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SacBo PZ: Case Report Form Hospitalization Information On Current Visit

1 forms  
Information according to the data obtained
Description

Information according to the data obtained

What date was the patient discharged/transferred?
Description

Date of discharge/transfer

Data type

date

Alias
UMLS CUI [1]
C2361123
UMLS CUI [2]
C0030704
What phase of the study is the patient currently in?
Description

Study phase

Data type

integer

Alias
UMLS CUI [1]
C2348568
What date was the first dose of the initially used antibiotic applied?
Description

First dose of antibiotic

Data type

date

Alias
UMLS CUI [1,1]
C0003232
UMLS CUI [1,2]
C0205435
What date did the first treatment phase end?
Description

End of first treatment phase (patient receives antibiotic and investigational agent)

Data type

date

Alias
UMLS CUI [1,1]
C1710475
UMLS CUI [1,2]
C0806020
How many days of antibiotic treatment were there?
Description

Total duration of antibiotic treatment

Data type

integer

Measurement units
  • days
Alias
UMLS CUI [1,1]
C0444921
UMLS CUI [1,2]
C0003232
days
When did treatment phase 2 end?
Description

End of treatment phase 2 (patient receives investigational agent)

Data type

date

Alias
UMLS CUI [1,1]
C1710475
UMLS CUI [1,2]
C0806020
When did the follow-up end?
Description

End of follow-up (6 weeks after last dose of investigational agent)

Data type

date

Alias
UMLS CUI [1,1]
C1522577
UMLS CUI [1,2]
C0806020
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Similar models

SacBo PZ: Case Report Form Hospitalization Information On Current Visit

1 forms
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Information according to the data obtained
Date of discharge/transfer
Item
What date was the patient discharged/transferred?
date
C2361123 (UMLS CUI [1])
C0030704 (UMLS CUI [2])
Item
What phase of the study is the patient currently in?
integer
C2348568 (UMLS CUI [1])
Study segment
Code List
What phase of the study is the patient currently in?
CL Item
Treatment Phase 1 (1)
CL Item
Treatment Phase 2 (2)
CL Item
Follow Up (3)
First dose of antibiotic
Item
What date was the first dose of the initially used antibiotic applied?
date
C0003232 (UMLS CUI [1,1])
C0205435 (UMLS CUI [1,2])
End of first treatment phase
Item
What date did the first treatment phase end?
date
C1710475 (UMLS CUI [1,1])
C0806020 (UMLS CUI [1,2])
Total duration of antibiotic treatment
Item
How many days of antibiotic treatment were there?
integer
C0444921 (UMLS CUI [1,1])
C0003232 (UMLS CUI [1,2])
End of treatment phase 2
Item
When did treatment phase 2 end?
date
C1710475 (UMLS CUI [1,1])
C0806020 (UMLS CUI [1,2])
End of follow-up
Item
When did the follow-up end?
date
C1522577 (UMLS CUI [1,1])
C0806020 (UMLS CUI [1,2])
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