Inglés

Prenext Course Visit

1 formularios  
  1. StudyEvent: ODM
    1. Prenext Course Visit
Administrative Data
Descripción

Administrative Data

Alias
UMLS CUI-1
C1320722
Center Number
Descripción

Institution name, Identifier

Tipo de datos

integer

Alias
UMLS CUI [1,1]
C1301943
UMLS CUI [1,2]
C0600091
Patient Number
Descripción

Patient number

Tipo de datos

integer

Alias
UMLS CUI [1]
C1830427
Patient Initials
Descripción

Person Initials

Tipo de datos

text

Alias
UMLS CUI [1]
C2986440
Visit Date
Descripción

Date of visit

Tipo de datos

date

Alias
UMLS CUI [1]
C1320303
Serious Adverse Event
Descripción

Serious Adverse Event

Alias
UMLS CUI-1
C0146224
UMLS CUI-2
C0392920
UMLS CUI-3
C1519255
Has the patient had any serious adverse experiences during this course?
Descripción

Topotecan, Chemotherapy Regimen, Serious Adverse Event

Tipo de datos

boolean

Alias
UMLS CUI [1,1]
C0146224
UMLS CUI [1,2]
C0392920
UMLS CUI [1,3]
C1519255
Oral Topotecan Study Medication Record - Daily X5 Days Regime - Days 1-5
Descripción

Oral Topotecan Study Medication Record - Daily X5 Days Regime - Days 1-5

Alias
UMLS CUI-1
C0146224
UMLS CUI-2
C0392920
Start Date
Descripción

Topotecan, Chemotherapy Regimen, Start Date

Tipo de datos

date

Alias
UMLS CUI [1,1]
C0146224
UMLS CUI [1,2]
C0392920
UMLS CUI [1,3]
C0808070
End Date
Descripción

Topotecan, Chemotherapy Regimen, End Date

Tipo de datos

date

Alias
UMLS CUI [1,1]
C0146224
UMLS CUI [1,2]
C0392920
UMLS CUI [1,3]
C0806020
Scheduled Daily Dose for this Course
Descripción

Topotecan, Chemotherapy Regimen, Daily Dose, Scheduled

Tipo de datos

float

Unidades de medida
  • mg/m2
Alias
UMLS CUI [1,1]
C0146224
UMLS CUI [1,2]
C0392920
UMLS CUI [1,3]
C2348070
UMLS CUI [1,4]
C0205539
mg/m2
Actual Daily Dose for this Course
Descripción

Topotecan, Chemotherapy Regimen, Daily Dose, Actual

Tipo de datos

float

Unidades de medida
  • mg/m2
Alias
UMLS CUI [1,1]
C0146224
UMLS CUI [1,2]
C0392920
UMLS CUI [1,3]
C2348070
UMLS CUI [1,4]
C0237400
mg/m2
Oral Topotecan Study Medication Record - Daily X5 Days Regime - Days 8-12
Descripción

Oral Topotecan Study Medication Record - Daily X5 Days Regime - Days 8-12

Alias
UMLS CUI-1
C0146224
UMLS CUI-2
C0392920
Start Date
Descripción

Topotecan, Chemotherapy Regimen, Start Date

Tipo de datos

date

Alias
UMLS CUI [1,1]
C0146224
UMLS CUI [1,2]
C0392920
UMLS CUI [1,3]
C0808070
End Date
Descripción

Topotecan, Chemotherapy Regimen, End Date

Tipo de datos

date

Alias
UMLS CUI [1,1]
C0146224
UMLS CUI [1,2]
C0392920
UMLS CUI [1,3]
C0806020
Scheduled Daily Dose for this Course
Descripción

Topotecan, Chemotherapy Regimen, Daily Dose, Scheduled

Tipo de datos

float

Unidades de medida
  • mg/m2
Alias
UMLS CUI [1,1]
C0146224
UMLS CUI [1,2]
C0392920
UMLS CUI [1,3]
C2348070
UMLS CUI [1,4]
C0205539
mg/m2
Actual Daily Dose for this Course
Descripción

Topotecan, Chemotherapy Regimen, Daily Dose, Actual

Tipo de datos

float

Unidades de medida
  • mg/m2
Alias
UMLS CUI [1,1]
C0146224
UMLS CUI [1,2]
C0392920
UMLS CUI [1,3]
C2348070
UMLS CUI [1,4]
C0237400
mg/m2
Oral Topotecan Study Medication Record - Daily X5 Days Regime - Days 15-19
Descripción

Oral Topotecan Study Medication Record - Daily X5 Days Regime - Days 15-19

Alias
UMLS CUI-1
C0146224
UMLS CUI-2
C0392920
Start Date
Descripción

Topotecan, Chemotherapy Regimen, Start Date

Tipo de datos

date

Alias
UMLS CUI [1,1]
C0146224
UMLS CUI [1,2]
C0392920
UMLS CUI [1,3]
C0808070
End Date
Descripción

Topotecan, Chemotherapy Regimen, End Date

Tipo de datos

date

Alias
UMLS CUI [1,1]
C0146224
UMLS CUI [1,2]
C0392920
UMLS CUI [1,3]
C0806020
Scheduled Daily Dose for this Course
Descripción

Topotecan, Chemotherapy Regimen, Daily Dose, Scheduled

Tipo de datos

float

Unidades de medida
  • mg/m2
Alias
UMLS CUI [1,1]
C0146224
UMLS CUI [1,2]
C0392920
UMLS CUI [1,3]
C2348070
UMLS CUI [1,4]
C0205539
mg/m2
Actual Daily Dose for this Course
Descripción

Topotecan, Chemotherapy Regimen, Daily Dose, Actual

Tipo de datos

float

Unidades de medida
  • mg/m2
Alias
UMLS CUI [1,1]
C0146224
UMLS CUI [1,2]
C0392920
UMLS CUI [1,3]
C2348070
UMLS CUI [1,4]
C0237400
mg/m2
Vital Signs
Descripción

Vital Signs

Alias
UMLS CUI-1
C0518766
Temperature
Descripción

Body temperature measurement, Route

Tipo de datos

text

Alias
UMLS CUI [1,1]
C0886414
UMLS CUI [1,2]
C0449444
Temperature
Descripción

Body Temperature, Unit of Measure

Tipo de datos

text

Alias
UMLS CUI [1,1]
C0005903
UMLS CUI [1,2]
C1519795
Temperature
Descripción

Body Temperature

Tipo de datos

float

Alias
UMLS CUI [1]
C0005903
After 5 Minutes Sitting - Sitting Blood Pressure - Systolic
Descripción

Systolic Pressure, Sitting position

Tipo de datos

integer

Unidades de medida
  • mmHg
Alias
UMLS CUI [1,1]
C0871470
UMLS CUI [1,2]
C0277814
mmHg
After 5 Minutes Sitting - Sitting Blood Pressure - Diastolic
Descripción

Diastolic blood pressure, Sitting position

Tipo de datos

integer

Unidades de medida
  • mmHg
Alias
UMLS CUI [1,1]
C0428883
UMLS CUI [1,2]
C0277814
mmHg
After 5 Minutes Sitting - Pulse
Descripción

Heart rate while sitting

Tipo de datos

integer

Unidades de medida
  • bpm
Alias
UMLS CUI [1]
C2029904
bpm
12-Lead Electrocardiogram
Descripción

12-Lead Electrocardiogram

Alias
UMLS CUI-1
C0430456
Mark the box if not required
Descripción

12 lead ECG, Requirement

Tipo de datos

boolean

Alias
UMLS CUI [1,1]
C0430456
UMLS CUI [1,2]
C1514873
Date Performed
Descripción

12 lead ECG, Date in time

Tipo de datos

date

Alias
UMLS CUI [1,1]
C0430456
UMLS CUI [1,2]
C0011008
Finding
Descripción

12 lead ECG, Result

Tipo de datos

text

Alias
UMLS CUI [1,1]
C0430456
UMLS CUI [1,2]
C1274040
Topotecan Study Medication Compliance - Daily X5 Days Regimen
Descripción

Topotecan Study Medication Compliance - Daily X5 Days Regimen

Alias
UMLS CUI-1
C0146224
UMLS CUI-2
C0392920
Number of Capsules Dispensed
Descripción

Topotecan, Chemotherapy Regimen, Dispensed Amount

Tipo de datos

text

Alias
UMLS CUI [1,1]
C0146224
UMLS CUI [1,2]
C0392920
UMLS CUI [1,3]
C0805077
Number of Capsules Taken
Descripción

Topotecan, Chemotherapy Regimen, Capsule, Taken

Tipo de datos

text

Alias
UMLS CUI [1,1]
C0146224
UMLS CUI [1,2]
C0392920
UMLS CUI [1,3]
C0006935
UMLS CUI [1,4]
C1883727
Number of Capsules Returned
Descripción

Topotecan, Chemotherapy Regimen, Returned Amount

Tipo de datos

text

Alias
UMLS CUI [1,1]
C0146224
UMLS CUI [1,2]
C0392920
UMLS CUI [1,3]
C2699071
Topotecan Study Medication Compliance - 5 Days On, 2 Days Off for 3 Weeks Regimen - Days 1-5
Descripción

Topotecan Study Medication Compliance - 5 Days On, 2 Days Off for 3 Weeks Regimen - Days 1-5

Alias
UMLS CUI-1
C0146224
UMLS CUI-2
C0392920
Number of Capsules Dispensed
Descripción

Topotecan, Chemotherapy Regimen, Dispensed Amount

Tipo de datos

text

Alias
UMLS CUI [1,1]
C0146224
UMLS CUI [1,2]
C0392920
UMLS CUI [1,3]
C0805077
Number of Capsules Taken
Descripción

Topotecan, Chemotherapy Regimen, Capsule, Taken

Tipo de datos

text

Alias
UMLS CUI [1,1]
C0146224
UMLS CUI [1,2]
C0392920
UMLS CUI [1,3]
C0006935
UMLS CUI [1,4]
C1883727
Number of Capsules Returned
Descripción

Topotecan, Chemotherapy Regimen, Returned Amount

Tipo de datos

text

Alias
UMLS CUI [1,1]
C0146224
UMLS CUI [1,2]
C0392920
UMLS CUI [1,3]
C2699071
Topotecan Study Medication Compliance - 5 Days On, 2 Days Off for 3 Weeks Regimen - Days 8-12
Descripción

Topotecan Study Medication Compliance - 5 Days On, 2 Days Off for 3 Weeks Regimen - Days 8-12

Alias
UMLS CUI-1
C0146224
UMLS CUI-2
C0392920
Number of Capsules Dispensed
Descripción

Topotecan, Chemotherapy Regimen, Dispensed Amount

Tipo de datos

text

Alias
UMLS CUI [1,1]
C0146224
UMLS CUI [1,2]
C0392920
UMLS CUI [1,3]
C0805077
Number of Capsules Taken
Descripción

Topotecan, Chemotherapy Regimen, Capsule, Taken

Tipo de datos

text

Alias
UMLS CUI [1,1]
C0146224
UMLS CUI [1,2]
C0392920
UMLS CUI [1,3]
C0006935
UMLS CUI [1,4]
C1883727
Number of Capsules Returned
Descripción

Topotecan, Chemotherapy Regimen, Returned Amount

Tipo de datos

text

Alias
UMLS CUI [1,1]
C0146224
UMLS CUI [1,2]
C0392920
UMLS CUI [1,3]
C2699071
Topotecan Study Medication Compliance - 5 Days On, 2 Days Off for 3 Weeks Regimen - Days 15-19
Descripción

Topotecan Study Medication Compliance - 5 Days On, 2 Days Off for 3 Weeks Regimen - Days 15-19

Alias
UMLS CUI-1
C0146224
UMLS CUI-2
C0392920
Number of Capsules Dispensed
Descripción

Topotecan, Chemotherapy Regimen, Dispensed Amount

Tipo de datos

text

Alias
UMLS CUI [1,1]
C0146224
UMLS CUI [1,2]
C0392920
UMLS CUI [1,3]
C0805077
Number of Capsules Taken
Descripción

Topotecan, Chemotherapy Regimen, Capsule, Taken

Tipo de datos

text

Alias
UMLS CUI [1,1]
C0146224
UMLS CUI [1,2]
C0392920
UMLS CUI [1,3]
C0006935
UMLS CUI [1,4]
C1883727
Number of Capsules Returned
Descripción

Topotecan, Chemotherapy Regimen, Returned Amount

Tipo de datos

text

Alias
UMLS CUI [1,1]
C0146224
UMLS CUI [1,2]
C0392920
UMLS CUI [1,3]
C2699071
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Similar models

Prenext Course Visit

1 formularios
  1. StudyEvent: ODM
    1. Prenext Course Visit
Name
Tipo
Description | Question | Decode (Coded Value)
Tipo de datos
Alias
Item Group
Administrative Data
C1320722 (UMLS CUI-1)
Institution name, Identifier
Item
Center Number
integer
C1301943 (UMLS CUI [1,1])
C0600091 (UMLS CUI [1,2])
Patient number
Item
Patient Number
integer
C1830427 (UMLS CUI [1])
Person Initials
Item
Patient Initials
text
C2986440 (UMLS CUI [1])
Date of visit
Item
Visit Date
date
C1320303 (UMLS CUI [1])
Item Group
Serious Adverse Event
C0146224 (UMLS CUI-1)
C0392920 (UMLS CUI-2)
C1519255 (UMLS CUI-3)
Topotecan, Chemotherapy Regimen, Serious Adverse Event
Item
Has the patient had any serious adverse experiences during this course?
boolean
C0146224 (UMLS CUI [1,1])
C0392920 (UMLS CUI [1,2])
C1519255 (UMLS CUI [1,3])
Item Group
Oral Topotecan Study Medication Record - Daily X5 Days Regime - Days 1-5
C0146224 (UMLS CUI-1)
C0392920 (UMLS CUI-2)
Topotecan, Chemotherapy Regimen, Start Date
Item
Start Date
date
C0146224 (UMLS CUI [1,1])
C0392920 (UMLS CUI [1,2])
C0808070 (UMLS CUI [1,3])
Topotecan, Chemotherapy Regimen, End Date
Item
End Date
date
C0146224 (UMLS CUI [1,1])
C0392920 (UMLS CUI [1,2])
C0806020 (UMLS CUI [1,3])
Topotecan, Chemotherapy Regimen, Daily Dose, Scheduled
Item
Scheduled Daily Dose for this Course
float
C0146224 (UMLS CUI [1,1])
C0392920 (UMLS CUI [1,2])
C2348070 (UMLS CUI [1,3])
C0205539 (UMLS CUI [1,4])
Topotecan, Chemotherapy Regimen, Daily Dose, Actual
Item
Actual Daily Dose for this Course
float
C0146224 (UMLS CUI [1,1])
C0392920 (UMLS CUI [1,2])
C2348070 (UMLS CUI [1,3])
C0237400 (UMLS CUI [1,4])
Item Group
Oral Topotecan Study Medication Record - Daily X5 Days Regime - Days 8-12
C0146224 (UMLS CUI-1)
C0392920 (UMLS CUI-2)
Topotecan, Chemotherapy Regimen, Start Date
Item
Start Date
date
C0146224 (UMLS CUI [1,1])
C0392920 (UMLS CUI [1,2])
C0808070 (UMLS CUI [1,3])
Topotecan, Chemotherapy Regimen, End Date
Item
End Date
date
C0146224 (UMLS CUI [1,1])
C0392920 (UMLS CUI [1,2])
C0806020 (UMLS CUI [1,3])
Topotecan, Chemotherapy Regimen, Daily Dose, Scheduled
Item
Scheduled Daily Dose for this Course
float
C0146224 (UMLS CUI [1,1])
C0392920 (UMLS CUI [1,2])
C2348070 (UMLS CUI [1,3])
C0205539 (UMLS CUI [1,4])
Topotecan, Chemotherapy Regimen, Daily Dose, Actual
Item
Actual Daily Dose for this Course
float
C0146224 (UMLS CUI [1,1])
C0392920 (UMLS CUI [1,2])
C2348070 (UMLS CUI [1,3])
C0237400 (UMLS CUI [1,4])
Item Group
Oral Topotecan Study Medication Record - Daily X5 Days Regime - Days 15-19
C0146224 (UMLS CUI-1)
C0392920 (UMLS CUI-2)
Topotecan, Chemotherapy Regimen, Start Date
Item
Start Date
date
C0146224 (UMLS CUI [1,1])
C0392920 (UMLS CUI [1,2])
C0808070 (UMLS CUI [1,3])
Topotecan, Chemotherapy Regimen, End Date
Item
End Date
date
C0146224 (UMLS CUI [1,1])
C0392920 (UMLS CUI [1,2])
C0806020 (UMLS CUI [1,3])
Topotecan, Chemotherapy Regimen, Daily Dose, Scheduled
Item
Scheduled Daily Dose for this Course
float
C0146224 (UMLS CUI [1,1])
C0392920 (UMLS CUI [1,2])
C2348070 (UMLS CUI [1,3])
C0205539 (UMLS CUI [1,4])
Topotecan, Chemotherapy Regimen, Daily Dose, Actual
Item
Actual Daily Dose for this Course
float
C0146224 (UMLS CUI [1,1])
C0392920 (UMLS CUI [1,2])
C2348070 (UMLS CUI [1,3])
C0237400 (UMLS CUI [1,4])
Item Group
Vital Signs
C0518766 (UMLS CUI-1)
Item
Temperature
text
C0886414 (UMLS CUI [1,1])
C0449444 (UMLS CUI [1,2])
Body temperature measurement, Route
Code List
Temperature
CL Item
Oral (1)
CL Item
Axillary  (2)
CL Item
Rectal  (3)
CL Item
Tympanic (4)
Item
Temperature
text
C0005903 (UMLS CUI [1,1])
C1519795 (UMLS CUI [1,2])
Body Temperature, Unit of Measure
Code List
Temperature
CL Item
°C (1)
CL Item
°F (2)
Body Temperature
Item
Temperature
float
C0005903 (UMLS CUI [1])
Systolic Pressure, Sitting position
Item
After 5 Minutes Sitting - Sitting Blood Pressure - Systolic
integer
C0871470 (UMLS CUI [1,1])
C0277814 (UMLS CUI [1,2])
Diastolic blood pressure, Sitting position
Item
After 5 Minutes Sitting - Sitting Blood Pressure - Diastolic
integer
C0428883 (UMLS CUI [1,1])
C0277814 (UMLS CUI [1,2])
Heart rate while sitting
Item
After 5 Minutes Sitting - Pulse
integer
C2029904 (UMLS CUI [1])
Item Group
12-Lead Electrocardiogram
C0430456 (UMLS CUI-1)
12 lead ECG, Requirement
Item
Mark the box if not required
boolean
C0430456 (UMLS CUI [1,1])
C1514873 (UMLS CUI [1,2])
12 lead ECG, Date in time
Item
Date Performed
date
C0430456 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
Item
Finding
text
C0430456 (UMLS CUI [1,1])
C1274040 (UMLS CUI [1,2])
12 lead ECG, Result
Code List
Finding
CL Item
No significant worsening since screening. (1)
CL Item
Worsening since screening (2)
Item Group
Topotecan Study Medication Compliance - Daily X5 Days Regimen
C0146224 (UMLS CUI-1)
C0392920 (UMLS CUI-2)
Item
Number of Capsules Dispensed
text
C0146224 (UMLS CUI [1,1])
C0392920 (UMLS CUI [1,2])
C0805077 (UMLS CUI [1,3])
Topotecan, Chemotherapy Regimen, Dispensed Amount
Code List
Number of Capsules Dispensed
CL Item
1.0mg (1)
CL Item
0.25mg (2)
Item
Number of Capsules Taken
text
C0146224 (UMLS CUI [1,1])
C0392920 (UMLS CUI [1,2])
C0006935 (UMLS CUI [1,3])
C1883727 (UMLS CUI [1,4])
Topotecan, Chemotherapy Regimen, Dispensed Amount
Code List
Number of Capsules Taken
CL Item
1.0mg (1)
CL Item
0.25mg (2)
Item
Number of Capsules Returned
text
C0146224 (UMLS CUI [1,1])
C0392920 (UMLS CUI [1,2])
C2699071 (UMLS CUI [1,3])
Topotecan, Chemotherapy Regimen, Dispensed Amount
Code List
Number of Capsules Returned
CL Item
1.0mg (1)
CL Item
0.25mg (2)
Item Group
Topotecan Study Medication Compliance - 5 Days On, 2 Days Off for 3 Weeks Regimen - Days 1-5
C0146224 (UMLS CUI-1)
C0392920 (UMLS CUI-2)
Item
Number of Capsules Dispensed
text
C0146224 (UMLS CUI [1,1])
C0392920 (UMLS CUI [1,2])
C0805077 (UMLS CUI [1,3])
Topotecan, Chemotherapy Regimen, Dispensed Amount
Code List
Number of Capsules Dispensed
CL Item
1.0mg (1)
CL Item
0.25mg (2)
Item
Number of Capsules Taken
text
C0146224 (UMLS CUI [1,1])
C0392920 (UMLS CUI [1,2])
C0006935 (UMLS CUI [1,3])
C1883727 (UMLS CUI [1,4])
Topotecan, Chemotherapy Regimen, Dispensed Amount
Code List
Number of Capsules Taken
CL Item
1.0mg (1)
CL Item
0.25mg (2)
Item
Number of Capsules Returned
text
C0146224 (UMLS CUI [1,1])
C0392920 (UMLS CUI [1,2])
C2699071 (UMLS CUI [1,3])
Topotecan, Chemotherapy Regimen, Dispensed Amount
Code List
Number of Capsules Returned
CL Item
1.0mg (1)
CL Item
0.25mg (2)
Item Group
Topotecan Study Medication Compliance - 5 Days On, 2 Days Off for 3 Weeks Regimen - Days 8-12
C0146224 (UMLS CUI-1)
C0392920 (UMLS CUI-2)
Item
Number of Capsules Dispensed
text
C0146224 (UMLS CUI [1,1])
C0392920 (UMLS CUI [1,2])
C0805077 (UMLS CUI [1,3])
Topotecan, Chemotherapy Regimen, Dispensed Amount
Code List
Number of Capsules Dispensed
CL Item
1.0mg (1)
CL Item
0.25mg (2)
Item
Number of Capsules Taken
text
C0146224 (UMLS CUI [1,1])
C0392920 (UMLS CUI [1,2])
C0006935 (UMLS CUI [1,3])
C1883727 (UMLS CUI [1,4])
Topotecan, Chemotherapy Regimen, Dispensed Amount
Code List
Number of Capsules Taken
CL Item
1.0mg (1)
CL Item
0.25mg (2)
Item
Number of Capsules Returned
text
C0146224 (UMLS CUI [1,1])
C0392920 (UMLS CUI [1,2])
C2699071 (UMLS CUI [1,3])
Topotecan, Chemotherapy Regimen, Dispensed Amount
Code List
Number of Capsules Returned
CL Item
1.0mg (1)
CL Item
0.25mg (2)
Item Group
Topotecan Study Medication Compliance - 5 Days On, 2 Days Off for 3 Weeks Regimen - Days 15-19
C0146224 (UMLS CUI-1)
C0392920 (UMLS CUI-2)
Item
Number of Capsules Dispensed
text
C0146224 (UMLS CUI [1,1])
C0392920 (UMLS CUI [1,2])
C0805077 (UMLS CUI [1,3])
Topotecan, Chemotherapy Regimen, Dispensed Amount
Code List
Number of Capsules Dispensed
CL Item
1.0mg (1)
CL Item
0.25mg (2)
Item
Number of Capsules Taken
text
C0146224 (UMLS CUI [1,1])
C0392920 (UMLS CUI [1,2])
C0006935 (UMLS CUI [1,3])
C1883727 (UMLS CUI [1,4])
Topotecan, Chemotherapy Regimen, Dispensed Amount
Code List
Number of Capsules Taken
CL Item
1.0mg (1)
CL Item
0.25mg (2)
Item
Number of Capsules Returned
text
C0146224 (UMLS CUI [1,1])
C0392920 (UMLS CUI [1,2])
C2699071 (UMLS CUI [1,3])
Topotecan, Chemotherapy Regimen, Dispensed Amount
Code List
Number of Capsules Returned
CL Item
1.0mg (1)
CL Item
0.25mg (2)
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