Information:
Fel:
ID
22842
Beskrivning
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
Länk
https://clinicaltrials.gov/ct2/show/NCT00890747
Nyckelord
Versioner (2)
- 2012-08-26 2012-08-26 -
- 2017-06-12 2017-06-12 - Martin Dugas
Uppladdad den
12 juni 2017
DOI
För en begäran logga in.
Licens
Creative Commons BY 4.0
Modellkommentarer :
Här kan du kommentera modellen. Med hjälp av pratbubblor i Item-grupperna och Item kan du lägga in specifika kommentarer.
Itemgroup-kommentar för :
Item-kommentar för :
Du måste vara inloggad för att kunna ladda ner formulär. Var vänlig logga in eller registrera dig utan kostnad.
HIV Cancer Sunitinib NCT00890747 AMC-061
No Instruction available.
- StudyEvent: AMC-061 Missed Visit Form (F35)
Similar models
No Instruction available.
- StudyEvent: AMC-061 Missed Visit Form (F35)
Name
Typ
Description | Question | Decode (Coded Value)
Datatyp
Alias
Hospital Admission Ordinal Number
Item
Visit number
integer
C25337 (NCI Thesaurus ValueDomain)
C16696 (NCI Thesaurus ObjectClass)
C25385 (NCI Thesaurus Property)
C1549755 (UMLS CUI [1])
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])
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)
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])
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])
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])
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])
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])
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])