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Mandatory Venography

1 Formulieren  
  1. StudyEvent: ODM
    1. Mandatory Venography
Administrative data
Beschrijving

Administrative data

Alias
UMLS CUI-1
C1320722
Country No.
Beschrijving

Country No.

Datatype

integer

Alias
UMLS CUI [1,1]
C0454664
UMLS CUI [1,2]
C0600091
Centre No.
Beschrijving

Centre No.

Datatype

integer

Alias
UMLS CUI [1,1]
C1301943
UMLS CUI [1,2]
C0600091
Subject No.
Beschrijving

Clinical Trial Subject Unique Identifier

Datatype

integer

Alias
UMLS CUI [1]
C2348585
Mandatory Venography to Assess Asymptomatic DVT
Beschrijving

Mandatory Venography to Assess Asymptomatic DVT

Alias
UMLS CUI-1
C0031545
UMLS CUI-2
C1514873
UMLS CUI-3
C0231221
UMLS CUI-4
C0149871
Venography Type
Beschrijving

For bilateral/left leg/right leg, record date in next item. For not done/left leg/right leg, record primary reason.

Datatype

text

Alias
UMLS CUI [1,1]
C0031545
UMLS CUI [1,2]
C0332307
Date performed
Beschrijving

Venography Date

Datatype

date

Alias
UMLS CUI [1,1]
C0031545
UMLS CUI [1,2]
C0011008
If NOT BILATERAL or NOT DONE, select the primary reason
Beschrijving

if other reason, specify in next item

Datatype

text

Alias
UMLS CUI [1,1]
C1549995
UMLS CUI [1,2]
C0031545
UMLS CUI [1,3]
C1272696
UMLS CUI [2,1]
C1549995
UMLS CUI [2,2]
C0205092
UMLS CUI [2,3]
C0031545
Other, specify
Beschrijving

if applicable

Datatype

text

Alias
UMLS CUI [1,1]
C1521902
UMLS CUI [1,2]
C3840932
UMLS CUI [1,3]
C0031545
UMLS CUI [1,4]
C1272696
UMLS CUI [2,1]
C1521902
UMLS CUI [2,2]
C3840932
UMLS CUI [2,3]
C0205092
UMLS CUI [2,4]
C0031545
As a result of this venography, was medication given to treat DVT?
Beschrijving

If medication was given, record in the medication form

Datatype

boolean

Alias
UMLS CUI [1,1]
C0031545
UMLS CUI [1,2]
C1274040
UMLS CUI [1,3]
C0013227
UMLS CUI [1,4]
C0149871
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Similar models

Mandatory Venography

1 Formulieren
  1. StudyEvent: ODM
    1. Mandatory Venography
Name
Type
Description | Question | Decode (Coded Value)
Datatype
Alias
Item Group
Administrative data
C1320722 (UMLS CUI-1)
Country No.
Item
Country No.
integer
C0454664 (UMLS CUI [1,1])
C0600091 (UMLS CUI [1,2])
Centre No.
Item
Centre No.
integer
C1301943 (UMLS CUI [1,1])
C0600091 (UMLS CUI [1,2])
Clinical Trial Subject Unique Identifier
Item
Subject No.
integer
C2348585 (UMLS CUI [1])
Item Group
Mandatory Venography to Assess Asymptomatic DVT
C0031545 (UMLS CUI-1)
C1514873 (UMLS CUI-2)
C0231221 (UMLS CUI-3)
C0149871 (UMLS CUI-4)
Item
Venography Type
text
C0031545 (UMLS CUI [1,1])
C0332307 (UMLS CUI [1,2])
Venography Type
Code List
Venography Type
CL Item
Not done (ND)
CL Item
Bilateral (BI)
CL Item
Left leg (L)
CL Item
Right leg (R)
Venography Date
Item
Date performed
date
C0031545 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
Item
If NOT BILATERAL or NOT DONE, select the primary reason
text
C1549995 (UMLS CUI [1,1])
C0031545 (UMLS CUI [1,2])
C1272696 (UMLS CUI [1,3])
C1549995 (UMLS CUI [2,1])
C0205092 (UMLS CUI [2,2])
C0031545 (UMLS CUI [2,3])
Venography; Indication
Code List
If NOT BILATERAL or NOT DONE, select the primary reason
CL Item
Failed venous access (Failed venous access)
CL Item
Subject refused/withdrew consent (Subject refused/withdrew consent)
CL Item
Subject amputee (Subject amputee)
CL Item
Other, specify (Other, specify)
Specify other reason venography not done/unilateral
Item
Other, specify
text
C1521902 (UMLS CUI [1,1])
C3840932 (UMLS CUI [1,2])
C0031545 (UMLS CUI [1,3])
C1272696 (UMLS CUI [1,4])
C1521902 (UMLS CUI [2,1])
C3840932 (UMLS CUI [2,2])
C0205092 (UMLS CUI [2,3])
C0031545 (UMLS CUI [2,4])
Medication for DVT given as result of venography
Item
As a result of this venography, was medication given to treat DVT?
boolean
C0031545 (UMLS CUI [1,1])
C1274040 (UMLS CUI [1,2])
C0013227 (UMLS CUI [1,3])
C0149871 (UMLS CUI [1,4])
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