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SacBo PZ: Case Report Form Hospitalization Readmission

1 Formulários  
Readmission
Descrição

Readmission

When was the patient readmitted to the hospital?
Descrição

Hospital readmission date

Tipo de dados

date

Alias
UMLS CUI [1]
C0600290
Was the patient readmitted as an out-patient or as an in-patient?
Descrição

Readmission/return assessment. Please enter the medication obligatory for documentation in the "patient diary after discharge/transferal" AND in the data base. Please enter all other pages in the data base (except for patient diary) as well.

Tipo de dados

integer

Alias
UMLS CUI [1]
C3844773
What was the reason for the return/readmission to the hospital?
Descrição

Reason for return/readmission

Tipo de dados

integer

Alias
UMLS CUI [1]
C3844773
What phase of the study is the patient currently in?
Descrição

Study phase

Tipo de dados

integer

Alias
UMLS CUI [1]
C2348568
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Similar models

SacBo PZ: Case Report Form Hospitalization Readmission

1 Formulários
Name
Tipo
Description | Question | Decode (Coded Value)
Tipo de dados
Alias
Item Group
Readmission
Hospital readmission
Item
When was the patient readmitted to the hospital?
date
C0600290 (UMLS CUI [1])
Item
Was the patient readmitted as an out-patient or as an in-patient?
integer
C3844773 (UMLS CUI [1])
readmission/return assessment
Code List
Was the patient readmitted as an out-patient or as an in-patient?
CL Item
out-patient (1)
CL Item
in-patient (2)
Item
What was the reason for the return/readmission to the hospital?
integer
C3844773 (UMLS CUI [1])
Reason for return/readmission
Code List
What was the reason for the return/readmission to the hospital?
CL Item
Diarrhea/AAD/CDAD (1)
CL Item
Aggravation of underlying disease (2)
CL Item
Known and listed side effect of the antibiotic used (3)
CL Item
Adverse event (4)
CL Item
other reason (5)
Item
What phase of the study is the patient currently in?
integer
C2348568 (UMLS CUI [1])
study section
Code List
What phase of the study is the patient currently in?
CL Item
Treatment 1 (1)
CL Item
Treatment 2 (2)
CL Item
Follow Up (3)
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