Englisch

VX-950HPC3006 NCT01571583 Rash or cutaneous event

1 Formulare  
Rash or cutaneous event
Beschreibung

Rash or cutaneous event

Date of visit
Beschreibung

Date of visit

Datentyp

datetime

Alias
UMLS CUI [1]
C1320303
Should this visit be marked as deleted?
Beschreibung

If yes, please complete the check box, else leave blank

Datentyp

integer

Alias
UMLS CUI [1,1]
C0545082
UMLS CUI [1,2]
C1880274
corresponding adverse event on AE form
Beschreibung

adverse event

Datentyp

text

Alias
UMLS CUI [1]
C0877248
is there any associated pruritus with the rash?
Beschreibung

pruritus

Datentyp

boolean

Alias
UMLS CUI [1]
C0033774
UMLS CUI [2]
C0015230
did the pruritus predate the rash?
Beschreibung

if yes, please report the pruritus as a separate event on the AE form.

Datentyp

boolean

Alias
UMLS CUI [1,1]
C0033774
UMLS CUI [1,2]
C0332152
UMLS CUI [1,3]
C0015230
lymph node involvement
Beschreibung

if yes, please describe (i.e. location, single or multiple)

Datentyp

boolean

Alias
UMLS CUI [1]
C0806692
rash or cutaneous event number
Beschreibung

rash or cutaneous event number

Datentyp

text

Alias
UMLS CUI [1,1]
C0015230
UMLS CUI [1,2]
C0237753
office use only
Beschreibung

office use only

Datentyp

text

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Ähnliche Modelle

VX-950HPC3006 NCT01571583 Rash or cutaneous event

1 Formulare
Name
Typ
Description | Question | Decode (Coded Value)
Datentyp
Alias
Item Group
Rash or cutaneous event
Date of visit
Item
Date of visit
datetime
C1320303 (UMLS CUI [1])
Item
Should this visit be marked as deleted?
integer
C0545082 (UMLS CUI [1,1])
C1880274 (UMLS CUI [1,2])
deleted visit
Code List
Should this visit be marked as deleted?
CL Item
deleted (1)
adverse event
Item
corresponding adverse event on AE form
text
C0877248 (UMLS CUI [1])
pruritus
Item
is there any associated pruritus with the rash?
boolean
C0033774 (UMLS CUI [1])
C0015230 (UMLS CUI [2])
pruritus before rash
Item
did the pruritus predate the rash?
boolean
C0033774 (UMLS CUI [1,1])
C0332152 (UMLS CUI [1,2])
C0015230 (UMLS CUI [1,3])
lymph node involvement
Item
lymph node involvement
boolean
C0806692 (UMLS CUI [1])
rash or cutaneous event number
Item
rash or cutaneous event number
text
C0015230 (UMLS CUI [1,1])
C0237753 (UMLS CUI [1,2])
office use only
Item
office use only
text
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