ID

22603

Description

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

Keywords

Versions (1)
  1. 6/8/17 6/8/17 -
Uploaded on

June 8, 2017

DOI

To request one please log in.

License

Creative Commons BY-NC 3.0
Model comments :

You can comment on the data model here. Via the speech bubbles at the itemgroups and items you can add comments to those specificially.

Back to model comments
Itemgroup comments for :

Item comments for :

  • Newest
  • Oldest
  • Popular
  • Newest
    • Newest
    • Oldest
    • Popular

No comments

In order to download data models you must be logged in. Please log in or register for free.

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

English

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

1 forms  
Patient administration
Description

Patient administration

Subject Number
Description

PT

Data type

integer

Alias
UMLS CUI [1]
C2348585
Subject Initials:
Description

PTINIT

Data type

text

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

VDT

Data type

date

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

NON OCULAR SURGERY / PROCEDURE HISTORY (SCREENING)

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

If Yes, please record below.

Data type

boolean

Alias
UMLS CUI [1,1]
C0543467
Surgery
Description

Surgery

Line Number
Description

LINE_NUMBER [LN]

Data type

integer

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

SURGERY_DESCRIPTION [SRDES]

Data type

text

Alias
UMLS CUI [1,1]
C0543467
Date
Description

SURGERY_DT [SRDT]

Data type

date

Measurement units
  • DD/MMM/YY
Alias
UMLS CUI [1]
C1628561
DD/MMM/YY
Date Unknown
Description

SURGERY_DT_UNK [SRDTU]

Data type

boolean

Alias
UMLS CUI [1,1]
C1628561
UMLS CUI [1,2]
C0439673
Back to the top of the page

Similar models

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

1 forms
Name
Type
Description | Question | Decode (Coded Value)
Data type
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])
Back to the top of the page 

Contact

Please use this form for feedback, questions and suggestions for improvements.

Fields marked with * are required.

Help

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