ID

29401

Description

Study part: Prior Ocular Therapies And Procedures 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.

Keywords

Versions (1)
  1. 3/21/18 3/21/18 -
Copyright Holder

Roche

Uploaded on

March 21, 2018

DOI

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License

Creative Commons BY-NC 3.0
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Prior Ocular Therapies And Procedures Screening Ranibizumab Macular Edema Diabetes Mellitus FVF4170g

English

Prior Ocular Therapies And Procedures Screening

1 forms  
PRIOR OCULAR THERAPIES AND PROCEDURES (SCREENING)
Description

PRIOR OCULAR THERAPIES AND PROCEDURES (SCREENING)

Alias
UMLS CUI-1
C0087111
UMLS CUI-2
C0011849
Subject Number:
Description

Subject Number

Data type

text

Alias
UMLS CUI [1]
C2348585
Subject Initials:
Description

Subject Initials

Data type

text

Alias
UMLS CUI [1,1]
C1997894
UMLS CUI [1,2]
C2986440
Visit Date:
Description

Visit Date

Data type

date

Alias
UMLS CUI [1]
C1320303
Any prior ocular therapies?
Description

Therapy eye

Data type

boolean

Alias
UMLS CUI [1,1]
C0087111
UMLS CUI [1,2]
C0015392
Name of Therapy
Description

Name of Therapy

Data type

text

Alias
UMLS CUI [1]
C2826274
Therapy Code
Description

Therapy Code

Data type

text

Alias
UMLS CUI [1,1]
C0087111
UMLS CUI [1,2]
C0805701
Right Eye
Description

Right Eye

Data type

boolean

Alias
UMLS CUI [1]
C0229089
Left Eye
Description

Left Eye

Data type

boolean

Alias
UMLS CUI [1]
C0229090
Procedure /Start Date
Description

Start Date

Data type

date

Alias
UMLS CUI [1]
C0808070
Procedure / Stop Date
Description

Stop Date

Data type

date

Alias
UMLS CUI [1]
C0806020
Check if ongoing
Description

Ongoing

Data type

boolean

Alias
UMLS CUI [1]
C0549178
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Similar models

Prior Ocular Therapies And Procedures Screening

1 forms
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
PRIOR OCULAR THERAPIES AND PROCEDURES (SCREENING)
C0087111 (UMLS CUI-1)
C0011849 (UMLS CUI-2)
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])
Therapy eye
Item
Any prior ocular therapies?
boolean
C0087111 (UMLS CUI [1,1])
C0015392 (UMLS CUI [1,2])
Name of Therapy
Item
Name of Therapy
text
C2826274 (UMLS CUI [1])
Item
Therapy Code
text
C0087111 (UMLS CUI [1,1])
C0805701 (UMLS CUI [1,2])
Therapy Code
Code List
Therapy Code
CL Item
Intravitreal Anti-VEGF Treatment (1)
C0596087 (UMLS CUI-1)
(Comment:en)
CL Item
Intravitreal Steroids (2)
C0038317 (UMLS CUI-1)
(Comment:en)
CL Item
Medication - Other (3)
C1115771 (UMLS CUI-1)
(Comment:en)
CL Item
Supplements (4)
C0242295 (UMLS CUI-1)
(Comment:en)
CL Item
Other (99)
C0205394 (UMLS CUI-1)
(Comment:en)
CL Item
Laser, Focal or Grid Laser (5)
C2945648 (UMLS CUI-1)
(Comment:en)
CL Item
Pan Retinal Photocoagulation (PRP) Laser (6)
C0730064 (UMLS CUI-1)
(Comment:en)
CL Item
Vitrectomy (7)
C0042903 (UMLS CUI-1)
(Comment:en)
Right Eye
Item
Right Eye
boolean
C0229089 (UMLS CUI [1])
Left Eye
Item
Left Eye
boolean
C0229090 (UMLS CUI [1])
Start Date
Item
Procedure /Start Date
date
C0808070 (UMLS CUI [1])
Stop Date
Item
Procedure / Stop Date
date
C0806020 (UMLS CUI [1])
Ongoing
Item
Check if ongoing
boolean
C0549178 (UMLS CUI [1])
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