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ID

10389

Description

ADEERS Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=A12FFCCA-ABD0-42E9-E034-080020C9C0E0

Lien

https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=A12FFCCA-ABD0-42E9-E034-080020C9C0E0

Mots-clés

  1. 19/09/2012 19/09/2012 -
  2. 28/05/2015 28/05/2015 -
Téléchargé le

28 mai 2015

DOI

Pour une demande vous connecter.

Licence

Creative Commons BY-NC 3.0 Legacy

Modèle Commentaires :

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    ADEERS

    No Instruction available.

    1. StudyEvent: ADEERS
      1. No Instruction available.
    Administrative data
    Description

    Administrative data

    Date of data transfer
    Description

    Dateofdatatransfer

    Type de données

    text

    Transfer Method
    Description

    TransferMethod

    Type de données

    text

    Specify other transfer method
    Description

    Specifyothertransfermethod

    Type de données

    text

    Amended Data Ind
    Description

    AmendedDataInd

    Type de données

    text

    Alias
    NCI Thesaurus ObjectClass
    C25474 (undefined)
    UMLS 2011AA ObjectClass
    C1511726 (Data)
    NCI Thesaurus Property
    C25416 (undefined)
    UMLS 2011AA Property
    C1691222 (Amended)
    Report Type
    Description

    ReportType

    Type de données

    text

    Ticket Number
    Description

    TicketNumber

    Type de données

    text

    Amendment Number
    Description

    AmendmentNumber

    Type de données

    text

    Treatment Arm Number
    Description

    TreatmentArmNumber

    Type de données

    text

    Adverse Event Onset Date
    Description

    AdverseEventOnsetDate

    Type de données

    text

    Adverse Event End Date
    Description

    AdverseEventSymptomEndDate

    Type de données

    date

    Alias
    NCI Thesaurus ValueDomain
    C25164 (undefined)
    UMLS 2011AA ValueDomain
    C0011008 (Date in time)
    SNOMED
    410671006
    NCI Thesaurus ObjectClass
    C41331 (undefined)
    UMLS 2011AA ObjectClass
    C0877248 (Adverse event)
    LOINC
    MTHU014542
    NCI Thesaurus Property
    C4876 (undefined)
    UMLS 2011AA Property
    C1457887 (Symptoms)
    LOINC
    MTHU021540
    Recovery or death date
    Description

    Recoveryordeathdate

    Type de données

    text

    Adverse Event Category
    Description

    AdverseEventCategory

    Type de données

    text

    CTC Adverse Event Term
    Description

    CTCAdverseEventTerm

    Type de données

    text

    CTC Adverse Event Grade
    Description

    CTCAdverseEventGrade

    Type de données

    text

    Hospitalization?
    Description

    Hospitalization?

    Type de données

    text

    Alias
    NCI Thesaurus Property
    C25616 (undefined)
    UMLS 2011AA Property
    C1948053 (Period (temporal qualifier))
    SNOMED
    272117007
    NCI Thesaurus Property
    C25375 (undefined)
    UMLS 2011AA Property
    C0684224 (Report (document))
    SNOMED
    229059009
    LOINC
    LP183761-8
    NCI Thesaurus ObjectClass
    C25179 (undefined)
    UMLS 2011AA ObjectClass
    C0019993 (Hospitalization)
    SNOMED
    394656005
    LOINC
    LA15417-1
    Discharge Summary
    Description

    DischargeSummary

    Type de données

    text

    CTC Code
    Description

    CTCCode

    Type de données

    text

    Similar models

    No Instruction available.

    1. StudyEvent: ADEERS
      1. No Instruction available.
    Name
    Type
    Description | Question | Decode (Coded Value)
    Type de données
    Alias
    Item Group
    Administrative data
    Dateofdatatransfer
    Item
    Date of data transfer
    text
    TransferMethod
    Item
    Transfer Method
    text
    Specifyothertransfermethod
    Item
    Specify other transfer method
    text
    AmendedDataInd
    Item
    Amended Data Ind
    text
    C25474 (NCI Thesaurus ObjectClass)
    C1511726 (UMLS 2011AA ObjectClass)
    C25416 (NCI Thesaurus Property)
    C1691222 (UMLS 2011AA Property)
    ReportType
    Item
    Report Type
    text
    TicketNumber
    Item
    Ticket Number
    text
    AmendmentNumber
    Item
    Amendment Number
    text
    TreatmentArmNumber
    Item
    Treatment Arm Number
    text
    AdverseEventOnsetDate
    Item
    Adverse Event Onset Date
    text
    AdverseEventSymptomEndDate
    Item
    Adverse Event End Date
    date
    C25164 (NCI Thesaurus ValueDomain)
    C0011008 (UMLS 2011AA ValueDomain)
    C41331 (NCI Thesaurus ObjectClass)
    C0877248 (UMLS 2011AA ObjectClass)
    C4876 (NCI Thesaurus Property)
    C1457887 (UMLS 2011AA Property)
    Recoveryordeathdate
    Item
    Recovery or death date
    text
    AdverseEventCategory
    Item
    Adverse Event Category
    text
    CTCAdverseEventTerm
    Item
    CTC Adverse Event Term
    text
    CTCAdverseEventGrade
    Item
    CTC Adverse Event Grade
    text
    Hospitalization?
    Item
    Hospitalization?
    text
    C25616 (NCI Thesaurus Property)
    C1948053 (UMLS 2011AA Property)
    C25375 (NCI Thesaurus Property)
    C0684224 (UMLS 2011AA Property)
    C25179 (NCI Thesaurus ObjectClass)
    C0019993 (UMLS 2011AA ObjectClass)
    DischargeSummary
    Item
    Discharge Summary
    text
    CTCCode
    Item
    CTC Code
    text

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