ID
27314
Description
Original CRFs from: K.Afshar, J. Bleidorn, E. Hummers-Pradier, I. Gágyor. Further details on: http://www.allgemeinmedizin.med.uni-goettingen.de/en/content/research/510_520.html https://clinicaltrials.gov/ct2/show/NCT03151603 Questionnaire Day 28
Lien
http://www.allgemeinmedizin.med.uni-goettingen.de/en/content/research/510_520.html
Mots-clés
Versions (1)
- 07/11/2017 07/11/2017 -
Détendeur de droits
K.Afshar, J. Bleidorn, E. Hummers-Pradier, I. Gágyor
Téléchargé le
7 novembre 2017
DOI
Pour une demande vous connecter.
Licence
Creative Commons BY-NC-ND 3.0
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Questionnaire Day 28 REGATTA NCT03151603
Questionnaire Day 28 REGATTA NCT03151603
- StudyEvent: ODM
Description
1. Vorherige Harnwegsinfekte
Alias
- UMLS CUI-1
- C0205156
- UMLS CUI-2
- C0042029
Description
Previous Urinary Tract Infection
Type de données
boolean
Alias
- UMLS CUI [1,1]
- C0205156
- UMLS CUI [1,2]
- C0042029
Description
Numbers of Previous Urinary Tract Infection
Type de données
text
Alias
- UMLS CUI [1,1]
- C0449788
- UMLS CUI [1,2]
- C0205156
- UMLS CUI [1,3]
- C0042029
Description
Urinary Tract Infection: Sick Leave
Type de données
boolean
Alias
- UMLS CUI [1,1]
- C0242807
- UMLS CUI [1,2]
- C0042029
Description
Urinary Tract Infection: Sick Leave Specification
Type de données
float
Unités de mesure
- Tage
Alias
- UMLS CUI [1,1]
- C0242807
- UMLS CUI [1,2]
- C0042029
- UMLS CUI [1,3]
- C2348235
Description
Urinary Tract Infection: Start Date
Type de données
date
Unités de mesure
- tt.mm.jjjj
Alias
- UMLS CUI [1,1]
- C0042029
- UMLS CUI [1,2]
- C0808070
Description
Urinary Tract Infection: End Date
Type de données
date
Unités de mesure
- tt.mm.jjjj
Alias
- UMLS CUI [1,1]
- C0042029
- UMLS CUI [1,2]
- C0806020
Description
Urinary Tract Infection: Office Visit
Type de données
boolean
Alias
- UMLS CUI [1,1]
- C0042029
- UMLS CUI [1,2]
- C0028900
Description
Urinary Tract Infection: Physicians
Type de données
text
Alias
- UMLS CUI [1,1]
- C0042029
- UMLS CUI [1,2]
- C0031831
Description
Urinary Tract Infection: Febrile Infection
Type de données
boolean
Alias
- UMLS CUI [1,1]
- C0042029
- UMLS CUI [1,2]
- C0948233
Description
Medikamentöse Behandlung - Wenn ja, bitte geben Sie alles an, was Sie noch nicht im Patientinnentagebuch notiert haben.
Alias
- UMLS CUI-1
- C0013216
Description
Pharmacotherapy
Type de données
boolean
Alias
- UMLS CUI [1]
- C0013216
Description
Antibiotics
Type de données
text
Alias
- UMLS CUI [1]
- C0003232
Description
Antibiotics: Dosage
Type de données
text
Alias
- UMLS CUI [1,1]
- C0003232
- UMLS CUI [1,2]
- C0178602
Description
Antibiotics: Medication Frequency
Type de données
text
Alias
- UMLS CUI [1,1]
- C0003232
- UMLS CUI [1,2]
- C3476109
Description
Antibiotics: Start Date
Type de données
date
Unités de mesure
- tt.mm.jjjj
Alias
- UMLS CUI [1,1]
- C0003232
- UMLS CUI [1,2]
- C0808070
Description
Antibiotics: End Date
Type de données
date
Unités de mesure
- tt.mm.jjjj
Alias
- UMLS CUI [1,1]
- C0003232
- UMLS CUI [1,2]
- C0806020
Description
Analgesics
Type de données
text
Alias
- UMLS CUI [1]
- C0002771
Description
Analgesics: Dosage
Type de données
text
Alias
- UMLS CUI [1,1]
- C0002771
- UMLS CUI [1,2]
- C0178602
Description
Analgesics: Medication Frequency
Type de données
text
Alias
- UMLS CUI [1,1]
- C0002771
- UMLS CUI [1,2]
- C3476109
Description
Analgesics: Start Date
Type de données
date
Unités de mesure
- tt.mm.jjjj
Alias
- UMLS CUI [1,1]
- C0002771
- UMLS CUI [1,2]
- C0808070
Description
Anagesics: End Date
Type de données
date
Unités de mesure
- tt.mm.jjjj
Alias
- UMLS CUI [1,1]
- C0002771
- UMLS CUI [1,2]
- C0806020
Description
Other Medication
Type de données
text
Alias
- UMLS CUI [1]
- C1115771
Description
Other Medication: Dosage
Type de données
text
Alias
- UMLS CUI [1,1]
- C1115771
- UMLS CUI [1,2]
- C0178602
Description
Other Medication: Medication Frequency
Type de données
text
Alias
- UMLS CUI [1,1]
- C1115771
- UMLS CUI [1,2]
- C3476109
Description
Other Medication: Start Date
Type de données
date
Unités de mesure
- tt.mm.jjjj
Alias
- UMLS CUI [1,1]
- C1115771
- UMLS CUI [1,2]
- C0808070
Description
Other Medication: End Date
Type de données
date
Unités de mesure
- tt.mm.jjjj
Alias
- UMLS CUI [1,1]
- C1115771
- UMLS CUI [1,2]
- C0806020
Description
Weiterer Harnwegsinfekt
Alias
- UMLS CUI-1
- C0042029
- UMLS CUI-2
- C1517331
Description
Further Urinary Tract Infection
Type de données
boolean
Alias
- UMLS CUI [1,1]
- C0042029
- UMLS CUI [1,2]
- C1517331
Description
Date of Further Urinary Tract Infection
Type de données
date
Unités de mesure
- tt.mm.jjjj
Alias
- UMLS CUI [1,1]
- C0011008
- UMLS CUI [1,2]
- C0042029
- UMLS CUI [1,3]
- C1517331
Description
Further Urinary Tract Infection: Office Visit
Type de données
boolean
Alias
- UMLS CUI [1,1]
- C1517331
- UMLS CUI [1,2]
- C0042029
- UMLS CUI [1,3]
- C0028900
Description
Further Urinary Tract Infection: Physicians
Type de données
text
Alias
- UMLS CUI [1,1]
- C1517331
- UMLS CUI [1,2]
- C0042029
- UMLS CUI [1,3]
- C0031831
Description
Further Urinary Tract Infection: Febrile Infection
Type de données
boolean
Alias
- UMLS CUI [1,1]
- C1517331
- UMLS CUI [1,2]
- C0042029
- UMLS CUI [1,3]
- C0948233
Description
Medikamentöse Behandlung des weiteren Harnwegsinfektes - Wenn ja, bitte geben Sie alles an, was Sie noch nicht im Patientinnentagebuch notiert haben.
Alias
- UMLS CUI-1
- C0013216
- UMLS CUI-2
- C0042029
- UMLS CUI-3
- C1517331
Description
Further Pharmacotherapy
Type de données
boolean
Alias
- UMLS CUI [1,1]
- C0013216
- UMLS CUI [1,2]
- C1517331
Description
Further Antibiotics
Type de données
text
Alias
- UMLS CUI [1,1]
- C0003232
- UMLS CUI [1,2]
- C1517331
Description
Further Antibiotics: Dosage
Type de données
text
Alias
- UMLS CUI [1,1]
- C0003232
- UMLS CUI [1,2]
- C1517331
- UMLS CUI [1,3]
- C0178602
Description
Further Antibiotics: Medication Frequency
Type de données
text
Alias
- UMLS CUI [1,1]
- C0003232
- UMLS CUI [1,2]
- C1517331
- UMLS CUI [1,3]
- C3476109
Description
Further Antibiotics: Start Date
Type de données
date
Unités de mesure
- tt.mm.jjjj
Alias
- UMLS CUI [1,1]
- C0003232
- UMLS CUI [1,2]
- C1517331
- UMLS CUI [1,3]
- C0808070
Description
Further Antibiotics: End Date
Type de données
date
Unités de mesure
- tt.mm.jjjj
Alias
- UMLS CUI [1,1]
- C0003232
- UMLS CUI [1,2]
- C1517331
- UMLS CUI [1,3]
- C0806020
Description
Further Analgesics
Type de données
text
Alias
- UMLS CUI [1,1]
- C0002771
- UMLS CUI [1,2]
- C1517331
Description
Further Analgesics: Dosage
Type de données
text
Alias
- UMLS CUI [1,1]
- C0002771
- UMLS CUI [1,2]
- C1517331
- UMLS CUI [1,3]
- C0178602
Description
Further Analgesics: Medication Frequency
Type de données
text
Alias
- UMLS CUI [1,1]
- C0002771
- UMLS CUI [1,2]
- C1517331
- UMLS CUI [1,3]
- C3476109
Description
Further Analgesics: Start Date
Type de données
date
Unités de mesure
- tt.mm.jjjj
Alias
- UMLS CUI [1,1]
- C0002771
- UMLS CUI [1,2]
- C1517331
- UMLS CUI [1,3]
- C0808070
Description
Further Anagesics: End Date
Type de données
date
Unités de mesure
- tt.mm.jjjj
Alias
- UMLS CUI [1,1]
- C0002771
- UMLS CUI [1,2]
- C1517331
- UMLS CUI [1,3]
- C0806020
Description
Further Other Medication
Type de données
text
Alias
- UMLS CUI [1,1]
- C1115771
- UMLS CUI [1,2]
- C1517331
Description
Further Other Medication: Dosage
Type de données
text
Alias
- UMLS CUI [1,1]
- C1115771
- UMLS CUI [1,2]
- C1517331
- UMLS CUI [1,3]
- C0178602
Description
Further Other Medication: Medication Frequency
Type de données
text
Alias
- UMLS CUI [1,1]
- C1115771
- UMLS CUI [1,2]
- C1517331
- UMLS CUI [1,3]
- C3476109
Description
Further Other Medication: Start Date
Type de données
date
Unités de mesure
- tt.mm.jjjj
Alias
- UMLS CUI [1,1]
- C1115771
- UMLS CUI [1,2]
- C1517331
- UMLS CUI [1,3]
- C0808070
Description
Further Other Medication: End Date
Type de données
date
Unités de mesure
- tt.mm.jjjj
Alias
- UMLS CUI [1,1]
- C1115771
- UMLS CUI [1,2]
- C1517331
- UMLS CUI [1,3]
- C0806020
Description
Weitere gesundheitliche Beschwerden - Auf den folgenden Seiten bitten wir Sie um Angaben zu weiteren gesundheitlichen Beschwerden seit Aufnahme in die Studie. Bitte nutzen Sie für jeden Beschwerdekomplex eine neue Seite. Beschwerden, mit denen Sie Ihren Hausarzt aufgesucht haben, müsen hier nicht angegeben werden.
Alias
- UMLS CUI-1
- C1457887
Description
Further Symptoms
Type de données
boolean
Alias
- UMLS CUI [1]
- C1457887
Description
Further Symptoms: Specification
Type de données
text
Alias
- UMLS CUI [1,1]
- C1457887
- UMLS CUI [1,2]
- C2348235
Description
Further Symptoms: Start Date
Type de données
date
Unités de mesure
- tt.mm.jjjj
Alias
- UMLS CUI [1,1]
- C1457887
- UMLS CUI [1,2]
- C0808070
Description
Further Symptoms: End Date
Type de données
date
Unités de mesure
- tt.mm.jjjj
Alias
- UMLS CUI [1,1]
- C1457887
- UMLS CUI [1,2]
- C0806020
Description
Affected by Further Symptoms
Type de données
text
Alias
- UMLS CUI [1,1]
- C1457887
- UMLS CUI [1,2]
- C0392760
Description
Further Symptoms: Office Visit
Type de données
boolean
Alias
- UMLS CUI [1,1]
- C1457887
- UMLS CUI [1,2]
- C0028900
Description
Further Symptoms: Physicians
Type de données
text
Alias
- UMLS CUI [1,1]
- C1457887
- UMLS CUI [1,2]
- C0031831
Description
Further Symptoms: Treatment
Type de données
text
Alias
- UMLS CUI [1,1]
- C1457887
- UMLS CUI [1,2]
- C0087111
Description
Further Symptoms: Referral
Type de données
text
Alias
- UMLS CUI [1,1]
- C1457887
- UMLS CUI [1,2]
- C0034927
Description
Further Symptoms: Treatment Specification
Type de données
text
Alias
- UMLS CUI [1,1]
- C1457887
- UMLS CUI [1,2]
- C0087111
- UMLS CUI [1,3]
- C2348235
Description
Medikamentöse Behandlung dieser Beschwerden - Bitte tragen Sie die Medikamente ein, die Sie für diese Beschwerden eingenommen haben.
Alias
- UMLS CUI-1
- C0013216
- UMLS CUI-2
- C1457887
Description
Antibiotics
Type de données
text
Alias
- UMLS CUI [1]
- C0003232
Description
Antibiotics: Dosage
Type de données
text
Alias
- UMLS CUI [1,1]
- C0003232
- UMLS CUI [1,2]
- C0178602
Description
Antibiotics: Medication Frequency
Type de données
text
Alias
- UMLS CUI [1,1]
- C0003232
- UMLS CUI [1,2]
- C3476109
Description
Antibiotics: Start Date
Type de données
date
Unités de mesure
- tt.mm.jjjj
Alias
- UMLS CUI [1,1]
- C0003232
- UMLS CUI [1,2]
- C0808070
Description
Antibiotics: End Date
Type de données
date
Unités de mesure
- tt.mm.jjjj
Alias
- UMLS CUI [1,1]
- C0003232
- UMLS CUI [1,2]
- C0806020
Description
Analgesics
Type de données
text
Alias
- UMLS CUI [1]
- C0002771
Description
Analgesics: Dosage
Type de données
text
Alias
- UMLS CUI [1,1]
- C0002771
- UMLS CUI [1,2]
- C0178602
Description
Analgesics: Medication Frequency
Type de données
text
Alias
- UMLS CUI [1,1]
- C0002771
- UMLS CUI [1,2]
- C3476109
Description
Analgesics: Start Date
Type de données
date
Unités de mesure
- tt.mm.jjjj
Alias
- UMLS CUI [1,1]
- C0002771
- UMLS CUI [1,2]
- C0808070
Description
Anagesics: End Date
Type de données
date
Unités de mesure
- tt.mm.jjjj
Alias
- UMLS CUI [1,1]
- C0002771
- UMLS CUI [1,2]
- C0806020
Description
Other Medication
Type de données
text
Alias
- UMLS CUI [1]
- C1115771
Description
Other Medication: Dosage
Type de données
text
Alias
- UMLS CUI [1,1]
- C1115771
- UMLS CUI [1,2]
- C0178602
Description
Other Medication: Medication Frequency
Type de données
text
Alias
- UMLS CUI [1,1]
- C1115771
- UMLS CUI [1,2]
- C3476109
Description
Other Medication: Start Date
Type de données
date
Unités de mesure
- tt.mm.jjjj
Alias
- UMLS CUI [1,1]
- C1115771
- UMLS CUI [1,2]
- C0808070
Description
Other Medication: End Date
Type de données
date
Unités de mesure
- tt.mm.jjjj
Alias
- UMLS CUI [1,1]
- C1115771
- UMLS CUI [1,2]
- C0806020
Description
Studienmedikation
Alias
- UMLS CUI-1
- C0304229
Description
UE/SUE-Praxis (Dokumentation unerwünschter Ereignisse)
Alias
- UMLS CUI-1
- C0877248
Description
Adverse Event Symptom
Type de données
text
Alias
- UMLS CUI [1,1]
- C0877248
- UMLS CUI [1,2]
- C1457887
Description
Adverse Event Diagnosis
Type de données
text
Alias
- UMLS CUI [1,1]
- C0877248
- UMLS CUI [1,2]
- C0011900
Description
Adverse Event ICD-10-Code
Type de données
text
Alias
- UMLS CUI [1,1]
- C2598420
- UMLS CUI [1,2]
- C0877248
Description
Adverse Event: Start Date
Type de données
date
Unités de mesure
- tt.mm.jjjj
Alias
- UMLS CUI [1]
- C2697888
Description
Adverse Event: End Date
Type de données
date
Unités de mesure
- tt.mm.jjjj
Alias
- UMLS CUI [1]
- C2697886
Description
Adverse Event: Ongoing
Type de données
boolean
Alias
- UMLS CUI [1]
- C2826663
Description
Serious Adverse Event
Type de données
text
Alias
- UMLS CUI [1]
- C1519255
Description
Adverse Event Outcome
Type de données
text
Alias
- UMLS CUI [1]
- C1705586
Description
Severity of Adverse Event
Type de données
text
Alias
- UMLS CUI [1]
- C1710066
Description
Adverse Event Action Taken
Type de données
text
Alias
- UMLS CUI [1]
- C2826626
Description
Concomitant Medication: Pharmaceutical Preparations
Type de données
text
Alias
- UMLS CUI [1,1]
- C2347852
- UMLS CUI [1,2]
- C0013227
Description
Concomitant Medication: Daily Dosage
Type de données
text
Alias
- UMLS CUI [1,1]
- C0178602
- UMLS CUI [1,2]
- C2347852
Description
Relation to Fosfomycin
Type de données
text
Alias
- UMLS CUI [1,1]
- C0439849
- UMLS CUI [1,2]
- C0016610
Description
Relation to Bearberry preparation
Type de données
text
Alias
- UMLS CUI [1,1]
- C0439849
- UMLS CUI [1,2]
- C0885849
Description
Date of Adverse Event
Type de données
date
Unités de mesure
- dd-mmm-yyyy
Alias
- UMLS CUI [1]
- C2985916
Description
Investigator's Signature
Type de données
text
Alias
- UMLS CUI [1]
- C2346576
Similar models
Questionnaire Day 28 REGATTA NCT03151603
- StudyEvent: ODM
C0042029 (UMLS CUI-2)
C0042029 (UMLS CUI [1,2])
C0205156 (UMLS CUI [1,2])
C0042029 (UMLS CUI [1,3])
C0042029 (UMLS CUI [1,2])
C0042029 (UMLS CUI [1,2])
C2348235 (UMLS CUI [1,3])
C0808070 (UMLS CUI [1,2])
C0806020 (UMLS CUI [1,2])
C0028900 (UMLS CUI [1,2])
C0031831 (UMLS CUI [1,2])
C0948233 (UMLS CUI [1,2])
C0178602 (UMLS CUI [1,2])
C3476109 (UMLS CUI [1,2])
C0808070 (UMLS CUI [1,2])
C0806020 (UMLS CUI [1,2])
C0178602 (UMLS CUI [1,2])
C3476109 (UMLS CUI [1,2])
C0808070 (UMLS CUI [1,2])
C0806020 (UMLS CUI [1,2])
C0178602 (UMLS CUI [1,2])
C3476109 (UMLS CUI [1,2])
C0808070 (UMLS CUI [1,2])
C0806020 (UMLS CUI [1,2])
C1517331 (UMLS CUI-2)
C1517331 (UMLS CUI [1,2])
C0042029 (UMLS CUI [1,2])
C1517331 (UMLS CUI [1,3])
C0042029 (UMLS CUI [1,2])
C0028900 (UMLS CUI [1,3])
C0042029 (UMLS CUI [1,2])
C0031831 (UMLS CUI [1,3])
C0042029 (UMLS CUI [1,2])
C0948233 (UMLS CUI [1,3])
C0042029 (UMLS CUI-2)
C1517331 (UMLS CUI-3)
C1517331 (UMLS CUI [1,2])
C1517331 (UMLS CUI [1,2])
C1517331 (UMLS CUI [1,2])
C0178602 (UMLS CUI [1,3])
C1517331 (UMLS CUI [1,2])
C3476109 (UMLS CUI [1,3])
C1517331 (UMLS CUI [1,2])
C0808070 (UMLS CUI [1,3])
C1517331 (UMLS CUI [1,2])
C0806020 (UMLS CUI [1,3])
C1517331 (UMLS CUI [1,2])
C1517331 (UMLS CUI [1,2])
C0178602 (UMLS CUI [1,3])
C1517331 (UMLS CUI [1,2])
C3476109 (UMLS CUI [1,3])
C1517331 (UMLS CUI [1,2])
C0808070 (UMLS CUI [1,3])
C1517331 (UMLS CUI [1,2])
C0806020 (UMLS CUI [1,3])
C1517331 (UMLS CUI [1,2])
C1517331 (UMLS CUI [1,2])
C0178602 (UMLS CUI [1,3])
C1517331 (UMLS CUI [1,2])
C3476109 (UMLS CUI [1,3])
C1517331 (UMLS CUI [1,2])
C0808070 (UMLS CUI [1,3])
C1517331 (UMLS CUI [1,2])
C0806020 (UMLS CUI [1,3])
C2348235 (UMLS CUI [1,2])
C0808070 (UMLS CUI [1,2])
C0806020 (UMLS CUI [1,2])
C0392760 (UMLS CUI [1,2])
C0028900 (UMLS CUI [1,2])
C0031831 (UMLS CUI [1,2])
C0087111 (UMLS CUI [1,2])
C0034927 (UMLS CUI [1,2])
C0087111 (UMLS CUI [1,2])
C2348235 (UMLS CUI [1,3])
C1457887 (UMLS CUI-2)
C0178602 (UMLS CUI [1,2])
C3476109 (UMLS CUI [1,2])
C0808070 (UMLS CUI [1,2])
C0806020 (UMLS CUI [1,2])
C0178602 (UMLS CUI [1,2])
C3476109 (UMLS CUI [1,2])
C0808070 (UMLS CUI [1,2])
C0806020 (UMLS CUI [1,2])
C0178602 (UMLS CUI [1,2])
C3476109 (UMLS CUI [1,2])
C0808070 (UMLS CUI [1,2])
C0806020 (UMLS CUI [1,2])
C1457887 (UMLS CUI [1,2])
C0011900 (UMLS CUI [1,2])
C0877248 (UMLS CUI [1,2])
C0013227 (UMLS CUI [1,2])
C2347852 (UMLS CUI [1,2])
C0016610 (UMLS CUI [1,2])
C0885849 (UMLS CUI [1,2])