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Compliance Genzyme Chronic Kidney Disease EudraCT 2005-003233-41

1 Formulär  
Visit: Baseline
Beskrivning

Visit: Baseline

Alias
UMLS CUI-1
C1442488
Visit Date
Beskrivning

baseline date

Datatyp

date

Alias
UMLS CUI [1]
C1320303
# new tbls dispensed
Beskrivning

new tablet

Datatyp

integer

Alias
UMLS CUI [1]
C0677179
Dose Change
Beskrivning

*If yes, please record on Dose change page 20.

Datatyp

boolean

Alias
UMLS CUI [1]
C1707811
Visit 2 (Day 14)
Beskrivning

Visit 2 (Day 14)

Alias
UMLS CUI-1
C0545082
Visit Date
Beskrivning

visit 2 date

Datatyp

date

Alias
UMLS CUI [1]
C1320303
# tbls remaining
Beskrivning

Tablets remaining

Datatyp

integer

Alias
UMLS CUI [1,1]
C0993159
UMLS CUI [1,2]
C1527428
# new tbls dispensed
Beskrivning

new tablet

Datatyp

text

Alias
UMLS CUI [1]
C0677179
Dose Change
Beskrivning

*If yes, please record on Dose change page 20.

Datatyp

boolean

Alias
UMLS CUI [1]
C1707811
Visit 3 (Day 28)
Beskrivning

Visit 3 (Day 28)

Visit Date
Beskrivning

visit 3 date

Datatyp

date

Alias
UMLS CUI [1]
C1320303
# tbls remaining
Beskrivning

Tablets remaining

Datatyp

integer

Alias
UMLS CUI [1,1]
C0993159
UMLS CUI [1,2]
C1527428
# new tbls dispensed
Beskrivning

new tablet

Datatyp

text

Alias
UMLS CUI [1]
C0677179
Dose Change
Beskrivning

*If yes, please record on Dose change page 20.

Datatyp

boolean

Alias
UMLS CUI [1]
C1707811
Visit 4 (Day 42)
Beskrivning

Visit 4 (Day 42)

Alias
UMLS CUI-1
C0545082
Visit Date
Beskrivning

visit 4 date

Datatyp

date

Alias
UMLS CUI [1]
C1320303
# tbls remaining
Beskrivning

Tablets remaining

Datatyp

integer

Alias
UMLS CUI [1,1]
C0993159
UMLS CUI [1,2]
C1527428
# new tbls dispensed
Beskrivning

new tablet

Datatyp

text

Alias
UMLS CUI [1]
C0677179
Dose Change
Beskrivning

*If yes, please record on Dose change page 20.

Datatyp

boolean

Alias
UMLS CUI [1]
C1707811
Visit 5 (Day 56/Early Termination)
Beskrivning

Visit 5 (Day 56/Early Termination)

Alias
UMLS CUI-1
C0545082
Visit Date
Beskrivning

visit 5 date

Datatyp

date

Alias
UMLS CUI [1]
C1320303
# tbls returned
Beskrivning

Tablets returned

Datatyp

integer

Alias
UMLS CUI [1,1]
C0993159
UMLS CUI [1,2]
C2699071
Comments
Beskrivning

Comments

Comments:
Beskrivning

Comments

Datatyp

text

Alias
UMLS CUI [1]
C0947611
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Similar models

Compliance Genzyme Chronic Kidney Disease EudraCT 2005-003233-41

1 Formulär
Name
Typ
Description | Question | Decode (Coded Value)
Datatyp
Alias
Item Group
Visit: Baseline
C1442488 (UMLS CUI-1)
baseline date
Item
Visit Date
date
C1320303 (UMLS CUI [1])
new tablet
Item
# new tbls dispensed
integer
C0677179 (UMLS CUI [1])
Dose change
Item
Dose Change
boolean
C1707811 (UMLS CUI [1])
Item Group
Visit 2 (Day 14)
C0545082 (UMLS CUI-1)
visit 2 date
Item
Visit Date
date
C1320303 (UMLS CUI [1])
Tablets remaining
Item
# tbls remaining
integer
C0993159 (UMLS CUI [1,1])
C1527428 (UMLS CUI [1,2])
new tablet
Item
# new tbls dispensed
text
C0677179 (UMLS CUI [1])
Dose change
Item
Dose Change
boolean
C1707811 (UMLS CUI [1])
Item Group
Visit 3 (Day 28)
visit 3 date
Item
Visit Date
date
C1320303 (UMLS CUI [1])
Tablets remaining
Item
# tbls remaining
integer
C0993159 (UMLS CUI [1,1])
C1527428 (UMLS CUI [1,2])
new tablet
Item
# new tbls dispensed
text
C0677179 (UMLS CUI [1])
Dose change
Item
Dose Change
boolean
C1707811 (UMLS CUI [1])
Item Group
Visit 4 (Day 42)
C0545082 (UMLS CUI-1)
visit 4 date
Item
Visit Date
date
C1320303 (UMLS CUI [1])
Tablets remaining
Item
# tbls remaining
integer
C0993159 (UMLS CUI [1,1])
C1527428 (UMLS CUI [1,2])
new tablet
Item
# new tbls dispensed
text
C0677179 (UMLS CUI [1])
Dose change
Item
Dose Change
boolean
C1707811 (UMLS CUI [1])
Item Group
Visit 5 (Day 56/Early Termination)
C0545082 (UMLS CUI-1)
visit 5 date
Item
Visit Date
date
C1320303 (UMLS CUI [1])
Tablets returned
Item
# tbls returned
integer
C0993159 (UMLS CUI [1,1])
C2699071 (UMLS CUI [1,2])
Item Group
Comments
Comments
Item
Comments:
text
C0947611 (UMLS CUI [1])
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