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Concomitant vaccination, Medication

1 formularios  
Administrative data
Descripción

Administrative data

Alias
UMLS CUI-1
C1320722
Subject number
Descripción

Subject number

Tipo de datos

text

Alias
UMLS CUI [1]
C2348585
Workbook number
Descripción

Workbook number

Tipo de datos

integer

Alias
UMLS CUI [1]
C2986015
CONCOMITANT VACCINATION
Descripción

CONCOMITANT VACCINATION

Alias
UMLS CUI-1
C0042196
UMLS CUI-2
C2347852
Have any vaccines other than specified in the Protocol been administered since Visit 1?
Descripción

If Yes, please record concomitant vaccination with trade name and / or generic name, route and vaccine administration date in following items.

Tipo de datos

boolean

Alias
UMLS CUI [1,1]
C0042210
UMLS CUI [1,2]
C1444655
UMLS CUI [1,3]
C2348563
UMLS CUI [1,4]
C2368628
Trade/Generic name
Descripción

Trade/Generic name

Tipo de datos

text

Alias
UMLS CUI [1,1]
C0027365
UMLS CUI [1,2]
C0042210
Route of vaccination
Descripción

Route of vaccination

Tipo de datos

text

Alias
UMLS CUI [1,1]
C0013153
UMLS CUI [1,2]
C0042210
Administration date
Descripción

Administration date

Tipo de datos

date

Alias
UMLS CUI [1,1]
C1533734
UMLS CUI [1,2]
C0011008
MEDICATION
Descripción

MEDICATION

Alias
UMLS CUI-1
C0013227
Have any antibiotics been administered during the entire protocol period?
Descripción

If yes, please complete the following items.

Tipo de datos

boolean

Alias
UMLS CUI [1,1]
C0003232
UMLS CUI [1,2]
C1320722
Trade/Generic name of antibiotic
Descripción

Trade/Generic name of antibiotic

Tipo de datos

text

Alias
UMLS CUI [1,1]
C2360065
UMLS CUI [1,2]
C0003232
Total daily dose
Descripción

Total daily dose

Tipo de datos

text

Alias
UMLS CUI [1,1]
C2348070
UMLS CUI [1,2]
C0439810
Route of antibiotic
Descripción

Route of antibiotic

Tipo de datos

text

Alias
UMLS CUI [1,1]
C0013153
UMLS CUI [1,2]
C0003232
Start date of antibiotic
Descripción

Start date of antibiotic

Tipo de datos

date

Alias
UMLS CUI [1,1]
C0808070
UMLS CUI [1,2]
C0003232
End date of antibiotic
Descripción

End date of antibiotic

Tipo de datos

date

Alias
UMLS CUI [1,1]
C0806020
UMLS CUI [1,2]
C0003232
Antibiotic continuing
Descripción

Antibiotic continuing

Tipo de datos

boolean

Alias
UMLS CUI [1,1]
C0003232
UMLS CUI [1,2]
C0549178
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Similar models

Concomitant vaccination, Medication

1 formularios
Name
Tipo
Description | Question | Decode (Coded Value)
Tipo de datos
Alias
Item Group
Administrative data
C1320722 (UMLS CUI-1)
Subject number
Item
Subject number
text
C2348585 (UMLS CUI [1])
Item
Workbook number
integer
C2986015 (UMLS CUI [1])
Workbook number
Code List
Workbook number
CL Item
workbook 1 (1)
CL Item
workbook 2 (2)
CL Item
workbook 3 (3)
Item Group
CONCOMITANT VACCINATION
C0042196 (UMLS CUI-1)
C2347852 (UMLS CUI-2)
Other vaccines administered
Item
Have any vaccines other than specified in the Protocol been administered since Visit 1?
boolean
C0042210 (UMLS CUI [1,1])
C1444655 (UMLS CUI [1,2])
C2348563 (UMLS CUI [1,3])
C2368628 (UMLS CUI [1,4])
Trade/Generic name
Item
Trade/Generic name
text
C0027365 (UMLS CUI [1,1])
C0042210 (UMLS CUI [1,2])
Item
Route of vaccination
text
C0013153 (UMLS CUI [1,1])
C0042210 (UMLS CUI [1,2])
Route of vaccination
Code List
Route of vaccination
CL Item
Intradermal  (ID)
CL Item
Parenteral (PE)
CL Item
Inhalation  (IH)
CL Item
Oral (PO)
CL Item
Intramuscular  (IM)
CL Item
Subcutaneous (SC)
CL Item
Intravenous  (IV)
CL Item
Sublingual (SL)
CL Item
Intranasal  (IN)
CL Item
Transdermal (TD)
CL Item
Other  (OTH)
CL Item
Unknown (UNK)
Administration date
Item
Administration date
date
C1533734 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
Item Group
MEDICATION
C0013227 (UMLS CUI-1)
Antibiotics administration
Item
Have any antibiotics been administered during the entire protocol period?
boolean
C0003232 (UMLS CUI [1,1])
C1320722 (UMLS CUI [1,2])
Trade/Generic name of antibiotic
Item
Trade/Generic name of antibiotic
text
C2360065 (UMLS CUI [1,1])
C0003232 (UMLS CUI [1,2])
Total daily dose
Item
Total daily dose
text
C2348070 (UMLS CUI [1,1])
C0439810 (UMLS CUI [1,2])
Route of antibiotic
Item
Route of antibiotic
text
C0013153 (UMLS CUI [1,1])
C0003232 (UMLS CUI [1,2])
Start date of antibiotic
Item
Start date of antibiotic
date
C0808070 (UMLS CUI [1,1])
C0003232 (UMLS CUI [1,2])
End date of antibiotic
Item
End date of antibiotic
date
C0806020 (UMLS CUI [1,1])
C0003232 (UMLS CUI [1,2])
Antibiotic continuing
Item
Antibiotic continuing
boolean
C0003232 (UMLS CUI [1,1])
C0549178 (UMLS CUI [1,2])
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