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Routine Vaccine Administration

1 Formulär  
Administrative Data
Beskrivning

Administrative Data

Alias
UMLS CUI-1
C1320722
Visit number and Subset of subjects
Beskrivning

Visit number, Subset of subjects

Datatyp

integer

Alias
UMLS CUI [1]
C1549755
UMLS CUI [2]
C1515021
Subject number
Beskrivning

Subject number

Datatyp

text

Alias
UMLS CUI [1]
C2348585
Visit Date
Beskrivning

Visit Date

Datatyp

date

Alias
UMLS CUI [1]
C1320303
Routine Vaccine Administration, N.B.: Other routine vaccines (such as BCG), administered during the study period must be recorded in the Concomitant Vaccination section
Beskrivning

Routine Vaccine Administration, N.B.: Other routine vaccines (such as BCG), administered during the study period must be recorded in the Concomitant Vaccination section

Alias
UMLS CUI-1
C2368628
OPV
Beskrivning

Visit 1: all subjects Visit 2 and 4: only for subset HRV(-PI) alone Visit 3 and 5: only for subset HRV(-PI) + OPV

Datatyp

boolean

Alias
UMLS CUI [1]
C0032375
OPV Administration Date
Beskrivning

please complete only if different from visit date Visit 1: all subjects Visit 2 and 4: only for subset HRV(-PI) alone Visit 3 and 5: only for subset HRV(-PI) + OPV

Datatyp

date

Alias
UMLS CUI [1,1]
C0032375
UMLS CUI [1,2]
C0011008
DTPw-HB
Beskrivning

Visit 1, 2 and 4 for all subjects Not to be administered on Visits 3 and 5.

Datatyp

boolean

Alias
UMLS CUI [1]
C3652655
DTPw-HB Date
Beskrivning

please complete only if different from visit date Visit 1, 2 and 4 for all subjects Not to be administered on Visits 3 and 5.

Datatyp

date

Alias
UMLS CUI [1,1]
C3652655
UMLS CUI [1,2]
C0011008
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Similar models

Routine Vaccine Administration

1 Formulär
Name
Typ
Description | Question | Decode (Coded Value)
Datatyp
Alias
Item Group
Administrative Data
C1320722 (UMLS CUI-1)
Item
Visit number and Subset of subjects
integer
C1549755 (UMLS CUI [1])
C1515021 (UMLS CUI [2])
Visit number, Subset of subjects
Code List
Visit number and Subset of subjects
CL Item
Visit 1, voth vaccines for all subjects (1)
CL Item
Visit 2, DTPw-HB for all subjects, OPV only for subset HRV(-PI) alone (2)
CL Item
Visit 3, no DTPw-HB, OPV only for subset HRV(-PI) + OPV (3)
CL Item
Visit 4, DTPw-HB for all subjects, OPV only for subset HRV(-PI) alone (4)
CL Item
Visit 5 (5)
Subject number
Item
Subject number
text
C2348585 (UMLS CUI [1])
Visit Date
Item
Visit Date
date
C1320303 (UMLS CUI [1])
Item Group
Routine Vaccine Administration, N.B.: Other routine vaccines (such as BCG), administered during the study period must be recorded in the Concomitant Vaccination section
C2368628 (UMLS CUI-1)
OPV
Item
OPV
boolean
C0032375 (UMLS CUI [1])
OPV Date
Item
OPV Administration Date
date
C0032375 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
DTPw-HB
Item
DTPw-HB
boolean
C3652655 (UMLS CUI [1])
DTPw-HB Date
Item
DTPw-HB Date
date
C3652655 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
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