ID

13325

Descrição

Test Study

Palavras-chave

  1. 04/02/2016 04/02/2016 -
  2. 11/02/2016 11/02/2016 -
  3. 11/02/2016 11/02/2016 -
Titular dos direitos

CC BY-NC 3.0

Transferido a

4 de fevereiro de 2016

DOI

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Licença

Creative Commons BY-NC 3.0

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SacBo TI: Case Report Form Phone Interview Diary TI

SacBo TI: Case Report Form Phone Interview Diary TI

Current contact
Descrição

Current contact

Was the current contact a phone call?
Descrição

phone call

Tipo de dados

boolean

Was the current contact performed at an alternative date?
Descrição

Alternative date (14 days after prior phone call)

Tipo de dados

date

Alias
UMLS CUI [1]
C0011008
Until what date was the documentation on the current eForm performed?
Descrição

documentation on current eform until

Tipo de dados

date

Alias
UMLS CUI [1,1]
C0920316
UMLS CUI [1,2]
C0011008
When is the maximum end of documentation
Descrição

maximum end of documentation

Tipo de dados

date

Alias
UMLS CUI [1,1]
C0920316
UMLS CUI [1,2]
C0806020
What date did the current contact take place?
Descrição

Date of current contact

Tipo de dados

date

Alias
UMLS CUI [1]
C0011008
Stool frequency and consistency
Descrição

Stool frequency and consistency

What date do the following items concern?
Descrição

Date the next items concern including those items from the following itemgroup

Tipo de dados

date

Alias
UMLS CUI [1]
C0011008
Was the patient rehospitalized in the study hospital?
Descrição

Rehospitalization in study hospital

Tipo de dados

boolean

Alias
UMLS CUI [1]
C0019993
How many hard stools?
Descrição

Amount of hard stools

Tipo de dados

integer

Alias
UMLS CUI [1]
C0278016
How many soft stools?
Descrição

Amount of soft stools

Tipo de dados

integer

Alias
UMLS CUI [1]
C0577115
How many mushy or watery stools?
Descrição

Amount of mushy or watery stools

Tipo de dados

integer

Alias
UMLS CUI [1]
C0860527
UMLS CUI [2]
C2129214
Was there no stool on this date or is the amount not known?
Descrição

No stool or not known

Tipo de dados

integer

Alias
UMLS CUI [1]
C0426642
Intake of investigational agent
Descrição

Intake of investigational agent

Did the patient take the investigational agent in the morning?
Descrição

Intake of investigational agent in the morning

Tipo de dados

integer

Alias
UMLS CUI [1]
C0332170
Did the patient take the investigational agent in the evening?
Descrição

Intake of the investigational agent in the evening

Tipo de dados

integer

Alias
UMLS CUI [1]
C0587117
Did the patient use any laxatives?
Descrição

Use of laxatives

Tipo de dados

integer

Alias
UMLS CUI [1]
C0282090

Similar models

SacBo TI: Case Report Form Phone Interview Diary TI

Name
Tipo
Description | Question | Decode (Coded Value)
Tipo de dados
Alias
Item Group
Current contact
phone call
Item
Was the current contact a phone call?
boolean
Alternative date
Item
Was the current contact performed at an alternative date?
date
C0011008 (UMLS CUI [1])
documentation until
Item
Until what date was the documentation on the current eForm performed?
date
C0920316 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
end of documentation
Item
When is the maximum end of documentation
date
C0920316 (UMLS CUI [1,1])
C0806020 (UMLS CUI [1,2])
Date of current contact
Item
What date did the current contact take place?
date
C0011008 (UMLS CUI [1])
Item Group
Stool frequency and consistency
Date
Item
What date do the following items concern?
date
C0011008 (UMLS CUI [1])
Rehospitalization in study hospital
Item
Was the patient rehospitalized in the study hospital?
boolean
C0019993 (UMLS CUI [1])
hard stool
Item
How many hard stools?
integer
C0278016 (UMLS CUI [1])
soft stool
Item
How many soft stools?
integer
C0577115 (UMLS CUI [1])
mushy or watery stool
Item
How many mushy or watery stools?
integer
C0860527 (UMLS CUI [1])
C2129214 (UMLS CUI [2])
Item
Was there no stool on this date or is the amount not known?
integer
C0426642 (UMLS CUI [1])
Code List
Was there no stool on this date or is the amount not known?
CL Item
no stool (1)
CL Item
not known (2)
Item Group
Intake of investigational agent
Item
Did the patient take the investigational agent in the morning?
integer
C0332170 (UMLS CUI [1])
Code List
Did the patient take the investigational agent in the morning?
CL Item
yes (1)
CL Item
no (2)
CL Item
not known (3)
Item
Did the patient take the investigational agent in the evening?
integer
C0587117 (UMLS CUI [1])
Code List
Did the patient take the investigational agent in the evening?
CL Item
yes (1)
CL Item
no (2)
CL Item
not known (3)
Item
Did the patient use any laxatives?
integer
C0282090 (UMLS CUI [1])
Code List
Did the patient use any laxatives?
CL Item
yes (1)
CL Item
no (2)
CL Item
not known (3)

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