Informations:
Erreur:
ID
29366
Description
Study part: Alcohol/ Tobacco Use History Screening. A Phase III, Double-Masked, Multicenter, Randomized, Sham-Controlled Study Of The Efficacy And Safety Of Ranibizumab Injection In Subjects With Clinically Significant Macular Edema With Center Involvement Secondary To Diabetes Mellitus.
Mots-clés
Versions (1)
- 20/03/2018 20/03/2018 -
Détendeur de droits
Roche
Téléchargé le
20 mars 2018
DOI
Pour une demande vous connecter.
Licence
Creative Commons BY-NC 3.0
Modèle Commentaires :
Ici, vous pouvez faire des commentaires sur le modèle. À partir des bulles de texte, vous pouvez laisser des commentaires spécifiques sur les groupes Item et les Item.
Groupe Item commentaires pour :
Item commentaires pour :
Vous devez être connecté pour pouvoir télécharger des formulaires. Veuillez vous connecter ou s’inscrire gratuitement.
Alcohol/ Tobacco Use History Screening Screening Ranibizumab Macular Edema Diabetes Mellitus FVF4168g
Alcohol/ Tobacco Use History Screening
- StudyEvent: ODM
Similar models
Alcohol/ Tobacco Use History Screening
- StudyEvent: ODM
Name
Type
Description | Question | Decode (Coded Value)
Type de données
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
Smoking cigarettes currently:
boolean
C1519384 (UMLS CUI [1])
number of cigarettes per day
Item
Packs / day:
integer
C3694146 (UMLS CUI [1])
start smoking age
Item
Year started:
integer
C3260575 (UMLS CUI [1])
stopped smoking
Item
Stopped smoking cigarettes
boolean
C0425310 (UMLS CUI [1])
start smoking age
Item
Year started:
integer
C3260575 (UMLS CUI [1])
age stopped smoking
Item
Year stopped:
integer
C0001779 (UMLS CUI [1,1])
C0425310 (UMLS CUI [1,2])
C0425310 (UMLS CUI [1,2])
number of cigarettes per day
Item
Packs / day when smoked:
integer
C3694146 (UMLS CUI [1])
Pipe Smoking
Item
Smoke pipe or cigars currently
boolean
C4316784 (UMLS CUI [1])
Pipe Smoking
Item
Smoked pipe or cigars in the past
boolean
C4316784 (UMLS CUI [1])
Never smoked
Item
Never Smoked
boolean
C3472670 (UMLS CUI [1])
Alcohol Consumption
Item
Do not drink alcohol currently.
boolean
C0001948 (UMLS CUI [1])
Item
Currently do drink (even occasionally), how often:
text
C0001948 (UMLS CUI [1])
CL Item
Less than 1 drink* / month (Less than 1 drink* / month)
CL Item
1-3 drinks* / month (1-3 drinks* / month)
CL Item
1-3 drinks* / week (1-3 drinks* / week)
CL Item
1-3 drinks* / day (1-3 drinks* / day)