ID

29207

Descripción

A Phase IIa prospective, open-label, multicenter study to determine the pharmacokinetics (PK) and safety and tolerability of aztreonam-avibactam (ATM-AVI) for the treatment of complicated Intra-Abdominal Infections (cIAIs) in hospitalized adults. NCT02655419 Sponsors and Collaborators: Pfizer Innovative Medicines Initiative (IMI) COMBACTE-CARE Investigators: Study Director:Pfizer CT.gov Call Center;Pfizer Principal Investigator:Oliver Cornely;Clinical Trials Centre Cologne

Palabras clave

  1. 7/3/18 7/3/18 -
  2. 17/9/21 17/9/21 -
Titular de derechos de autor

Pfizer

Subido en

7 de marzo de 2018

DOI

10.21961/mdm:29207

Licencia

Creative Commons BY-NC 3.0

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REJUVENATE NCT02655419

Screening Visit

Administrative Information
Descripción

Administrative Information

Alias
UMLS CUI-1
C1320722
Trial
Descripción

Trial name

Tipo de datos

text

Alias
UMLS CUI [1]
C1629065
Type of Wound
Descripción

Type of Wound

Tipo de datos

integer

Alias
UMLS CUI [1]
C1276783
Site name
Descripción

Study site

Tipo de datos

text

Alias
UMLS CUI [1]
C2825164
Examination performed
Descripción

Examination performed

Tipo de datos

boolean

Alias
UMLS CUI [1]
C0031809
If no, provide reason
Descripción

Not done reason

Tipo de datos

text

Alias
UMLS CUI [1]
C2826287
Does the Patient have a Superficial Infection?
Descripción

Superficial Infection

Tipo de datos

boolean

Alias
UMLS CUI [1,1]
C0043241
UMLS CUI [1,2]
C0205124
Does the Patient have a Deep Wound Infection?
Descripción

Deep Wound Infection

Tipo de datos

boolean

Alias
UMLS CUI [1]
C0406103
Patient Information
Descripción

Patient Information

Alias
UMLS CUI-1
C1955348
Kind of other Wound Type
Descripción

other Wound Type

Tipo de datos

text

Alias
UMLS CUI [1,1]
C1276783
UMLS CUI [1,2]
C0205394
Patient Caption
Descripción

Patient Caption

Tipo de datos

text

Alias
UMLS CUI [1,1]
C2825231
UMLS CUI [1,2]
C0030705
Negative Pressure Wound Device present
Descripción

Negative Pressure Wound Device

Tipo de datos

boolean

Alias
UMLS CUI [1]
C1956078
Specimen for Culture obtained
Descripción

Specimen collection for culture

Tipo de datos

boolean

Alias
UMLS CUI [1,1]
C0200345
UMLS CUI [1,2]
C0430400
Signs and Symptoms
Descripción

Signs and Symptoms

Tipo de datos

integer

Alias
UMLS CUI [1]
C0037088
Visit Name
Descripción

Visit Name

Tipo de datos

text

Alias
UMLS CUI [1]
C2826704
Visit Number
Descripción

Visit Number

Tipo de datos

integer

Alias
UMLS CUI [1]
C1549755
Visit Date
Descripción

Visit Date

Tipo de datos

date

Alias
UMLS CUI [1]
C1320303
Demography
Descripción

Demography

Alias
UMLS CUI-1
C0011298
Clinical Event Intensity
Descripción

Event Intensity

Tipo de datos

integer

Alias
UMLS CUI [1]
C0518690
If not assessed, please provide a comment
Descripción

not assessed,comment

Tipo de datos

text

Alias
UMLS CUI [1,1]
C3846720
UMLS CUI [1,2]
C0947611
If not assessed, please provide a comment
Descripción

not assessed,comment

Tipo de datos

text

Alias
UMLS CUI [1,1]
C3846720
UMLS CUI [1,2]
C0947611
Please specify Other Sign or Symptom
Descripción

Other Sign or Symptom,specify

Tipo de datos

text

Alias
UMLS CUI [1,1]
C0037088
UMLS CUI [1,2]
C3845569
CRF Comment
Descripción

Comment

Tipo de datos

text

Alias
UMLS CUI [1]
C0947611
Surgery performed
Descripción

Surgery performed

Tipo de datos

boolean

Alias
UMLS CUI [1]
C0543467
Kind of Surgical Procedure
Descripción

Surgery time

Tipo de datos

integer

Alias
UMLS CUI [1,1]
C0683312
UMLS CUI [1,2]
C0543467
Surgical Procedure
Descripción

Surgical Procedure

Tipo de datos

integer

Alias
UMLS CUI [1]
C0543467
Other procedure
Descripción

Other procedure

Tipo de datos

text

Alias
UMLS CUI [1]
C0543467
Alcohol and Smoking History
Descripción

Alcohol and Smoking History

Alias
UMLS CUI-1
C0038586
UMLS CUI-2
C0262926
Alcohol Usage
Descripción

Alcohol Usage

Tipo de datos

integer

Alias
UMLS CUI [1]
C0001948
Smoking status
Descripción

Smoking status

Tipo de datos

integer

Alias
UMLS CUI [1]
C1519386
Cumulative pack years
Descripción

Cumulative pack years

Tipo de datos

integer

Alias
UMLS CUI [1]
C1277691
Time since Smoking Cessation
Descripción

Time since Smoking Cessation

Tipo de datos

integer

Alias
UMLS CUI [1]
C0453997
Time unit ex-smoker
Descripción

Time unit ex-smoker

Tipo de datos

integer

Alias
UMLS CUI [1,1]
C0337671
UMLS CUI [1,2]
C1519795
UMLS CUI [1,3]
C0449238
CRF Comment
Descripción

Comment

Tipo de datos

text

Alias
UMLS CUI [1]
C0947611
Type of Substance
Descripción

Type of Substance

Alias
UMLS CUI-1
C0038586
UMLS CUI-2
C0332307
Type of Substance
Descripción

Type of Substance

Tipo de datos

integer

Alias
UMLS CUI [1,1]
C0038586
UMLS CUI [1,2]
C0332307
Alcohol Use
Descripción

Alcohol Use

Tipo de datos

boolean

Alias
UMLS CUI [1]
C0001948
Kind of Other Substance
Descripción

Kind of Other Substance

Tipo de datos

text

Alias
UMLS CUI [1,1]
C0439861
UMLS CUI [1,2]
C0205394
Cumulative Number of Units
Descripción

(1 unit = 1/2 pint beer (285mL); 125 mL wine; 25mL spirit)

Tipo de datos

integer

Alias
UMLS CUI [1,1]
C2986497
UMLS CUI [1,2]
C0449961
Frequency
Descripción

Frequency

Tipo de datos

integer

Alias
UMLS CUI [1,1]
C0001948
UMLS CUI [1,2]
C0439603
Eligibility determination
Descripción

Eligibility determination

Alias
UMLS CUI-1
C0013893
Subject complies with all inclusion / exclusion criteria
Descripción

In case of failed criterion, please complete 'Completion / Withdrawal form'

Tipo de datos

boolean

Alias
UMLS CUI [1]
C0013893
CRF Comment
Descripción

Comment

Tipo de datos

text

Alias
UMLS CUI [1]
C0947611
Failed IE criteria
Descripción

Failed IE criteria

Alias
UMLS CUI-1
C1516637
UMLS CUI-2
C0231175
Failed criterion
Descripción

e.g. 2, 3a etc.

Tipo de datos

text

Alias
UMLS CUI [1,1]
C1516637
UMLS CUI [1,2]
C0231175
Criteria type
Descripción

Criteria type

Tipo de datos

integer

Alias
UMLS CUI [1]
C1516637
Medical and surgical history
Descripción

Medical and surgical history

Alias
UMLS CUI-1
C0262926
UMLS CUI-2
C0489540
Any relevant medical and surgical history?
Descripción

Please give information on medical and surgical history where relevant for the disease under study, e.g. immune deficiency, intra-abdominal surgeries/ pathological findings, hepatic or renal impairment etc. Concomitant Medication (within the last two weeks prior to study start) has to be documented on the referring eCRF

Tipo de datos

boolean

Alias
UMLS CUI [1,1]
C0262926
UMLS CUI [1,2]
C0489540
CRF Comment
Descripción

Comment

Tipo de datos

text

Alias
UMLS CUI [1]
C0947611
Medical / surgical event
Descripción

Medical / surgical event

Alias
UMLS CUI-1
C1948041
UMLS CUI-2
C0262926
Condition, Illness, Diagnosis for Surgical Procedure
Descripción

Diagnosis

Tipo de datos

text

Alias
UMLS CUI [1]
C0011900
Start Date
Descripción

Start Date

Tipo de datos

date

Alias
UMLS CUI [1]
C0808070
End Date
Descripción

End Date

Tipo de datos

date

Alias
UMLS CUI [1]
C0806020
Ongoing at screening visit
Descripción

Ongoing at screening visit

Tipo de datos

boolean

Alias
UMLS CUI [1]
C0549178
Physical Examination
Descripción

Physical Examination

Alias
UMLS CUI-1
C0031809
Examination performed
Descripción

Examination performed

Tipo de datos

boolean

Alias
UMLS CUI [1]
C0031809
if 'no', provide reason
Descripción

Not done reason

Tipo de datos

text

Alias
UMLS CUI [1]
C2826287
Weight
Descripción

Patient Weight

Tipo de datos

float

Unidades de medida
  • kg
Alias
UMLS CUI [1]
C0005910
kg
Height
Descripción

Height

Tipo de datos

integer

Unidades de medida
  • cm
Alias
UMLS CUI [1]
C0005890
cm
CRF Comment
Descripción

Comment

Tipo de datos

text

Alias
UMLS CUI [1]
C0947611
Physical examination
Descripción

Physical examination

Alias
UMLS CUI-1
C0031809
Body system
Descripción

Body system

Tipo de datos

integer

Alias
UMLS CUI [1,1]
C0460002
UMLS CUI [1,2]
C0031809
Result
Descripción

Result

Tipo de datos

integer

Alias
UMLS CUI [1]
C1274040
if 'abnormal', brief description
Descripción

Description of finding

Tipo de datos

text

Alias
UMLS CUI [1,1]
C0747585
UMLS CUI [1,2]
C0678257
if 'abnormal', assessment of clinical significance
Descripción

clinical significance

Tipo de datos

boolean

Alias
UMLS CUI [1]
C2826293
Kind of other examination
Descripción

other examination

Tipo de datos

text

Alias
UMLS CUI [1]
C0260879
Diagnosis of Current Intra-Abdominal Infection
Descripción

Diagnosis of Current Intra-Abdominal Infection

Alias
UMLS CUI-1
C1112209
UMLS CUI-2
C0521116
Study Qualifying Intra-Abdominal Diagnosis
Descripción

Study Qualifying Intra-Abdominal Diagnosis

Tipo de datos

integer

Alias
UMLS CUI [1,1]
C1514624
UMLS CUI [1,2]
C1112209
Abscess
Descripción

Abscess

Tipo de datos

integer

Alias
UMLS CUI [1]
C0000833
Was this Infection a Complication of a Previous Abdominal Surgery?
Descripción

Cause of Infection

Tipo de datos

boolean

Alias
UMLS CUI [1,1]
C3714514
UMLS CUI [1,2]
C0015127
Is this infection considered a failure of previous treatment?
Descripción

Cause of Infection

Tipo de datos

boolean

Alias
UMLS CUI [1,1]
C3714514
UMLS CUI [1,2]
C0015127
Date of Previous Surgery
Descripción

Date of Previous Surgery

Tipo de datos

date

Alias
UMLS CUI [1,1]
C0011008
UMLS CUI [1,2]
C0543467
Site of Source of Infection
Descripción

Site of Source of Infection

Alias
UMLS CUI-1
C0449426
UMLS CUI-2
C1515974
Site of Source of Infection
Descripción

Site of Source of Infection

Tipo de datos

integer

Alias
UMLS CUI [1,1]
C0449426
UMLS CUI [1,2]
C1515974
Other Location
Descripción

Other Location

Tipo de datos

text

Alias
UMLS CUI [1]
C1515974
Radiological Examination
Descripción

Radiological Examination

Alias
UMLS CUI-1
C0043299
Any Radiological Examination in Relation to the Diagnosis?
Descripción

Radiological Examination

Tipo de datos

boolean

Alias
UMLS CUI [1]
C0043299
Kind of Radiological Examination
Descripción

Radiological Examination

Tipo de datos

text

Alias
UMLS CUI [1]
C0043299
Radiological Findings
Descripción

Radiological Findings

Tipo de datos

text

Alias
UMLS CUI [1,1]
C0043299
UMLS CUI [1,2]
C0243095
CRF Comment
Descripción

Comment

Tipo de datos

text

Alias
UMLS CUI [1]
C0947611
Infection-related Examination
Descripción

Infection-related Examination

Alias
UMLS CUI-1
C3714514
UMLS CUI-2
C0031809
Examination performed
Descripción

Examination performed

Tipo de datos

boolean

Alias
UMLS CUI [1]
C0031809
if 'no', provide reason
Descripción

Not done reason

Tipo de datos

text

Alias
UMLS CUI [1]
C2826287
CRF Comment
Descripción

Comment

Tipo de datos

text

Alias
UMLS CUI [1]
C0947611
Infection related Signs and Symptoms
Descripción

Infection related Signs and Symptoms

Alias
UMLS CUI-1
C0037088
UMLS CUI-2
C3714514
Signs and Symptoms
Descripción

Signs and Symptoms

Tipo de datos

integer

Alias
UMLS CUI [1]
C0037088
Please specify Other Sign or Symptom
Descripción

Other Sign or Symptom

Tipo de datos

text

Alias
UMLS CUI [1,1]
C0037088
UMLS CUI [1,2]
C0205394
Clinical Event Intensity
Descripción

Clinical Event Intensity

Tipo de datos

integer

Alias
UMLS CUI [1]
C0518690
Vital Signs examination
Descripción

Vital Signs examination

Alias
UMLS CUI-1
C0518766
UMLS CUI-2
C0031809
Examination performed
Descripción

Examination performed

Tipo de datos

boolean

Alias
UMLS CUI [1]
C0031809
if 'no', provide reason
Descripción

Not done reason

Tipo de datos

text

Alias
UMLS CUI [1]
C2826287
Supine Blood Pressure Systolic
Descripción

Supine Blood Pressure Systolic

Tipo de datos

integer

Unidades de medida
  • mmHg
Alias
UMLS CUI [1,1]
C0871470
UMLS CUI [1,2]
C0038846
mmHg
Clinically relevant?
Descripción

Relevance

Tipo de datos

boolean

Alias
UMLS CUI [1]
C2347946
Supine Blood Pressure Diastolic
Descripción

Supine Blood Pressure Diastolic

Tipo de datos

integer

Unidades de medida
  • mmHg
Alias
UMLS CUI [1,1]
C0428883
UMLS CUI [1,2]
C0038846
mmHg
Clinically relevant?
Descripción

Relevance

Tipo de datos

boolean

Alias
UMLS CUI [1]
C2347946
Heart rate
Descripción

Heart rate

Tipo de datos

integer

Unidades de medida
  • bpm
Alias
UMLS CUI [1]
C0018810
bpm
Clinically relevant?
Descripción

Relevance

Tipo de datos

boolean

Alias
UMLS CUI [1]
C2347946
Respiratory Rate
Descripción

Respiratory Rate

Tipo de datos

integer

Unidades de medida
  • breaths/min
Alias
UMLS CUI [1]
C0231832
breaths/min
Clinically relevant?
Descripción

Relevance

Tipo de datos

boolean

Alias
UMLS CUI [1]
C2347946
CRF Comment
Descripción

Comment

Tipo de datos

text

Alias
UMLS CUI [1]
C0947611
Temperature
Descripción

Temperature

Alias
UMLS CUI-1
C0005903
Temperature
Descripción

Temperature

Tipo de datos

float

Unidades de medida
  • °C
Alias
UMLS CUI [1]
C0039476
°C
Time of measurement
Descripción

HH:MM

Tipo de datos

time

Alias
UMLS CUI [1,1]
C0242485
UMLS CUI [1,2]
C0040223
Method of Measurement
Descripción

Method of Measurement

Tipo de datos

integer

Alias
UMLS CUI [1,1]
C1299991
UMLS CUI [1,2]
C0039476
Kind of Other Method
Descripción

Other Method

Tipo de datos

text

Alias
UMLS CUI [1,1]
C1299991
UMLS CUI [1,2]
C0205394
Clinically relevant?
Descripción

Relevance

Tipo de datos

boolean

Alias
UMLS CUI [1]
C2347946
Laboratory Tests
Descripción

Laboratory Tests

Alias
UMLS CUI-1
C1880016
UMLS CUI-2
C0022885
Clinical Chemistry sample collected
Descripción

Clinical Chemistry sample collected

Tipo de datos

boolean

Alias
UMLS CUI [1,1]
C0200345
UMLS CUI [1,2]
C0008000
If 'no', please provide reason
Descripción

Not done reason

Tipo de datos

integer

Alias
UMLS CUI [1]
C2826287
Other, please specify
Descripción

Other, please specify

Tipo de datos

text

Alias
UMLS CUI [1]
C3845569
Collection Date
Descripción

Collection Date

Tipo de datos

date

Alias
UMLS CUI [1]
C1302413
Collection time
Descripción

Collection time

Tipo de datos

time

Alias
UMLS CUI [1]
C4064021
Central Lab ID
Descripción

Central Laboratory ID

Tipo de datos

text

Alias
UMLS CUI [1,1]
C1880016
UMLS CUI [1,2]
C2986056
Sample sent to central lab
Descripción

Sample sent to central lab

Tipo de datos

boolean

Alias
UMLS CUI [1,1]
C0370003
UMLS CUI [1,2]
C1515023
UMLS CUI [1,3]
C1880016
If 'no', please provide reason
Descripción

Not done reason

Tipo de datos

text

Alias
UMLS CUI [1]
C2826287
Hematology sample collected
Descripción

Hematology sample collected

Tipo de datos

boolean

Alias
UMLS CUI [1,1]
C0200345
UMLS CUI [1,2]
C0018941
If 'no', please provide reason
Descripción

Not done reason

Tipo de datos

integer

Alias
UMLS CUI [1]
C2826287
Other, please specify
Descripción

Other, please specify

Tipo de datos

text

Alias
UMLS CUI [1]
C3845569
Collection Date
Descripción

Collection Date

Tipo de datos

date

Alias
UMLS CUI [1]
C1302413
Collection time
Descripción

Collection time

Tipo de datos

time

Alias
UMLS CUI [1]
C4064021
Central Lab ID
Descripción

Central Laboratory ID

Tipo de datos

text

Alias
UMLS CUI [1,1]
C1880016
UMLS CUI [1,2]
C2986056
Sample sent to central lab
Descripción

Sample sent to central lab

Tipo de datos

boolean

Alias
UMLS CUI [1,1]
C0370003
UMLS CUI [1,2]
C1515023
UMLS CUI [1,3]
C1880016
If 'no', please provide reason
Descripción

Not done reason

Tipo de datos

text

Alias
UMLS CUI [1]
C2826287
Urinalysis sample collected
Descripción

Urinalysis sample collected

Tipo de datos

boolean

Alias
UMLS CUI [1,1]
C0200345
UMLS CUI [1,2]
C0042014
If 'no', please provide reason
Descripción

Not done reason

Tipo de datos

integer

Alias
UMLS CUI [1]
C2826287
Other, please specify
Descripción

Other, please specify

Tipo de datos

text

Alias
UMLS CUI [1]
C3845569
Collection Date
Descripción

Collection Date

Tipo de datos

date

Alias
UMLS CUI [1]
C1302413
Collection time
Descripción

Collection time

Tipo de datos

time

Alias
UMLS CUI [1]
C4064021
Central Lab ID
Descripción

Central Laboratory ID

Tipo de datos

text

Alias
UMLS CUI [1,1]
C1880016
UMLS CUI [1,2]
C2986056
Sample sent to central lab
Descripción

Sample sent to central lab

Tipo de datos

boolean

Alias
UMLS CUI [1,1]
C0370003
UMLS CUI [1,2]
C1515023
UMLS CUI [1,3]
C1880016
If 'no', please provide reason
Descripción

Not done reason

Tipo de datos

text

Alias
UMLS CUI [1]
C2826287
CRF Comment
Descripción

Comment

Tipo de datos

text

Alias
UMLS CUI [1]
C0947611
Local Lab at Screening
Descripción

Local Lab at Screening

Alias
UMLS CUI-1
C0587081
Clinical Chemistry sample collected
Descripción

Clinical Chemistry sample collected

Tipo de datos

boolean

Alias
UMLS CUI [1,1]
C0200345
UMLS CUI [1,2]
C0008000
If 'no', please provide reason
Descripción

Not done reason

Tipo de datos

integer

Alias
UMLS CUI [1]
C2826287
Other, please specify
Descripción

Other, please specify

Tipo de datos

text

Alias
UMLS CUI [1]
C3845569
Collection Date
Descripción

Collection Date

Tipo de datos

date

Alias
UMLS CUI [1]
C1302413
Collection time
Descripción

Collection time

Tipo de datos

time

Alias
UMLS CUI [1]
C4064021
Serum Creatinine
Descripción

Serum Creatinine

Tipo de datos

float

Alias
UMLS CUI [1]
C0201976
not done
Descripción

not done

Tipo de datos

boolean

Alias
UMLS CUI [1]
C1272696
Lab unit
Descripción

Unit used

Tipo de datos

integer

Alias
UMLS CUI [1]
C1519795
other lab unit
Descripción

other unit

Tipo de datos

text

Alias
UMLS CUI [1,1]
C1519795
UMLS CUI [1,2]
C0205394
lower limit of normal
Descripción

lower limit of normal

Tipo de datos

integer

Alias
UMLS CUI [1]
C1518030
Upper limit of normal
Descripción

ULN

Tipo de datos

integer

Alias
UMLS CUI [1]
C1519815
Was this value clinically signifcant?
Descripción

Significance

Tipo de datos

boolean

Alias
UMLS CUI [1]
C2826633
AST (GOT)
Descripción

AST (GOT)

Tipo de datos

integer

Alias
UMLS CUI [1]
C0201899
not done
Descripción

not done

Tipo de datos

boolean

Alias
UMLS CUI [1]
C1272696
other lab unit
Descripción

other unit

Tipo de datos

text

Alias
UMLS CUI [1,1]
C1519795
UMLS CUI [1,2]
C0205394
lower limit of normal
Descripción

lower limit of normal

Tipo de datos

integer

Alias
UMLS CUI [1]
C1518030
Upper limit of normal
Descripción

ULN

Tipo de datos

integer

Alias
UMLS CUI [1]
C1519815
Was this value clinically signifcant?
Descripción

Significance

Tipo de datos

boolean

Alias
UMLS CUI [1]
C2826633
ALT (GPT)
Descripción

ALT (GPT)

Tipo de datos

integer

Alias
UMLS CUI [1]
C0201836
not done
Descripción

not done

Tipo de datos

boolean

Alias
UMLS CUI [1]
C1272696
other lab unit
Descripción

other unit

Tipo de datos

text

Alias
UMLS CUI [1,1]
C1519795
UMLS CUI [1,2]
C0205394
lower limit of normal
Descripción

lower limit of normal

Tipo de datos

integer

Alias
UMLS CUI [1]
C1518030
Upper limit of normal
Descripción

ULN

Tipo de datos

integer

Alias
UMLS CUI [1]
C1519815
Was this value clinically signifcant?
Descripción

Significance

Tipo de datos

boolean

Alias
UMLS CUI [1]
C2826633
ALP
Descripción

ALP

Tipo de datos

integer

Alias
UMLS CUI [1]
C0201850
not done
Descripción

not done

Tipo de datos

boolean

Alias
UMLS CUI [1]
C1272696
other lab unit
Descripción

other unit

Tipo de datos

text

Alias
UMLS CUI [1,1]
C1519795
UMLS CUI [1,2]
C0205394
lower limit of normal
Descripción

lower limit of normal

Tipo de datos

integer

Alias
UMLS CUI [1]
C1518030
Upper limit of normal
Descripción

ULN

Tipo de datos

integer

Alias
UMLS CUI [1]
C1519815
Was this value clinically signifcant?
Descripción

Significance

Tipo de datos

boolean

Alias
UMLS CUI [1]
C2826633
Total Bilirubin
Descripción

Total Bilirubin

Tipo de datos

float

Alias
UMLS CUI [1]
C0201913
not done
Descripción

not done

Tipo de datos

boolean

Alias
UMLS CUI [1]
C1272696
other lab unit
Descripción

other unit

Tipo de datos

text

Alias
UMLS CUI [1,1]
C1519795
UMLS CUI [1,2]
C0205394
lower limit of normal
Descripción

lower limit of normal

Tipo de datos

integer

Alias
UMLS CUI [1]
C1518030
Upper limit of normal
Descripción

ULN

Tipo de datos

integer

Alias
UMLS CUI [1]
C1519815
Was this value clinically signifcant?
Descripción

Significance

Tipo de datos

boolean

Alias
UMLS CUI [1]
C2826633
Creatinine Clearance
Descripción

Creatinine Clearance

Tipo de datos

float

Unidades de medida
  • mL/min
Alias
UMLS CUI [1]
C0373595
mL/min
Was this value clinically signifcant?
Descripción

Significance

Tipo de datos

boolean

Alias
UMLS CUI [1]
C2826633
Hematology sample collected
Descripción

Hematology sample collected

Tipo de datos

boolean

Alias
UMLS CUI [1,1]
C0200345
UMLS CUI [1,2]
C0018941
If 'no', please provide reason
Descripción

Not done reason

Tipo de datos

integer

Alias
UMLS CUI [1]
C2826287
Other, please specify
Descripción

Other, please specify

Tipo de datos

text

Alias
UMLS CUI [1]
C3845569
Collection Date
Descripción

Collection Date

Tipo de datos

date

Alias
UMLS CUI [1]
C1302413
Collection time
Descripción

Collection time

Tipo de datos

time

Alias
UMLS CUI [1]
C4064021
WBC
Descripción

WBC

Tipo de datos

float

Alias
UMLS CUI [1]
C0023508
not done
Descripción

not done

Tipo de datos

boolean

Alias
UMLS CUI [1]
C1272696
other lab unit
Descripción

other unit

Tipo de datos

text

Alias
UMLS CUI [1,1]
C1519795
UMLS CUI [1,2]
C0205394
lower limit of normal
Descripción

lower limit of normal

Tipo de datos

integer

Alias
UMLS CUI [1]
C1518030
Upper limit of normal
Descripción

ULN

Tipo de datos

integer

Alias
UMLS CUI [1]
C1519815
Was this value clinically signifcant?
Descripción

Significance

Tipo de datos

boolean

Alias
UMLS CUI [1]
C2826633
Neutrophil count
Descripción

Neutrophil count

Tipo de datos

float

Alias
UMLS CUI [1]
C0948762
not done
Descripción

not done

Tipo de datos

boolean

Alias
UMLS CUI [1]
C1272696
other lab unit
Descripción

other unit

Tipo de datos

text

Alias
UMLS CUI [1,1]
C1519795
UMLS CUI [1,2]
C0205394
lower limit of normal
Descripción

lower limit of normal

Tipo de datos

integer

Alias
UMLS CUI [1]
C1518030
Upper limit of normal
Descripción

ULN

Tipo de datos

integer

Alias
UMLS CUI [1]
C1519815
Was this value clinically signifcant?
Descripción

Significance

Tipo de datos

boolean

Alias
UMLS CUI [1]
C2826633
Hematocrit
Descripción

Hematocrit

Tipo de datos

float

Alias
UMLS CUI [1]
C0518014
not done
Descripción

not done

Tipo de datos

boolean

Alias
UMLS CUI [1]
C1272696
other lab unit
Descripción

other unit

Tipo de datos

text

Alias
UMLS CUI [1,1]
C1519795
UMLS CUI [1,2]
C0205394
lower limit of normal
Descripción

lower limit of normal

Tipo de datos

integer

Alias
UMLS CUI [1]
C1518030
Upper limit of normal
Descripción

ULN

Tipo de datos

integer

Alias
UMLS CUI [1]
C1519815
Was this value clinically signifcant?
Descripción

Significance

Tipo de datos

boolean

Alias
UMLS CUI [1]
C2826633
Hemoglobin
Descripción

Hemoglobin

Tipo de datos

float

Alias
UMLS CUI [1]
C0019046
not done
Descripción

not done

Tipo de datos

boolean

Alias
UMLS CUI [1]
C1272696
other lab unit
Descripción

other unit

Tipo de datos

text

Alias
UMLS CUI [1,1]
C1519795
UMLS CUI [1,2]
C0205394
lower limit of normal
Descripción

lower limit of normal

Tipo de datos

integer

Alias
UMLS CUI [1]
C1518030
Upper limit of normal
Descripción

ULN

Tipo de datos

integer

Alias
UMLS CUI [1]
C1519815
Was this value clinically signifcant?
Descripción

Significance

Tipo de datos

boolean

Alias
UMLS CUI [1]
C2826633
Platelet count
Descripción

Platelets

Tipo de datos

float

Alias
UMLS CUI [1]
C0005821
not done
Descripción

not done

Tipo de datos

boolean

Alias
UMLS CUI [1]
C1272696
other lab unit
Descripción

other unit

Tipo de datos

text

Alias
UMLS CUI [1,1]
C1519795
UMLS CUI [1,2]
C0205394
lower limit of normal
Descripción

lower limit of normal

Tipo de datos

integer

Alias
UMLS CUI [1]
C1518030
Upper limit of normal
Descripción

ULN

Tipo de datos

integer

Alias
UMLS CUI [1]
C1519815
Was this value clinically signifcant?
Descripción

Significance

Tipo de datos

boolean

Alias
UMLS CUI [1]
C2826633
Pregnancy Test done
Descripción

Pregnancy Test done

Tipo de datos

boolean

Alias
UMLS CUI [1]
C0032976
If 'no', please provide reason
Descripción

Not done reason

Tipo de datos

integer

Alias
UMLS CUI [1]
C2826287
Other reason
Descripción

Other reason

Tipo de datos

text

Alias
UMLS CUI [1]
C3840932
Method of Testing
Descripción

Method of Testing

Tipo de datos

integer

Alias
UMLS CUI [1]
C0871511
Result of testing
Descripción

Result

Tipo de datos

integer

Alias
UMLS CUI [1]
C0427777
CRF Comment
Descripción

Comment

Tipo de datos

text

Alias
UMLS CUI [1]
C0947611
Microbiology
Descripción

Microbiology

Alias
UMLS CUI-1
C0085672
Was a specimen collected?
Descripción

Microbiology specimen collection

Tipo de datos

boolean

Alias
UMLS CUI [1,1]
C0200345
UMLS CUI [1,2]
C0025952
If no, please provide reason
Descripción

Not done reason

Tipo de datos

integer

Alias
UMLS CUI [1]
C2826287
Please specify inability
Descripción

inability

Tipo de datos

text

Alias
UMLS CUI [1,1]
C1299582
UMLS CUI [1,2]
C0200345
UMLS CUI [1,3]
C1521902
Please specify other reason
Descripción

inability

Tipo de datos

text

Alias
UMLS CUI [1,1]
C1299582
UMLS CUI [1,2]
C0200345
UMLS CUI [1,3]
C3845569
Date of collection
Descripción

Specimen collection date

Tipo de datos

date

Alias
UMLS CUI [1]
C1302413
Time of Collection
Descripción

Specimen collection time

Tipo de datos

time

Alias
UMLS CUI [1]
C4064021
Culture Processing Type
Descripción

Culture Processing Type

Tipo de datos

integer

Alias
UMLS CUI [1,1]
C0200949
UMLS CUI [1,2]
C0037793
UMLS CUI [1,3]
C0332307
Site of sample
Descripción

Specimen collection site

Tipo de datos

integer

Alias
UMLS CUI [1,1]
C0200345
UMLS CUI [1,2]
C1515974
Intra-Abdominal, please specify
Descripción

Intra-Abdominal, please specify

Tipo de datos

integer

Alias
UMLS CUI [1,1]
C1512910
UMLS CUI [1,2]
C1521902
Other site, please specify
Descripción

Other site, please specify

Tipo de datos

text

Alias
UMLS CUI [1,1]
C1515974
UMLS CUI [1,2]
C3845569
Culture outcome
Descripción

Culture outcome

Tipo de datos

integer

Alias
UMLS CUI [1,1]
C2242979
UMLS CUI [1,2]
C0587081
Isolate name
Descripción

Isolate name

Tipo de datos

text

Alias
UMLS CUI [1]
C1764827
Pathogen Type
Descripción

Pathogen Type

Tipo de datos

integer

Alias
UMLS CUI [1]
C0450254
Isolate Classification
Descripción

Isolate Classification

Tipo de datos

integer

Alias
UMLS CUI [1,1]
C1764827
UMLS CUI [1,2]
C0008902
Disc Zone ATM-AVI
Descripción

(mm, Aerobic Pathogens only)

Tipo de datos

text

Alias
UMLS CUI [1,1]
C1283010
UMLS CUI [1,2]
C0004521
UMLS CUI [2,1]
C1283010
UMLS CUI [2,2]
C3489748
Sample sent to Central Lab?
Descripción

Sample sent to Central Lab

Tipo de datos

boolean

Alias
UMLS CUI [1,1]
C1880016
UMLS CUI [1,2]
C0370003
UMLS CUI [1,3]
C1515023
Central Lab Accession ID Number
Descripción

Central Laboratory Accession ID Number

Tipo de datos

text

Alias
UMLS CUI [1,1]
C2826726
UMLS CUI [1,2]
C1880016
If no, reason
Descripción

Not done reason

Tipo de datos

text

Alias
UMLS CUI [1]
C2826287
Backup Sample sent to Central Lab (if necessary)?
Descripción

Backup Sample sent to Central Laboratory

Tipo de datos

boolean

Alias
UMLS CUI [1,1]
C0370003
UMLS CUI [1,2]
C1515023
UMLS CUI [1,3]
C1880016
CRF Comment
Descripción

Comment

Tipo de datos

text

Alias
UMLS CUI [1]
C0947611

Similar models

Screening Visit

Name
Tipo
Description | Question | Decode (Coded Value)
Tipo de datos
Alias
Item Group
Administrative Information
C1320722 (UMLS CUI-1)
Trial name
Item
Trial
text
C1629065 (UMLS CUI [1])
Item
Type of Wound
integer
C1276783 (UMLS CUI [1])
Code List
Type of Wound
CL Item
Surgical Incision Site (1)
CL Item
Laparoscopic Incision Site (2)
CL Item
Percutaneous Drainage Site (3)
CL Item
Other (99)
Study site
Item
Site name
text
C2825164 (UMLS CUI [1])
Examination performed
Item
Examination performed
boolean
C0031809 (UMLS CUI [1])
Not done reason
Item
If no, provide reason
text
C2826287 (UMLS CUI [1])
Superficial Infection
Item
Does the Patient have a Superficial Infection?
boolean
C0043241 (UMLS CUI [1,1])
C0205124 (UMLS CUI [1,2])
Deep Wound Infection
Item
Does the Patient have a Deep Wound Infection?
boolean
C0406103 (UMLS CUI [1])
Item Group
Patient Information
C1955348 (UMLS CUI-1)
other Wound Type
Item
Kind of other Wound Type
text
C1276783 (UMLS CUI [1,1])
C0205394 (UMLS CUI [1,2])
Patient Caption
Item
Patient Caption
text
C2825231 (UMLS CUI [1,1])
C0030705 (UMLS CUI [1,2])
Negative Pressure Wound Device
Item
Negative Pressure Wound Device present
boolean
C1956078 (UMLS CUI [1])
Specimen collection for culture
Item
Specimen for Culture obtained
boolean
C0200345 (UMLS CUI [1,1])
C0430400 (UMLS CUI [1,2])
Item
Signs and Symptoms
integer
C0037088 (UMLS CUI [1])
Code List
Signs and Symptoms
CL Item
Erythema (1)
CL Item
Induration (2)
CL Item
Tenderness (3)
CL Item
Warmth (4)
CL Item
Fluctuation (5)
CL Item
Swelling (6)
CL Item
Wound Pain (7)
CL Item
Dehiscence (8)
CL Item
Purulent Discharge (9)
CL Item
Non Purulent Discharge (10)
CL Item
Other (11)
Visit Name
Item
Visit Name
text
C2826704 (UMLS CUI [1])
Visit Number
Item
Visit Number
integer
C1549755 (UMLS CUI [1])
Visit Date
Item
Visit Date
date
C1320303 (UMLS CUI [1])
Item Group
Demography
C0011298 (UMLS CUI-1)
Item
Clinical Event Intensity
integer
C0518690 (UMLS CUI [1])
Code List
Clinical Event Intensity
CL Item
Absent (0)
CL Item
Mild (1)
CL Item
Moderate (2)
CL Item
Severe (3)
CL Item
Not Assessed (99)
not assessed,comment
Item
If not assessed, please provide a comment
text
C3846720 (UMLS CUI [1,1])
C0947611 (UMLS CUI [1,2])
not assessed,comment
Item
If not assessed, please provide a comment
text
C3846720 (UMLS CUI [1,1])
C0947611 (UMLS CUI [1,2])
Other Sign or Symptom,specify
Item
Please specify Other Sign or Symptom
text
C0037088 (UMLS CUI [1,1])
C3845569 (UMLS CUI [1,2])
Comment
Item
CRF Comment
text
C0947611 (UMLS CUI [1])
Surgery performed
Item
Surgery performed
boolean
C0543467 (UMLS CUI [1])
Item
Kind of Surgical Procedure
integer
C0683312 (UMLS CUI [1,1])
C0543467 (UMLS CUI [1,2])
Code List
Kind of Surgical Procedure
CL Item
Initial Procedure (1)
CL Item
Reintervention (2)
Item
Surgical Procedure
integer
C0543467 (UMLS CUI [1])
Code List
Surgical Procedure
CL Item
Laparotomy (1)
CL Item
Percutaneous Draingae of Abscess (2)
CL Item
Laparoscopy (3)
CL Item
Wound Debridement without Laparotomy (4)
CL Item
Other (99)
Other procedure
Item
Other procedure
text
C0543467 (UMLS CUI [1])
Item Group
Alcohol and Smoking History
C0038586 (UMLS CUI-1)
C0262926 (UMLS CUI-2)
Item
Alcohol Usage
integer
C0001948 (UMLS CUI [1])
Code List
Alcohol Usage
CL Item
never (0)
CL Item
current (1)
CL Item
former (2)
Item
Smoking status
integer
C1519386 (UMLS CUI [1])
Code List
Smoking status
CL Item
never smoker (1)
CL Item
ex-smoker (2)
CL Item
smoker (3)
Cumulative pack years
Item
Cumulative pack years
integer
C1277691 (UMLS CUI [1])
Time since Smoking Cessation
Item
Time since Smoking Cessation
integer
C0453997 (UMLS CUI [1])
Item
Time unit ex-smoker
integer
C0337671 (UMLS CUI [1,1])
C1519795 (UMLS CUI [1,2])
C0449238 (UMLS CUI [1,3])
Code List
Time unit ex-smoker
CL Item
Years (1)
CL Item
Months (2)
Comment
Item
CRF Comment
text
C0947611 (UMLS CUI [1])
Item Group
Type of Substance
C0038586 (UMLS CUI-1)
C0332307 (UMLS CUI-2)
Item
Type of Substance
integer
C0038586 (UMLS CUI [1,1])
C0332307 (UMLS CUI [1,2])
Code List
Type of Substance
CL Item
Wine (1)
CL Item
Beer  (2)
CL Item
Spirits  (3)
CL Item
Other (4)
Alcohol Use
Item
Alcohol Use
boolean
C0001948 (UMLS CUI [1])
Kind of Other Substance
Item
Kind of Other Substance
text
C0439861 (UMLS CUI [1,1])
C0205394 (UMLS CUI [1,2])
Cumulative Number of Units
Item
Cumulative Number of Units
integer
C2986497 (UMLS CUI [1,1])
C0449961 (UMLS CUI [1,2])
Item
Frequency
integer
C0001948 (UMLS CUI [1,1])
C0439603 (UMLS CUI [1,2])
Code List
Frequency
CL Item
per Day (1)
CL Item
per Week (2)
Item Group
Eligibility determination
C0013893 (UMLS CUI-1)
Subject complies with all inclusion / exclusion criteria
Item
Subject complies with all inclusion / exclusion criteria
boolean
C0013893 (UMLS CUI [1])
Comment
Item
CRF Comment
text
C0947611 (UMLS CUI [1])
Item Group
Failed IE criteria
C1516637 (UMLS CUI-1)
C0231175 (UMLS CUI-2)
Failed eligibility criteria
Item
Failed criterion
text
C1516637 (UMLS CUI [1,1])
C0231175 (UMLS CUI [1,2])
Item
Criteria type
integer
C1516637 (UMLS CUI [1])
Code List
Criteria type
CL Item
inclusion (1)
CL Item
exclusion (2)
Item Group
Medical and surgical history
C0262926 (UMLS CUI-1)
C0489540 (UMLS CUI-2)
medical and surgical history
Item
Any relevant medical and surgical history?
boolean
C0262926 (UMLS CUI [1,1])
C0489540 (UMLS CUI [1,2])
Comment
Item
CRF Comment
text
C0947611 (UMLS CUI [1])
Item Group
Medical / surgical event
C1948041 (UMLS CUI-1)
C0262926 (UMLS CUI-2)
Diagnosis
Item
Condition, Illness, Diagnosis for Surgical Procedure
text
C0011900 (UMLS CUI [1])
Start Date
Item
Start Date
date
C0808070 (UMLS CUI [1])
End Date
Item
End Date
date
C0806020 (UMLS CUI [1])
Ongoing at screening visit
Item
Ongoing at screening visit
boolean
C0549178 (UMLS CUI [1])
Item Group
Physical Examination
C0031809 (UMLS CUI-1)
Examination performed
Item
Examination performed
boolean
C0031809 (UMLS CUI [1])
Not done reason
Item
if 'no', provide reason
text
C2826287 (UMLS CUI [1])
Patient Weight
Item
Weight
float
C0005910 (UMLS CUI [1])
Height
Item
Height
integer
C0005890 (UMLS CUI [1])
Comment
Item
CRF Comment
text
C0947611 (UMLS CUI [1])
Item Group
Physical examination
C0031809 (UMLS CUI-1)
Item
Body system
integer
C0460002 (UMLS CUI [1,1])
C0031809 (UMLS CUI [1,2])
Code List
Body system
CL Item
Other (10)
CL Item
Neurological (9)
CL Item
Musculoskeletal (8)
CL Item
Abdomen (Wound Exam. at sep.eCRF) (7)
CL Item
Cardiovascular (6)
CL Item
Respiratory (5)
CL Item
Lymph Nodes (4)
CL Item
Head, Eyes, Ears, Nose, Throat (3)
CL Item
Skin (2)
CL Item
General Appearance (1)
Item
Result
integer
C1274040 (UMLS CUI [1])
Code List
Result
CL Item
not done (3)
CL Item
abnormal (2)
CL Item
normal (1)
Description of finding
Item
if 'abnormal', brief description
text
C0747585 (UMLS CUI [1,1])
C0678257 (UMLS CUI [1,2])
clinical significance
Item
if 'abnormal', assessment of clinical significance
boolean
C2826293 (UMLS CUI [1])
other examination
Item
Kind of other examination
text
C0260879 (UMLS CUI [1])
Item Group
Diagnosis of Current Intra-Abdominal Infection
C1112209 (UMLS CUI-1)
C0521116 (UMLS CUI-2)
Item
Study Qualifying Intra-Abdominal Diagnosis
integer
C1514624 (UMLS CUI [1,1])
C1112209 (UMLS CUI [1,2])
Code List
Study Qualifying Intra-Abdominal Diagnosis
CL Item
cIAI Not Confirmed at Surgery (8)
CL Item
Intra-Abdominal Abscess (including of Liver and Spleen provided that there is Extension beyond the Organ with Evidence of Intraperitoneal Involvement) (7)
CL Item
Secondary Peritonitis (but not Spontaneous Bacterial Peritonitis sassociated with Cirrhosis and Chronic Ascites) (6)
CL Item
Traumatic Perforation of Intestines, only if operated > 12 Housr after Perforation occurs (5)
CL Item
Acute Gastric and Duodenal Perforations, only if operated on > 24 Hours after Perforartion occurs (4)
CL Item
Appendiceal Perforation or Peri-Appendiceal Abscess (3)
CL Item
Diverticular Disease with Perforation or Abscess (2)
CL Item
Cholecystitis with Gangrenous Rupture or Perforation or Progression of the Infection beyond the Gallbladder Wall (1)
Item
Abscess
integer
C0000833 (UMLS CUI [1])
Code List
Abscess
CL Item
Multiple Abscesses (2)
CL Item
Single Abscess (1)
Cause of Infection
Item
Was this Infection a Complication of a Previous Abdominal Surgery?
boolean
C3714514 (UMLS CUI [1,1])
C0015127 (UMLS CUI [1,2])
Cause of Infection
Item
Is this infection considered a failure of previous treatment?
boolean
C3714514 (UMLS CUI [1,1])
C0015127 (UMLS CUI [1,2])
Date of Previous Surgery
Item
Date of Previous Surgery
date
C0011008 (UMLS CUI [1,1])
C0543467 (UMLS CUI [1,2])
Item Group
Site of Source of Infection
C0449426 (UMLS CUI-1)
C1515974 (UMLS CUI-2)
Item
Site of Source of Infection
integer
C0449426 (UMLS CUI [1,1])
C1515974 (UMLS CUI [1,2])
Code List
Site of Source of Infection
CL Item
Other (9)
CL Item
Large Intestine (8)
CL Item
Pancreas (7)
CL Item
Appendix (6)
CL Item
Small Intestine (5)
CL Item
Liver (4)
CL Item
Spleen (3)
CL Item
Gall Bladder (2)
CL Item
Stomach (1)
Other Location
Item
Other Location
text
C1515974 (UMLS CUI [1])
Item Group
Radiological Examination
C0043299 (UMLS CUI-1)
Radiological Examination
Item
Any Radiological Examination in Relation to the Diagnosis?
boolean
C0043299 (UMLS CUI [1])
Radiological Examination
Item
Kind of Radiological Examination
text
C0043299 (UMLS CUI [1])
Radiological Findings
Item
Radiological Findings
text
C0043299 (UMLS CUI [1,1])
C0243095 (UMLS CUI [1,2])
Comment
Item
CRF Comment
text
C0947611 (UMLS CUI [1])
Item Group
Infection-related Examination
C3714514 (UMLS CUI-1)
C0031809 (UMLS CUI-2)
Examination performed
Item
Examination performed
boolean
C0031809 (UMLS CUI [1])
Not done reason
Item
if 'no', provide reason
text
C2826287 (UMLS CUI [1])
Comment
Item
CRF Comment
text
C0947611 (UMLS CUI [1])
Item Group
Infection related Signs and Symptoms
C0037088 (UMLS CUI-1)
C3714514 (UMLS CUI-2)
Item
Signs and Symptoms
integer
C0037088 (UMLS CUI [1])
Code List
Signs and Symptoms
CL Item
Other,specify (10)
CL Item
Chills and rigors (9)
CL Item
Ascites (8)
CL Item
Abdominal mass (7)
CL Item
Abdominal guarding (6)
CL Item
Rebound tenderness (5)
CL Item
Tenderness to palpation (4)
CL Item
Vomiting (3)
CL Item
Nausea (2)
CL Item
Abdominal Pain (1)
Other Sign or Symptom
Item
Please specify Other Sign or Symptom
text
C0037088 (UMLS CUI [1,1])
C0205394 (UMLS CUI [1,2])
Item
Clinical Event Intensity
integer
C0518690 (UMLS CUI [1])
Code List
Clinical Event Intensity
CL Item
Not Assessed (99)
CL Item
Severe (3)
CL Item
Moderate (2)
CL Item
Mild (1)
CL Item
Absent (0)
Item Group
Vital Signs examination
C0518766 (UMLS CUI-1)
C0031809 (UMLS CUI-2)
Examination performed
Item
Examination performed
boolean
C0031809 (UMLS CUI [1])
Not done reason
Item
if 'no', provide reason
text
C2826287 (UMLS CUI [1])
Supine Blood Pressure Systolic
Item
Supine Blood Pressure Systolic
integer
C0871470 (UMLS CUI [1,1])
C0038846 (UMLS CUI [1,2])
Relevance
Item
Clinically relevant?
boolean
C2347946 (UMLS CUI [1])
Supine Blood Pressure Diastolic
Item
Supine Blood Pressure Diastolic
integer
C0428883 (UMLS CUI [1,1])
C0038846 (UMLS CUI [1,2])
Relevance
Item
Clinically relevant?
boolean
C2347946 (UMLS CUI [1])
Heart rate
Item
Heart rate
integer
C0018810 (UMLS CUI [1])
Relevance
Item
Clinically relevant?
boolean
C2347946 (UMLS CUI [1])
Respiratory Rate
Item
Respiratory Rate
integer
C0231832 (UMLS CUI [1])
Relevance
Item
Clinically relevant?
boolean
C2347946 (UMLS CUI [1])
Comment
Item
CRF Comment
text
C0947611 (UMLS CUI [1])
Item Group
Temperature
C0005903 (UMLS CUI-1)
Temperature
Item
Temperature
float
C0039476 (UMLS CUI [1])
Time of measurement
Item
Time of measurement
time
C0242485 (UMLS CUI [1,1])
C0040223 (UMLS CUI [1,2])
Item
Method of Measurement
integer
C1299991 (UMLS CUI [1,1])
C0039476 (UMLS CUI [1,2])
Code List
Method of Measurement
CL Item
Other (99)
(Comment:en)
CL Item
Tympanic (4)
(Comment:en)
CL Item
Rectal (3)
(Comment:en)
CL Item
Axillary (2)
(Comment:en)
CL Item
Oral (1)
(Comment:en)
Other Method
Item
Kind of Other Method
text
C1299991 (UMLS CUI [1,1])
C0205394 (UMLS CUI [1,2])
Relevance
Item
Clinically relevant?
boolean
C2347946 (UMLS CUI [1])
Item Group
Laboratory Tests
C1880016 (UMLS CUI-1)
C0022885 (UMLS CUI-2)
Clinical Chemistry sample collected
Item
Clinical Chemistry sample collected
boolean
C0200345 (UMLS CUI [1,1])
C0008000 (UMLS CUI [1,2])
Item
If 'no', please provide reason
integer
C2826287 (UMLS CUI [1])
Code List
If 'no', please provide reason
CL Item
Other (99)
CL Item
Missed sample collection (5)
CL Item
Patient not able to provide urine sample (4)
CL Item
Unable to obtain venous access (3)
CL Item
Hemolyzed sample (2)
CL Item
Insufficient amount collected (1)
Other, please specify
Item
Other, please specify
text
C3845569 (UMLS CUI [1])
Collection Date
Item
Collection Date
date
C1302413 (UMLS CUI [1])
Collection time
Item
Collection time
time
C4064021 (UMLS CUI [1])
Central Laboratory ID
Item
Central Lab ID
text
C1880016 (UMLS CUI [1,1])
C2986056 (UMLS CUI [1,2])
Sample sent to central lab
Item
Sample sent to central lab
boolean
C0370003 (UMLS CUI [1,1])
C1515023 (UMLS CUI [1,2])
C1880016 (UMLS CUI [1,3])
Not done reason
Item
If 'no', please provide reason
text
C2826287 (UMLS CUI [1])
Hematology sample collected
Item
Hematology sample collected
boolean
C0200345 (UMLS CUI [1,1])
C0018941 (UMLS CUI [1,2])
Item
If 'no', please provide reason
integer
C2826287 (UMLS CUI [1])
Code List
If 'no', please provide reason
CL Item
Other (99)
CL Item
Missed sample collection (5)
CL Item
Patient not able to provide urine sample (4)
CL Item
Unable to obtain venous access (3)
CL Item
Hemolyzed sample (2)
CL Item
Insufficient amount collected (1)
Other, please specify
Item
Other, please specify
text
C3845569 (UMLS CUI [1])
Collection Date
Item
Collection Date
date
C1302413 (UMLS CUI [1])
Collection time
Item
Collection time
time
C4064021 (UMLS CUI [1])
Central Laboratory ID
Item
Central Lab ID
text
C1880016 (UMLS CUI [1,1])
C2986056 (UMLS CUI [1,2])
Sample sent to central lab
Item
Sample sent to central lab
boolean
C0370003 (UMLS CUI [1,1])
C1515023 (UMLS CUI [1,2])
C1880016 (UMLS CUI [1,3])
Not done reason
Item
If 'no', please provide reason
text
C2826287 (UMLS CUI [1])
Urinalysis sample collected
Item
Urinalysis sample collected
boolean
C0200345 (UMLS CUI [1,1])
C0042014 (UMLS CUI [1,2])
Item
If 'no', please provide reason
integer
C2826287 (UMLS CUI [1])
Code List
If 'no', please provide reason
CL Item
Other (99)
CL Item
Missed sample collection (5)
CL Item
Patient not able to provide urine sample (4)
CL Item
Unable to obtain venous access (3)
CL Item
Hemolyzed sample (2)
CL Item
Insufficient amount collected (1)
Other, please specify
Item
Other, please specify
text
C3845569 (UMLS CUI [1])
Collection Date
Item
Collection Date
date
C1302413 (UMLS CUI [1])
Collection time
Item
Collection time
time
C4064021 (UMLS CUI [1])
Central Laboratory ID
Item
Central Lab ID
text
C1880016 (UMLS CUI [1,1])
C2986056 (UMLS CUI [1,2])
Sample sent to central lab
Item
Sample sent to central lab
boolean
C0370003 (UMLS CUI [1,1])
C1515023 (UMLS CUI [1,2])
C1880016 (UMLS CUI [1,3])
Not done reason
Item
If 'no', please provide reason
text
C2826287 (UMLS CUI [1])
Comment
Item
CRF Comment
text
C0947611 (UMLS CUI [1])
Item Group
Local Lab at Screening
C0587081 (UMLS CUI-1)
Clinical Chemistry sample collected
Item
Clinical Chemistry sample collected
boolean
C0200345 (UMLS CUI [1,1])
C0008000 (UMLS CUI [1,2])
Item
If 'no', please provide reason
integer
C2826287 (UMLS CUI [1])
Code List
If 'no', please provide reason
CL Item
Other (99)
CL Item
Missed sample collection (5)
CL Item
Patient not able to provide urine sample (4)
CL Item
Unable to obtain venous access (3)
CL Item
Hemolyzed sample (2)
CL Item
Insufficient amount collected (1)
Other, please specify
Item
Other, please specify
text
C3845569 (UMLS CUI [1])
Collection Date
Item
Collection Date
date
C1302413 (UMLS CUI [1])
Collection time
Item
Collection time
time
C4064021 (UMLS CUI [1])
Serum Creatinine
Item
Serum Creatinine
float
C0201976 (UMLS CUI [1])
not done
Item
not done
boolean
C1272696 (UMLS CUI [1])
Item
Lab unit
integer
C1519795 (UMLS CUI [1])
Code List
Lab unit
CL Item
other (99)
CL Item
microKat/L (8)
CL Item
L/L (7)
CL Item
g/L (6)
CL Item
mg/dL (5)
CL Item
g/dL (4)
CL Item
μmol/L (3)
CL Item
mmol/L (2)
CL Item
U/L (IU/L) (1)
other unit
Item
other lab unit
text
C1519795 (UMLS CUI [1,1])
C0205394 (UMLS CUI [1,2])
lower limit of normal
Item
lower limit of normal
integer
C1518030 (UMLS CUI [1])
ULN
Item
Upper limit of normal
integer
C1519815 (UMLS CUI [1])
Significance
Item
Was this value clinically signifcant?
boolean
C2826633 (UMLS CUI [1])
AST (GOT)
Item
AST (GOT)
integer
C0201899 (UMLS CUI [1])
not done
Item
not done
boolean
C1272696 (UMLS CUI [1])
other unit
Item
other lab unit
text
C1519795 (UMLS CUI [1,1])
C0205394 (UMLS CUI [1,2])
lower limit of normal
Item
lower limit of normal
integer
C1518030 (UMLS CUI [1])
ULN
Item
Upper limit of normal
integer
C1519815 (UMLS CUI [1])
Significance
Item
Was this value clinically signifcant?
boolean
C2826633 (UMLS CUI [1])
ALT (GPT)
Item
ALT (GPT)
integer
C0201836 (UMLS CUI [1])
not done
Item
not done
boolean
C1272696 (UMLS CUI [1])
other unit
Item
other lab unit
text
C1519795 (UMLS CUI [1,1])
C0205394 (UMLS CUI [1,2])
lower limit of normal
Item
lower limit of normal
integer
C1518030 (UMLS CUI [1])
ULN
Item
Upper limit of normal
integer
C1519815 (UMLS CUI [1])
Significance
Item
Was this value clinically signifcant?
boolean
C2826633 (UMLS CUI [1])
ALP
Item
ALP
integer
C0201850 (UMLS CUI [1])
not done
Item
not done
boolean
C1272696 (UMLS CUI [1])
other unit
Item
other lab unit
text
C1519795 (UMLS CUI [1,1])
C0205394 (UMLS CUI [1,2])
lower limit of normal
Item
lower limit of normal
integer
C1518030 (UMLS CUI [1])
ULN
Item
Upper limit of normal
integer
C1519815 (UMLS CUI [1])
Significance
Item
Was this value clinically signifcant?
boolean
C2826633 (UMLS CUI [1])
Total Bilirubin
Item
Total Bilirubin
float
C0201913 (UMLS CUI [1])
not done
Item
not done
boolean
C1272696 (UMLS CUI [1])
other unit
Item
other lab unit
text
C1519795 (UMLS CUI [1,1])
C0205394 (UMLS CUI [1,2])
lower limit of normal
Item
lower limit of normal
integer
C1518030 (UMLS CUI [1])
ULN
Item
Upper limit of normal
integer
C1519815 (UMLS CUI [1])
Significance
Item
Was this value clinically signifcant?
boolean
C2826633 (UMLS CUI [1])
Creatinine Clearance
Item
Creatinine Clearance
float
C0373595 (UMLS CUI [1])
Significance
Item
Was this value clinically signifcant?
boolean
C2826633 (UMLS CUI [1])
Hematology sample collected
Item
Hematology sample collected
boolean
C0200345 (UMLS CUI [1,1])
C0018941 (UMLS CUI [1,2])
Item
If 'no', please provide reason
integer
C2826287 (UMLS CUI [1])
Code List
If 'no', please provide reason
CL Item
Other (99)
CL Item
Missed sample collection (5)
CL Item
Patient not able to provide urine sample (4)
CL Item
Unable to obtain venous access (3)
CL Item
Hemolyzed sample (2)
CL Item
Insufficient amount collected (1)
Other, please specify
Item
Other, please specify
text
C3845569 (UMLS CUI [1])
Collection Date
Item
Collection Date
date
C1302413 (UMLS CUI [1])
Collection time
Item
Collection time
time
C4064021 (UMLS CUI [1])
WBC
Item
WBC
float
C0023508 (UMLS CUI [1])
not done
Item
not done
boolean
C1272696 (UMLS CUI [1])
other unit
Item
other lab unit
text
C1519795 (UMLS CUI [1,1])
C0205394 (UMLS CUI [1,2])
lower limit of normal
Item
lower limit of normal
integer
C1518030 (UMLS CUI [1])
ULN
Item
Upper limit of normal
integer
C1519815 (UMLS CUI [1])
Significance
Item
Was this value clinically signifcant?
boolean
C2826633 (UMLS CUI [1])
Neutrophil count
Item
Neutrophil count
float
C0948762 (UMLS CUI [1])
not done
Item
not done
boolean
C1272696 (UMLS CUI [1])
other unit
Item
other lab unit
text
C1519795 (UMLS CUI [1,1])
C0205394 (UMLS CUI [1,2])
lower limit of normal
Item
lower limit of normal
integer
C1518030 (UMLS CUI [1])
ULN
Item
Upper limit of normal
integer
C1519815 (UMLS CUI [1])
Significance
Item
Was this value clinically signifcant?
boolean
C2826633 (UMLS CUI [1])
Hematocrit
Item
Hematocrit
float
C0518014 (UMLS CUI [1])
not done
Item
not done
boolean
C1272696 (UMLS CUI [1])
other unit
Item
other lab unit
text
C1519795 (UMLS CUI [1,1])
C0205394 (UMLS CUI [1,2])
lower limit of normal
Item
lower limit of normal
integer
C1518030 (UMLS CUI [1])
ULN
Item
Upper limit of normal
integer
C1519815 (UMLS CUI [1])
Significance
Item
Was this value clinically signifcant?
boolean
C2826633 (UMLS CUI [1])
Hemoglobin
Item
Hemoglobin
float
C0019046 (UMLS CUI [1])
not done
Item
not done
boolean
C1272696 (UMLS CUI [1])
other unit
Item
other lab unit
text
C1519795 (UMLS CUI [1,1])
C0205394 (UMLS CUI [1,2])
lower limit of normal
Item
lower limit of normal
integer
C1518030 (UMLS CUI [1])
ULN
Item
Upper limit of normal
integer
C1519815 (UMLS CUI [1])
Significance
Item
Was this value clinically signifcant?
boolean
C2826633 (UMLS CUI [1])
Platelets
Item
Platelet count
float
C0005821 (UMLS CUI [1])
not done
Item
not done
boolean
C1272696 (UMLS CUI [1])
other unit
Item
other lab unit
text
C1519795 (UMLS CUI [1,1])
C0205394 (UMLS CUI [1,2])
lower limit of normal
Item
lower limit of normal
integer
C1518030 (UMLS CUI [1])
ULN
Item
Upper limit of normal
integer
C1519815 (UMLS CUI [1])
Significance
Item
Was this value clinically signifcant?
boolean
C2826633 (UMLS CUI [1])
Pregnancy Test done
Item
Pregnancy Test done
boolean
C0032976 (UMLS CUI [1])
Item
If 'no', please provide reason
integer
C2826287 (UMLS CUI [1])
Code List
If 'no', please provide reason
CL Item
Other (2)
CL Item
Menopausal (1)
Other reason
Item
Other reason
text
C3840932 (UMLS CUI [1])
Item
Method of Testing
integer
C0871511 (UMLS CUI [1])
Code List
Method of Testing
CL Item
urine (2)
CL Item
serum (1)
Item
Result of testing
integer
C0427777 (UMLS CUI [1])
Code List
Result of testing
CL Item
positive (2)
CL Item
negative (1)
Comment
Item
CRF Comment
text
C0947611 (UMLS CUI [1])
Item Group
Microbiology
C0085672 (UMLS CUI-1)
Microbiology specimen collection
Item
Was a specimen collected?
boolean
C0200345 (UMLS CUI [1,1])
C0025952 (UMLS CUI [1,2])
Item
If no, please provide reason
integer
C2826287 (UMLS CUI [1])
Code List
If no, please provide reason
CL Item
Other (99)
CL Item
Attempt made but unable to obtain/produce sample (1)
inability
Item
Please specify inability
text
C1299582 (UMLS CUI [1,1])
C0200345 (UMLS CUI [1,2])
C1521902 (UMLS CUI [1,3])
inability
Item
Please specify other reason
text
C1299582 (UMLS CUI [1,1])
C0200345 (UMLS CUI [1,2])
C3845569 (UMLS CUI [1,3])
Specimen collection date
Item
Date of collection
date
C1302413 (UMLS CUI [1])
Specimen collection time
Item
Time of Collection
time
C4064021 (UMLS CUI [1])
Item
Culture Processing Type
integer
C0200949 (UMLS CUI [1,1])
C0037793 (UMLS CUI [1,2])
C0332307 (UMLS CUI [1,3])
Code List
Culture Processing Type
CL Item
Anaerobic (2)
CL Item
Aerobic (1)
Item
Site of sample
integer
C0200345 (UMLS CUI [1,1])
C1515974 (UMLS CUI [1,2])
Code List
Site of sample
CL Item
Other (99)
CL Item
Blood  (2)
CL Item
Intra-Abdominal  (1)
Item
Intra-Abdominal, please specify
integer
C1512910 (UMLS CUI [1,1])
C1521902 (UMLS CUI [1,2])
Code List
Intra-Abdominal, please specify
CL Item
Other (99)
CL Item
Surgical Swab (4)
CL Item
Peritoneal Fluid (3)
CL Item
Tissue (2)
CL Item
Pus (1)
Other site, please specify
Item
Other site, please specify
text
C1515974 (UMLS CUI [1,1])
C3845569 (UMLS CUI [1,2])
Item
Culture outcome
integer
C2242979 (UMLS CUI [1,1])
C0587081 (UMLS CUI [1,2])
Code List
Culture outcome
CL Item
Not done (99)
CL Item
Growth (2)
CL Item
No Growth (1)
Isolate name
Item
Isolate name
text
C1764827 (UMLS CUI [1])
Item
Pathogen Type
integer
C0450254 (UMLS CUI [1])
Code List
Pathogen Type
CL Item
Fungal (2)
CL Item
Bacterial (1)
Item
Isolate Classification
integer
C1764827 (UMLS CUI [1,1])
C0008902 (UMLS CUI [1,2])
Code List
Isolate Classification
CL Item
Contaminant (2)
CL Item
Pathogen (1)
Disc Zone ATM-AVI
Item
Disc Zone ATM-AVI
text
C1283010 (UMLS CUI [1,1])
C0004521 (UMLS CUI [1,2])
C1283010 (UMLS CUI [2,1])
C3489748 (UMLS CUI [2,2])
Sample sent to Central Lab
Item
Sample sent to Central Lab?
boolean
C1880016 (UMLS CUI [1,1])
C0370003 (UMLS CUI [1,2])
C1515023 (UMLS CUI [1,3])
Central Laboratory Accession ID Number
Item
Central Lab Accession ID Number
text
C2826726 (UMLS CUI [1,1])
C1880016 (UMLS CUI [1,2])
Not done reason
Item
If no, reason
text
C2826287 (UMLS CUI [1])
Backup Sample sent to Central Laboratory
Item
Backup Sample sent to Central Lab (if necessary)?
boolean
C0370003 (UMLS CUI [1,1])
C1515023 (UMLS CUI [1,2])
C1880016 (UMLS CUI [1,3])
Comment
Item
CRF Comment
text
C0947611 (UMLS CUI [1])

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