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Genetic Screening For HLA-B*5701 Week 2 NCT00340080

1 Formulär  
Week 2
Beskrivning

Week 2

Alias
UMLS CUI-1
C0008976
UMLS CUI-2
C1516048
Subject Identifier
Beskrivning

Subject Identifier

Datatyp

text

Alias
UMLS CUI [1]
C2348585
Visit Date
Beskrivning

Visit Date

Datatyp

date

Alias
UMLS CUI [1]
C1320303
Date of assessment
Beskrivning

Unplanned Healthcare resource utilization

Datatyp

date

Alias
UMLS CUI [1]
C2985720
Since starting treatment on the ABC-Containing Product (Day 1), did the subject use any of the health care services listed below due to HIV- associated conditions, adverse events, or serious adverse events?
Beskrivning

Unplanned Healthcare resource utilization

Datatyp

text

Alias
UMLS CUI [1]
C0086388
Emergency room visits
Beskrivning

If YES, complete the following

Datatyp

text

Alias
UMLS CUI [1]
C2114437
Emergency room visits. If yes, number of visits
Beskrivning

Emergency room visits

Datatyp

integer

Alias
UMLS CUI [1,1]
C2114437
UMLS CUI [1,2]
C0449788
Intensive care hospitalization
Beskrivning

Intensive care hospitalization

Datatyp

text

Alias
UMLS CUI [1,1]
C0085559
UMLS CUI [1,2]
C0019993
Intensive care hospitalization. If yes, number of nights
Beskrivning

Intensive care hospitalization

Datatyp

integer

Alias
UMLS CUI [1,1]
C0085559
UMLS CUI [1,2]
C0019993
UMLS CUI [1,3]
C0449788
General ward hospitalization
Beskrivning

General ward hospitalization

Datatyp

text

Alias
UMLS CUI [1,1]
C0043030
UMLS CUI [1,2]
C0019993
General ward hospitalization. If yes, number of nights
Beskrivning

General ward hospitalization

Datatyp

integer

Alias
UMLS CUI [1,1]
C0043030
UMLS CUI [1,2]
C0019993
UMLS CUI [1,3]
C0449788
Outpatient physician’s office or clinic visit
Beskrivning

Outpatient physician’s office or clinic visit

Datatyp

text

Alias
UMLS CUI [1,1]
C0028900
UMLS CUI [1,2]
C0008952
Outpatient physician’s office or clinic visit. If yes, number of visits
Beskrivning

Outpatient physician’s office or clinic visit

Datatyp

integer

Alias
UMLS CUI [1,1]
C0028900
UMLS CUI [1,2]
C0008952
UMLS CUI [1,3]
C0449788
Home care visits
Beskrivning

Home care visits

Datatyp

text

Alias
UMLS CUI [1]
C0204977
Home care visits. If yes, number of visits
Beskrivning

Home care visits

Datatyp

integer

Alias
UMLS CUI [1,1]
C0204977
UMLS CUI [1,2]
C0449788
Long-term care
Beskrivning

Long-term care

Datatyp

text

Alias
UMLS CUI [1]
C0023977
Long-term care. If yes, number of nights
Beskrivning

Long-term care

Datatyp

integer

Alias
UMLS CUI [1,1]
C0023977
UMLS CUI [1,2]
C0449788
Telephone contacts
Beskrivning

Telephone contacts

Datatyp

text

Alias
UMLS CUI [1]
C0175745
Telephone contacts. If yes, number of calls
Beskrivning

Telephone contacts

Datatyp

integer

Alias
UMLS CUI [1,1]
C0175745
UMLS CUI [1,2]
C0449788
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Similar models

Genetic Screening For HLA-B*5701 Week 2 NCT00340080

1 Formulär
Name
Typ
Description | Question | Decode (Coded Value)
Datatyp
Alias
Item Group
Week 2
C0008976 (UMLS CUI-1)
C1516048 (UMLS CUI-2)
Subject Identifier
Item
Subject Identifier
text
C2348585 (UMLS CUI [1])
Visit Date
Item
Visit Date
date
C1320303 (UMLS CUI [1])
Date of assessment
Item
Date of assessment
date
C2985720 (UMLS CUI [1])
Item
Since starting treatment on the ABC-Containing Product (Day 1), did the subject use any of the health care services listed below due to HIV- associated conditions, adverse events, or serious adverse events?
text
C0086388 (UMLS CUI [1])
undefined item
Code List
Since starting treatment on the ABC-Containing Product (Day 1), did the subject use any of the health care services listed below due to HIV- associated conditions, adverse events, or serious adverse events?
CL Item
Yes (Y)
CL Item
No (N)
Item
Emergency room visits
text
C2114437 (UMLS CUI [1])
Emergency room visits
Code List
Emergency room visits
CL Item
Yes (Y)
CL Item
No (N)
Emergency room visits
Item
Emergency room visits. If yes, number of visits
integer
C2114437 (UMLS CUI [1,1])
C0449788 (UMLS CUI [1,2])
Item
Intensive care hospitalization
text
C0085559 (UMLS CUI [1,1])
C0019993 (UMLS CUI [1,2])
undefined item
Code List
Intensive care hospitalization
CL Item
Yes (Y)
CL Item
No (N)
Intensive care hospitalization
Item
Intensive care hospitalization. If yes, number of nights
integer
C0085559 (UMLS CUI [1,1])
C0019993 (UMLS CUI [1,2])
C0449788 (UMLS CUI [1,3])
Item
General ward hospitalization
text
C0043030 (UMLS CUI [1,1])
C0019993 (UMLS CUI [1,2])
undefined item
Code List
General ward hospitalization
CL Item
Yes (Y)
CL Item
No (N)
General ward hospitalization
Item
General ward hospitalization. If yes, number of nights
integer
C0043030 (UMLS CUI [1,1])
C0019993 (UMLS CUI [1,2])
C0449788 (UMLS CUI [1,3])
Item
Outpatient physician’s office or clinic visit
text
C0028900 (UMLS CUI [1,1])
C0008952 (UMLS CUI [1,2])
undefined item
Code List
Outpatient physician’s office or clinic visit
CL Item
Yes (Y)
CL Item
No (N)
Outpatient physician’s office or clinic visit
Item
Outpatient physician’s office or clinic visit. If yes, number of visits
integer
C0028900 (UMLS CUI [1,1])
C0008952 (UMLS CUI [1,2])
C0449788 (UMLS CUI [1,3])
Item
Home care visits
text
C0204977 (UMLS CUI [1])
undefined item
Code List
Home care visits
CL Item
Yes (Y)
CL Item
No (N)
Home care visits
Item
Home care visits. If yes, number of visits
integer
C0204977 (UMLS CUI [1,1])
C0449788 (UMLS CUI [1,2])
Item
Long-term care
text
C0023977 (UMLS CUI [1])
undefined item
Code List
Long-term care
CL Item
Yes (Y)
CL Item
No (N)
Long-term care
Item
Long-term care. If yes, number of nights
integer
C0023977 (UMLS CUI [1,1])
C0449788 (UMLS CUI [1,2])
Item
Telephone contacts
text
C0175745 (UMLS CUI [1])
undefined item
Code List
Telephone contacts
CL Item
Yes (Y)
CL Item
No (N)
Telephone contacts
Item
Telephone contacts. If yes, number of calls
integer
C0175745 (UMLS CUI [1,1])
C0449788 (UMLS CUI [1,2])
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