Inglés

End of Therapy RICH study NCT02669589

1 formularios  
Patient Information
Descripción

Patient Information

Alias
UMLS CUI-1
C1955348
ID of Center
Descripción

Center ID

Tipo de datos

text

Alias
UMLS CUI [1,1]
C0600091
UMLS CUI [1,2]
C0019994
ID of patient
Descripción

Patient ID

Tipo de datos

text

Alias
UMLS CUI [1]
C2348585
End of Therapy (continous Renal Replacement Therapy - further documentation of process according to working construction)
Descripción

End of Therapy (continous Renal Replacement Therapy - further documentation of process according to working construction)

Alias
UMLS CUI-1
C0871548
End of Therapy: End Date
Descripción

End of Therapy: End Date

Tipo de datos

date

Alias
UMLS CUI [1,1]
C0871548
UMLS CUI [1,2]
C0806020
End of Therapy: End Time
Descripción

End of Therapy: End Time

Tipo de datos

time

Alias
UMLS CUI [1,1]
C0871548
UMLS CUI [1,2]
C1522314
Reason for End of Therapy:
Descripción

Reason for End of Therapy

Tipo de datos

text

Alias
UMLS CUI [1,1]
C0392360
UMLS CUI [1,2]
C0871548
Reason for End of Therapy: If Reson for End of Therapy is "Medical", specify:
Descripción

Medical reason for End of Therapy

Tipo de datos

text

Alias
UMLS CUI [1,1]
C4042877
UMLS CUI [1,2]
C0871548
Reason for End of Therapy: If Reson for End of Therapy is "Other", specify:
Descripción

Reason for End of Therapy: Specification

Tipo de datos

text

Alias
UMLS CUI [1,1]
C2348235
UMLS CUI [1,2]
C0871548
End of documentation - (do not fill in if death or withdrawal/ refusion of consent are already documented)
Descripción

End of documentation - (do not fill in if death or withdrawal/ refusion of consent are already documented)

Alias
UMLS CUI-1
C0444930
UMLS CUI-2
C0920316
End of documentation: End Date
Descripción

End of documentation: End Date

Tipo de datos

date

Alias
UMLS CUI [1,1]
C0444930
UMLS CUI [1,2]
C0920316
UMLS CUI [1,3]
C0806020
End of documentation: End Time
Descripción

End of documentation: End Time

Tipo de datos

time

Alias
UMLS CUI [1,1]
C0444930
UMLS CUI [1,2]
C0920316
UMLS CUI [1,3]
C1522314
Reason for End of Documentation:
Descripción

Reason for End of Documentation

Tipo de datos

text

Alias
UMLS CUI [1,1]
C0392360
UMLS CUI [1,2]
C0444930
UMLS CUI [1,3]
C0920316
Reson for End of Documentation: If Reson for End of Documentation is "Other", specify:
Descripción

Reson for End of Documentation: Specification

Tipo de datos

text

Alias
UMLS CUI [1,1]
C0392360
UMLS CUI [1,2]
C0444930
UMLS CUI [1,3]
C0920316
UMLS CUI [1,4]
C2348235
Hospital stay
Descripción

Hospital stay

Alias
UMLS CUI-1
C3489408
Discharge from ICU
Descripción

Discharge from ICU

Tipo de datos

boolean

Alias
UMLS CUI [1,1]
C0030685
UMLS CUI [1,2]
C0021708
Date of discharge from ICU
Descripción

Date of discharge from ICU

Tipo de datos

date

Alias
UMLS CUI [1,1]
C2361123
UMLS CUI [1,2]
C0021708
Time of discharge from ICU
Descripción

Time of discharge from ICU

Tipo de datos

time

Alias
UMLS CUI [1,1]
C3864299
UMLS CUI [1,2]
C0021708
Discharge from hospital
Descripción

Discharge from hospital

Tipo de datos

boolean

Alias
UMLS CUI [1,1]
C0030685
UMLS CUI [1,2]
C0019994
Date of discharge from hospital
Descripción

Date of discharge from hospital

Tipo de datos

date

Alias
UMLS CUI [1,1]
C2361123
UMLS CUI [1,2]
C0019994
Time of discharge from hospital
Descripción

Time of discharge from hospital

Tipo de datos

time

Alias
UMLS CUI [1,1]
C3864299
UMLS CUI [1,2]
C0019994
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Similar models

End of Therapy RICH study NCT02669589

1 formularios
Name
Tipo
Description | Question | Decode (Coded Value)
Tipo de datos
Alias
Item Group
Patient Information
C1955348 (UMLS CUI-1)
Center ID
Item
ID of Center
text
C0600091 (UMLS CUI [1,1])
C0019994 (UMLS CUI [1,2])
Patient ID
Item
ID of patient
text
C2348585 (UMLS CUI [1])
Item Group
End of Therapy (continous Renal Replacement Therapy - further documentation of process according to working construction)
C0871548 (UMLS CUI-1)
End of Therapy: End Date
Item
End of Therapy: End Date
date
C0871548 (UMLS CUI [1,1])
C0806020 (UMLS CUI [1,2])
End of Therapy: End Time
Item
End of Therapy: End Time
time
C0871548 (UMLS CUI [1,1])
C1522314 (UMLS CUI [1,2])
Item
Reason for End of Therapy:
text
C0392360 (UMLS CUI [1,1])
C0871548 (UMLS CUI [1,2])
Reason for End of Therapy
Code List
Reason for End of Therapy:
CL Item
not controllable alcalosis with bicarbonate > 35 (not controllable alcalosis with bicarbonate > 35)
CL Item
accumulation of citrate (total Ca2+/ Ca2+ ionized > 2,5) (accumulation of citrate (total Ca2+/ Ca2+ ionized > 2,5))
CL Item
HIT (HIT)
CL Item
Criteria for End of Therapy are met (Criteria for End of Therapy are met)
CL Item
SAE in connection with test product or procedure (SAE in connection with test product or procedure)
CL Item
Medical decission (Medical decission)
CL Item
(planned) transfer to normal ward ((planned) transfer to normal ward)
CL Item
(planned) transfer to other ICU/ IMC ((planned) transfer to other ITS/ IMC)
CL Item
(planned) transfer to other hospital ((planned) transfer to other hospital)
CL Item
discharge (discharge)
CL Item
withdrawal of consent (withdrawal of consent)
CL Item
consent cannot be given (consent cannot be given)
CL Item
consent rejected by patient (consent rejected by patient)
CL Item
consent rejected by caregiver (consent rejected by caregiver)
CL Item
consent rejected by representative (consent rejected by representative)
CL Item
death while therapy (death while therapy)
CL Item
other reason (other reason)
Medical reason for End of Therapy
Item
Reason for End of Therapy: If Reson for End of Therapy is "Medical", specify:
text
C4042877 (UMLS CUI [1,1])
C0871548 (UMLS CUI [1,2])
Reason for End of Therapy: Specification
Item
Reason for End of Therapy: If Reson for End of Therapy is "Other", specify:
text
C2348235 (UMLS CUI [1,1])
C0871548 (UMLS CUI [1,2])
Item Group
End of documentation - (do not fill in if death or withdrawal/ refusion of consent are already documented)
C0444930 (UMLS CUI-1)
C0920316 (UMLS CUI-2)
End of documentation: End Date
Item
End of documentation: End Date
date
C0444930 (UMLS CUI [1,1])
C0920316 (UMLS CUI [1,2])
C0806020 (UMLS CUI [1,3])
End of documentation: End Time
Item
End of documentation: End Time
time
C0444930 (UMLS CUI [1,1])
C0920316 (UMLS CUI [1,2])
C1522314 (UMLS CUI [1,3])
Item
Reason for End of Documentation:
text
C0392360 (UMLS CUI [1,1])
C0444930 (UMLS CUI [1,2])
C0920316 (UMLS CUI [1,3])
Reason for End of Documentation
Code List
Reason for End of Documentation:
CL Item
regular end on Day 28 (regular end on Day 28)
CL Item
(planned) transfer to normal ward ((planned) transfer to normal ward)
CL Item
(planned) transfer to other ICU/ IMC ((planned) transfer to other ITS/ IMC)
CL Item
(planned) transfer to other hospital ((planned) transfer to other hospital)
CL Item
discharge (discharge)
CL Item
withdrawal of consent (withdrawal of consent)
CL Item
consent cannot be given (consent cannot be given)
CL Item
consent rejected by patient (consent rejected by patient)
CL Item
consent rejected by caregiver (consent rejected by caregiver)
CL Item
consent rejected by representative (consent rejected by representative)
CL Item
death while therapy (death while therapy)
CL Item
other reason (other reason)
Reson for End of Documentation: Specification
Item
Reson for End of Documentation: If Reson for End of Documentation is "Other", specify:
text
C0392360 (UMLS CUI [1,1])
C0444930 (UMLS CUI [1,2])
C0920316 (UMLS CUI [1,3])
C2348235 (UMLS CUI [1,4])
Item Group
Hospital stay
C3489408 (UMLS CUI-1)
Discharge from ICU
Item
Discharge from ICU
boolean
C0030685 (UMLS CUI [1,1])
C0021708 (UMLS CUI [1,2])
Date of discharge from ICU
Item
Date of discharge from ICU
date
C2361123 (UMLS CUI [1,1])
C0021708 (UMLS CUI [1,2])
Time of discharge from ICU
Item
Time of discharge from ICU
time
C3864299 (UMLS CUI [1,1])
C0021708 (UMLS CUI [1,2])
Discharge from hospital
Item
Discharge from hospital
boolean
C0030685 (UMLS CUI [1,1])
C0019994 (UMLS CUI [1,2])
Date of discharge from hospital
Item
Date of discharge from hospital
date
C2361123 (UMLS CUI [1,1])
C0019994 (UMLS CUI [1,2])
Time of discharge from hospital
Item
Time of discharge from hospital
time
C3864299 (UMLS CUI [1,1])
C0019994 (UMLS CUI [1,2])
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