Informatie:
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ID
29311
Beschrijving
Study part: Smoking/ Alcohol Use Screening. A Phase III, Multicenter, Randomized, Sham Injection-Controlled Study Of The Efficacy And Safety Of Ranibizumab Injection Compared With Sham In Subjects with Macular Edema Secondary To Branch Retinal Vein Occlusion.
Trefwoorden
Versies (1)
- 18-03-18 18-03-18 -
Houder van rechten
Roche
Geüploaded op
18 maart 2018
DOI
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Licentie
Creative Commons BY-NC 3.0
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Smoking/ Alcohol Use Screening Ranibizumab Macular Edema Secondary To Branch Retinal Vein Occlusion FVF4165g
Smoking/ Alcohol Use Screening
- StudyEvent: ODM
Similar models
Smoking/ Alcohol Use Screening
- StudyEvent: ODM
Name
Type
Description | Question | Decode (Coded Value)
Datatype
Alias
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])
C2986440 (UMLS CUI [1,2])
Visit date
Item
Visit date:
date
C1320303 (UMLS CUI [1])
Smoking History
Item
Do you smoke cigarettes currently?
boolean
C1519384 (UMLS CUI [1])
number of cigarettes per day
Item
How many cigarettes per day do you smoke (1 pack= 20 cigarettes)?
integer
C3694146 (UMLS CUI [1])
start smoking age
Item
At what age did you start smoking cigarettes?
integer
C3260575 (UMLS CUI [1])
stopped smoking
Item
Did you stop smoking cigarettes?
boolean
C0425310 (UMLS CUI [1])
start smoking age
Item
At what age did you start smoking cigarettes?
integer
C3260575 (UMLS CUI [1])
age stopped smoking
Item
At what age did you stop smoking cigarettes?
integer
C0001779 (UMLS CUI [1,1])
C0425310 (UMLS CUI [1,2])
C0425310 (UMLS CUI [1,2])
number of cigarettes per day
Item
Cigarettes / day when smoked (1 pack = 20 cigarettes)?
integer
C3694146 (UMLS CUI [1])
Item
In the past 6 months, on average, how many drinks* did you consume per WEEK?
text
C0001948 (UMLS CUI [1])
Code List
In the past 6 months, on average, how many drinks* did you consume per WEEK?
CL Item
Have never drank alcohol (Have never drank alcohol)
CL Item
0 (0)
CL Item
1 (1)
CL Item
2 (2)
CL Item
3 (3)
CL Item
4 (4)
CL Item
5 (5)
CL Item
6 (6)
CL Item
7 (7)
CL Item
8-14 (8-14)
CL Item
>14 (>14)