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Scales and Reports

1 forms  
  1. StudyEvent: ODM
    1. Scales and Reports
Administrative Data
Description

Administrative Data

Alias
UMLS CUI-1
C1320722
Subject number
Description

Subject number

Data type

integer

Alias
UMLS CUI [1]
C2348585
Date of Visit
Description

day month year

Data type

date

Alias
UMLS CUI [1]
C1320303
Visit type
Description

Please tick for each timepoint you fill in this document. Only the WHO bleeding scale has to be filled in at the follow-up visits. If you tick " P1W24/EW" or "P3W31/EW" please note if this is an early withdrawal.

Data type

integer

Alias
UMLS CUI [1,1]
C0545082
UMLS CUI [1,2]
C0332307
Early withdrawal
Description

Early withdrawal

Data type

boolean

Alias
UMLS CUI [1]
C1710677
WHO Bleeding scale
Description

WHO Bleeding scale

Alias
UMLS CUI-1
C0043237
UMLS CUI-2
C3251812
UMLS CUI-3
C0681889
WHO Bleeding scale
Description

This section contained Clinical Outcome Assessment data collection questionnaires or indices, which are protected by copyright laws and therefore have been excluded.

Data type

integer

Alias
UMLS CUI [1,1]
C0043237
UMLS CUI [1,2]
C3251812
UMLS CUI [1,3]
C0681889
Child Self-Report Of Quality Of Life (KIT)
Description

Child Self-Report Of Quality Of Life (KIT)

Alias
UMLS CUI-1
C0034380
UMLS CUI-2
C2700446
UMLS CUI-3
C0008059
Child Self-Report Of Quality Of Life (KIT)
Description

This section contained Clinical Outcome Assessment data collection questionnaires or indices, which are protected by copyright laws and therefore have been excluded. Not to fill in for the Follow-up visits.

Data type

text

Alias
UMLS CUI [1,1]
C0034380
UMLS CUI [1,2]
C2700446
UMLS CUI [1,3]
C0008059
Guardian Report Of Quality Of Life (Guardian KIT)
Description

Guardian Report Of Quality Of Life (Guardian KIT)

Alias
UMLS CUI-1
C0034380
UMLS CUI-2
C1274041
UMLS CUI-3
C0684224
Guardian Report Of Quality Of Life (Guardian KIT)
Description

This section contained Clinical Outcome Assessment data collection questionnaires or indices, which are protected by copyright laws and therefore have been excluded. Not to fill in for the Follow-up visits.

Data type

text

Alias
UMLS CUI [1,1]
C0034380
UMLS CUI [1,2]
C1274041
UMLS CUI [1,3]
C0684224
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Similar models

Scales and Reports

1 forms
  1. StudyEvent: ODM
    1. Scales and Reports
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Administrative Data
C1320722 (UMLS CUI-1)
Subject number
Item
Subject number
integer
C2348585 (UMLS CUI [1])
Date of Visit
Item
Date of Visit
date
C1320303 (UMLS CUI [1])
Item
Visit type
integer
C0545082 (UMLS CUI [1,1])
C0332307 (UMLS CUI [1,2])
Visit type
Code List
Visit type
CL Item
Screening (1)
CL Item
D1 (2)
CL Item
P1W1 (3)
CL Item
P1W2 (4)
CL Item
P1W3 (5)
CL Item
P1W4 (6)
CL Item
P1W5 (7)
CL Item
P1W6 (8)
CL Item
P1W7 (9)
CL Item
P1W8-23 (10)
CL Item
P1W24/EW (11)
CL Item
P2W1 (12)
CL Item
P2W2 (13)
CL Item
P2W3 (14)
CL Item
P2W4 (15)
CL Item
P2W5 (16)
CL Item
P2W6 (17)
CL Item
P2W7 (18)
CL Item
P3W8-30 (19)
CL Item
P3W31/EW (20)
CL Item
FUW1 (21)
CL Item
FUW2 (22)
CL Item
FUW3 (23)
CL Item
FUW4 (24)
CL Item
NA (26)
Early withdrawal
Item
Early withdrawal
boolean
C1710677 (UMLS CUI [1])
Item Group
WHO Bleeding scale
C0043237 (UMLS CUI-1)
C3251812 (UMLS CUI-2)
C0681889 (UMLS CUI-3)
WHO Bleeding scale
Item
WHO Bleeding scale
integer
C0043237 (UMLS CUI [1,1])
C3251812 (UMLS CUI [1,2])
C0681889 (UMLS CUI [1,3])
Item Group
Child Self-Report Of Quality Of Life (KIT)
C0034380 (UMLS CUI-1)
C2700446 (UMLS CUI-2)
C0008059 (UMLS CUI-3)
Child Self-Report Of Quality Of Life (KIT)
Item
Child Self-Report Of Quality Of Life (KIT)
text
C0034380 (UMLS CUI [1,1])
C2700446 (UMLS CUI [1,2])
C0008059 (UMLS CUI [1,3])
Item Group
Guardian Report Of Quality Of Life (Guardian KIT)
C0034380 (UMLS CUI-1)
C1274041 (UMLS CUI-2)
C0684224 (UMLS CUI-3)
Guardian Report Of Quality Of Life
Item
Guardian Report Of Quality Of Life (Guardian KIT)
text
C0034380 (UMLS CUI [1,1])
C1274041 (UMLS CUI [1,2])
C0684224 (UMLS CUI [1,3])
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