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ID
25269
Beschrijving
Concomitant Medications Excluding Antiretroviral Therapy - RF09 Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=CCE1D9E3-15E5-4307-E034-0003BA12F5E7
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Trefwoorden
Versies (2)
- 19-09-12 19-09-12 -
- 29-08-17 29-08-17 -
Geüploaded op
29 augustus 2017
DOI
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Licentie
Creative Commons BY-NC 3.0 Legacy
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Concomitant Medications Excluding Antiretroviral Therapy - RF09
No Instruction available.
- StudyEvent: Concomitant Medications Excluding Antiretroviral Therapy - RF09
Similar models
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- StudyEvent: Concomitant Medications Excluding Antiretroviral Therapy - RF09
Name
Type
Description | Question | Decode (Coded Value)
Datatype
Alias
Item Group
Ccrr Module For Concomitant Medications Excluding Antiretroviral Therapy - Rf09
C2347852 (UMLS CUI-1)
C0013227 (UMLS CUI-2)
C0013227 (UMLS CUI-2)
PatientInitials
Item
Patient Initials
text
C2986440 (UMLS CUI [1])
Study Identifier
Item
Study Number
text
C2826693 (UMLS CUI [1])
Site Identifier
Item
Site Number
text
C0018704 (UMLS CUI [1,1])
C0600091 (UMLS CUI [1,2])
C0600091 (UMLS CUI [1,2])
ID
Item
ID
text
C2348585 (UMLS CUI [1])
Cycle Number
Item
Cycle Number
text
C2045829 (UMLS CUI [1])
First day of cycle
Item
First day of cycle
date
C1302181 (UMLS CUI [1,1])
C0808070 (UMLS CUI [1,2])
C0808070 (UMLS CUI [1,2])
medications
Item
During this cycle, has the subject started or stopped any medications?
boolean
C0013227 (UMLS CUI [1])
Medication Name
Item
Medication
text
C2360065 (UMLS CUI [1])
ACTG Drug Code
Item
ACTG Drug Code
text
C1318970 (UMLS CUI [1,1])
C0013227 (UMLS CUI [1,2])
C0805701 (UMLS CUI [1,3])
C0013227 (UMLS CUI [1,2])
C0805701 (UMLS CUI [1,3])
Amount
Item
Amount
text
C0178602 (UMLS CUI [1,1])
C0013227 (UMLS CUI [1,2])
C0013227 (UMLS CUI [1,2])
Units
Item
Units
text
C1519795 (UMLS CUI [1,1])
C0013227 (UMLS CUI [1,2])
C0013227 (UMLS CUI [1,2])
Frequency(perday)
Item
Frequency
text
C3476109 (UMLS CUI [1])
Started prior to study
Item
Started prior to study?
boolean
C0013227 (UMLS CUI [1])
Date Started
Item
Date Started
date
C0013227 (UMLS CUI [1,1])
C0808070 (UMLS CUI [1,2])
C0808070 (UMLS CUI [1,2])
Stopped medication
Item
Stopped?
boolean
C0013227 (UMLS CUI [1,1])
C2746065 (UMLS CUI [1,2])
C2746065 (UMLS CUI [1,2])
Date Stopped
Item
Date Stopped
date
C0013227 (UMLS CUI [1,1])
C0806020 (UMLS CUI [1,2])
C0806020 (UMLS CUI [1,2])