Informações:
Falhas:
ID
29389
Descrição
Study part: 4 Meter Visual Acuity/ Left Eye Chart 2 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.
Palavras-chave
Versões (1)
- 21/03/2018 21/03/2018 -
Titular dos direitos
Roche
Transferido a
21 de março de 2018
DOI
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Licença
Creative Commons BY-NC 3.0
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4 Meter Visual Acuity/ Left Eye Chart 2 Screening Ranibizumab Macular Edema Diabetes Mellitus FVF4168g
4 Meter Visual Acuity/ Left Eye Chart 2 Screening
- StudyEvent: ODM
Similar models
4 Meter Visual Acuity/ Left Eye Chart 2 Screening
- StudyEvent: ODM
Name
Tipo
Description | Question | Decode (Coded Value)
Tipo de dados
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])
Test Date
Item
Test Date:
date
C2826247 (UMLS CUI [1])
Investigator name
Item
Examiner Name (print):
text
C2826892 (UMLS CUI [1])
Investigator Signature
Item
Examiner (signature):
text
C2346576 (UMLS CUI [1])
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 (8)
CL Item
9 (9)
CL Item
10 (10)
CL Item
11 (11)
CL Item
12 (12)
CL Item
13 (13)
CL Item
14 (14)
CL Item
20/200 (20/200)
CL Item
20/160 (20/160)
CL Item
20/125 (20/125)
CL Item
20/100 (20/100)
CL Item
20/80 (20/80)
CL Item
20/63 (20/63)
CL Item
20/50 (20/50)
CL Item
20/40 (20/40)
CL Item
20/32 (20/32)
CL Item
20/25 (20/25)
CL Item
20/20 (20/20)
CL Item
20/16 (20/16)
CL Item
20/12.5 (20/12.5)
CL Item
20/10 (20/10)
CL Item
N C K Z O (N C K Z O)
CL Item
R H S D K (R H S D K)
CL Item
D O V H R (D O V H R)
CL Item
C Z R H S (C Z R H S)
CL Item
O N H R C (O N H R C)
CL Item
D K S N V (D K S N V)
CL Item
Z S O K N (Z S O K N)
CL Item
C K D N R (C K D N R)
CL Item
S R Z K D (S R Z K D)
CL Item
H Z O V C (H Z O V C)
CL Item
N V D O K (N V D O K)
CL Item
V H C N O (V H C N O)
CL Item
S V H C Z (S V H C Z)
CL Item
O Z D V K (O Z D V K)
number correct
Item
Number correct at 4 meters
integer
C0237753 (UMLS CUI [1,1])
C2349182 (UMLS CUI [1,2])
C2349182 (UMLS CUI [1,2])
Total number correct
Item
Total number correct at 4 meters
integer
C4288115 (UMLS CUI [1,1])
C2349182 (UMLS CUI [1,2])
C2349182 (UMLS CUI [1,2])
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
20/800 (20/800)
CL Item
20/640 (20/640)
CL Item
20/500 (20/500)
CL Item
20/400 (20/400)
CL Item
20/320 (20/320)
CL Item
20/250 (20/250)
CL Item
N C K Z O (N C K Z O)
CL Item
R H S D K (R H S D K)
CL Item
D O V H R (D O V H R)
CL Item
C Z R H S (C Z R H S)
CL Item
O N H R C (O N H R C)
CL Item
D K S N V (D K S N V)
number correct
Item
Number correct at 1 meter
integer
C0237753 (UMLS CUI [1,1])
C2349182 (UMLS CUI [1,2])
C2349182 (UMLS CUI [1,2])
Total number correct
Item
Total number correct at 1 meter
integer
C4288115 (UMLS CUI [1,1])
C2349182 (UMLS CUI [1,2])
C2349182 (UMLS CUI [1,2])
Total number correct
Item
A. Total number correct at 4 meters: (SECTION I)
text
C4288115 (UMLS CUI [1,1])
C2349182 (UMLS CUI [1,2])
C2349182 (UMLS CUI [1,2])
score
Item
B. If A ≥ 4, write 30;otherwise, write zero
text
C0449820 (UMLS CUI [1])
Total number correct
Item
C. Total correct at 1 meter (SECTION II) (If not tested, write zero)
text
C4288115 (UMLS CUI [1,1])
C2349182 (UMLS CUI [1,2])
C2349182 (UMLS CUI [1,2])
Visual Acuity Score
Item
A + B + C Visual Acuity Score: Left Eye =
integer
C0042812 (UMLS CUI [1,1])
C0449820 (UMLS CUI [1,2])
C0449820 (UMLS CUI [1,2])
Snellen Equivalent
Item
SNELLEN EQUIVALENT Left Eye (Most difficult line with 1 or no errors)
text
C1827708 (UMLS CUI [1])
Snellen Equivalent
Item
OR Snellen Equivalent worse than 20/800
text
C1827708 (UMLS CUI [1])
Item
If visual acuity is not measurable, please test: Count fingers?
text
C0042793 (UMLS CUI [1,1])
C0449804 (UMLS CUI [1,2])
C0449804 (UMLS CUI [1,2])
CL Item
Yes (Yes)
CL Item
No (No)
CL Item
Not Done (Not Done)
CL Item
4 ft (4 ft)
CL Item
2 ft (2 ft)
CL Item
1 ft (1 ft)
CL Item
Yes (Yes)
CL Item
No (No)
CL Item
Not Done (Not Done)
CL Item
With Direction (With Direction)
CL Item
Without Direction (Without Direction)
CL Item
Yes (Yes)
CL Item
No (No)
CL Item
Not Done (Not Done)
CL Item
With Projection (With Projection)
CL Item
Without Projection (Without Projection)
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