SacBo TI: Case Report Form Phone Interview Medication Obligatory For Documentation NCT01143272

Antibiotic treatment
Description

Antibiotic treatment

What is the number of this line?
Description

Line

Type de données

integer

Whats is the name of the antibiotic used?
Description

name of the antibiotic used

Type de données

text

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

antibiotic class

Type de données

integer

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

First dose

Type de données

date

Alias
UMLS CUI [1,1]
C3174092
UMLS CUI [1,2]
C0205435
UMLS CUI [1,3]
C0011008
Was an entire day dose given at first dose?
Description

Entire day dose at first dose

Type de données

boolean

What date was the last dose given?
Description

last dose

Type de données

date

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

duration (days)

Type de données

integer

Unités de mesure
  • days
Alias
UMLS CUI [1]
C0449238
days
When did the antibiotic treatment end?
Description

end of antibiotic treatment

Type de données

text

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

Treatment with drugs/opiates causing constipation

What is the number of this line?
Description

line

Type de données

integer

What is the name of the medication?
Description

medication name

Type de données

text

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

first dose

Type de données

date

Alias
UMLS CUI [1,1]
C3174092
UMLS CUI [1,2]
C0205435
UMLS CUI [1,3]
C0011008
Is the date the medication was first applied not known?
Description

Date of first dose unknown

Type de données

boolean

Alias
UMLS CUI [1,1]
C3174092
UMLS CUI [1,2]
C0205435
UMLS CUI [1,3]
C0439673
UMLS CUI [1,4]
C0011008
When was the last dose of this medication applied?
Description

Date of last dose

Type de données

date

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

Date of last dose unknown

Type de données

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
Description

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?
Description

Line

Type de données

integer

What is the name of the medication used?
Description

medication name

Type de données

text

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

first dose

Type de données

date

Alias
UMLS CUI [1,1]
C3174092
UMLS CUI [1,2]
C0205435
UMLS CUI [1,3]
C0011008
Is the date the medication was first applied not known?
Description

Date of first dose unknown

Type de données

boolean

Alias
UMLS CUI [1,1]
C3174092
UMLS CUI [1,2]
C0205435
UMLS CUI [1,3]
C0439673
UMLS CUI [1,4]
C0011008
When was the last dose of this medication applied?
Description

Date of last dose

Type de données

date

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

Date of last dose unknown

Type de données

boolean

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

Similar models

SacBo TI: Case Report Form Phone Interview Medication Obligatory For Documentation NCT01143272

Name
Type
Description | Question | Decode (Coded Value)
Type de données
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])
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])
C0011008 (UMLS CUI [1,3])
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])
C0011008 (UMLS CUI [1,3])
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])
C0011008 (UMLS CUI [1,4])
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])
C0011008 (UMLS CUI [1,3])
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])
C0011008 (UMLS CUI [1,4])
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])