ID

21390

Beskrivning

NCT00340080 / VIIV-CNA106030 A phase IV, randomised, multicentre, double-blind, study to evaluate the clinical utility of prospective genetic screening (HLA-B*5701) for susceptibility to abacavir hypersensitivity Assessment: Follow-Up Contact Medicine: abacavir, Condition: Infection, Human Immunodeficiency Virus, Phase: 4, Clinical Study ID: CNA106030, Sponsor: ViiV

Nyckelord

Versioner (1)
  1. 2017-04-19 2017-04-19 -
Uppladdad den

19 april 2017

DOI

För en begäran logga in.

Licens

Creative Commons BY-NC 3.0
Modellkommentarer :

Här kan du kommentera modellen. Med hjälp av pratbubblor i Item-grupperna och Item kan du lägga in specifika kommentarer.

Tillbaka till modellkommentarer
Itemgroup-kommentar för :

Item-kommentar för :

Du måste vara inloggad för att kunna ladda ner formulär. Var vänlig logga in eller registrera dig utan kostnad.

Genetic Screening For HLA-B*5701 in Patients with HIV Follow-Up Contact NCT00340080

Engelsk

Genetic Screening For HLA-B*5701 Follow-Up Contact NCT00340080

1 Formulär  
Follow-Up Contact
Beskrivning

Follow-Up Contact

Alias
UMLS CUI-1
C1522577
UMLS CUI-2
C1705415
Subject Identifier
Beskrivning

Subject Identifier

Datatyp

text

Alias
UMLS CUI [1]
C2348585
Is a follow-up contact required due to unresolved AE or SAE?
Beskrivning

follow-up contact required

Datatyp

text

Alias
UMLS CUI [1,1]
C1522577
UMLS CUI [1,2]
C0392360
UMLS CUI [1,3]
C0877248
If Yes, Date of contact
Beskrivning

Date of contact

Datatyp

date

Alias
UMLS CUI [1,1]
C0011008
UMLS CUI [1,2]
C1705415
UMLS CUI [1,3]
C1522577
Form of Contact
Beskrivning

Form of Contact

Datatyp

integer

Alias
UMLS CUI [1,1]
C1705415
UMLS CUI [1,2]
C0332307
UMLS CUI [1,3]
C1522577
Form of Contact
Beskrivning

If other, specify

Datatyp

text

Alias
UMLS CUI [1,1]
C1705415
UMLS CUI [1,2]
C0332307
UMLS CUI [1,3]
C1522577
Tillbaka till toppen

Similar models

Genetic Screening For HLA-B*5701 Follow-Up Contact NCT00340080

1 Formulär
Name
Typ
Description | Question | Decode (Coded Value)
Datatyp
Alias
Item Group
Follow-Up Contact
C1522577 (UMLS CUI-1)
C1705415 (UMLS CUI-2)
Subject Identifier
Item
Subject Identifier
text
C2348585 (UMLS CUI [1])
Item
Is a follow-up contact required due to unresolved AE or SAE?
text
C1522577 (UMLS CUI [1,1])
C0392360 (UMLS CUI [1,2])
C0877248 (UMLS CUI [1,3])
follow-up contact
Code List
Is a follow-up contact required due to unresolved AE or SAE?
CL Item
Yes (Y)
CL Item
No (N)
Date of contact
Item
If Yes, Date of contact
date
C0011008 (UMLS CUI [1,1])
C1705415 (UMLS CUI [1,2])
C1522577 (UMLS CUI [1,3])
Item
Form of Contact
integer
C1705415 (UMLS CUI [1,1])
C0332307 (UMLS CUI [1,2])
C1522577 (UMLS CUI [1,3])
Form of Contact
Code List
Form of Contact
CL Item
Visit (1)
CL Item
Phone (2)
CL Item
Other, specify (3)
Form of Contact
Item
Form of Contact
text
C1705415 (UMLS CUI [1,1])
C0332307 (UMLS CUI [1,2])
C1522577 (UMLS CUI [1,3])
Tillbaka till toppen 

Kontakt

Använd detta formulär för feedback, frågor och förslag på förbättringar.

Fält markerade med * är obligatoriska.

Hjälp

Do you need help on how to use the search function? Please watch the corresponding tutorial video for more details and learn how to use the search function most efficiently.

Watch Tutorial