ID

22596

Descripción

Terms of use: You may not use this document or the information contained herein to a regulatory authority in connection with an application for a marketing authorization or any other regulatory submission without the express written consent of Roche Study #: FVF4168g Drug: Ranibizumab Study Title: A Phase III, Double-Masked, Multicenter, Randomized, Sham-Controlled Study Of The Efficacy And Safety Of Ranibizumab Injection In Subjects With Clinically Significant Macular Edema With Center Involvement Secondary To Diabetes Mellitus

Palabras clave

  1. 8/6/17 8/6/17 -
Titular de derechos de autor

Genentech, Inc.

Subido en

8 de junio de 2017

DOI

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Licencia

Creative Commons BY-NC 3.0

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DEMOGRAPHICS (SCREENING) CRFs Roche FVF4168G Macular Edema NCT00473330

DEMOGRAPHICS (SCREENING) CRFs Roche FVF4168G Macular Edema NCT00473330

Patient administration
Descripción

Patient administration

Subject Number
Descripción

PT

Tipo de datos

integer

Alias
UMLS CUI [1]
C2348585
Subject Initials:
Descripción

PTINIT

Tipo de datos

text

Alias
UMLS CUI [1,1]
C1997894
UMLS CUI [1,2]
C2986440
Report Date:
Descripción

VDT

Tipo de datos

date

Alias
UMLS CUI [1,1]
C1302584
DEMOGRAPHICS (SCREENING)
Descripción

DEMOGRAPHICS (SCREENING)

Date of Birth:
Descripción

DD-MMM-YYYY

Tipo de datos

date

Alias
UMLS CUI [1]
C0421451
Sex:
Descripción

SEX

Tipo de datos

text

Alias
UMLS CUI [1]
C0079399
Ethnicity (check one only):
Descripción

ETHNICITY

Tipo de datos

integer

Alias
UMLS CUI [1]
C0015031

Similar models

DEMOGRAPHICS (SCREENING) CRFs Roche FVF4168G Macular Edema NCT00473330

Name
Tipo
Description | Question | Decode (Coded Value)
Tipo de datos
Alias
Item Group
Patient administration
PT
Item
Subject Number
integer
C2348585 (UMLS CUI [1])
PTINIT
Item
Subject Initials:
text
C1997894 (UMLS CUI [1,1])
C2986440 (UMLS CUI [1,2])
VDT
Item
Report Date:
date
C1302584 (UMLS CUI [1,1])
Item Group
DEMOGRAPHICS (SCREENING)
BIRTH_DT
Item
Date of Birth:
date
C0421451 (UMLS CUI [1])
Item
Sex:
text
C0079399 (UMLS CUI [1])
CL Item
With Projection (1)
CL Item
Without Projection (2)
Item
Ethnicity (check one only):
integer
C0015031 (UMLS CUI [1])
Code List
Ethnicity (check one only):
CL Item
4 ft (1)
CL Item
2 ft (2)
CL Item
1 ft (3)

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