NCT00473382

1 forms
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Patient administration
PT
Item
Subject Number
integer
C2348585 (UMLS CUI [1])
PTINIT
Item
Subject Initials:
text
C1997894 (UMLS CUI [1,1])
C2986440 (UMLS CUI [1,2])
VDT
Item
Report Date:
date
C1302584 (UMLS CUI [1,1])
Item Group
PHYSICAL EXAM (MONTH 12)
PHYS_EXAM_RECORDS [PEREC]
Item
Was physical exam performed?
boolean
C0031809 (UMLS CUI [1])
PHYS_EXAM_DT [PEDT]
Item
Exam Date:
date
C0031809 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
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