ID

22842

Beschreibung

AMC-061 Missed Visit Form (F35) Sunitinib Malate in Treating HIV-Positive Patients With Cancer Undergoing Highly Active Antiretroviral Therapy https://clinicaltrials.gov/ct2/show/NCT00890747

Link

https://clinicaltrials.gov/ct2/show/NCT00890747

Stichworte

  1. 26.08.12 26.08.12 -
  2. 12.06.17 12.06.17 - Martin Dugas
Hochgeladen am

12. Juni 2017

DOI

Für eine Beantragung loggen Sie sich ein.

Lizenz

Creative Commons BY 4.0

Modell Kommentare :

Hier können Sie das Modell kommentieren. Über die Sprechblasen an den Itemgruppen und Items können Sie diese spezifisch kommentieren.

Itemgroup Kommentare für :

Item Kommentare für :


    Keine Kommentare

    Um Formulare herunterzuladen müssen Sie angemeldet sein. Bitte loggen Sie sich ein oder registrieren Sie sich kostenlos.

    HIV Cancer Sunitinib NCT00890747 AMC-061

    No Instruction available.

    1. StudyEvent: AMC-061 Missed Visit Form (F35)
      1. No Instruction available.
    Header Module
    Beschreibung

    Header Module

    Alias
    UMLS CUI-1
    C1320722
    Visit number
    Beschreibung

    Hospital Admission Ordinal Number

    Datentyp

    integer

    Alias
    NCI Thesaurus ValueDomain
    C25337
    NCI Thesaurus ObjectClass
    C16696
    NCI Thesaurus Property
    C25385
    UMLS CUI [1]
    C1549755
    Research Comments Text
    Beschreibung

    Research Comments

    Datentyp

    text

    Alias
    NCI Thesaurus ValueDomain
    C25704
    NCI Thesaurus ObjectClass
    C15319
    NCI Thesaurus Property
    C25393
    UMLS CUI [1]
    C0947611
    Missed Visit Information
    Beschreibung

    Missed Visit Information

    Alias
    UMLS CUI-1
    C1705492
    UMLS CUI-2
    C2216340
    Missed Visit Date
    Beschreibung

    Patient Absent Visit Date

    Datentyp

    date

    Maßeinheiten
    • mm/dd/yyyy
    Alias
    NCI Thesaurus ValueDomain
    C25164
    NCI Thesaurus ObjectClass
    C16960
    NCI Thesaurus Property
    C48190
    NCI Thesaurus Property-2
    C25716
    UMLS CUI [1,1]
    C1705492
    UMLS CUI [1,2]
    C1320303
    mm/dd/yyyy
    Reason patient missed visit
    Beschreibung

    Patient Absent Visit Reason

    Datentyp

    integer

    Alias
    NCI Thesaurus ValueDomain
    C25638
    NCI Thesaurus ObjectClass
    C16960
    NCI Thesaurus Property
    C48190
    NCI Thesaurus Property-2
    C25716
    UMLS CUI [1,1]
    C1705492
    UMLS CUI [1,2]
    C1512346
    UMLS CUI [1,3]
    C0566251
    Other, specify
    Beschreibung

    Patient Absent Visit Specify

    Datentyp

    text

    Alias
    NCI Thesaurus ValueDomain
    C25685
    NCI Thesaurus ObjectClass
    C16960
    NCI Thesaurus Property
    C48190
    NCI Thesaurus Property-2
    C25716
    UMLS CUI [1]
    C1521902
    Next visit scheduled (Items missed will be made up at the new visit.)
    Beschreibung

    Patient Schedule Next Visit

    Datentyp

    boolean

    Alias
    NCI Thesaurus ObjectClass
    C16960
    NCI Thesaurus Property
    C53286
    NCI Thesaurus Property-2
    C25211
    NCI Thesaurus Property-3
    C25716
    NCI Thesaurus ValueDomain
    C38147
    UMLS CUI [1,1]
    C0332282
    UMLS CUI [1,2]
    C1512346

    Ähnliche Modelle

    No Instruction available.

    1. StudyEvent: AMC-061 Missed Visit Form (F35)
      1. No Instruction available.
    Name
    Typ
    Description | Question | Decode (Coded Value)
    Datentyp
    Alias
    Item Group
    Header Module
    C1320722 (UMLS CUI-1)
    Hospital Admission Ordinal Number
    Item
    Visit number
    integer
    C25337 (NCI Thesaurus ValueDomain)
    C16696 (NCI Thesaurus ObjectClass)
    C25385 (NCI Thesaurus Property)
    C1549755 (UMLS CUI [1])
    Research Comments
    Item
    Research Comments Text
    text
    C25704 (NCI Thesaurus ValueDomain)
    C15319 (NCI Thesaurus ObjectClass)
    C25393 (NCI Thesaurus Property)
    C0947611 (UMLS CUI [1])
    Item Group
    Missed Visit Information
    C1705492 (UMLS CUI-1)
    C2216340 (UMLS CUI-2)
    Patient Absent Visit Date
    Item
    Missed Visit Date
    date
    C25164 (NCI Thesaurus ValueDomain)
    C16960 (NCI Thesaurus ObjectClass)
    C48190 (NCI Thesaurus Property)
    C25716 (NCI Thesaurus Property-2)
    C1705492 (UMLS CUI [1,1])
    C1320303 (UMLS CUI [1,2])
    Item
    Reason patient missed visit
    integer
    C25638 (NCI Thesaurus ValueDomain)
    C16960 (NCI Thesaurus ObjectClass)
    C48190 (NCI Thesaurus Property)
    C25716 (NCI Thesaurus Property-2)
    C1705492 (UMLS CUI [1,1])
    C1512346 (UMLS CUI [1,2])
    C0566251 (UMLS CUI [1,3])
    Code List
    Reason patient missed visit
    CL Item
    Patient Forgot (1)
    CL Item
    Health Reasons (2)
    CL Item
    Patient Could Not Get Off Work (3)
    CL Item
    Patient Unable To Obtain Dependent Care (4)
    CL Item
    Patient Had Transportation Problems (5)
    C3830421 (UMLS CUI-1)
    CL Item
    Patient Unhappy With Frequency Of Visits (6)
    CL Item
    Scheduling Difficulties (7)
    CL Item
    Patient Decided To Discontinue Study (8)
    CL Item
    Patient Experienced An Adverse Event (9)
    CL Item
    Other (10)
    C0205394 (UMLS CUI-1)
    Patient Absent Visit Specify
    Item
    Other, specify
    text
    C25685 (NCI Thesaurus ValueDomain)
    C16960 (NCI Thesaurus ObjectClass)
    C48190 (NCI Thesaurus Property)
    C25716 (NCI Thesaurus Property-2)
    C1521902 (UMLS CUI [1])
    Patient Schedule Next Visit
    Item
    Next visit scheduled (Items missed will be made up at the new visit.)
    boolean
    C16960 (NCI Thesaurus ObjectClass)
    C53286 (NCI Thesaurus Property)
    C25211 (NCI Thesaurus Property-2)
    C25716 (NCI Thesaurus Property-3)
    C38147 (NCI Thesaurus ValueDomain)
    C0332282 (UMLS CUI [1,1])
    C1512346 (UMLS CUI [1,2])

    Benötigen Sie Hilfe bei der Suche? Um mehr Details zu erfahren und die Suche effektiver nutzen zu können schauen Sie sich doch das entsprechende Video auf unserer Tutorial Seite an.

    Zum Video