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13328

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Test Study

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versioni (3)
  1. 04/02/16 04/02/16 -
  2. 11/02/16 11/02/16 -
  3. 11/02/16 11/02/16 -
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4 febbraio 2016

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

    Inglese

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

    1 moduli  
    Antibiotic treatment
    Descrizione

    Antibiotic treatment

    What is the number of this line?
    Descrizione

    Line

    Tipo di dati

    integer

    Whats is the name of the antibiotic used?
    Descrizione

    name of the antibiotic used

    Tipo di dati

    text

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

    antibiotic class

    Tipo di dati

    integer

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

    First dose

    Tipo di dati

    date

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

    Entire day dose at first dose

    Tipo di dati

    boolean

    What date was the last dose given?
    Descrizione

    last dose

    Tipo di dati

    date

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

    duration (days)

    Tipo di dati

    integer

    Unità di misura
    • days
    Alias
    UMLS CUI [1]
    C0449238
    days
    When did the antibiotic treatment end?
    Descrizione

    end of antibiotic treatment

    Tipo di dati

    text

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

    Treatment with drugs/opiates causing constipation

    What is the number of this line?
    Descrizione

    line

    Tipo di dati

    integer

    What is the name of the medication?
    Descrizione

    medication name

    Tipo di dati

    text

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

    first dose

    Tipo di dati

    date

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

    Date of first dose unknown

    Tipo di dati

    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?
    Descrizione

    Date of last dose

    Tipo di dati

    date

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

    Date of last dose unknown

    Tipo di dati

    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
    Descrizione

    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?
    Descrizione

    Line

    Tipo di dati

    integer

    What is the name of the medication used?
    Descrizione

    medication name

    Tipo di dati

    text

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

    first dose

    Tipo di dati

    date

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

    Date of first dose unknown

    Tipo di dati

    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?
    Descrizione

    Date of last dose

    Tipo di dati

    date

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

    Date of last dose unknown

    Tipo di dati

    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 moduli
    Name
    genere
    Description | Question | Decode (Coded Value)
    Tipo di dati
    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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