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Safety Assessment Multiple Sclerosis ALAIN01 NCT02419378

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Safety Assessment
Beschrijving

Safety Assessment

Alias
UMLS CUI-1
C0549076
Patient ID (derived)
Beschrijving

Patient ID (derived)

Datatype

text

Alias
UMLS CUI [1]
C2348585
Safety Lab. Assessments: Sheet No
Beschrijving

Safety Lab. Assessments: Sheet No

Datatype

integer

Safety Lab. Assessments: New eForm
Beschrijving

Safety Lab. Assessments: New eForm

Datatype

text

Safety Lab. Assessments: Date of Signature
Beschrijving

Safety Lab. Assessments: Date of Signature

Datatype

date

Safety Lab. Assessments: Date of Signature Status
Beschrijving

Safety Lab. Assessments: Date of Signature Status

Datatype

text

Safety Lab. Assessments: Signature yes/no
Beschrijving

Safety Lab. Assessments: Signature yes/no

Datatype

text

Comment Safety Ass.
Beschrijving

Comment Safety Ass.

Datatype

text

Safety Lab. Assessments RQG
Beschrijving

Safety Lab. Assessments RQG

Safety Lab. Assessments: Date
Beschrijving

Safety Lab. Assessments: Date

Datatype

date

Safety Lab. Assessments: Date Status
Beschrijving

Safety Lab. Assessments: Date Status

Datatype

text

Safety Lab. Assessments: Serum Creatinine
Beschrijving

Safety Lab. Assessments: Serum Creatinine

Datatype

text

Alias
UMLS CUI [1]
C0201976
Safety Lab. Assessments: Platelets
Beschrijving

Safety Lab. Assessments: Platelets

Datatype

text

Alias
UMLS CUI [1]
C0005821
Safety Lab. Assessments: TSH
Beschrijving

Safety Lab. Assessments: TSH

Datatype

text

Alias
UMLS CUI [1]
C0202230
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Similar models

Safety Assessment Multiple Sclerosis ALAIN01 NCT02419378

1 Formulieren
Name
Type
Description | Question | Decode (Coded Value)
Datatype
Alias
Item Group
Safety Assessment
C0549076 (UMLS CUI-1)
Patient ID (derived)
Item
Patient ID (derived)
text
C2348585 (UMLS CUI [1])
Safety Lab. Assessments: Sheet No
Item
integer
Safety Lab. Assessments: New eForm
Code List
Safety Lab. Assessments: New eForm
CL Item
yes (1)
Safety Lab. Assessments: Date of Signature
Item
date
Safety Lab. Assessments: Date of Signature Status
Code List
Safety Lab. Assessments: Date of Signature Status
CL Item
T (1)
CL Item
TM (2)
CL Item
M (3)
Safety Lab. Assessments: Signature yes/no
Code List
Safety Lab. Assessments: Signature yes/no
CL Item
yes (1)
CL Item
no (0)
Comment Safety Ass.
Item
text
Safety Lab. Assessments: Date
Item
date
Safety Lab. Assessments: Date Status
Code List
Safety Lab. Assessments: Date Status
CL Item
T (1)
CL Item
TM (2)
CL Item
M (3)
Item
Safety Lab. Assessments: Serum Creatinine
text
C0201976 (UMLS CUI [1])
Safety Lab. Assessments: Serum Creatinine
Code List
Safety Lab. Assessments: Serum Creatinine
CL Item
normal (1)
CL Item
abnormal, without clinical significance (2)
CL Item
abnormal, with clinical significance (3)
CL Item
ND (9)
Item
Safety Lab. Assessments: Platelets
text
C0005821 (UMLS CUI [1])
Safety Lab. Assessments: Platelets
Code List
Safety Lab. Assessments: Platelets
CL Item
normal (1)
CL Item
abnormal, without clinical significance (2)
CL Item
abnormal, with clinical significance (3)
CL Item
ND (9)
Item
Safety Lab. Assessments: TSH
text
C0202230 (UMLS CUI [1])
Safety Lab. Assessments: TSH
Code List
Safety Lab. Assessments: TSH
CL Item
normal (1)
CL Item
abnormal, without clinical significance (2)
CL Item
abnormal, with clinical significance (3)
CL Item
ND (9)
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