Inglés

Subject Diary Card

1 formularios  
  1. StudyEvent: ODM
    1. Subject Diary Card
Subject Diary Card Run-In Period
Descripción

Subject Diary Card Run-In Period

Alias
UMLS CUI-1
C3890583
UMLS CUI-2
C3274438
Subject number
Descripción

Subject number

Tipo de datos

text

Alias
UMLS CUI [1]
C2348585
Emergency contact Investigator
Descripción

Emergency contact Investigator

Tipo de datos

text

Alias
UMLS CUI [1,1]
C2735018
UMLS CUI [1,2]
C0008961
Emergency Study contact
Descripción

Emergency contact Study site

Tipo de datos

text

Alias
UMLS CUI [1,1]
C2735018
UMLS CUI [1,2]
C2347790
Hospital/Clinic telephone
Descripción

Emergency contact Hospital

Tipo de datos

integer

Alias
UMLS CUI [1,1]
C2735018
UMLS CUI [1,2]
C0019994
Emergency contact Hospital/clinic address
Descripción

Emergency contact Hospital

Tipo de datos

text

Alias
UMLS CUI [1,1]
C2735018
UMLS CUI [1,2]
C2986046
Date and time of next clinic visit
Descripción

Date and time of next clinic visit

Tipo de datos

datetime

Alias
UMLS CUI [1]
C2735341
Study day Morning Dose
Descripción

Study day Morning Dose

Tipo de datos

integer

Alias
UMLS CUI [1,1]
C2826182
UMLS CUI [1,2]
C0332170
Date of Dose
Descripción

day month year

Tipo de datos

date

Alias
UMLS CUI [1,1]
C0304229
UMLS CUI [1,2]
C0011008
Time of Dose
Descripción

00:00-23:59

Tipo de datos

time

Alias
UMLS CUI [1,1]
C0304229
UMLS CUI [1,2]
C0040223
Number of inhalations Accuhaler
Descripción

Number of inhalations Accuhaler

Tipo de datos

integer

Alias
UMLS CUI [1,1]
C0354922
UMLS CUI [1,2]
C1705566
Number of inhalations BADPI
Descripción

Number of inhalations BADPI

Tipo de datos

integer

Alias
UMLS CUI [1,1]
C0354922
UMLS CUI [1,2]
C1705566
Study Day Evening Dose
Descripción

Study Day Evening Dose

Tipo de datos

integer

Alias
UMLS CUI [1,1]
C2826182
UMLS CUI [1,2]
C0587117
Date of Dose
Descripción

day month year

Tipo de datos

date

Alias
UMLS CUI [1,1]
C0304229
UMLS CUI [1,2]
C0011008
Time of Dose
Descripción

00:00-23:59

Tipo de datos

time

Alias
UMLS CUI [1,1]
C0304229
UMLS CUI [1,2]
C0040223
Number of inhalations Accuhaler
Descripción

Number of inhalations Accuhaler

Tipo de datos

integer

Alias
UMLS CUI [1,1]
C0354922
UMLS CUI [1,2]
C1705566
Number of inhalations BADPI
Descripción

Number of inhalations BADPI

Tipo de datos

integer

Alias
UMLS CUI [1,1]
C0354922
UMLS CUI [1,2]
C1705566
Subject Diary Card Treatment Period 1
Descripción

Subject Diary Card Treatment Period 1

Alias
UMLS CUI-1
C3890583
UMLS CUI-2
C0087111
UMLS CUI-3
C1948053
Subject number
Descripción

Subject number

Tipo de datos

text

Alias
UMLS CUI [1]
C2348585
Emergency contact Investigator
Descripción

Emergency contact Investigator

Tipo de datos

text

Alias
UMLS CUI [1,1]
C2735018
UMLS CUI [1,2]
C0008961
Emergency Study contact
Descripción

Emergency contact Study site

Tipo de datos

text

Alias
UMLS CUI [1,1]
C2735018
UMLS CUI [1,2]
C2347790
Hospital/Clinic telephone
Descripción

Emergency contact Hospital

Tipo de datos

integer

Alias
UMLS CUI [1,1]
C2735018
UMLS CUI [1,2]
C0019994
Emergency contact Hospital/clinic address
Descripción

Emergency contact Hospital

Tipo de datos

text

Alias
UMLS CUI [1,1]
C2735018
UMLS CUI [1,2]
C2986046
Date and time of next clinic visit
Descripción

Date and time of next clinic visit

Tipo de datos

datetime

Alias
UMLS CUI [1]
C2735341
Study day Morning Dose
Descripción

Study day Morning Dose

Tipo de datos

integer

Alias
UMLS CUI [1,1]
C2826182
UMLS CUI [1,2]
C0332170
Date of Dose
Descripción

day month year

Tipo de datos

date

Alias
UMLS CUI [1,1]
C0304229
UMLS CUI [1,2]
C0011008
Time of Dose
Descripción

00:00-23:59

Tipo de datos

time

Alias
UMLS CUI [1,1]
C0304229
UMLS CUI [1,2]
C0040223
Number of inhalations Accuhaler
Descripción

Number of inhalations Accuhaler

Tipo de datos

integer

Alias
UMLS CUI [1,1]
C0354922
UMLS CUI [1,2]
C1705566
Number of inhalations BADPI
Descripción

Number of inhalations BADPI

Tipo de datos

integer

Alias
UMLS CUI [1,1]
C0354922
UMLS CUI [1,2]
C1705566
Study Day Evening Dose
Descripción

Study Day Evening Dose

Tipo de datos

integer

Alias
UMLS CUI [1,1]
C2826182
UMLS CUI [1,2]
C0587117
Date of Dose
Descripción

day month year

Tipo de datos

date

Alias
UMLS CUI [1,1]
C0304229
UMLS CUI [1,2]
C0011008
Time of Dose
Descripción

00:00-23:59

Tipo de datos

time

Alias
UMLS CUI [1,1]
C0304229
UMLS CUI [1,2]
C0040223
Number of inhalations Accuhaler
Descripción

Number of inhalations Accuhaler

Tipo de datos

integer

Alias
UMLS CUI [1,1]
C0354922
UMLS CUI [1,2]
C1705566
Number of inhalations BADPI
Descripción

Number of inhalations BADPI

Tipo de datos

integer

Alias
UMLS CUI [1,1]
C0354922
UMLS CUI [1,2]
C1705566
Subject Diary Card Treatment Period 2
Descripción

Subject Diary Card Treatment Period 2

Alias
UMLS CUI-1
C3890583
UMLS CUI-2
C0087111
UMLS CUI-3
C1948053
Subject number
Descripción

Subject number

Tipo de datos

text

Alias
UMLS CUI [1]
C2348585
Emergency contact Investigator
Descripción

Emergency contact Investigator

Tipo de datos

text

Alias
UMLS CUI [1,1]
C2735018
UMLS CUI [1,2]
C0008961
Emergency Study contact
Descripción

Emergency contact Study site

Tipo de datos

text

Alias
UMLS CUI [1,1]
C2735018
UMLS CUI [1,2]
C2347790
Hospital/Clinic telephone
Descripción

Emergency contact Hospital

Tipo de datos

integer

Alias
UMLS CUI [1,1]
C2735018
UMLS CUI [1,2]
C0019994
Emergency contact Hospital/clinic address
Descripción

Emergency contact Hospital

Tipo de datos

text

Alias
UMLS CUI [1,1]
C2735018
UMLS CUI [1,2]
C2986046
Date and time of next clinic visit
Descripción

Date and time of next clinic visit

Tipo de datos

datetime

Alias
UMLS CUI [1]
C2735341
Study day Morning Dose
Descripción

Study day Morning Dose

Tipo de datos

integer

Alias
UMLS CUI [1,1]
C2826182
UMLS CUI [1,2]
C0332170
Date of Dose
Descripción

day month year

Tipo de datos

date

Alias
UMLS CUI [1,1]
C0304229
UMLS CUI [1,2]
C0011008
Time of Dose
Descripción

00:00-23:59

Tipo de datos

time

Alias
UMLS CUI [1,1]
C0304229
UMLS CUI [1,2]
C0040223
Number of inhalations Accuhaler
Descripción

Number of inhalations Accuhaler

Tipo de datos

integer

Alias
UMLS CUI [1,1]
C0354922
UMLS CUI [1,2]
C1705566
Number of inhalations BADPI
Descripción

Number of inhalations BADPI

Tipo de datos

integer

Alias
UMLS CUI [1,1]
C0354922
UMLS CUI [1,2]
C1705566
Study Day Evening Dose
Descripción

Study Day Evening Dose

Tipo de datos

integer

Alias
UMLS CUI [1,1]
C2826182
UMLS CUI [1,2]
C0587117
Date of Dose
Descripción

day month year

Tipo de datos

date

Alias
UMLS CUI [1,1]
C0304229
UMLS CUI [1,2]
C0011008
Time of Dose
Descripción

00:00-23:59

Tipo de datos

time

Alias
UMLS CUI [1,1]
C0304229
UMLS CUI [1,2]
C0040223
Number of inhalations Accuhaler
Descripción

Number of inhalations Accuhaler

Tipo de datos

integer

Alias
UMLS CUI [1,1]
C0354922
UMLS CUI [1,2]
C1705566
Number of inhalations BADPI
Descripción

Number of inhalations BADPI

Tipo de datos

integer

Alias
UMLS CUI [1,1]
C0354922
UMLS CUI [1,2]
C1705566
Volver a la parte superior de la página

Similar models

Subject Diary Card

1 formularios
  1. StudyEvent: ODM
    1. Subject Diary Card
Name
Tipo
Description | Question | Decode (Coded Value)
Tipo de datos
Alias
Item Group
Subject Diary Card Run-In Period
C3890583 (UMLS CUI-1)
C3274438 (UMLS CUI-2)
Subject number
Item
Subject number
text
C2348585 (UMLS CUI [1])
Emergency contact Investigator
Item
Emergency contact Investigator
text
C2735018 (UMLS CUI [1,1])
C0008961 (UMLS CUI [1,2])
Emergency contact Study site
Item
Emergency Study contact
text
C2735018 (UMLS CUI [1,1])
C2347790 (UMLS CUI [1,2])
Emergency contact Hospital
Item
Hospital/Clinic telephone
integer
C2735018 (UMLS CUI [1,1])
C0019994 (UMLS CUI [1,2])
Emergency contact Hospital
Item
Emergency contact Hospital/clinic address
text
C2735018 (UMLS CUI [1,1])
C2986046 (UMLS CUI [1,2])
Date and time of next clinic visit
Item
Date and time of next clinic visit
datetime
C2735341 (UMLS CUI [1])
Item
Study day Morning Dose
integer
C2826182 (UMLS CUI [1,1])
C0332170 (UMLS CUI [1,2])
Study day Morning Dose
Code List
Study day Morning Dose
CL Item
Day1 (1)
CL Item
Day2 (2)
CL Item
Day3 (3)
CL Item
Day4 (4)
CL Item
Day5 (5)
CL Item
Day6 (6)
CL Item
Day7 (7)
CL Item
Day8 (8)
CL Item
Day9 (9)
CL Item
Day10 (10)
CL Item
Day11 (11)
CL Item
Day12 (12)
CL Item
Day13 (13)
CL Item
Day14 (14)
CL Item
Day15 (15)
CL Item
Day16 (16)
Date of Dose
Item
Date of Dose
date
C0304229 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
Time of Dose
Item
Time of Dose
time
C0304229 (UMLS CUI [1,1])
C0040223 (UMLS CUI [1,2])
Number of inhalations Accuhaler
Item
Number of inhalations Accuhaler
integer
C0354922 (UMLS CUI [1,1])
C1705566 (UMLS CUI [1,2])
Number of inhalations BADPI
Item
Number of inhalations BADPI
integer
C0354922 (UMLS CUI [1,1])
C1705566 (UMLS CUI [1,2])
Item
Study Day Evening Dose
integer
C2826182 (UMLS CUI [1,1])
C0587117 (UMLS CUI [1,2])
Study day Morning Dose
Code List
Study Day Evening Dose
CL Item
Day1 (1)
CL Item
Day2 (2)
CL Item
Day3 (3)
CL Item
Day4 (4)
CL Item
Day5 (5)
CL Item
Day6 (6)
CL Item
Day7 (7)
CL Item
Day8 (8)
CL Item
Day9 (9)
CL Item
Day10 (10)
CL Item
Day11 (11)
CL Item
Day12 (12)
CL Item
Day13 (13)
CL Item
Day14 (14)
CL Item
Day15 (15)
CL Item
Day16 (16)
Date of Dose
Item
Date of Dose
date
C0304229 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
Time of Dose
Item
Time of Dose
time
C0304229 (UMLS CUI [1,1])
C0040223 (UMLS CUI [1,2])
Number of inhalations Accuhaler
Item
Number of inhalations Accuhaler
integer
C0354922 (UMLS CUI [1,1])
C1705566 (UMLS CUI [1,2])
Number of inhalations BADPI
Item
Number of inhalations BADPI
integer
C0354922 (UMLS CUI [1,1])
C1705566 (UMLS CUI [1,2])
Item Group
Subject Diary Card Treatment Period 1
C3890583 (UMLS CUI-1)
C0087111 (UMLS CUI-2)
C1948053 (UMLS CUI-3)
Subject number
Item
Subject number
text
C2348585 (UMLS CUI [1])
Emergency contact Investigator
Item
Emergency contact Investigator
text
C2735018 (UMLS CUI [1,1])
C0008961 (UMLS CUI [1,2])
Emergency contact Study site
Item
Emergency Study contact
text
C2735018 (UMLS CUI [1,1])
C2347790 (UMLS CUI [1,2])
Emergency contact Hospital
Item
Hospital/Clinic telephone
integer
C2735018 (UMLS CUI [1,1])
C0019994 (UMLS CUI [1,2])
Emergency contact Hospital
Item
Emergency contact Hospital/clinic address
text
C2735018 (UMLS CUI [1,1])
C2986046 (UMLS CUI [1,2])
Date and time of next clinic visit
Item
Date and time of next clinic visit
datetime
C2735341 (UMLS CUI [1])
Item
Study day Morning Dose
integer
C2826182 (UMLS CUI [1,1])
C0332170 (UMLS CUI [1,2])
Study day Morning Dose
Code List
Study day Morning Dose
CL Item
Day1 (1)
(Comment:en)
CL Item
Day2 (2)
(Comment:en)
CL Item
Day3 (3)
(Comment:en)
CL Item
Day4 (4)
(Comment:en)
CL Item
Day5 (5)
(Comment:en)
CL Item
Day6 (6)
(Comment:en)
CL Item
Day7 (7)
(Comment:en)
Date of Dose
Item
Date of Dose
date
C0304229 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
Time of Dose
Item
Time of Dose
time
C0304229 (UMLS CUI [1,1])
C0040223 (UMLS CUI [1,2])
Number of inhalations Accuhaler
Item
Number of inhalations Accuhaler
integer
C0354922 (UMLS CUI [1,1])
C1705566 (UMLS CUI [1,2])
Number of inhalations BADPI
Item
Number of inhalations BADPI
integer
C0354922 (UMLS CUI [1,1])
C1705566 (UMLS CUI [1,2])
Item
Study Day Evening Dose
integer
C2826182 (UMLS CUI [1,1])
C0587117 (UMLS CUI [1,2])
Study day Morning Dose
Code List
Study Day Evening Dose
CL Item
Day1 (1)
(Comment:en)
CL Item
Day2 (2)
(Comment:en)
CL Item
Day3 (3)
(Comment:en)
CL Item
Day4 (4)
(Comment:en)
CL Item
Day5 (5)
(Comment:en)
CL Item
Day6 (6)
(Comment:en)
CL Item
Day7 (7)
(Comment:en)
Date of Dose
Item
Date of Dose
date
C0304229 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
Time of Dose
Item
Time of Dose
time
C0304229 (UMLS CUI [1,1])
C0040223 (UMLS CUI [1,2])
Number of inhalations Accuhaler
Item
Number of inhalations Accuhaler
integer
C0354922 (UMLS CUI [1,1])
C1705566 (UMLS CUI [1,2])
Number of inhalations BADPI
Item
Number of inhalations BADPI
integer
C0354922 (UMLS CUI [1,1])
C1705566 (UMLS CUI [1,2])
Item Group
Subject Diary Card Treatment Period 2
C3890583 (UMLS CUI-1)
C0087111 (UMLS CUI-2)
C1948053 (UMLS CUI-3)
Subject number
Item
Subject number
text
C2348585 (UMLS CUI [1])
Emergency contact Investigator
Item
Emergency contact Investigator
text
C2735018 (UMLS CUI [1,1])
C0008961 (UMLS CUI [1,2])
Emergency contact Study site
Item
Emergency Study contact
text
C2735018 (UMLS CUI [1,1])
C2347790 (UMLS CUI [1,2])
Emergency contact Hospital
Item
Hospital/Clinic telephone
integer
C2735018 (UMLS CUI [1,1])
C0019994 (UMLS CUI [1,2])
Emergency contact Hospital
Item
Emergency contact Hospital/clinic address
text
C2735018 (UMLS CUI [1,1])
C2986046 (UMLS CUI [1,2])
Date and time of next clinic visit
Item
Date and time of next clinic visit
datetime
C2735341 (UMLS CUI [1])
Item
Study day Morning Dose
integer
C2826182 (UMLS CUI [1,1])
C0332170 (UMLS CUI [1,2])
Study day Morning Dose
Code List
Study day Morning Dose
CL Item
Day1 (1)
(Comment:en)
CL Item
Day2 (2)
(Comment:en)
CL Item
Day3 (3)
(Comment:en)
CL Item
Day4 (4)
(Comment:en)
CL Item
Day5 (5)
(Comment:en)
CL Item
Day6 (6)
(Comment:en)
CL Item
Day7 (7)
(Comment:en)
Date of Dose
Item
Date of Dose
date
C0304229 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
Time of Dose
Item
Time of Dose
time
C0304229 (UMLS CUI [1,1])
C0040223 (UMLS CUI [1,2])
Number of inhalations Accuhaler
Item
Number of inhalations Accuhaler
integer
C0354922 (UMLS CUI [1,1])
C1705566 (UMLS CUI [1,2])
Number of inhalations BADPI
Item
Number of inhalations BADPI
integer
C0354922 (UMLS CUI [1,1])
C1705566 (UMLS CUI [1,2])
Item
Study Day Evening Dose
integer
C2826182 (UMLS CUI [1,1])
C0587117 (UMLS CUI [1,2])
Study day Morning Dose
Code List
Study Day Evening Dose
CL Item
Day1 (1)
(Comment:en)
CL Item
Day2 (2)
(Comment:en)
CL Item
Day3 (3)
(Comment:en)
CL Item
Day4 (4)
(Comment:en)
CL Item
Day5 (5)
(Comment:en)
CL Item
Day6 (6)
(Comment:en)
CL Item
Day7 (7)
(Comment:en)
Date of Dose
Item
Date of Dose
date
C0304229 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
Time of Dose
Item
Time of Dose
time
C0304229 (UMLS CUI [1,1])
C0040223 (UMLS CUI [1,2])
Number of inhalations Accuhaler
Item
Number of inhalations Accuhaler
integer
C0354922 (UMLS CUI [1,1])
C1705566 (UMLS CUI [1,2])
Number of inhalations BADPI
Item
Number of inhalations BADPI
integer
C0354922 (UMLS CUI [1,1])
C1705566 (UMLS CUI [1,2])
Volver a la parte superior de la página