ID

1842

Beschrijving

Record detailed information about the collection of urine samples for analysis of the presence and quantity of the study medication and/or its metabolites. Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=AD24E1F2-517E-264F-E040-BB89AD430ED7

Link

https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=AD24E1F2-517E-264F-E040-BB89AD430ED7

Trefwoorden

Versies (3)
  1. 19-09-12 19-09-12 -
  2. 20-07-17 20-07-17 - Martin Dugas
  3. 20-07-17 20-07-17 - Martin Dugas
Geüploaded op

19 september 2012

DOI

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Licentie

Creative Commons BY-NC 3.0
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Follow-Up - Urinary Excretion - 3281194v1.0

Engels

No Instruction available.

1 Formulieren  
  1. StudyEvent: Urinary Excretion
    1. No Instruction available.
Urinary Excretion
Beschrijving

Urinary Excretion

Visit Date
Beschrijving

FormCompletionDate

Datatype

date

Alias
NCI Thesaurus ValueDomain
C25164
UMLS 2011AA ValueDomain
C0011008
NCI Thesaurus ObjectClass
C40988
UMLS 2011AA ObjectClass
C1516308
NCI Thesaurus Property
C25250
UMLS 2011AA Property
C0205197
Course #
Beschrijving

CourseNumber

Datatype

double

Alias
NCI Thesaurus Property
C25337
UMLS 2011AA Property
C0237753
NCI Thesaurus ValueDomain
C25337
UMLS 2011AA ValueDomain
C0237753
NCI Thesaurus ObjectClass
C25379
UMLS 2011AA ObjectClass
C0750729
Day in Course (Cycle)
Beschrijving

CourseDayNumber

Datatype

double

Alias
NCI Thesaurus ValueDomain
C25337
UMLS 2011AA ValueDomain
C0237753
NCI Thesaurus Property
C25301
UMLS 2011AA Property
C0439228
NCI Thesaurus ObjectClass
C25379
UMLS 2011AA ObjectClass
C0750729
Study Agent (Enter the name of the study agent investigational or commercial which is the subject of the urinary excretion study.)
Beschrijving

ProtocolAgentName

Datatype

text

Alias
NCI Thesaurus ObjectClass
C25320
UMLS 2011AA ObjectClass
C1507394
NCI Thesaurus ObjectClass
C1708
UMLS 2011AA ObjectClass
C0450442
NCI Thesaurus Property
C42614
UMLS 2011AA Property
C0027365
NCI Thesaurus ValueDomain
C42614
UMLS 2011AA ValueDomain
C0027365
Planned Interval (Planned interval pre-determined per protocol.)
Beschrijving

PlannedPharmacokineticTimeIntervalText

Datatype

text

Alias
NCI Thesaurus ValueDomain
C25704
UMLS 2011AA ValueDomain
C1527021
NCI Thesaurus Property
C25619
UMLS 2011AA Property
C1301732
NCI Thesaurus ObjectClass
C25453
UMLS 2011AA ObjectClass
C1516698
NCI Thesaurus ObjectClass
C15299
UMLS 2011AA ObjectClass
C0031327
Sample Collected? (Indicate whether or not the specimen is collected.)
Beschrijving

SpecimenCollectedIndicator

Datatype

text

Alias
NCI Thesaurus ValueDomain
C25180
UMLS 2011AA ValueDomain
C1522602
NCI Thesaurus ObjectClass
C19157
UMLS 2011AA ObjectClass
C0370003
NCI Thesaurus Property
C25452
Start Date (Enter the collection start date.)
Beschrijving

TreatmentStartDate

Datatype

date

Alias
NCI Thesaurus ValueDomain
C25164
UMLS 2011AA ValueDomain
C0011008
NCI Thesaurus ObjectClass
C15368
NCI Thesaurus Property
C25431
UMLS 2011AA Property
C0439659
NCI Thesaurus Property
C25275
UMLS 2011AA Property
C2745955
Start Date (Enter the collection start date.)
Beschrijving

TreatmentStartDate

Datatype

date

Alias
NCI Thesaurus ValueDomain
C25164
UMLS 2011AA ValueDomain
C0011008
NCI Thesaurus ObjectClass
C15368
NCI Thesaurus Property
C25431
UMLS 2011AA Property
C0439659
NCI Thesaurus Property
C25275
UMLS 2011AA Property
C2745955
Start Time (Enter the collection start time even if the assay results are not available.)
Beschrijving

StartTime

Datatype

time

Alias
NCI Thesaurus ObjectClass
C25431
UMLS 2011AA ObjectClass
C0439659
NCI Thesaurus ObjectClass
C25409
UMLS 2011AA ObjectClass
C1533734
NCI Thesaurus Property
C25207
UMLS 2011AA Property
C0040223
NCI Metathesaurus Property
CL219258
NCI Thesaurus ValueDomain
C25207
UMLS 2011AA ValueDomain
C0040223
Start Time (Enter the collection start time even if the assay results are not available.)
Beschrijving

StartTime

Datatype

time

Alias
NCI Thesaurus ObjectClass
C25431
UMLS 2011AA ObjectClass
C0439659
NCI Thesaurus ObjectClass
C25409
UMLS 2011AA ObjectClass
C1533734
NCI Thesaurus Property
C25207
UMLS 2011AA Property
C0040223
NCI Metathesaurus Property
CL219258
NCI Thesaurus ValueDomain
C25207
UMLS 2011AA ValueDomain
C0040223
Stop Date (Enter the collection end date.)
Beschrijving

StopDate

Datatype

date

Alias
NCI Thesaurus Property
C25164
UMLS 2011AA Property
C0011008
NCI Thesaurus ValueDomain
C25164
UMLS 2011AA ValueDomain
C0011008
NCI Thesaurus ObjectClass
C15368
NCI Thesaurus Property
C65125
UMLS 2011AA Property
C1947925
Stop Date (Enter the collection end date.)
Beschrijving

StopDate

Datatype

date

Alias
NCI Thesaurus Property
C25164
UMLS 2011AA Property
C0011008
NCI Thesaurus ValueDomain
C25164
UMLS 2011AA ValueDomain
C0011008
NCI Thesaurus ObjectClass
C15368
NCI Thesaurus Property
C65125
UMLS 2011AA Property
C1947925
Stop Time (Enter the collection end time even if the assay results are not available.)
Beschrijving

StopTime

Datatype

time

Alias
NCI Thesaurus Property
C25207
UMLS 2011AA Property
C0040223
NCI Thesaurus ValueDomain
C25207
UMLS 2011AA ValueDomain
C0040223
NCI Thesaurus ObjectClass
C25409
UMLS 2011AA ObjectClass
C1533734
NCI Thesaurus Property
C65125
UMLS 2011AA Property
C1947925
Stop Time (Enter the collection end time even if the assay results are not available.)
Beschrijving

StopTime

Datatype

time

Alias
NCI Thesaurus Property
C25207
UMLS 2011AA Property
C0040223
NCI Thesaurus ValueDomain
C25207
UMLS 2011AA ValueDomain
C0040223
NCI Thesaurus ObjectClass
C25409
UMLS 2011AA ObjectClass
C1533734
NCI Thesaurus Property
C65125
UMLS 2011AA Property
C1947925
Urine Volume ml (Enter the urine volume collected in milliliters.)
Beschrijving

UrineVolumeml

Datatype

double

Alias
NCI Thesaurus Property
C28254
UMLS 2011AA Property
C0439242
NCI Thesaurus ObjectClass
C25711
UMLS 2011AA ObjectClass
C1524119
NCI Thesaurus Property
C25335
UMLS 2011AA Property
C0449468
Parent Study Agent Assay 2 (Enter the second parent study agent assay results in the biological samples.)
Beschrijving

ParentDrugAssay

Datatype

double

Alias
NCI Thesaurus ValueDomain
C25337
UMLS 2011AA ValueDomain
C0237753
NCI Thesaurus ObjectClass
C1708
UMLS 2011AA ObjectClass
C0450442
NCI Thesaurus ObjectClass
C42709
UMLS 2011AA ObjectClass
C0030551
NCI Thesaurus Property
C16341
UMLS 2011AA Property
C0005507
Parent Study Agent Assay 2 (Enter the second parent study agent assay results in the biological samples.)
Beschrijving

ParentDrugAssay

Datatype

double

Alias
NCI Thesaurus ValueDomain
C25337
UMLS 2011AA ValueDomain
C0237753
NCI Thesaurus ObjectClass
C1708
UMLS 2011AA ObjectClass
C0450442
NCI Thesaurus ObjectClass
C42709
UMLS 2011AA ObjectClass
C0030551
NCI Thesaurus Property
C16341
UMLS 2011AA Property
C0005507
Parent Study Agent Mean Conc. (Enter the parent study agent assay mean concentration, if available.)
Beschrijving

ParentDrugMeanConcentration

Datatype

double

Alias
NCI Thesaurus ObjectClass
C1708
UMLS 2011AA ObjectClass
C0450442
NCI Thesaurus ObjectClass
C42709
UMLS 2011AA ObjectClass
C0030551
NCI Thesaurus Property
C53319
UMLS 2011AA Property
C0444504
NCI Metathesaurus Property
C0086045
NCI Thesaurus ValueDomain
C25337
UMLS 2011AA ValueDomain
C0237753
Parent Study Agent in Void (Enter the parent study agent assay in void results in the biological samples. - If results are not available, record at least the collection times on the case report form.)
Beschrijving

ParentDrugVoidedAmount

Datatype

double

Alias
NCI Thesaurus ObjectClass
C1708
UMLS 2011AA ObjectClass
C0450442
NCI Thesaurus ObjectClass
C42709
UMLS 2011AA ObjectClass
C0030551
NCI Thesaurus Property
C25417
NCI Metathesaurus Property
CL201191
NCI Thesaurus ValueDomain
C25337
UMLS 2011AA ValueDomain
C0237753
Parent Study Agent UOM (Select the appropriate Study Agent units of measurement e.g.: mg/dL or mmol/l.)
Beschrijving

ParentDrugAssayUnit(s)ofMeasure

Datatype

text

Alias
NCI Thesaurus ObjectClass
C1708
UMLS 2011AA ObjectClass
C0450442
NCI Thesaurus ObjectClass
C42709
UMLS 2011AA ObjectClass
C0030551
NCI Thesaurus Property
C16341
UMLS 2011AA Property
C0005507
Metabolite Assay 2 (Enter the second metabolite assay results in the biological samples.)
Beschrijving

MetaboliteAssay

Datatype

double

Alias
NCI Thesaurus ValueDomain
C25337
UMLS 2011AA ValueDomain
C0237753
NCI Thesaurus Property
C16341
UMLS 2011AA Property
C0005507
NCI Metathesaurus ObjectClass
CL061893
Metabolite Assay 2 (Enter the second metabolite assay results in the biological samples.)
Beschrijving

MetaboliteAssay

Datatype

double

Alias
NCI Thesaurus ValueDomain
C25337
UMLS 2011AA ValueDomain
C0237753
NCI Thesaurus Property
C16341
UMLS 2011AA Property
C0005507
NCI Metathesaurus ObjectClass
CL061893
Metabolite Mean Concentration (Enter the metabolite mean concentration, if available.)
Beschrijving

MetaboliteMeanConcentration

Datatype

double

Alias
NCI Thesaurus ValueDomain
C25337
UMLS 2011AA ValueDomain
C0237753
NCI Metathesaurus ObjectClass
CL061893
NCI Thesaurus Property
C53319
UMLS 2011AA Property
C0444504
NCI Metathesaurus Property
C0086045
Metabolite in Void (Enter the metabolite in void results in the biological samples.)
Beschrijving

VoidedMetaboliteAmount

Datatype

double

Alias
NCI Thesaurus ValueDomain
C25337
UMLS 2011AA ValueDomain
C0237753
NCI Metathesaurus ObjectClass
CL051884
NCI Metathesaurus ObjectClass
CL061893
NCI Metathesaurus Property
CL201191
Metabolite UOM (Enter the appropriate Metabolite units of measurement e.g.: mg/dL or mmol/l.)
Beschrijving

MetaboliteAmtinVoidUnit(s)ofMeasurement

Datatype

text

Alias
NCI Metathesaurus ObjectClass
CL051884
NCI Metathesaurus ObjectClass
CL061893
NCI Metathesaurus Property
CL201191
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Similar models

No Instruction available.

1 Formulieren
  1. StudyEvent: Urinary Excretion
    1. No Instruction available.
Name
Type
Description | Question | Decode (Coded Value)
Datatype
Alias
Item Group
Urinary Excretion
FormCompletionDate
Item
Visit Date
date
C25164 (NCI Thesaurus ValueDomain)
C0011008 (UMLS 2011AA ValueDomain)
C40988 (NCI Thesaurus ObjectClass)
C1516308 (UMLS 2011AA ObjectClass)
C25250 (NCI Thesaurus Property)
C0205197 (UMLS 2011AA Property)
CourseNumber
Item
Course #
double
C25337 (NCI Thesaurus Property)
C0237753 (UMLS 2011AA Property)
C25337 (NCI Thesaurus ValueDomain)
C0237753 (UMLS 2011AA ValueDomain)
C25379 (NCI Thesaurus ObjectClass)
C0750729 (UMLS 2011AA ObjectClass)
CourseDayNumber
Item
Day in Course (Cycle)
double
C25337 (NCI Thesaurus ValueDomain)
C0237753 (UMLS 2011AA ValueDomain)
C25301 (NCI Thesaurus Property)
C0439228 (UMLS 2011AA Property)
C25379 (NCI Thesaurus ObjectClass)
C0750729 (UMLS 2011AA ObjectClass)
ProtocolAgentName
Item
Study Agent (Enter the name of the study agent investigational or commercial which is the subject of the urinary excretion study.)
text
C25320 (NCI Thesaurus ObjectClass)
C1507394 (UMLS 2011AA ObjectClass)
C1708 (NCI Thesaurus ObjectClass)
C0450442 (UMLS 2011AA ObjectClass)
C42614 (NCI Thesaurus Property)
C0027365 (UMLS 2011AA Property)
C42614 (NCI Thesaurus ValueDomain)
C0027365 (UMLS 2011AA ValueDomain)
PlannedPharmacokineticTimeIntervalText
Item
Planned Interval (Planned interval pre-determined per protocol.)
text
C25704 (NCI Thesaurus ValueDomain)
C1527021 (UMLS 2011AA ValueDomain)
C25619 (NCI Thesaurus Property)
C1301732 (UMLS 2011AA Property)
C25453 (NCI Thesaurus ObjectClass)
C1516698 (UMLS 2011AA ObjectClass)
C15299 (NCI Thesaurus ObjectClass)
C0031327 (UMLS 2011AA ObjectClass)
Item
Sample Collected? (Indicate whether or not the specimen is collected.)
text
C25180 (NCI Thesaurus ValueDomain)
C1522602 (UMLS 2011AA ValueDomain)
C19157 (NCI Thesaurus ObjectClass)
C0370003 (UMLS 2011AA ObjectClass)
C25452 (NCI Thesaurus Property)
CL.1
Code List
Sample Collected? (Indicate whether or not the specimen is collected.)
CL Item
Yes (Yes)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
CL Item
No (No)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
CL Item
Unknown (Unknown)
C17998 (NCI Thesaurus)
C0439673 (UMLS 2011AA)
TreatmentStartDate
Item
Start Date (Enter the collection start date.)
date
C25164 (NCI Thesaurus ValueDomain)
C0011008 (UMLS 2011AA ValueDomain)
C15368 (NCI Thesaurus ObjectClass)
C25431 (NCI Thesaurus Property)
C0439659 (UMLS 2011AA Property)
C25275 (NCI Thesaurus Property)
C2745955 (UMLS 2011AA Property)
TreatmentStartDate
Item
Start Date (Enter the collection start date.)
date
C25164 (NCI Thesaurus ValueDomain)
C0011008 (UMLS 2011AA ValueDomain)
C15368 (NCI Thesaurus ObjectClass)
C25431 (NCI Thesaurus Property)
C0439659 (UMLS 2011AA Property)
C25275 (NCI Thesaurus Property)
C2745955 (UMLS 2011AA Property)
StartTime
Item
Start Time (Enter the collection start time even if the assay results are not available.)
time
C25431 (NCI Thesaurus ObjectClass)
C0439659 (UMLS 2011AA ObjectClass)
C25409 (NCI Thesaurus ObjectClass)
C1533734 (UMLS 2011AA ObjectClass)
C25207 (NCI Thesaurus Property)
C0040223 (UMLS 2011AA Property)
CL219258 (NCI Metathesaurus Property)
C25207 (NCI Thesaurus ValueDomain)
C0040223 (UMLS 2011AA ValueDomain)
StartTime
Item
Start Time (Enter the collection start time even if the assay results are not available.)
time
C25431 (NCI Thesaurus ObjectClass)
C0439659 (UMLS 2011AA ObjectClass)
C25409 (NCI Thesaurus ObjectClass)
C1533734 (UMLS 2011AA ObjectClass)
C25207 (NCI Thesaurus Property)
C0040223 (UMLS 2011AA Property)
CL219258 (NCI Metathesaurus Property)
C25207 (NCI Thesaurus ValueDomain)
C0040223 (UMLS 2011AA ValueDomain)
StopDate
Item
Stop Date (Enter the collection end date.)
date
C25164 (NCI Thesaurus Property)
C0011008 (UMLS 2011AA Property)
C25164 (NCI Thesaurus ValueDomain)
C0011008 (UMLS 2011AA ValueDomain)
C15368 (NCI Thesaurus ObjectClass)
C65125 (NCI Thesaurus Property)
C1947925 (UMLS 2011AA Property)
StopDate
Item
Stop Date (Enter the collection end date.)
date
C25164 (NCI Thesaurus Property)
C0011008 (UMLS 2011AA Property)
C25164 (NCI Thesaurus ValueDomain)
C0011008 (UMLS 2011AA ValueDomain)
C15368 (NCI Thesaurus ObjectClass)
C65125 (NCI Thesaurus Property)
C1947925 (UMLS 2011AA Property)
StopTime
Item
Stop Time (Enter the collection end time even if the assay results are not available.)
time
C25207 (NCI Thesaurus Property)
C0040223 (UMLS 2011AA Property)
C25207 (NCI Thesaurus ValueDomain)
C0040223 (UMLS 2011AA ValueDomain)
C25409 (NCI Thesaurus ObjectClass)
C1533734 (UMLS 2011AA ObjectClass)
C65125 (NCI Thesaurus Property)
C1947925 (UMLS 2011AA Property)
StopTime
Item
Stop Time (Enter the collection end time even if the assay results are not available.)
time
C25207 (NCI Thesaurus Property)
C0040223 (UMLS 2011AA Property)
C25207 (NCI Thesaurus ValueDomain)
C0040223 (UMLS 2011AA ValueDomain)
C25409 (NCI Thesaurus ObjectClass)
C1533734 (UMLS 2011AA ObjectClass)
C65125 (NCI Thesaurus Property)
C1947925 (UMLS 2011AA Property)
UrineVolumeml
Item
Urine Volume ml (Enter the urine volume collected in milliliters.)
double
C28254 (NCI Thesaurus Property)
C0439242 (UMLS 2011AA Property)
C25711 (NCI Thesaurus ObjectClass)
C1524119 (UMLS 2011AA ObjectClass)
C25335 (NCI Thesaurus Property)
C0449468 (UMLS 2011AA Property)
ParentDrugAssay
Item
Parent Study Agent Assay 2 (Enter the second parent study agent assay results in the biological samples.)
double
C25337 (NCI Thesaurus ValueDomain)
C0237753 (UMLS 2011AA ValueDomain)
C1708 (NCI Thesaurus ObjectClass)
C0450442 (UMLS 2011AA ObjectClass)
C42709 (NCI Thesaurus ObjectClass)
C0030551 (UMLS 2011AA ObjectClass)
C16341 (NCI Thesaurus Property)
C0005507 (UMLS 2011AA Property)
ParentDrugAssay
Item
Parent Study Agent Assay 2 (Enter the second parent study agent assay results in the biological samples.)
double
C25337 (NCI Thesaurus ValueDomain)
C0237753 (UMLS 2011AA ValueDomain)
C1708 (NCI Thesaurus ObjectClass)
C0450442 (UMLS 2011AA ObjectClass)
C42709 (NCI Thesaurus ObjectClass)
C0030551 (UMLS 2011AA ObjectClass)
C16341 (NCI Thesaurus Property)
C0005507 (UMLS 2011AA Property)
ParentDrugMeanConcentration
Item
Parent Study Agent Mean Conc. (Enter the parent study agent assay mean concentration, if available.)
double
C1708 (NCI Thesaurus ObjectClass)
C0450442 (UMLS 2011AA ObjectClass)
C42709 (NCI Thesaurus ObjectClass)
C0030551 (UMLS 2011AA ObjectClass)
C53319 (NCI Thesaurus Property)
C0444504 (UMLS 2011AA Property)
C0086045 (NCI Metathesaurus Property)
C25337 (NCI Thesaurus ValueDomain)
C0237753 (UMLS 2011AA ValueDomain)
ParentDrugVoidedAmount
Item
Parent Study Agent in Void (Enter the parent study agent assay in void results in the biological samples. - If results are not available, record at least the collection times on the case report form.)
double
C1708 (NCI Thesaurus ObjectClass)
C0450442 (UMLS 2011AA ObjectClass)
C42709 (NCI Thesaurus ObjectClass)
C0030551 (UMLS 2011AA ObjectClass)
C25417 (NCI Thesaurus Property)
CL201191 (NCI Metathesaurus Property)
C25337 (NCI Thesaurus ValueDomain)
C0237753 (UMLS 2011AA ValueDomain)
ParentDrugAssayUnit(s)ofMeasure
Item
Parent Study Agent UOM (Select the appropriate Study Agent units of measurement e.g.: mg/dL or mmol/l.)
text
C1708 (NCI Thesaurus ObjectClass)
C0450442 (UMLS 2011AA ObjectClass)
C42709 (NCI Thesaurus ObjectClass)
C0030551 (UMLS 2011AA ObjectClass)
C16341 (NCI Thesaurus Property)
C0005507 (UMLS 2011AA Property)
MetaboliteAssay
Item
Metabolite Assay 2 (Enter the second metabolite assay results in the biological samples.)
double
C25337 (NCI Thesaurus ValueDomain)
C0237753 (UMLS 2011AA ValueDomain)
C16341 (NCI Thesaurus Property)
C0005507 (UMLS 2011AA Property)
CL061893 (NCI Metathesaurus ObjectClass)
MetaboliteAssay
Item
Metabolite Assay 2 (Enter the second metabolite assay results in the biological samples.)
double
C25337 (NCI Thesaurus ValueDomain)
C0237753 (UMLS 2011AA ValueDomain)
C16341 (NCI Thesaurus Property)
C0005507 (UMLS 2011AA Property)
CL061893 (NCI Metathesaurus ObjectClass)
MetaboliteMeanConcentration
Item
Metabolite Mean Concentration (Enter the metabolite mean concentration, if available.)
double
C25337 (NCI Thesaurus ValueDomain)
C0237753 (UMLS 2011AA ValueDomain)
CL061893 (NCI Metathesaurus ObjectClass)
C53319 (NCI Thesaurus Property)
C0444504 (UMLS 2011AA Property)
C0086045 (NCI Metathesaurus Property)
VoidedMetaboliteAmount
Item
Metabolite in Void (Enter the metabolite in void results in the biological samples.)
double
C25337 (NCI Thesaurus ValueDomain)
C0237753 (UMLS 2011AA ValueDomain)
CL051884 (NCI Metathesaurus ObjectClass)
CL061893 (NCI Metathesaurus ObjectClass)
CL201191 (NCI Metathesaurus Property)
MetaboliteAmtinVoidUnit(s)ofMeasurement
Item
Metabolite UOM (Enter the appropriate Metabolite units of measurement e.g.: mg/dL or mmol/l.)
text
CL051884 (NCI Metathesaurus ObjectClass)
CL061893 (NCI Metathesaurus ObjectClass)
CL201191 (NCI Metathesaurus Property)
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