ID

29400

Beschreibung

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.

Stichworte

  1. 21.03.18 21.03.18 -
Rechteinhaber

Roche

Hochgeladen am

21. März 2018

DOI

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Creative Commons BY-NC 3.0

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Alcohol/ Tobacco Use History Screening Ranibizumab Macular Edema Diabetes Mellitus FVF4170g

Alcohol/ Tobacco Use History Screening

Tobacco Use History
Beschreibung

Tobacco Use History

Alias
UMLS CUI-1
C1519384
Subject number:
Beschreibung

Subject number

Datentyp

text

Alias
UMLS CUI [1]
C2348585
Subject initials:
Beschreibung

Subject initials

Datentyp

text

Alias
UMLS CUI [1,1]
C1997894
UMLS CUI [1,2]
C2986440
Visit date:
Beschreibung

Visit date

Datentyp

date

Alias
UMLS CUI [1]
C1320303
Smoking cigarettes currently:
Beschreibung

Smoking History

Datentyp

boolean

Alias
UMLS CUI [1]
C1519384
Packs / day:
Beschreibung

number of cigarettes per day

Datentyp

integer

Alias
UMLS CUI [1]
C3694146
Year started:
Beschreibung

start smoking age

Datentyp

integer

Alias
UMLS CUI [1]
C3260575
Stopped smoking cigarettes
Beschreibung

stopped smoking

Datentyp

boolean

Alias
UMLS CUI [1]
C0425310
Year started:
Beschreibung

start smoking age

Datentyp

integer

Alias
UMLS CUI [1]
C3260575
Year stopped:
Beschreibung

age stopped smoking

Datentyp

integer

Alias
UMLS CUI [1,1]
C0001779
UMLS CUI [1,2]
C0425310
Packs / day when smoked:
Beschreibung

number of cigarettes per day

Datentyp

integer

Alias
UMLS CUI [1]
C3694146
Smoke pipe or cigars currently
Beschreibung

Pipe Smoking

Datentyp

boolean

Alias
UMLS CUI [1]
C4316784
Smoked pipe or cigars in the past
Beschreibung

Pipe Smoking

Datentyp

boolean

Alias
UMLS CUI [1]
C4316784
Never Smoked
Beschreibung

Never smoked

Datentyp

boolean

Alias
UMLS CUI [1]
C3472670
Alcohol Use History
Beschreibung

Alcohol Use History

Alias
UMLS CUI-1
C0001948
Do not drink alcohol currently.
Beschreibung

Alcohol Consumption

Datentyp

boolean

Alias
UMLS CUI [1]
C0001948
Currently do drink (even occasionally), how often:
Beschreibung

*= A drink is one beer, one glass of wine, one shot of liquor or one mixed drink.

Datentyp

text

Alias
UMLS CUI [1]
C0001948

Ähnliche Modelle

Alcohol/ Tobacco Use History Screening

Name
Typ
Description | Question | Decode (Coded Value)
Datentyp
Alias
Item Group
Tobacco Use History
C1519384 (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])
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])
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])
Item Group
Alcohol Use History
C0001948 (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])
Code List
Currently do drink (even occasionally), how often:
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)

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