Englisch

Nerventra Study Sustained increase in EDSS

1 Formulare  
Demographic Information
Beschreibung

Demographic Information

Protocol Number
Beschreibung

Protocol Number

Datentyp

text

Alias
UMLS CUI [1,1]
C0008971
UMLS CUI [1,2]
C0600091
Visit Type
Beschreibung

i.e "Screening"

Datentyp

text

Alias
UMLS CUI [1]
C0545082
Date of visit
Beschreibung

Visit date

Datentyp

date

Alias
UMLS CUI [1]
C1320303
Study site number
Beschreibung

Study site

Datentyp

integer

Alias
UMLS CUI [1]
C2825164
Subject number:
Beschreibung

Subject number

Datentyp

integer

Alias
UMLS CUI [1]
C1709561
Section blank?
Beschreibung

Blank

Datentyp

boolean

Alias
UMLS CUI [1]
C0750479
Sustained increase in EDSS
Beschreibung

Sustained increase in EDSS

According to the investigator, did the subject experience a sustained increase in EDSS?
Beschreibung

EDSS increase

Datentyp

boolean

Alias
UMLS CUI [1,1]
C0451246
UMLS CUI [1,2]
C0442805
If there is no increase in EDSS, please specify
Beschreibung

EDSS increase

Datentyp

text

Alias
UMLS CUI [1,1]
C0451246
UMLS CUI [1,2]
C0442805
Neuroexam visit date the EDSS increase is based on
Beschreibung

EDSS increase date

Datentyp

date

Alias
UMLS CUI [1,1]
C0451246
UMLS CUI [1,2]
C0442805
UMLS CUI [1,3]
C0011008
Did the subject sign the re-consent form? If no, please complete the early termination visit
Beschreibung

Consent

Datentyp

boolean

Alias
UMLS CUI [1]
C1511481
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Ähnliche Modelle

Nerventra Study Sustained increase in EDSS

1 Formulare
Name
Typ
Description | Question | Decode (Coded Value)
Datentyp
Alias
Item Group
Demographic Information
Protocol Number
Item
Protocol Number
text
C0008971 (UMLS CUI [1,1])
C0600091 (UMLS CUI [1,2])
Visit
Item
Visit Type
text
C0545082 (UMLS CUI [1])
Visit date
Item
Date of visit
date
C1320303 (UMLS CUI [1])
Study site
Item
Study site number
integer
C2825164 (UMLS CUI [1])
Subject number
Item
Subject number:
integer
C1709561 (UMLS CUI [1])
Blank
Item
Section blank?
boolean
C0750479 (UMLS CUI [1])
Item Group
Sustained increase in EDSS
EDSS increase
Item
According to the investigator, did the subject experience a sustained increase in EDSS?
boolean
C0451246 (UMLS CUI [1,1])
C0442805 (UMLS CUI [1,2])
EDSS increase
Item
If there is no increase in EDSS, please specify
text
C0451246 (UMLS CUI [1,1])
C0442805 (UMLS CUI [1,2])
EDSS increase date
Item
Neuroexam visit date the EDSS increase is based on
date
C0451246 (UMLS CUI [1,1])
C0442805 (UMLS CUI [1,2])
C0011008 (UMLS CUI [1,3])
Consent
Item
Did the subject sign the re-consent form? If no, please complete the early termination visit
boolean
C1511481 (UMLS CUI [1])
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