Engelsk

Pregnancy information, Childbearing potential

1 Formulär  
Administrative Data
Beskrivning

Administrative Data

Alias
UMLS CUI-1
C1320722
Subject number
Beskrivning

Subject number

Datatyp

integer

Alias
UMLS CUI [1]
C2348585
Date
Beskrivning

day month year

Datatyp

date

Alias
UMLS CUI [1]
C0011008
Pregnancy information (female)
Beskrivning

Pregnancy information (female)

Alias
UMLS CUI-1
C0032961
UMLS CUI-2
C1533716
UMLS CUI-3
C0086287
Did the subject become pregnant during the study?
Beskrivning

If you tick yes, complete the paper Pregnancy Notification form

Datatyp

text

Alias
UMLS CUI [1]
C3828490
Pregnancy information (male)
Beskrivning

Pregnancy information (male)

Alias
UMLS CUI-1
C0032961
UMLS CUI-2
C1533716
UMLS CUI-3
C0086582
Did a female partner of the male subject become pregnant during the study?
Beskrivning

If you tick yes, complete the paper Pregnancy Notification form. Check Not Applicable if female partner not of childbearing potential or no female partner.

Datatyp

text

Alias
UMLS CUI [1,1]
C0086287
UMLS CUI [1,2]
C3887537
UMLS CUI [1,3]
C3828490
Childbearing potential
Beskrivning

Childbearing potential

Alias
UMLS CUI-1
C3831118
Has child bearing potential changed?
Beskrivning

If you tick yes, please date of first menses in the following item.

Datatyp

text

Alias
UMLS CUI [1,1]
C3831118
UMLS CUI [1,2]
C0443172
Date of first menses
Beskrivning

Day month year

Datatyp

partialDate

Alias
UMLS CUI [1,1]
C0011008
UMLS CUI [1,2]
C0205435
UMLS CUI [1,3]
C0025344
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Similar models

Pregnancy information, Childbearing potential

1 Formulär
Name
Typ
Description | Question | Decode (Coded Value)
Datatyp
Alias
Item Group
Administrative Data
C1320722 (UMLS CUI-1)
Subject number
Item
Subject number
integer
C2348585 (UMLS CUI [1])
Date
Item
Date
date
C0011008 (UMLS CUI [1])
Item Group
Pregnancy information (female)
C0032961 (UMLS CUI-1)
C1533716 (UMLS CUI-2)
C0086287 (UMLS CUI-3)
Item
Did the subject become pregnant during the study?
text
C3828490 (UMLS CUI [1])
Pregnancy during study
Code List
Did the subject become pregnant during the study?
CL Item
No (N)
CL Item
Yes (Y)
Item Group
Pregnancy information (male)
C0032961 (UMLS CUI-1)
C1533716 (UMLS CUI-2)
C0086582 (UMLS CUI-3)
Item
Did a female partner of the male subject become pregnant during the study?
text
C0086287 (UMLS CUI [1,1])
C3887537 (UMLS CUI [1,2])
C3828490 (UMLS CUI [1,3])
Partner pregnant during study
Code List
Did a female partner of the male subject become pregnant during the study?
CL Item
No (N)
CL Item
Yes (Y)
CL Item
Not Applicable (X)
Item Group
Childbearing potential
C3831118 (UMLS CUI-1)
Item
Has child bearing potential changed?
text
C3831118 (UMLS CUI [1,1])
C0443172 (UMLS CUI [1,2])
Pregnancy during study
Code List
Has child bearing potential changed?
CL Item
No (N)
CL Item
Yes (Y)
Date of first menses
Item
Date of first menses
partialDate
C0011008 (UMLS CUI [1,1])
C0205435 (UMLS CUI [1,2])
C0025344 (UMLS CUI [1,3])
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