ID

24096

Beskrivning

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 #: FVF4170g 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

Nyckelord

Versioner (2)
  1. 2017-07-03 2017-07-03 -
  2. 2017-07-25 2017-07-25 -
Uppladdad den

25 juli 2017

DOI

För en begäran logga in.

Licens

Creative Commons BY-NC 3.0
Modellkommentarer :

Här kan du kommentera modellen. Med hjälp av pratbubblor i Item-grupperna och Item kan du lägga in specifika kommentarer.

Tillbaka till modellkommentarer
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.

RECAPTURE PHASE ENTRY (UNSCHEDULED) CRFs Roche FVF4170G Macular Edema NCT-Nummer: NCT00473382

Engelsk

RECAPTURE PHASE ENTRY (UNSCHEDULED) CRFs Roche FVF4170G Macular Edema NCT-Nummer: NCT00473382

1 Formulär  
Patient administration
Beskrivning

Patient administration

Subject Number
Beskrivning

PT

Datatyp

integer

Alias
UMLS CUI [1]
C2348585
Subject Initials:
Beskrivning

PTINIT

Datatyp

text

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

VDT

Datatyp

date

Alias
UMLS CUI [1,1]
C1302584
RECAPTURE PHASE ENTRY (UNSCHEDULED)
Beskrivning

RECAPTURE PHASE ENTRY (UNSCHEDULED)

Visit the Subject was Recaptured:
Beskrivning

RECAPTURE_MONTH [RCAPMO]

Datatyp

integer

Måttenheter
  • Visit Month
Alias
UMLS CUI [1]
C3846158
Visit Month
Date Subject Signed Recapture Informed Consent:
Beskrivning

INFORM_CONSENT_DT [ICDT, ICDTF]

Datatyp

date

Måttenheter
  • DD/MMM/YY
Alias
UMLS CUI [1]
C0021430
DD/MMM/YY
Tillbaka till toppen

Similar models

RECAPTURE PHASE ENTRY (UNSCHEDULED) CRFs Roche FVF4170G Macular Edema NCT-Nummer: NCT00473382

1 Formulär
Name
Typ
Description | Question | Decode (Coded Value)
Datatyp
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
RECAPTURE PHASE ENTRY (UNSCHEDULED)
RECAPTURE_MONTH [RCAPMO]
Item
Visit the Subject was Recaptured:
integer
C3846158 (UMLS CUI [1])
INFORM_CONSENT_DT [ICDT, ICDTF]
Item
Date Subject Signed Recapture Informed Consent:
date
C0021430 (UMLS CUI [1])
Tillbaka till toppen 

Kontakt

Använd detta formulär för feedback, frågor och förslag på förbättringar.

Fält markerade med * är obligatoriska.

Hjälp

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