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ID

22842

Beschrijving

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

Trefwoorden

  1. 26-08-12 26-08-12 -
  2. 12-06-17 12-06-17 - Martin Dugas
Geüploaded op

12 juni 2017

DOI

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Licentie

Creative Commons BY 4.0

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    HIV Cancer Sunitinib NCT00890747 AMC-061

    No Instruction available.

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

    Header Module

    Alias
    UMLS CUI-1
    C1320722 (Administrative documentation)
    SNOMED
    405624007
    Visit number
    Beschrijving

    Hospital Admission Ordinal Number

    Datatype

    integer

    Alias
    NCI Thesaurus ValueDomain
    C25337 (undefined)
    NCI Thesaurus ObjectClass
    C16696 (undefined)
    NCI Thesaurus Property
    C25385 (undefined)
    UMLS CUI [1]
    C1549755 (Visit Number)
    Research Comments Text
    Beschrijving

    Research Comments

    Datatype

    text

    Alias
    NCI Thesaurus ValueDomain
    C25704 (undefined)
    NCI Thesaurus ObjectClass
    C15319 (undefined)
    NCI Thesaurus Property
    C25393 (undefined)
    UMLS CUI [1]
    C0947611 (Comment)
    LOINC
    LP72293-1
    Missed Visit Information
    Beschrijving

    Missed Visit Information

    Alias
    UMLS CUI-1
    C1705492 (Missing)
    LOINC
    LA14698-7
    UMLS CUI-2
    C2216340 (encounter background information)
    Missed Visit Date
    Beschrijving

    Patient Absent Visit Date

    Datatype

    date

    Maateenheden
    • mm/dd/yyyy
    Alias
    NCI Thesaurus ValueDomain
    C25164 (undefined)
    NCI Thesaurus ObjectClass
    C16960 (undefined)
    NCI Thesaurus Property
    C48190 (undefined)
    NCI Thesaurus Property-2
    C25716 (undefined)
    UMLS CUI [1,1]
    C1705492 (Missing)
    LOINC
    LA14698-7
    UMLS CUI [1,2]
    C1320303 (Date of visit)
    SNOMED
    406543005
    mm/dd/yyyy
    Reason patient missed visit
    Beschrijving

    Patient Absent Visit Reason

    Datatype

    integer

    Alias
    NCI Thesaurus ValueDomain
    C25638 (undefined)
    NCI Thesaurus ObjectClass
    C16960 (undefined)
    NCI Thesaurus Property
    C48190 (undefined)
    NCI Thesaurus Property-2
    C25716 (undefined)
    UMLS CUI [1,1]
    C1705492 (Missing)
    LOINC
    LA14698-7
    UMLS CUI [1,2]
    C1512346 (Patient Visit)
    UMLS CUI [1,3]
    C0566251 (Reason and justification)
    SNOMED
    288830005
    Other, specify
    Beschrijving

    Patient Absent Visit Specify

    Datatype

    text

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

    Patient Schedule Next Visit

    Datatype

    boolean

    Alias
    NCI Thesaurus ObjectClass
    C16960 (undefined)
    NCI Thesaurus Property
    C53286 (undefined)
    NCI Thesaurus Property-2
    C25211 (undefined)
    NCI Thesaurus Property-3
    C25716 (undefined)
    NCI Thesaurus ValueDomain
    C38147 (undefined)
    UMLS CUI [1,1]
    C0332282 (Following)
    SNOMED
    255260001
    UMLS CUI [1,2]
    C1512346 (Patient Visit)

    Similar models

    No Instruction available.

    1. StudyEvent: AMC-061 Missed Visit Form (F35)
      1. No Instruction available.
    Name
    Type
    Description | Question | Decode (Coded Value)
    Datatype
    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])

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