ID

13328

Descripción

Test Study

Palabras clave

Versiones (3)
  1. 4/2/16 4/2/16 -
  2. 11/2/16 11/2/16 -
  3. 11/2/16 11/2/16 -
Titular de derechos de autor

CC BY-NC 3.0

Subido en

4 de febrero de 2016

DOI

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Licencia

Creative Commons BY-NC 3.0
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SacBo TI: Case Report Form Phone Interview Medication Obligatory For Documentation

Inglés

SacBo TI: Case Report Form Phone Interview Medication Obligatory For Documentation

1 formularios  
Antibiotic treatment
Descripción

Antibiotic treatment

What is the number of this line?
Descripción

Line

Tipo de datos

integer

Whats is the name of the antibiotic used?
Descripción

name of the antibiotic used

Tipo de datos

text

Alias
UMLS CUI [1]
C2360065
What class does the antibiotic used belong to?
Descripción

antibiotic class

Tipo de datos

integer

Alias
UMLS CUI [1,1]
C0003232
UMLS CUI [1,2]
C1515021
What date was the first dose applied?
Descripción

First dose

Tipo de datos

date

Alias
UMLS CUI [1,1]
C3174092
UMLS CUI [1,2]
C0205435
Was an entire day dose given at first dose?
Descripción

Entire day dose at first dose

Tipo de datos

boolean

What date was the last dose given?
Descripción

last dose

Tipo de datos

date

Alias
UMLS CUI [1]
C1762893
How many days was the patient treated with the antibiotic?
Descripción

duration (days)

Tipo de datos

integer

Unidades de medida
  • days
Alias
UMLS CUI [1]
C0449238
days
When did the antibiotic treatment end?
Descripción

end of antibiotic treatment

Tipo de datos

text

Alias
UMLS CUI [1,1]
C0806020
UMLS CUI [1,2]
C0003232
Treatment with drugs/opiates causing constipation
Descripción

Treatment with drugs/opiates causing constipation

What is the number of this line?
Descripción

line

Tipo de datos

integer

What is the name of the medication?
Descripción

medication name

Tipo de datos

text

Alias
UMLS CUI [1]
C2360065
When did the treatment with this medication start?
Descripción

first dose

Tipo de datos

date

Alias
UMLS CUI [1,1]
C3174092
UMLS CUI [1,2]
C0205435
Is the date the medication was first applied not known?
Descripción

Date of first dose unknown

Tipo de datos

boolean

Alias
UMLS CUI [1,1]
C3174092
UMLS CUI [1,2]
C0205435
UMLS CUI [1,3]
C0439673
When was the last dose of this medication applied?
Descripción

Date of last dose

Tipo de datos

date

Alias
UMLS CUI [1]
C1762893
Is the date of the last dose not known?
Descripción

Date of last dose unknown

Tipo de datos

boolean

Alias
UMLS CUI [1,1]
C1762893
UMLS CUI [1,2]
C0439673
Treatment with systemic antifungal agents; note that the use of systemic antifungal agents makes the patient retrospectively ineligible for this study as of exclusion criterion 06; please record early study termination if this is the case
Descripción

Treatment with systemic antifungal agents; note that the use of systemic antifungal agents makes the patient retrospectively ineligible for this study as of exclusion criterion 06; please record early study termination if this is the case

What is the number of this line?
Descripción

Line

Tipo de datos

integer

What is the name of the medication used?
Descripción

medication name

Tipo de datos

text

Alias
UMLS CUI [1]
C2360065
When did the treatment with this medication start?
Descripción

first dose

Tipo de datos

date

Alias
UMLS CUI [1,1]
C3174092
UMLS CUI [1,2]
C0205435
Is the date the medication was first applied not known?
Descripción

Date of first dose unknown

Tipo de datos

boolean

Alias
UMLS CUI [1,1]
C3174092
UMLS CUI [1,2]
C0205435
UMLS CUI [1,3]
C0439673
When was the last dose of this medication applied?
Descripción

Date of last dose

Tipo de datos

date

Alias
UMLS CUI [1]
C1762893
Is the date of the last dose not known?
Descripción

Date of last dose unknown

Tipo de datos

boolean

Alias
UMLS CUI [1,1]
C1762893
UMLS CUI [1,2]
C0439673
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Similar models

SacBo TI: Case Report Form Phone Interview Medication Obligatory For Documentation

1 formularios
Name
Tipo
Description | Question | Decode (Coded Value)
Tipo de datos
Alias
Item Group
Antibiotic treatment
line
Item
What is the number of this line?
integer
medication name
Item
Whats is the name of the antibiotic used?
text
C2360065 (UMLS CUI [1])
Item
What class does the antibiotic used belong to?
integer
C0003232 (UMLS CUI [1,1])
C1515021 (UMLS CUI [1,2])
class of antibiotic
Code List
What class does the antibiotic used belong to?
CL Item
beta-lactam (1)
CL Item
Tetracycline (2)
CL Item
Aminoglycoside (3)
CL Item
Macrolide (4)
CL Item
Lincosamid (5)
CL Item
Gyrase-Inhibitor (6)
CL Item
Sulfonamide/Trimethoprim (7)
CL Item
Glycopeptide (8)
CL Item
Polypeptide (9)
CL Item
Nitroimidazol derivate (10)
CL Item
unknown (11)
First dose
Item
What date was the first dose applied?
date
C3174092 (UMLS CUI [1,1])
C0205435 (UMLS CUI [1,2])
Entire day dose at first dose
Item
Was an entire day dose given at first dose?
boolean
last dose
Item
What date was the last dose given?
date
C1762893 (UMLS CUI [1])
duration
Item
How many days was the patient treated with the antibiotic?
integer
C0449238 (UMLS CUI [1])
end of antibiotic treatment
Item
When did the antibiotic treatment end?
text
C0806020 (UMLS CUI [1,1])
C0003232 (UMLS CUI [1,2])
Item Group
Treatment with drugs/opiates causing constipation
line
Item
What is the number of this line?
integer
medication name
Item
What is the name of the medication?
text
C2360065 (UMLS CUI [1])
first dose
Item
When did the treatment with this medication start?
date
C3174092 (UMLS CUI [1,1])
C0205435 (UMLS CUI [1,2])
Date of first dose unknown
Item
Is the date the medication was first applied not known?
boolean
C3174092 (UMLS CUI [1,1])
C0205435 (UMLS CUI [1,2])
C0439673 (UMLS CUI [1,3])
Date of last dose
Item
When was the last dose of this medication applied?
date
C1762893 (UMLS CUI [1])
Date of last dose unknown
Item
Is the date of the last dose not known?
boolean
C1762893 (UMLS CUI [1,1])
C0439673 (UMLS CUI [1,2])
Item Group
Treatment with systemic antifungal agents; note that the use of systemic antifungal agents makes the patient retrospectively ineligible for this study as of exclusion criterion 06; please record early study termination if this is the case
Line
Item
What is the number of this line?
integer
medication name
Item
What is the name of the medication used?
text
C2360065 (UMLS CUI [1])
first dose
Item
When did the treatment with this medication start?
date
C3174092 (UMLS CUI [1,1])
C0205435 (UMLS CUI [1,2])
Date of first dose unknown
Item
Is the date the medication was first applied not known?
boolean
C3174092 (UMLS CUI [1,1])
C0205435 (UMLS CUI [1,2])
C0439673 (UMLS CUI [1,3])
Date of last dose
Item
When was the last dose of this medication applied?
date
C1762893 (UMLS CUI [1])
Date of last dose unknown
Item
Is the date of the last dose not known?
boolean
C1762893 (UMLS CUI [1,1])
C0439673 (UMLS CUI [1,2])
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