Informações:
Falhas:
ID
16195
Descrição
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
Palavras-chave
Versões (1)
- 04/07/2016 04/07/2016 -
Transferido a
4 de julho de 2016
DOI
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Licença
Creative Commons BY-NC-ND 3.0
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Consent RICH study NCT02669589
Consent RICH study NCT02669589
- StudyEvent: ODM
Similar models
Consent RICH study NCT02669589
- StudyEvent: ODM
Name
Tipo
Description | Question | Decode (Coded Value)
Tipo de dados
Alias
Center ID
Item
ID of Center
text
C0600091 (UMLS CUI [1,1])
C0019994 (UMLS CUI [1,2])
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)
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])
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])
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])
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])
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])
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])
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])
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])
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])
C0085537 (UMLS CUI [1,2])
C2985782 (UMLS CUI [1,3])
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])
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])
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])
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])
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])
C0021430 (UMLS CUI [1,2])
C0011008 (UMLS CUI [1,3])
C2985782 (UMLS CUI [1,4])