Hospitalization CRFs Multiple Sclerosis Tysabri NCT00027300

Hospitalization
Descrição

Hospitalization

Alias
UMLS CUI-1
C0019993
Did the subject have any in-patient hospitalizations during the course of the study?
Descrição

If Yes, record any inpatient hospitalizations below and complete a Serious Adverse Event form.

Tipo de dados

boolean

Alias
UMLS CUI [1,1]
C0019993
UMLS CUI [1,2]
C0008976
UMLS CUI [1,3]
C1314939
Line No.
Descrição

line number

Tipo de dados

integer

Date of Admission
Descrição

date of admission

Tipo de dados

date

Alias
UMLS CUI [1]
C1302393
Date of Discharge
Descrição

date of discharge

Tipo de dados

date

Alias
UMLS CUI [1]
C2361123
Primary Reasons for Hospitalization (check one reason for each hospitalization)
Descrição

primary reason hospitalization

Tipo de dados

text

Alias
UMLS CUI [1,1]
C0019993
UMLS CUI [1,2]
C1549995
If Other, specify:
Descrição

other

Tipo de dados

text

Similar models

Hospitalization CRFs Multiple Sclerosis Tysabri NCT00027300

Name
Tipo
Description | Question | Decode (Coded Value)
Tipo de dados
Alias
Item Group
Hospitalization
C0019993 (UMLS CUI-1)
hospitalization
Item
Did the subject have any in-patient hospitalizations during the course of the study?
boolean
C0019993 (UMLS CUI [1,1])
C0008976 (UMLS CUI [1,2])
C1314939 (UMLS CUI [1,3])
Item
Line No.
integer
Code List
Line No.
CL Item
1 (1)
CL Item
2 (2)
CL Item
3 (3)
CL Item
4 (4)
CL Item
5 (5)
CL Item
6 (6)
date of admission
Item
Date of Admission
date
C1302393 (UMLS CUI [1])
date of discharge
Item
Date of Discharge
date
C2361123 (UMLS CUI [1])
Item
Primary Reasons for Hospitalization (check one reason for each hospitalization)
text
C0019993 (UMLS CUI [1,1])
C1549995 (UMLS CUI [1,2])
Code List
Primary Reasons for Hospitalization (check one reason for each hospitalization)
CL Item
MS relapse (MS relapse)
CL Item
Other MS related complication (Other MS related complication)
CL Item
Elective surgery (Elective surgery)
CL Item
Other (Other)
other
Item
If Other, specify:
text