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CRF Skin Biopsy Follow Up

1 forms  
Date of visit
Description

Date of visit

Alias
UMLS CUI-1
C1320303
Date of visit
Description

date of visit

Data type

date

Alias
UMLS CUI [1]
C1320303
Study-ID:
Description

study id

Data type

text

Alias
UMLS CUI [1]
C2826693
Visit:
Description

visit name

Data type

text

Alias
UMLS CUI [1]
C2826704
Skin Biopsy
Description

Skin Biopsy

Alias
UMLS CUI-1
C0150866
Date of information about skin biopsy
Description

Information about skin biopsy (Thieme information sheet)

Data type

date

Alias
UMLS CUI [1,1]
C0588446
UMLS CUI [1,2]
C0150866
UMLS CUI [1,3]
C0011008
Was a control of coagulation performed?
Description

Coagulation control

Data type

boolean

Alias
UMLS CUI [1]
C0491299
Coagulation control performed:
Description

coagulation control date

Data type

date

Alias
UMLS CUI [1,1]
C0491299
UMLS CUI [1,2]
C0011008
PPT (Partial Thromboplastin Time)
Description

PPT

Data type

integer

Measurement units
  • sec
Alias
UMLS CUI [1]
C1531697
sec
International Normalization Ratio (INR)
Description

INR

Data type

float

Alias
UMLS CUI [1]
C0525032
Count platelets:
Description

platelets count

Data type

integer

Measurement units
  • µl
Alias
UMLS CUI [1]
C0005821
µl
Was skin biopsy performed?
Description

Skin biopsy to gain fibroblasts

Data type

boolean

Alias
UMLS CUI [1]
C0150866
Date of skin biopsy:
Description

Date skin biopsy

Data type

date

Alias
UMLS CUI [1,1]
C0150866
UMLS CUI [1,2]
C0011008
Localization
Description

Localization

Data type

text

Alias
UMLS CUI [1]
C0475264
Size of punch (diameter)
Description

punch diameter

Data type

integer

Measurement units
  • mm
Alias
UMLS CUI [1,1]
C0182557
UMLS CUI [1,2]
C1301886
mm
Was the skin biopsy successfully completed?
Description

biopsy successful

Data type

boolean

Alias
UMLS CUI [1,1]
C0150866
UMLS CUI [1,2]
C3258067
If 'successfully completed' any complications?
Description

complications

Data type

boolean

Alias
UMLS CUI [1]
C0009566
If complications, which one?
Description

complication specification

Data type

text

Alias
UMLS CUI [1]
C0009566
If 'not successfully completed' please give reasons:
Description

reasons procedure not successful

Data type

text

Alias
UMLS CUI [1,1]
C1443309
UMLS CUI [1,2]
C0424237
Other comments
Description

other comments

Data type

text

Alias
UMLS CUI [1]
C1830770
Sampling
Description

Sampling

Date of skin biopsy
Description

Date of skin biopsy

Data type

datetime

Alias
UMLS CUI [1,1]
C0150866
UMLS CUI [1,2]
C0011008
1. Sampling performed according to SOP-BM-01?
Description

Sampling according to SOP?

Data type

boolean

Alias
UMLS CUI [1,1]
C1710183
UMLS CUI [1,2]
C0870078
1.1. SOP version (No.)
Description

SOP version

Data type

text

Alias
UMLS CUI [1]
C1710183
2. Any deviations from SOP-BM-01?
Description

deviations from SOP

Data type

boolean

Alias
UMLS CUI [1]
C1710183
Other devices used for skin tissue than the ones available.
Description

other device used

Data type

boolean

Alias
UMLS CUI [1,1]
C0492861
UMLS CUI [1,2]
C0205394
If 'other device used' please specify:
Description

other device specification

Data type

text

Alias
UMLS CUI [1,1]
C0492861
UMLS CUI [1,2]
C0205394
Another solution than 0.9% NaCl-solution was used
Description

another solution used

Data type

boolean

Alias
UMLS CUI [1,1]
C0036082
UMLS CUI [1,2]
C0205394
Please name other solution:
Description

name of other solution

Data type

text

Alias
UMLS CUI [1,1]
C0036082
UMLS CUI [1,2]
C0205394
Samples: Tuble sort (Greiner) Skin tissue
Description

Registration of samples

Data type

text

Alias
UMLS CUI [1,1]
C0004738
UMLS CUI [1,2]
C0444099
Skin biopsy not done
Description

skin biopsy not done

Data type

boolean

Alias
UMLS CUI [1,1]
C0150866
UMLS CUI [1,2]
C1272696
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Similar models

CRF Skin Biopsy Follow Up

1 forms
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Date of visit
C1320303 (UMLS CUI-1)
date of visit
Item
Date of visit
date
C1320303 (UMLS CUI [1])
study id
Item
Study-ID:
text
C2826693 (UMLS CUI [1])
visit name
Item
Visit:
text
C2826704 (UMLS CUI [1])
Item Group
Skin Biopsy
C0150866 (UMLS CUI-1)
Date information skin biopsy
Item
Date of information about skin biopsy
date
C0588446 (UMLS CUI [1,1])
C0150866 (UMLS CUI [1,2])
C0011008 (UMLS CUI [1,3])
coagulation control
Item
Was a control of coagulation performed?
boolean
C0491299 (UMLS CUI [1])
coagulation control date
Item
Coagulation control performed:
date
C0491299 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
PPT
Item
PPT (Partial Thromboplastin Time)
integer
C1531697 (UMLS CUI [1])
INR
Item
International Normalization Ratio (INR)
float
C0525032 (UMLS CUI [1])
platelets count
Item
Count platelets:
integer
C0005821 (UMLS CUI [1])
skin biopsy
Item
Was skin biopsy performed?
boolean
C0150866 (UMLS CUI [1])
Date skin biopsy
Item
Date of skin biopsy:
date
C0150866 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
Item
Localization
text
C0475264 (UMLS CUI [1])
Localization
Code List
Localization
CL Item
Upper arm (Upper arm)
CL Item
Thigh (Thigh)
punch diameter
Item
Size of punch (diameter)
integer
C0182557 (UMLS CUI [1,1])
C1301886 (UMLS CUI [1,2])
biopsy successful
Item
Was the skin biopsy successfully completed?
boolean
C0150866 (UMLS CUI [1,1])
C3258067 (UMLS CUI [1,2])
complications
Item
If 'successfully completed' any complications?
boolean
C0009566 (UMLS CUI [1])
complication specification
Item
If complications, which one?
text
C0009566 (UMLS CUI [1])
reasons procedure not successful
Item
If 'not successfully completed' please give reasons:
text
C1443309 (UMLS CUI [1,1])
C0424237 (UMLS CUI [1,2])
other comments
Item
Other comments
text
C1830770 (UMLS CUI [1])
Item Group
Sampling
Date of skin biopsy
Item
Date of skin biopsy
datetime
C0150866 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
sampling according to SOP
Item
1. Sampling performed according to SOP-BM-01?
boolean
C1710183 (UMLS CUI [1,1])
C0870078 (UMLS CUI [1,2])
SOP version
Item
1.1. SOP version (No.)
text
C1710183 (UMLS CUI [1])
deviations from SOP
Item
2. Any deviations from SOP-BM-01?
boolean
C1710183 (UMLS CUI [1])
other device used
Item
Other devices used for skin tissue than the ones available.
boolean
C0492861 (UMLS CUI [1,1])
C0205394 (UMLS CUI [1,2])
other device specification
Item
If 'other device used' please specify:
text
C0492861 (UMLS CUI [1,1])
C0205394 (UMLS CUI [1,2])
another solution used
Item
Another solution than 0.9% NaCl-solution was used
boolean
C0036082 (UMLS CUI [1,1])
C0205394 (UMLS CUI [1,2])
name of other solution
Item
Please name other solution:
text
C0036082 (UMLS CUI [1,1])
C0205394 (UMLS CUI [1,2])
sample registration code
Item
Samples: Tuble sort (Greiner) Skin tissue
text
C0004738 (UMLS CUI [1,1])
C0444099 (UMLS CUI [1,2])
skin biopsy not done
Item
Skin biopsy not done
boolean
C0150866 (UMLS CUI [1,1])
C1272696 (UMLS CUI [1,2])
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