ID

16195

Description

NCT02669589 EudraCT-Nr. 2014-004854-33 REGIONAL CITRATE VERSUS SYSTEMIC HEPARIN ANTICOAGULATION FOR CONTINUOUS RENAL REPLACEMENT THERAPY IN CRITICALLY ILL PATIENTS WITH ACUTE KIDNEY INJURY Study Chair: Alexander Zarbock, MD University Hospital Muenster

Mots-clés

  1. 04/07/2016 04/07/2016 -
Téléchargé le

4 juillet 2016

DOI

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Licence

Creative Commons BY-NC-ND 3.0

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Consent RICH study NCT02669589

Consent RICH study NCT02669589

Patient Information
Description

Patient Information

Alias
UMLS CUI-1
C1955348
ID of Center
Description

Center ID

Type de données

text

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

Patient ID

Type de données

text

Alias
UMLS CUI [1]
C2348585
Subsequent consent - please fill in for patients who are primary not able to give consent
Description

Subsequent consent - please fill in for patients who are primary not able to give consent

Alias
UMLS CUI-1
C0021430
UMLS CUI-2
C0332282
Subsequent consent given by patient (has the patient given written consent for participation to clinical trial subsequently?)
Description

Subsequent consent given by patient

Type de données

boolean

Alias
UMLS CUI [1,1]
C0021430
UMLS CUI [1,2]
C0332282
UMLS CUI [1,3]
C0030705
If patient gave subsequent consent, specify date:
Description

Date of subsequent consent given by patient

Type de données

date

Alias
UMLS CUI [1,1]
C0332282
UMLS CUI [1,2]
C0030705
UMLS CUI [1,3]
C2985782
Subsequent consent given by representative (has the representative given written consent for participation to clinical trial subsequently?)
Description

Subsequent consent given by representative

Type de données

boolean

Alias
UMLS CUI [1,1]
C0021430
UMLS CUI [1,2]
C0332282
UMLS CUI [1,3]
C0030701
If representative gave subsequent consent, specify date:
Description

Date of subsequent consent given by representative

Type de données

date

Alias
UMLS CUI [1,1]
C0332282
UMLS CUI [1,2]
C0030701
UMLS CUI [1,3]
C2985782
Lawsuit for legal caregiver applied?
Description

Lawsuit: caregiver

Type de données

boolean

Alias
UMLS CUI [1,1]
C0085537
UMLS CUI [1,2]
C2136079
Lawsuit for legal caregiver: If yes, completed?
Description

Lawsuit completed: caregiver

Type de données

boolean

Alias
UMLS CUI [1,1]
C0085537
UMLS CUI [1,2]
C2136079
UMLS CUI [1,3]
C0205197
Date of deployment of caregiver:
Description

Date of deployment of caregiver

Type de données

date

Alias
UMLS CUI [1,1]
C0085537
UMLS CUI [1,2]
C0011008
UMLS CUI [1,3]
C2825812
Subsequent consent given by caregiver (has the caregiver given written consent for participation to clinical trial subsequently?)
Description

Subsequent consent given by caregiver

Type de données

boolean

Alias
UMLS CUI [1,1]
C0021430
UMLS CUI [1,2]
C0332282
UMLS CUI [1,3]
C0085537
If caregiver gave subsequent consent, specify date:
Description

Date of subsequent consent given by caregiver

Type de données

date

Alias
UMLS CUI [1,1]
C0332282
UMLS CUI [1,2]
C0085537
UMLS CUI [1,3]
C2985782
Withdrawal of consent
Description

Withdrawal of consent

Alias
UMLS CUI-1
C2349954
UMLS CUI-2
C0021430
Withdrawal of consent (fill in, if patients wants withdrawal of consent)
Description

Withdrawal of consent

Type de données

boolean

Alias
UMLS CUI [1,1]
C2349954
UMLS CUI [1,2]
C0021430
Reason for withdrawal of consent: (fill in, if patients wants withdrawal of consent)
Description

Reason for withdrawal of consent

Type de données

text

Alias
UMLS CUI [1,1]
C2349954
UMLS CUI [1,2]
C0021430
UMLS CUI [1,3]
C0392360
Date of withdrawal of consent by patient (fill in, if patients wants withdrawal of consent)
Description

Date of withdrawal of consent by patient

Type de données

date

Alias
UMLS CUI [1,1]
C2349954
UMLS CUI [1,2]
C0021430
UMLS CUI [1,3]
C0011008
UMLS CUI [1,4]
C0030705
Date of withdrawal of consent by representative (fill in, if representative wants withdrawal of consent)
Description

Date of withdrawal of consent by representative

Type de données

date

Alias
UMLS CUI [1,1]
C2349954
UMLS CUI [1,2]
C0021430
UMLS CUI [1,3]
C0011008
UMLS CUI [1,4]
C0030701
Date of withdrawal of consent by caregiver (fill in, if caregiver wants withdrawal of consent)
Description

Date of withdrawal of consent by caregiver

Type de données

date

Alias
UMLS CUI [1,1]
C2349954
UMLS CUI [1,2]
C0021430
UMLS CUI [1,3]
C0011008
UMLS CUI [1,4]
C2985782

Similar models

Consent RICH study NCT02669589

Name
Type
Description | Question | Decode (Coded Value)
Type de données
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
Subsequent consent - please fill in for patients who are primary not able to give consent
C0021430 (UMLS CUI-1)
C0332282 (UMLS CUI-2)
Subsequent consent given by patient
Item
Subsequent consent given by patient (has the patient given written consent for participation to clinical trial subsequently?)
boolean
C0021430 (UMLS CUI [1,1])
C0332282 (UMLS CUI [1,2])
C0030705 (UMLS CUI [1,3])
Date of subsequent consent given by patient
Item
If patient gave subsequent consent, specify date:
date
C0332282 (UMLS CUI [1,1])
C0030705 (UMLS CUI [1,2])
C2985782 (UMLS CUI [1,3])
Subsequent consent given by representative
Item
Subsequent consent given by representative (has the representative given written consent for participation to clinical trial subsequently?)
boolean
C0021430 (UMLS CUI [1,1])
C0332282 (UMLS CUI [1,2])
C0030701 (UMLS CUI [1,3])
Date of subsequent consent given by representative
Item
If representative gave subsequent consent, specify date:
date
C0332282 (UMLS CUI [1,1])
C0030701 (UMLS CUI [1,2])
C2985782 (UMLS CUI [1,3])
Lawsuit: caregiver
Item
Lawsuit for legal caregiver applied?
boolean
C0085537 (UMLS CUI [1,1])
C2136079 (UMLS CUI [1,2])
Lawsuit completed: caregiver
Item
Lawsuit for legal caregiver: If yes, completed?
boolean
C0085537 (UMLS CUI [1,1])
C2136079 (UMLS CUI [1,2])
C0205197 (UMLS CUI [1,3])
Date of deployment of caregiver
Item
Date of deployment of caregiver:
date
C0085537 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
C2825812 (UMLS CUI [1,3])
Subsequent consent given by caregiver
Item
Subsequent consent given by caregiver (has the caregiver given written consent for participation to clinical trial subsequently?)
boolean
C0021430 (UMLS CUI [1,1])
C0332282 (UMLS CUI [1,2])
C0085537 (UMLS CUI [1,3])
Date of subsequent consent given by caregiver
Item
If caregiver gave subsequent consent, specify date:
date
C0332282 (UMLS CUI [1,1])
C0085537 (UMLS CUI [1,2])
C2985782 (UMLS CUI [1,3])
Item Group
Withdrawal of consent
C2349954 (UMLS CUI-1)
C0021430 (UMLS CUI-2)
Withdrawal of consent
Item
Withdrawal of consent (fill in, if patients wants withdrawal of consent)
boolean
C2349954 (UMLS CUI [1,1])
C0021430 (UMLS CUI [1,2])
Reason for withdrawal of consent
Item
Reason for withdrawal of consent: (fill in, if patients wants withdrawal of consent)
text
C2349954 (UMLS CUI [1,1])
C0021430 (UMLS CUI [1,2])
C0392360 (UMLS CUI [1,3])
Date of withdrawal of consent by patient
Item
Date of withdrawal of consent by patient (fill in, if patients wants withdrawal of consent)
date
C2349954 (UMLS CUI [1,1])
C0021430 (UMLS CUI [1,2])
C0011008 (UMLS CUI [1,3])
C0030705 (UMLS CUI [1,4])
Date of withdrawal of consent by representative
Item
Date of withdrawal of consent by representative (fill in, if representative wants withdrawal of consent)
date
C2349954 (UMLS CUI [1,1])
C0021430 (UMLS CUI [1,2])
C0011008 (UMLS CUI [1,3])
C0030701 (UMLS CUI [1,4])
Date of withdrawal of consent by caregiver
Item
Date of withdrawal of consent by caregiver (fill in, if caregiver wants withdrawal of consent)
date
C2349954 (UMLS CUI [1,1])
C0021430 (UMLS CUI [1,2])
C0011008 (UMLS CUI [1,3])
C2985782 (UMLS CUI [1,4])

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