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Protocol required concomitant vaccinations

1 forms  
Administrative data
Description

Administrative data

Alias
UMLS CUI-1
C1320722
Subject Identifier
Description

Clinical Trial Subject Unique Identifier

Data type

integer

Alias
UMLS CUI [1]
C2348585
Cohort
Description

The protocol-required concomitant vaccinations are identical for all cohorts.

Data type

integer

Alias
UMLS CUI [1]
C0599755
Visit Type
Description

OPV is given at Visits 1, 2, 3 and 8. Measles Vaccine is given at Visits 5 and 8.

Data type

integer

Alias
UMLS CUI [1,1]
C0332307
UMLS CUI [1,2]
C0545082
Date of Visit
Description

Date of Visit

Data type

date

Alias
UMLS CUI [1]
C1320303
Protocol required Concomitant Vaccination
Description

Protocol required Concomitant Vaccination

Alias
UMLS CUI-1
C0042196
UMLS CUI-2
C2347852
UMLS CUI-3
C2348563
Concomitant vaccination
Description

Fill in this entire item group once per vaccination. OPV is given at Visits 1, 2, 3 and 8. Measles Vaccine is given at Visits 5 and 8.

Data type

integer

Alias
UMLS CUI [1,1]
C0042196
UMLS CUI [1,2]
C2347852
Has the protocol required concomitant vaccine been administered?
Description

If Yes, please complete vaccination date if different from visit date. If Yes is ticked, the above vaccine is NOT to be reported again in the Concomitant Vaccination form. Any other vaccines administered during the study period are to be recorded in the Concomitant Vaccination form.

Data type

boolean

Alias
UMLS CUI [1,1]
C0042196
UMLS CUI [1,2]
C2347852
UMLS CUI [1,3]
C2348563
UMLS CUI [1,4]
C0884358
Concomitant Vaccination Date
Description

complete only if different from visit date

Data type

date

Alias
UMLS CUI [1,1]
C0042196
UMLS CUI [1,2]
C2347852
UMLS CUI [1,3]
C0011008
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Similar models

Protocol required concomitant vaccinations

1 forms
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Administrative data
C1320722 (UMLS CUI-1)
Clinical Trial Subject Unique Identifier
Item
Subject Identifier
integer
C2348585 (UMLS CUI [1])
Item
Cohort
integer
C0599755 (UMLS CUI [1])
Cohort
Code List
Cohort
CL Item
HIV-pos. (1)
CL Item
HIV-neg. exposed (2)
CL Item
HIV-neg. unexposed, 3+1 schedule (3)
CL Item
HIV-neg. unexposed, 3+0 schedule (4)
CL Item
HIV-neg. unexposed, 2+1 schedule (5)
Item
Visit Type
integer
C0332307 (UMLS CUI [1,1])
C0545082 (UMLS CUI [1,2])
Visit Type
Code List
Visit Type
CL Item
Visit 1 (1)
CL Item
Visit 2 (2)
CL Item
Visit 3 (3)
CL Item
Visit 5 (4)
CL Item
Visit 8 (5)
Date of Visit
Item
Date of Visit
date
C1320303 (UMLS CUI [1])
Item Group
Protocol required Concomitant Vaccination
C0042196 (UMLS CUI-1)
C2347852 (UMLS CUI-2)
C2348563 (UMLS CUI-3)
Item
Concomitant vaccination
integer
C0042196 (UMLS CUI [1,1])
C2347852 (UMLS CUI [1,2])
Concomitant vaccination
Code List
Concomitant vaccination
CL Item
OPV (1)
CL Item
Measles Vaccine (2)
protocol required concomitant vaccine administered
Item
Has the protocol required concomitant vaccine been administered?
boolean
C0042196 (UMLS CUI [1,1])
C2347852 (UMLS CUI [1,2])
C2348563 (UMLS CUI [1,3])
C0884358 (UMLS CUI [1,4])
Concomitant Vaccination Date
Item
Concomitant Vaccination Date
date
C0042196 (UMLS CUI [1,1])
C2347852 (UMLS CUI [1,2])
C0011008 (UMLS CUI [1,3])
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