Information: Detta är inte den senaste versionen av datamodellen. Du hittar en versionsöversikt till vänster under versioner. Den senaste versionen hittar du här.
Information:
Fel:
ID
13328
Beskrivning
Test Study
Nyckelord
Versioner (3)
- 2016-02-04 2016-02-04 -
- 2016-02-11 2016-02-11 -
- 2016-02-11 2016-02-11 -
Rättsinnehavare
CC BY-NC 3.0
Uppladdad den
4 februari 2016
DOI
För en begäran logga in.
Licens
Creative Commons BY-NC 3.0
Modellkommentarer :
Här kan du kommentera modellen. Med hjälp av pratbubblor i Item-grupperna och Item kan du lägga in specifika kommentarer.
Itemgroup-kommentar för :
Item-kommentar för :
Du måste vara inloggad för att kunna ladda ner formulär. Var vänlig logga in eller registrera dig utan kostnad.
SacBo TI: Case Report Form Phone Interview Medication Obligatory For Documentation
SacBo TI: Case Report Form Phone Interview Medication Obligatory For Documentation
Similar models
SacBo TI: Case Report Form Phone Interview Medication Obligatory For Documentation
Name
Typ
Description | Question | Decode (Coded Value)
Datatyp
Alias
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])
C1515021 (UMLS CUI [1,2])
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])
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])
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])
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])
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])
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])
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])
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])
C0439673 (UMLS CUI [1,2])
Inga kommentarer