Session 3 Day 1 Pre-Dose

Default Itemgroup
Description

Default Itemgroup

Alias
UMLS CUI-1
C1320722
Subject number
Description

Subject number

Data type

text

Alias
UMLS CUI [1]
C2348585
Urine Pregnancy Test (Females only)
Description

Urine Pregnancy Test (Females only)

Alias
UMLS CUI-1
C0430056
Was a pregnancy test carried out?
Description

Urine Pregnancy Test

Data type

boolean

Alias
UMLS CUI [1]
C0430056
If 'No', please specify reason
Description

undefined item

Data type

text

Alias
UMLS CUI [1,1]
C0392360
UMLS CUI [1,2]
C0032976
If 'YES'. please indicate date and time of test and result: Date and Time of pregnancy test:
Description

Date | Time

Data type

datetime

Alias
UMLS CUI [1,1]
C0011008
UMLS CUI [1,2]
C0040223
UMLS CUI [1,3]
C0032976
If 'YES'. please indicate date and time of test and result: If 'Positive', withdraw the subject from the study.
Description

Test result

Data type

text

Alias
UMLS CUI [1,1]
C0456984
UMLS CUI [1,2]
C0032976
Clinical Chemistry and Haematology ensure a blood sample has been taken tor clinical chemistry and haematology
Description

Clinical Chemistry and Haematology ensure a blood sample has been taken tor clinical chemistry and haematology

Alias
UMLS CUI-1
C0008000
UMLS CUI-2
C0018941
Exact date and time of blood sampling
Description

Date | Time

Data type

datetime

Alias
UMLS CUI [1,1]
C0005834
UMLS CUI [1,2]
C0011008
UMLS CUI [1,3]
C0040223
Comments
Description

Comment

Data type

text

Alias
UMLS CUI [1]
C0947611
Are there CLINICALLY SIGNIFICANT ABNORMAL values? If YES, please record diagnosis on Baseline Signs and Symptoms page.
Description

Abnormal Lab values

Data type

boolean

Alias
UMLS CUI [1,1]
C0438215
UMLS CUI [1,2]
C2826293
Urinalysis Ensure a urine sample has been taken tor clinical chemistry and haematology
Description

Urinalysis Ensure a urine sample has been taken tor clinical chemistry and haematology

Alias
UMLS CUI-1
C0042014
Exact date and time of urine sampling
Description

Date | Time

Data type

datetime

Alias
UMLS CUI [1,1]
C0200354
UMLS CUI [1,2]
C0011008
UMLS CUI [1,3]
C0040223
Comments
Description

Comment

Data type

text

Alias
UMLS CUI [1]
C0947611
Are there CLINICALLY SIGNIFICANT ABNORMAL values? If YES, please record diagnosis on Baseline Signs and Symptoms page.
Description

Abnormal test results

Data type

boolean

Alias
UMLS CUI [1,1]
C0438215
UMLS CUI [1,2]
C2826293

Similar models

Session 3 Day 1 Pre-Dose

Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Default Itemgroup
C1320722 (UMLS CUI-1)
Subject number
Item
Subject number
text
C2348585 (UMLS CUI [1])
Item Group
Urine Pregnancy Test (Females only)
C0430056 (UMLS CUI-1)
Urine Pregnancy Test
Item
Was a pregnancy test carried out?
boolean
C0430056 (UMLS CUI [1])
undefined item
Item
If 'No', please specify reason
text
C0392360 (UMLS CUI [1,1])
C0032976 (UMLS CUI [1,2])
Date | Time
Item
If 'YES'. please indicate date and time of test and result: Date and Time of pregnancy test:
datetime
C0011008 (UMLS CUI [1,1])
C0040223 (UMLS CUI [1,2])
C0032976 (UMLS CUI [1,3])
Item
If 'YES'. please indicate date and time of test and result: If 'Positive', withdraw the subject from the study.
text
C0456984 (UMLS CUI [1,1])
C0032976 (UMLS CUI [1,2])
Code List
If 'YES'. please indicate date and time of test and result: If 'Positive', withdraw the subject from the study.
CL Item
Positive (Positive)
CL Item
Negative (Negative)
Item Group
Clinical Chemistry and Haematology ensure a blood sample has been taken tor clinical chemistry and haematology
C0008000 (UMLS CUI-1)
C0018941 (UMLS CUI-2)
Date | Time
Item
Exact date and time of blood sampling
datetime
C0005834 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
C0040223 (UMLS CUI [1,3])
Comment
Item
Comments
text
C0947611 (UMLS CUI [1])
Abnormal Lab values
Item
Are there CLINICALLY SIGNIFICANT ABNORMAL values? If YES, please record diagnosis on Baseline Signs and Symptoms page.
boolean
C0438215 (UMLS CUI [1,1])
C2826293 (UMLS CUI [1,2])
Item Group
Urinalysis Ensure a urine sample has been taken tor clinical chemistry and haematology
C0042014 (UMLS CUI-1)
Date | Time
Item
Exact date and time of urine sampling
datetime
C0200354 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
C0040223 (UMLS CUI [1,3])
Comment
Item
Comments
text
C0947611 (UMLS CUI [1])
Abnormal test results
Item
Are there CLINICALLY SIGNIFICANT ABNORMAL values? If YES, please record diagnosis on Baseline Signs and Symptoms page.
boolean
C0438215 (UMLS CUI [1,1])
C2826293 (UMLS CUI [1,2])