ID

28440

Beskrivning

Study part: Medical and Surgical History Screening . A Phase III, Multicenter, Randomized, Double-Masked, Active Treatment-Controlled Study Of The Efficacy And Safety Of rhuFab V2 (Ranibizumab) Compared With Verteporfin (Visudyne®) Photodynamic Therapy In Subjects With Predominantly Classic Subfoveal Neovascular Age-Related Macular Degeneration.

Nyckelord

Versioner (1)
  1. 2018-01-13 2018-01-13 -
Rättsinnehavare

Roche

Uppladdad den

13 januari 2018

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.

Medical and Surgical History Screening rhuFab V2 Neovascular Age-Related Macular Degeneration FVF2587g

Engelsk

Medical and Surgical History Screening

1 Formulär  
MEDICAL AND SURGICAL HISTORY (SCREENING)
Beskrivning

MEDICAL AND SURGICAL HISTORY (SCREENING)

Alias
UMLS CUI-1
C0262926
Subject Number:
Beskrivning

Subject Number

Datatyp

text

Alias
UMLS CUI [1]
C2348585
Subject Initials:
Beskrivning

Subject Initials

Datatyp

text

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

Visit Date

Datatyp

date

Alias
UMLS CUI [1]
C1320303
Does subject have history of conditions or procedures?
Beskrivning

Medical History

Datatyp

boolean

Alias
UMLS CUI [1]
C0262926
Description of Condition or Procedure:
Beskrivning

Medical History

Datatyp

text

Alias
UMLS CUI [1]
C0262926
System Code
Beskrivning

Organ system code

Datatyp

text

Alias
UMLS CUI [1,1]
C0678852
UMLS CUI [1,2]
C0805701
Event Type
Beskrivning

Medical history

Datatyp

text

Alias
UMLS CUI [1]
C0262926
Condition Currently Active?
Beskrivning

Medical condition ongoing

Datatyp

boolean

Alias
UMLS CUI [1,1]
C0012634
UMLS CUI [1,2]
C0549178
Onset Date / Procedure Date
Beskrivning

Onset Date

Datatyp

date

Alias
UMLS CUI [1]
C0574845
Date Unknown
Beskrivning

Date unknown

Datatyp

boolean

Alias
UMLS CUI [1,1]
C0011008
UMLS CUI [1,2]
C0439673
Tillbaka till toppen

Similar models

Medical and Surgical History Screening

1 Formulär
Name
Typ
Description | Question | Decode (Coded Value)
Datatyp
Alias
Item Group
MEDICAL AND SURGICAL HISTORY (SCREENING)
C0262926 (UMLS CUI-1)
Subject Number
Item
Subject Number:
text
C2348585 (UMLS CUI [1])
Subject Initials
Item
Subject Initials:
text
C1997894 (UMLS CUI [1,1])
C2986440 (UMLS CUI [1,2])
Visit Date
Item
Visit Date:
date
C1320303 (UMLS CUI [1])
Medical History
Item
Does subject have history of conditions or procedures?
boolean
C0262926 (UMLS CUI [1])
Medical History
Item
Description of Condition or Procedure:
text
C0262926 (UMLS CUI [1])
Item
System Code
text
C0678852 (UMLS CUI [1,1])
C0805701 (UMLS CUI [1,2])
Organ system code
Code List
System Code
CL Item
HEENT (1)
C1512338 (UMLS CUI-1)
(Comment:en)
CL Item
Endocrine (2)
C0014136 (UMLS CUI-1)
(Comment:en)
CL Item
Respiratory (3)
C0035237 (UMLS CUI-1)
(Comment:en)
CL Item
Cardiovascular (4)
C0007226 (UMLS CUI-1)
(Comment:en)
CL Item
Breast (5)
C0006141 (UMLS CUI-1)
(Comment:en)
CL Item
Gastrointestinal (6)
C0012240 (UMLS CUI-1)
(Comment:en)
CL Item
Genitourinary/Reproductive (7)
C0042066 (UMLS CUI-1)
(Comment:en)
CL Item
Musculoskeletal/Rheumatic (8)
C0026860 (UMLS CUI-1)
(Comment:en)
CL Item
Neurologic/Psychiatric (9)
C0027763 (UMLS CUI-1)
(Comment:en)
CL Item
Dermatologic (10)
C0205489 (UMLS CUI-1)
(Comment:en)
CL Item
Ophthalmologic (11)
CL Item
Other (99)
Item
Event Type
text
C0262926 (UMLS CUI [1])
Medical history
Code List
Event Type
CL Item
Condition (Condition)
C0012634 (UMLS CUI-1)
(Comment:en)
CL Item
Procedure (Procedure)
C0087111 (UMLS CUI-1)
(Comment:en)
Medical condition ongoing
Item
Condition Currently Active?
boolean
C0012634 (UMLS CUI [1,1])
C0549178 (UMLS CUI [1,2])
Onset Date
Item
Onset Date / Procedure Date
date
C0574845 (UMLS CUI [1])
Date unknown
Item
Date Unknown
boolean
C0011008 (UMLS CUI [1,1])
C0439673 (UMLS CUI [1,2])
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