Inglés

Early Withdrawal Follow Up GSK-AVA100468 NCT00381238

1 formularios  
formality
Descripción

formality

Protocol Identifier: AVA100468
Descripción

Protocol Identifier

Tipo de datos

boolean

Alias
UMLS CUI [1]
C2826693
Subject Identifier
Descripción

Subject Identifier

Tipo de datos

integer

Alias
UMLS CUI [1]
C2348585
Visit Date
Descripción

Visit Date

Tipo de datos

date

Alias
UMLS CUI [1]
C1320303
Vital Signs
Descripción

Vital Signs

Alias
UMLS CUI-1
C0518766
Weight
Descripción

Weight

Tipo de datos

float

Unidades de medida
  • kg
Alias
UMLS CUI [1]
C0005910
kg
Systolic Blood pressure measurement
Descripción

Blood pressure and heart rate will be measured once, after the subject sits quietly for at least 5 minutes.

Tipo de datos

text

Unidades de medida
  • mmHg
Alias
UMLS CUI [1]
C0871470
mmHg
Diastolic Blood pressure measurement
Descripción

Blood pressure and heart rate will be measured once, after the subject sits quietly for at least 5 minutes.

Tipo de datos

text

Unidades de medida
  • mmHg
Alias
UMLS CUI [1]
C0428883
mmHg
Heart rate
Descripción

Blood pressure and heart rate will be measured once, after the subject sits quietly for at least 5 minutes.

Tipo de datos

integer

Unidades de medida
  • bpm
Alias
UMLS CUI [1]
C0018810
bpm
Central Laboratory (Non fasting samples)
Descripción

Central Laboratory (Non fasting samples)

Alias
UMLS CUI-1
C0022885
UMLS CUI-2
C2585491
Central Laboratory (Non fasting samples)
Descripción

Record any changes to the subject's concomitant medications or any new medications taken since the last visit in the appropriate Concomitant Medications section.

Tipo de datos

text

Alias
UMLS CUI [1,1]
C0022885
UMLS CUI [1,2]
C2585491
Date samples taken
Descripción

Date samples taken

Tipo de datos

date

Alias
UMLS CUI [1]
C1302413
Adverse events Concomitant medications
Descripción

Adverse events Concomitant medications

Alias
UMLS CUI-1
C0877248
UMLS CUI-2
C2347852
Concomitant medications
Descripción

Record any changes to the subject's concomitant medications or any new medications taken since the last visit in the appropriate Concomitant Medications section.

Tipo de datos

text

Alias
UMLS CUI [1]
C2347852
Adverse events
Descripción

Record details of any new non-serious adverse events / serious adverse events observed or reported by the subject or any changes to ongoing non-serious adverse events in the appropriate Non-Serious Adverse Events / Serious Adverse Events section.

Tipo de datos

text

Alias
UMLS CUI [1]
C0877248
Physical Examination
Descripción

Physical Examination

Alias
UMLS CUI-1
C0031809
Physical Examination
Descripción

Perform a physical examination on the subject, including auscultation of heart and lungs. If any abnormalties are found as a result of the physical examination, these must be recorded on the Non-Serious Adverse Events page.

Tipo de datos

text

Alias
UMLS CUI [1]
C0031809
Pedal Oedema
Descripción

Pedal Oedema

Alias
UMLS CUI-1
C0574002
Pedal Oedema size
Descripción

Note: worst affected ankle

Tipo de datos

integer

Alias
UMLS CUI [1,1]
C0574002
UMLS CUI [1,2]
C0456389
Pedal Oedema side
Descripción

Note: worst affected ankle

Tipo de datos

integer

Alias
UMLS CUI [1,1]
C0574002
UMLS CUI [1,2]
C0441987
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Similar models

Early Withdrawal Follow Up GSK-AVA100468 NCT00381238

1 formularios
Name
Tipo
Description | Question | Decode (Coded Value)
Tipo de datos
Alias
Item Group
formality
Protocol Identifier
Item
Protocol Identifier: AVA100468
boolean
C2826693 (UMLS CUI [1])
Subject Identifier
Item
Subject Identifier
integer
C2348585 (UMLS CUI [1])
Visit Date
Item
Visit Date
date
C1320303 (UMLS CUI [1])
Item Group
Vital Signs
C0518766 (UMLS CUI-1)
Weight
Item
Weight
float
C0005910 (UMLS CUI [1])
Systolic Blood pressure
Item
Systolic Blood pressure measurement
text
C0871470 (UMLS CUI [1])
Diastolic Blood pressure
Item
Diastolic Blood pressure measurement
text
C0428883 (UMLS CUI [1])
Heart rate
Item
Heart rate
integer
C0018810 (UMLS CUI [1])
Item Group
Central Laboratory (Non fasting samples)
C0022885 (UMLS CUI-1)
C2585491 (UMLS CUI-2)
Central Laboratory (Non fasting samples)
Item
Central Laboratory (Non fasting samples)
text
C0022885 (UMLS CUI [1,1])
C2585491 (UMLS CUI [1,2])
Date samples taken
Item
Date samples taken
date
C1302413 (UMLS CUI [1])
Item Group
Adverse events Concomitant medications
C0877248 (UMLS CUI-1)
C2347852 (UMLS CUI-2)
Concomitant medications
Item
Concomitant medications
text
C2347852 (UMLS CUI [1])
Adverse events
Item
Adverse events
text
C0877248 (UMLS CUI [1])
Item Group
Physical Examination
C0031809 (UMLS CUI-1)
Physical Examination
Item
Physical Examination
text
C0031809 (UMLS CUI [1])
Item Group
Pedal Oedema
C0574002 (UMLS CUI-1)
Item
Pedal Oedema size
integer
C0574002 (UMLS CUI [1,1])
C0456389 (UMLS CUI [1,2])
Pedal Oedema
Code List
Pedal Oedema size
CL Item
<1mm (1)
CL Item
1-2mm (2)
CL Item
3-5mm (3)
CL Item
6-10mm (4)
CL Item
>10mm (5)
Item
Pedal Oedema side
integer
C0574002 (UMLS CUI [1,1])
C0441987 (UMLS CUI [1,2])
Pedal Oedema
Code List
Pedal Oedema side
CL Item
Right Ankle (1)
CL Item
Left Ankle (2)
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