ID

22603

Beskrivning

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

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Versioner (1)
  1. 2017-06-08 2017-06-08 -
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8 juni 2017

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NON OCULAR SURGERY / PROCEDURE HISTORY (SCREENING) CRFs Roche FVF4168G Macular Edema NCT00473330

Engelsk

NON OCULAR SURGERY / PROCEDURE HISTORY (SCREENING) CRFs Roche FVF4168G Macular Edema NCT00473330

1 Formulär  
Patient administration
Beskrivning

Patient administration

Subject Number
Beskrivning

PT

Datatyp

integer

Alias
UMLS CUI [1]
C2348585
Subject Initials:
Beskrivning

PTINIT

Datatyp

text

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

VDT

Datatyp

date

Alias
UMLS CUI [1,1]
C1302584
NON OCULAR SURGERY / PROCEDURE HISTORY (SCREENING)
Beskrivning

NON OCULAR SURGERY / PROCEDURE HISTORY (SCREENING)

Has the subject had any non ocular surgeries / procedures?
Beskrivning

If Yes, please record below.

Datatyp

boolean

Alias
UMLS CUI [1,1]
C0543467
Surgery
Beskrivning

Surgery

Line Number
Beskrivning

LINE_NUMBER [LN]

Datatyp

integer

Alias
UMLS CUI [1,1]
C0449788
UMLS CUI [1,2]
C0087111
Surgery / Procedure
Beskrivning

SURGERY_DESCRIPTION [SRDES]

Datatyp

text

Alias
UMLS CUI [1,1]
C0543467
Date
Beskrivning

SURGERY_DT [SRDT]

Datatyp

date

Måttenheter
  • DD/MMM/YY
Alias
UMLS CUI [1]
C1628561
DD/MMM/YY
Date Unknown
Beskrivning

SURGERY_DT_UNK [SRDTU]

Datatyp

boolean

Alias
UMLS CUI [1,1]
C1628561
UMLS CUI [1,2]
C0439673
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Similar models

NON OCULAR SURGERY / PROCEDURE HISTORY (SCREENING) CRFs Roche FVF4168G Macular Edema NCT00473330

1 Formulär
Name
Typ
Description | Question | Decode (Coded Value)
Datatyp
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
NON OCULAR SURGERY / PROCEDURE HISTORY (SCREENING)
SURGERY_RECORDS [SRREC]
Item
Has the subject had any non ocular surgeries / procedures?
boolean
C0543467 (UMLS CUI [1,1])
Item Group
Surgery
LINE_NUMBER [LN]
Item
Line Number
integer
C0449788 (UMLS CUI [1,1])
C0087111 (UMLS CUI [1,2])
SURGERY_DESCRIPTION [SRDES]
Item
Surgery / Procedure
text
C0543467 (UMLS CUI [1,1])
SURGERY_DT [SRDT]
Item
Date
date
C1628561 (UMLS CUI [1])
SURGERY_DT_UNK [SRDTU]
Item
Date Unknown
boolean
C1628561 (UMLS CUI [1,1])
C0439673 (UMLS CUI [1,2])
Tillbaka till toppen 

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