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Medication "Safety and Immunogenicity Study of a Booster Dose of GSK Biologicals' 10-valent Pneumococcal Conjugate Vaccine" NCT00370396

1 forms  
Identification
Description

Identification

Alias
UMLS CUI-1
C1300638
Center number
Description

Center number

Data type

text

Alias
UMLS CUI [1,1]
C1301943
UMLS CUI [1,2]
C0805701
Subject ID
Description

Subject ID

Data type

text

Alias
UMLS CUI [1]
C2348585
Treatment Number
Description

Treatment Number

Data type

text

Alias
UMLS CUI [1]
C1522541
Visit Number
Description

Visit Number

Data type

integer

Alias
UMLS CUI [1]
C0545082
Medication
Description

Medication

Alias
UMLS CUI-1
C0013227
Have any medications/treatments been administered during study period?
Description

If yes, please complete the following table.

Data type

boolean

Alias
UMLS CUI [1]
C0011008
UMLS CUI [2]
C0087111
Medication List
Description

Medication List

Trade / Generic Name
Description

Trade / Generic Name

Data type

text

Alias
UMLS CUI [1]
C0027365
Medical Indication
Description

Medical Indication

Data type

text

Alias
UMLS CUI [1]
C2315323
Prophylactic treatment
Description

Prophylactic treatment

Data type

boolean

Alias
UMLS CUI [1]
C0199176
Total daily dose
Description

Total daily dose

Data type

text

Alias
UMLS CUI [1]
C3174092
Route
Description

Route

Data type

text

Alias
UMLS CUI [1]
C0013153
Start Date of Medication
Description

Start Date

Data type

date

Alias
UMLS CUI [1]
C0808070
End Date of Medication
Description

End Date

Data type

date

Alias
UMLS CUI [1]
C0806020
End Date is End Date of Study
Description

End Date is End Date of Study

Data type

boolean

Alias
UMLS CUI [1]
C0806020
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Similar models

Medication "Safety and Immunogenicity Study of a Booster Dose of GSK Biologicals' 10-valent Pneumococcal Conjugate Vaccine" NCT00370396

1 forms
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Identification
C1300638 (UMLS CUI-1)
Center number
Item
Center number
text
C1301943 (UMLS CUI [1,1])
C0805701 (UMLS CUI [1,2])
Subject ID
Item
Subject ID
text
C2348585 (UMLS CUI [1])
Treatment Number
Item
Treatment Number
text
C1522541 (UMLS CUI [1])
Item
Visit Number
integer
C0545082 (UMLS CUI [1])
Visit Number
Code List
Visit Number
CL Item
1 (1)
CL Item
2 (2)
Item Group
Medication
C0013227 (UMLS CUI-1)
medications/treatments during study period?
Item
Have any medications/treatments been administered during study period?
boolean
C0011008 (UMLS CUI [1])
C0087111 (UMLS CUI [2])
Item Group
Medication List
Trade / Generic Name
Item
Trade / Generic Name
text
C0027365 (UMLS CUI [1])
Medical Indication
Item
Medical Indication
text
C2315323 (UMLS CUI [1])
Prophylactic treatment
Item
Prophylactic treatment
boolean
C0199176 (UMLS CUI [1])
Total daily dose
Item
Total daily dose
text
C3174092 (UMLS CUI [1])
Item
Route
text
C0013153 (UMLS CUI [1])
Route
Code List
Route
CL Item
External (EXT)
CL Item
lntradermal (ID)
CL Item
Inhalation (IH)
CL Item
Intramuscular (IM)
CL Item
lntraarticular (IR)
CL Item
lntrathecal (IT)
CL Item
Intravenous (IV)
CL Item
Intranasal (NA)
CL Item
Other (OTH)
CL Item
Parenteral (PE)
CL Item
Oral (PO)
CL Item
Rectal (PR)
CL Item
Subcutaneous (SC)
CL Item
Sublinqual (SL)
CL Item
Transdermal (TD)
CL Item
Topical (TO)
CL Item
Unknown (UNK)
CL Item
Vaqinal (VA)
Start Date
Item
Start Date of Medication
date
C0808070 (UMLS CUI [1])
End Date
Item
End Date of Medication
date
C0806020 (UMLS CUI [1])
End Date is End Date of Study
Item
End Date is End Date of Study
boolean
C0806020 (UMLS CUI [1])
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