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Benzodiazepine Withdrawal Symptom Questionnaire

1 forms  
Administrative Data
Description

Administrative Data

Alias
UMLS CUI-1
C1320722
Date of Visit/Assessment
Description

Date of Visit/Assessment

Data type

date

Alias
UMLS CUI [1]
C1320303
UMLS CUI [2]
C2985720
Site
Description

Study site

Data type

text

Alias
UMLS CUI [1]
C2825164
Patient
Description

Patient

Data type

text

Alias
UMLS CUI [1]
C1299487
Patient No.
Description

Subject No.

Data type

text

Alias
UMLS CUI [1]
C2348585
Type of Visit
Description

Visit Type

Data type

text

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

Actual Date of Assessment

Alias
UMLS CUI-1
C0011008
UMLS CUI-2
C0034394
UMLS CUI-3
C2062728
UMLS CUI-4
C1457887
Date of Assessment
Description

Date of Benzodiazepine withdrawal symptom questionnaire

Data type

date

Alias
UMLS CUI [1,1]
C0011008
UMLS CUI [1,2]
C0034394
UMLS CUI [1,3]
C2062728
UMLS CUI [1,4]
C1457887
Initials of rater who performed analysis
Description

Rater initials

Data type

text

Alias
UMLS CUI [1,1]
C4331219
UMLS CUI [1,2]
C2986440
BWSQ2
Description

BWSQ2

Alias
UMLS CUI-1
C0034394
UMLS CUI-2
C2062728
UMLS CUI-3
C1457887
Benzodiazepine Withdrawal Symptom Questionnaire Result
Description

The questionnaire itself is protected by copyright.

Data type

text

Alias
UMLS CUI [1,1]
C0034394
UMLS CUI [1,2]
C2062728
UMLS CUI [1,3]
C1457887
UMLS CUI [1,4]
C0456984
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Similar models

Benzodiazepine Withdrawal Symptom Questionnaire

1 forms
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Administrative Data
C1320722 (UMLS CUI-1)
Date of Visit/Assessment
Item
Date of Visit/Assessment
date
C1320303 (UMLS CUI [1])
C2985720 (UMLS CUI [2])
Study site
Item
Site
text
C2825164 (UMLS CUI [1])
Patient
Item
Patient
text
C1299487 (UMLS CUI [1])
Subject No.
Item
Patient No.
text
C2348585 (UMLS CUI [1])
Item
Type of Visit
text
C0545082 (UMLS CUI [1,1])
C0332307 (UMLS CUI [1,2])
Visit Type
Code List
Type of Visit
CL Item
Visit 3 (Visit 3)
CL Item
Visit 5 (Visit 5)
CL Item
Visit 8 (Visit 8)
Item Group
Actual Date of Assessment
C0011008 (UMLS CUI-1)
C0034394 (UMLS CUI-2)
C2062728 (UMLS CUI-3)
C1457887 (UMLS CUI-4)
Date of Benzodiazepine withdrawal symptom questionnaire
Item
Date of Assessment
date
C0011008 (UMLS CUI [1,1])
C0034394 (UMLS CUI [1,2])
C2062728 (UMLS CUI [1,3])
C1457887 (UMLS CUI [1,4])
Rater initials
Item
Initials of rater who performed analysis
text
C4331219 (UMLS CUI [1,1])
C2986440 (UMLS CUI [1,2])
Item Group
BWSQ2
C0034394 (UMLS CUI-1)
C2062728 (UMLS CUI-2)
C1457887 (UMLS CUI-3)
Benzodiazepine Withdrawal Symptom Questionnaire Result
Item
Benzodiazepine Withdrawal Symptom Questionnaire Result
text
C0034394 (UMLS CUI [1,1])
C2062728 (UMLS CUI [1,2])
C1457887 (UMLS CUI [1,3])
C0456984 (UMLS CUI [1,4])
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