Information:
Fel:
ID
29403
Beskrivning
Study part: General Medical History and Baseline Conditions 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.
Nyckelord
Versioner (1)
- 2018-03-21 2018-03-21 -
Rättsinnehavare
Roche
Uppladdad den
21 mars 2018
DOI
För en begäran logga in.
Licens
Creative Commons BY-NC 3.0
Modellkommentarer :
Här kan du kommentera modellen. Med hjälp av pratbubblor i Item-grupperna och Item kan du lägga in specifika kommentarer.
Itemgroup-kommentar för :
Item-kommentar för :
Du måste vara inloggad för att kunna ladda ner formulär. Var vänlig logga in eller registrera dig utan kostnad.
General Medical History and Baseline Conditions Screening Ranibizumab Macular Edema Diabetes Mellitus FVF4170g
General Medical History and Baseline Conditions Screening
- StudyEvent: ODM
Similar models
General Medical History and Baseline Conditions Screening
- StudyEvent: ODM
Name
Typ
Description | Question | Decode (Coded Value)
Datatyp
Alias
Item Group
GENERAL MEDICAL HISTORY AND BASELINE CONDITIONS (SCREENING)
C0262926 (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])
C2986440 (UMLS CUI [1,2])
Visit Date
Item
Visit Date:
date
C1320303 (UMLS CUI [1])
Medical History
Item
Does the subject have any other medical history or baseline conditions, not specified on a Targeted Medical History CRF?
boolean
C0262926 (UMLS CUI [1])
CL Item
Neurologic/Psychiatric (Neurologic/Psychiatric)
C0027765 (UMLS CUI-1)
(Comment:en)
(Comment:en)
CL Item
Ophthalmologic (Ophthalmologic)
C0015397 (UMLS CUI-1)
(Comment:en)
(Comment:en)
CL Item
Ears, Nose, Throat (Ears, Nose, Throat)
C0150934 (UMLS CUI-1)
(Comment:en)
(Comment:en)
CL Item
Cardiovascular (Cardiovascular)
C0007222 (UMLS CUI-1)
(Comment:en)
(Comment:en)
CL Item
Respiratory (Respiratory)
C0035204 (UMLS CUI-1)
(Comment:en)
(Comment:en)
CL Item
Gastrointestinal (Gastrointestinal)
C0017178 (UMLS CUI-1)
(Comment:en)
(Comment:en)
CL Item
Genitourinary/Reproductive (Genitourinary/Reproductive)
C0080276 (UMLS CUI-1)
(Comment:en)
(Comment:en)
CL Item
Musculoskeletal (Musculoskeletal)
C0026857 (UMLS CUI-1)
(Comment:en)
(Comment:en)
CL Item
Dermatologic (Dermatologic)
C0037274 (UMLS CUI-1)
(Comment:en)
(Comment:en)
CL Item
Endocrine (Endocrine)
C0014130 (UMLS CUI-1)
(Comment:en)
(Comment:en)
CL Item
Hematologic (Hematologic)
C0018939 (UMLS CUI-1)
(Comment:en)
(Comment:en)
CL Item
Allergies / Drug Sensitivities (Allergies / Drug Sensitivities)
C0020517 (UMLS CUI-1)
(Comment:en)
(Comment:en)
CL Item
Malignancy (Malignancy)
C0006826 (UMLS CUI-1)
(Comment:en)
(Comment:en)
Medical condition ongoing
Item
Condition Currently Active?
boolean
C0012634 (UMLS CUI [1,1])
C0549178 (UMLS CUI [1,2])
C0549178 (UMLS CUI [1,2])
Onset Date
Item
Onset Date / Procedure Date
date
C0574845 (UMLS CUI [1])
Date unknown
Item
Date Unknown
boolean
C0011008 (UMLS CUI [1,1])
C0439673 (UMLS CUI [1,2])
C0439673 (UMLS CUI [1,2])