ID

39630

Description

Study ID: 110852 Clinical Study ID: 110852 Study Title: MD7110852, A Phase 2b Dose-Ranging Study of Pazopanib Eye Drops versus Ranibizumab Intravitreal Injections for the Treatment of Neovascular Age-Related Macular Degeneration Patient Level Data: Study Listed on ClinicalStudyDataRequest.com Clinicaltrials.gov Identifier: NCT01134055 Sponsor: GlaxoSmithKline Phase: Phase 2 Study Recruitment Status: Completed Generic Name: pazopanib eye drops, ranibizumab intravitreal injection, placebo Trade Name: pazopanib, ranibizumab Study Indication: Macular Degeneration

Keywords

Versions (2)
  1. 2/5/20 2/5/20 -
  2. 2/5/20 2/5/20 -
Copyright Holder

GlaxoSmithKline

Uploaded on

February 5, 2020

DOI

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License

Creative Commons BY-NC 3.0
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Pazopanib Eye Drops versus Ranibizumab Intravitreal Injections for the Treatment of Neovascular Age-Related Macular Degeneration NCT01134055

English

Day 1 - Vital Signs; Electronically Transferred Lab Data; Liver event assessment; ETDRS Refraction; ETDRS Visual Acuity; Intraocular Pressure Exam; External Ocular Exam; Eye Lid and Lash Exam; Iris Color

1 forms  
Administrative
Description

Administrative

Alias
UMLS CUI-1
C1320722
Date of visit/ assessment
Description

Date of visit/ assessment

Data type

date

Alias
UMLS CUI [1,1]
C1320303
UMLS CUI [1,2]
C2985720
Vital Signs
Description

Vital Signs

Alias
UMLS CUI-1
C0518766
Heart rate
Description

Heart rate

Data type

integer

Measurement units
  • beats/min
Alias
UMLS CUI [1]
C0018810
beats/min
First sitting BP reading
Description

First sitting BP reading

Alias
UMLS CUI-1
C0005823
UMLS CUI-2
C0277814
UMLS CUI-3
C0205435
Assessment Time
Description

Assessment Time

Data type

date

Alias
UMLS CUI [1,1]
C1516048
UMLS CUI [1,2]
C0040223
Systolic blood pressure
Description

Systolic blood pressure

Data type

integer

Measurement units
  • mm[Hg]
Alias
UMLS CUI [1]
C0871470
mm[Hg]
Diastolic blood pressure
Description

Diastolic blood pressure

Data type

integer

Measurement units
  • mm[Hg]
Alias
UMLS CUI [1]
C0428883
mm[Hg]
Second sitting BP reading
Description

Second sitting BP reading

Alias
UMLS CUI-1
C0005823
UMLS CUI-2
C0277814
UMLS CUI-3
C0205436
Systolic blood pressure
Description

Systolic blood pressure

Data type

integer

Measurement units
  • mm[Hg]
Alias
UMLS CUI [1]
C0871470
mm[Hg]
Diastolic blood pressure
Description

Diastolic blood pressure

Data type

integer

Measurement units
  • mm[Hg]
Alias
UMLS CUI [1]
C0428883
mm[Hg]
Electronically Transferred Lab Data
Description

Electronically Transferred Lab Data

Alias
UMLS CUI-1
C0745590
UMLS CUI-2
C1705822
Date sample taken
Description

Date sample taken

Data type

date

Alias
UMLS CUI [1]
C1302413
Sample taken - not done
Description

Sample taken - not done

Data type

integer

Alias
UMLS CUI [1,1]
C0200345
UMLS CUI [1,2]
C1272696
Haem Lab type code
Description

Haem Lab type code

Data type

text

Alias
UMLS CUI [1,1]
C0018941
UMLS CUI [1,2]
C0022877
UMLS CUI [1,3]
C0805701
Chem Lab type code
Description

Chem Lab type code

Data type

text

Alias
UMLS CUI [1,1]
C0005774
UMLS CUI [1,2]
C0022877
UMLS CUI [1,3]
C0805701
Urin Lab type code
Description

Urin Lab type code

Data type

text

Alias
UMLS CUI [1,1]
C0042014
UMLS CUI [1,2]
C0022877
Liver event assessment
Description

Liver event assessment

Alias
UMLS CUI-1
C0023884
UMLS CUI-2
C0877248
UMLS CUI-3
C0220825
Was there a protocol defined liver chemistry event for the lab samples collected at this visit?
Description

Note: If a subject has been monitored for 4 weeks and continues to meet liver chemistry monitoring criteria, subject must be identified as a liver event. If Yes and type of liver chemistry event is Liver Monitoring, obtain tests as per protocol.

Data type

boolean

Alias
UMLS CUI [1,1]
C0008000
UMLS CUI [1,2]
C0023884
UMLS CUI [1,3]
C0877248
UMLS CUI [1,4]
C0005834
UMLS CUI [1,5]
C0545082
Specify type of liver chemistry event
Description

Specify type of liver chemistry event

Data type

integer

Alias
UMLS CUI [1,1]
C0008000
UMLS CUI [1,2]
C0023884
UMLS CUI [1,3]
C0877248
UMLS CUI [1,4]
C2348235
ETDRS Refraction
Description

ETDRS Refraction

Alias
UMLS CUI-1
C3899277
UMLS CUI-2
C0034949
Assessment date
Description

Assessment date

Data type

date

Alias
UMLS CUI [1]
C2985720
Sphere - Right Eye
Description

Sphere - Right Eye

Data type

float

Alias
UMLS CUI [1,1]
C0946401
UMLS CUI [1,2]
C0229089
Cylinder - Right Eye
Description

Cylinder - Right Eye

Data type

float

Alias
UMLS CUI [1,1]
C0946265
UMLS CUI [1,2]
C0229089
Axis - Right Eye
Description

Axis - Right Eye

Data type

integer

Alias
UMLS CUI [1,1]
C0429590
UMLS CUI [1,2]
C0229089
Sphere - Left Eye
Description

Sphere - Left Eye

Data type

float

Alias
UMLS CUI [1,1]
C0946401
UMLS CUI [1,2]
C0229090
Cylinder - Left Eye
Description

Cylinder - Left Eye

Data type

float

Alias
UMLS CUI [1,1]
C0946265
UMLS CUI [1,2]
C0229090
Axis - Left Eye
Description

Axis - Left Eye

Data type

integer

Alias
UMLS CUI [1,1]
C0429590
UMLS CUI [1,2]
C0229090
ETDRS Visual Acuity
Description

ETDRS Visual Acuity

Alias
UMLS CUI-1
C1275992
Assessment Date and Time
Description

Assessment Date and Time

Data type

datetime

Alias
UMLS CUI [1,1]
C2985720
UMLS CUI [1,2]
C1264639
Assessor's Certification Number
Description

Assessor's Certification Number

Data type

text

Alias
UMLS CUI [1,1]
C0007836
UMLS CUI [1,2]
C0600091
UMLS CUI [1,3]
C2646699
Total calculated visual acuity score - Right Eye
Description

Total calculated visual acuity score - Right Eye

Data type

integer

Alias
UMLS CUI [1,1]
C1275992
UMLS CUI [1,2]
C0229089
UMLS CUI [1,3]
C0444686
Has there been a visual acuity loss that is more than 15 letters since the previous visit? - Right Eye
Description

If yes, select the predominant cause

Data type

boolean

Alias
UMLS CUI [1]
C0234632
UMLS CUI [2,1]
C0545082
UMLS CUI [2,2]
C1517741
UMLS CUI [2,3]
C1711239
UMLS CUI [3]
C0229089
Predominant cause of visual acuity loss - Right Eye
Description

Predominant cause of visual acuity loss - Right Eye

Data type

text

Alias
UMLS CUI [1,1]
C0234632
UMLS CUI [1,2]
C0015127
UMLS CUI [2]
C0229089
Snellen/Acuity Equivalent - Right Eye
Description

Snellen/Acuity Equivalent - Right Eye

Data type

integer

Alias
UMLS CUI [1,1]
C1827708
UMLS CUI [1,2]
C0229089
If performed at 4 Meters, specify
Description

If performed at 4 Meters, specify

Data type

integer

Alias
UMLS CUI [1,1]
C0442746
UMLS CUI [1,2]
C0229089
If performed at 1 Meter, specify
Description

If performed at 1 Meter, specify

Data type

integer

Alias
UMLS CUI [1,1]
C0442746
UMLS CUI [1,2]
C0229089
Light Perception - Right Eye
Description

Light Perception - Right Eye

Data type

integer

Alias
UMLS CUI [1,1]
C1154616
UMLS CUI [1,2]
C0229089
Total calculated visual acuity score - Left Eye
Description

Total calculated visual acuity score - Left Eye

Data type

integer

Alias
UMLS CUI [1,1]
C1275992
UMLS CUI [1,2]
C0229090
UMLS CUI [1,3]
C0444686
Has there been a visual acuity loss that is more than 15 letters since the previous visit? - Left Eye
Description

If yes, select the predominant cause

Data type

boolean

Alias
UMLS CUI [1]
C0234632
UMLS CUI [2,1]
C0545082
UMLS CUI [2,2]
C1517741
UMLS CUI [2,3]
C1711239
UMLS CUI [3]
C0229090
Predominant cause of visual acuity loss - Left Eye
Description

Predominant cause of visual acuity loss - Left Eye

Data type

text

Alias
UMLS CUI [1,1]
C0234632
UMLS CUI [1,2]
C0015127
UMLS CUI [2]
C0229090
Snellen/Acuity Equivalent - Left Eye
Description

Snellen/Acuity Equivalent - Left Eye

Data type

integer

Alias
UMLS CUI [1,1]
C1827708
UMLS CUI [1,2]
C0229090
If performed at 4 Meters, specify
Description

If performed at 4 Meters, specify

Data type

integer

Alias
UMLS CUI [1,1]
C0442746
UMLS CUI [1,2]
C0229090
If performed at 1 Meter, specify
Description

If performed at 1 Meter, specify

Data type

integer

Alias
UMLS CUI [1,1]
C0442746
UMLS CUI [1,2]
C0229090
Light Perception - Left Eye
Description

Light Perception - Left Eye

Data type

integer

Alias
UMLS CUI [1,1]
C1154616
UMLS CUI [1,2]
C0229090
Intraocular Pressure Exam
Description

Intraocular Pressure Exam

Alias
UMLS CUI-1
C0430888
Intraocular Pressure Exam - Assessment Date and Time
Description

Intraocular Pressure Exam - Assessment Date and Time

Data type

datetime

Alias
UMLS CUI [1,1]
C0430888
UMLS CUI [1,2]
C2985720
UMLS CUI [1,3]
C1264639
Intraocular Pressure Measurement - Right Eye
Description

Intraocular Pressure Measurement - Right Eye

Data type

integer

Measurement units
  • mm[Hg]
Alias
UMLS CUI [1,1]
C0040420
UMLS CUI [1,2]
C0229089
mm[Hg]
Intraocular Pressure Measurement - Left Eye
Description

Intraocular Pressure Measurement - Left Eye

Data type

integer

Measurement units
  • mm[Hg]
Alias
UMLS CUI [1,1]
C0040420
UMLS CUI [1,2]
C0229090
mm[Hg]
External Ocular Exam
Description

External Ocular Exam

Alias
UMLS CUI-1
C0031809
UMLS CUI-2
C1299003
External Ocular Exam - Assessment date
Description

External Ocular Exam - Assessment date

Data type

date

Alias
UMLS CUI [1,1]
C0031809
UMLS CUI [1,2]
C1299003
UMLS CUI [1,3]
C2985720
Pupil Exam - Right Eye
Description

Pupil Exam - Right Eye

Alias
UMLS CUI-1
C0031809
UMLS CUI-2
C0034121
UMLS CUI-3
C0229089
Pupils are equal, round, and reactive to light (PERRL)
Description

Pupils are equal, round, and reactive to light (PERRL)

Data type

text

Alias
UMLS CUI [1,1]
C0034121
UMLS CUI [1,2]
C0205163
UMLS CUI [2,1]
C0034121
UMLS CUI [2,2]
C0332490
UMLS CUI [3,1]
C0034121
UMLS CUI [3,2]
C0205332
If other pupil finding, specify
Description

If other pupil finding, specify

Data type

text

Alias
UMLS CUI [1,1]
C0034121
UMLS CUI [1,2]
C0243095
UMLS CUI [1,3]
C0205394
UMLS CUI [1,4]
C2348235
Afferent pupillary defect (APD) - Right Eye
Description

Afferent pupillary defect (APD) - Right Eye

Data type

integer

Alias
UMLS CUI [1,1]
C0339662
UMLS CUI [1,2]
C0229089
Pupil Exam - Left Eye
Description

Pupil Exam - Left Eye

Alias
UMLS CUI-1
C0031809
UMLS CUI-2
C0034121
UMLS CUI-3
C0229090
Pupils are equal, round, and reactive to light (PERRL)
Description

Pupils are equal, round, and reactive to light (PERRL)

Data type

text

Alias
UMLS CUI [1,1]
C0034121
UMLS CUI [1,2]
C0205163
UMLS CUI [2,1]
C0034121
UMLS CUI [2,2]
C0332490
UMLS CUI [3,1]
C0034121
UMLS CUI [3,2]
C0205332
If other pupil finding, specify
Description

If other pupil finding, specify

Data type

text

Alias
UMLS CUI [1,1]
C0034121
UMLS CUI [1,2]
C0243095
UMLS CUI [1,3]
C0205394
UMLS CUI [1,4]
C2348235
Afferent pupillary defect (APD) - Left Eye
Description

Afferent pupillary defect (APD) - Left Eye

Data type

integer

Alias
UMLS CUI [1,1]
C0339662
UMLS CUI [1,2]
C0229090
Motility Exam
Description

Motility Exam

Alias
UMLS CUI-1
C1510470
Motility Exam - Right Eye
Description

Motility Exam - Right Eye

Data type

integer

Alias
UMLS CUI [1,1]
C1510470
UMLS CUI [1,2]
C0229089
Motility Exam - Left Eye
Description

Motility Exam - Left Eye

Data type

integer

Alias
UMLS CUI [1,1]
C1510470
UMLS CUI [1,2]
C0229089
Confrontation Visual Field
Description

Confrontation Visual Field

Alias
UMLS CUI-1
C1444674
Eye full to confrontation - Right Eye
Description

Eye full to confrontation - Right Eye

Data type

integer

Alias
UMLS CUI [1]
C2053834
If other Confrontation Visual Field, specify - Right Eye
Description

If other Confrontation Visual Field, specify - Right Eye

Data type

text

Alias
UMLS CUI [1,1]
C1444674
UMLS CUI [1,2]
C0205394
UMLS CUI [1,3]
C2348235
UMLS CUI [1,4]
C0229089
Eye full to confrontation - Left Eye
Description

Eye full to confrontation - Left Eye

Data type

integer

Alias
UMLS CUI [1]
C2053833
If other Confrontation Visual Field, specify - Left Eye
Description

If other Confrontation Visual Field, specify - Left Eye

Data type

text

Alias
UMLS CUI [1,1]
C1444674
UMLS CUI [1,2]
C0205394
UMLS CUI [1,3]
C2348235
UMLS CUI [1,4]
C0229090
Eye Lid and Lash Exam
Description

Eye Lid and Lash Exam

Alias
UMLS CUI-1
C0031809
UMLS CUI-2
C0015392
UMLS CUI-3
C2706046
Eye Lid and Lash Exam - Assessment date
Description

Eye Lid and Lash Exam - Assessment date

Data type

date

Alias
UMLS CUI [1,1]
C0031809
UMLS CUI [1,2]
C0015392
UMLS CUI [1,3]
C2706046
UMLS CUI [2]
C2985720
Right Upper Eye Lid
Description

Right Upper Eye Lid

Data type

text

Alias
UMLS CUI [1,1]
C0229089
UMLS CUI [1,2]
C0585636
If other finding of right upper eye lid, sepcify
Description

If other finding of right upper eye lid, sepcify

Data type

text

Alias
UMLS CUI [1,1]
C0229089
UMLS CUI [1,2]
C0585636
UMLS CUI [2,1]
C0243095
UMLS CUI [2,2]
C0205394
UMLS CUI [2,3]
C2348235
Right Lower Eye Lid
Description

Right Lower Eye Lid

Data type

text

Alias
UMLS CUI [1,1]
C0229089
UMLS CUI [1,2]
C2706046
UMLS CUI [1,3]
C0205251
If other finding of right lower eye lid, specify
Description

If other finding of right lower eye lid, specify

Data type

text

Alias
UMLS CUI [1,1]
C0229089
UMLS CUI [1,2]
C2706046
UMLS CUI [1,3]
C0205251
UMLS CUI [2,1]
C0243095
UMLS CUI [2,2]
C0205394
UMLS CUI [2,3]
C2348235
Meibomian Gland Dysfunction Right Eye
Description

Meibomian Gland Dysfunction Right Eye

Data type

integer

Alias
UMLS CUI [1,1]
C1275684
UMLS CUI [1,2]
C0229089
Right Eye Eyelid margin
Description

Right Eye Eyelid margin

Data type

text

Alias
UMLS CUI [1,1]
C0444582
UMLS CUI [1,2]
C0229089
If other finding of eyelid margin of right eye, specify
Description

If other finding of eyelid margin of right eye, specify

Data type

text

Alias
UMLS CUI [1,1]
C0444582
UMLS CUI [1,2]
C0229089
UMLS CUI [2,1]
C0243095
UMLS CUI [2,2]
C0205394
UMLS CUI [2,3]
C2348235
Left Upper Eye Lid
Description

Left Upper Eye Lid

Data type

text

Alias
UMLS CUI [1,1]
C0229090
UMLS CUI [1,2]
C0585636
If other finding of left upper eye lid, sepcify
Description

If other finding of left upper eye lid, sepcify

Data type

text

Alias
UMLS CUI [1,1]
C0229090
UMLS CUI [1,2]
C0585636
UMLS CUI [2,1]
C0243095
UMLS CUI [2,2]
C0205394
UMLS CUI [2,3]
C2348235
Left Lower Eye Lid
Description

Left Lower Eye Lid

Data type

text

Alias
UMLS CUI [1,1]
C0229090
UMLS CUI [1,2]
C2706046
UMLS CUI [1,3]
C0205251
If other finding of left lower eye lid, specify
Description

If other finding of left lower eye lid, specify

Data type

text

Alias
UMLS CUI [1,1]
C0229090
UMLS CUI [1,2]
C2706046
UMLS CUI [1,3]
C0205251
UMLS CUI [2,1]
C0243095
UMLS CUI [2,2]
C0205394
UMLS CUI [2,3]
C2348235
Meibomian Gland Dysfunction Left Eye
Description

Meibomian Gland Dysfunction Left Eye

Data type

integer

Alias
UMLS CUI [1,1]
C1275684
UMLS CUI [1,2]
C0229090
Left Eye Eyelid margin
Description

Left Eye Eyelid margin

Data type

text

Alias
UMLS CUI [1,1]
C0444582
UMLS CUI [1,2]
C0229090
If other finding of eyelid margin of left eye, specify
Description

If other finding of eyelid margin of left eye, specify

Data type

text

Alias
UMLS CUI [1,1]
C0444582
UMLS CUI [1,2]
C0229090
UMLS CUI [2,1]
C0243095
UMLS CUI [2,2]
C0205394
UMLS CUI [2,3]
C2348235
Iris Color
Description

Iris Color

Alias
UMLS CUI-1
C0474350
AREDS Iris pigmentation standards - Right Eye
Description

AREDS Iris pigmentation standards - Right Eye

Data type

integer

Alias
UMLS CUI [1,1]
C0022077
UMLS CUI [1,2]
C0031911
UMLS CUI [1,3]
C1442989
UMLS CUI [2]
C0229089
AREDS Iris pigmentation standards - Left Eye
Description

AREDS Iris pigmentation standards - Left Eye

Data type

text

Alias
UMLS CUI [1,1]
C0022077
UMLS CUI [1,2]
C0031911
UMLS CUI [1,3]
C1442989
UMLS CUI [2]
C0229090
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Similar models

Day 1 - Vital Signs; Electronically Transferred Lab Data; Liver event assessment; ETDRS Refraction; ETDRS Visual Acuity; Intraocular Pressure Exam; External Ocular Exam; Eye Lid and Lash Exam; Iris Color

1 forms
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Administrative
C1320722 (UMLS CUI-1)
Date of visit/ assessment
Item
Date of visit/ assessment
date
C1320303 (UMLS CUI [1,1])
C2985720 (UMLS CUI [1,2])
Item Group
Vital Signs
C0518766 (UMLS CUI-1)
Heart rate
Item
Heart rate
integer
C0018810 (UMLS CUI [1])
Item Group
First sitting BP reading
C0005823 (UMLS CUI-1)
C0277814 (UMLS CUI-2)
C0205435 (UMLS CUI-3)
Assessment Time
Item
Assessment Time
date
C1516048 (UMLS CUI [1,1])
C0040223 (UMLS CUI [1,2])
Systolic blood pressure
Item
Systolic blood pressure
integer
C0871470 (UMLS CUI [1])
Diastolic blood pressure
Item
Diastolic blood pressure
integer
C0428883 (UMLS CUI [1])
Item Group
Second sitting BP reading
C0005823 (UMLS CUI-1)
C0277814 (UMLS CUI-2)
C0205436 (UMLS CUI-3)
Systolic blood pressure
Item
Systolic blood pressure
integer
C0871470 (UMLS CUI [1])
Diastolic blood pressure
Item
Diastolic blood pressure
integer
C0428883 (UMLS CUI [1])
Item Group
Electronically Transferred Lab Data
C0745590 (UMLS CUI-1)
C1705822 (UMLS CUI-2)
Date sample taken
Item
Date sample taken
date
C1302413 (UMLS CUI [1])
Item
Sample taken - not done
integer
C0200345 (UMLS CUI [1,1])
C1272696 (UMLS CUI [1,2])
Sample taken - not done
Code List
Sample taken - not done
CL Item
Not done (1)
Haem Lab type code
Item
Haem Lab type code
text
C0018941 (UMLS CUI [1,1])
C0022877 (UMLS CUI [1,2])
C0805701 (UMLS CUI [1,3])
Chem Lab type code
Item
Chem Lab type code
text
C0005774 (UMLS CUI [1,1])
C0022877 (UMLS CUI [1,2])
C0805701 (UMLS CUI [1,3])
Urin Lab type code
Item
Urin Lab type code
text
C0042014 (UMLS CUI [1,1])
C0022877 (UMLS CUI [1,2])
Item Group
Liver event assessment
C0023884 (UMLS CUI-1)
C0877248 (UMLS CUI-2)
C0220825 (UMLS CUI-3)
Was there a protocol defined liver chemistry event for the lab samples collected at this visit?
Item
Was there a protocol defined liver chemistry event for the lab samples collected at this visit?
boolean
C0008000 (UMLS CUI [1,1])
C0023884 (UMLS CUI [1,2])
C0877248 (UMLS CUI [1,3])
C0005834 (UMLS CUI [1,4])
C0545082 (UMLS CUI [1,5])
Item
Specify type of liver chemistry event
integer
C0008000 (UMLS CUI [1,1])
C0023884 (UMLS CUI [1,2])
C0877248 (UMLS CUI [1,3])
C2348235 (UMLS CUI [1,4])
Specify type of liver chemistry event
Code List
Specify type of liver chemistry event
CL Item
Liver Event Monitoring Criteria (subject has met protocol defined liver event monitoring criteria) (1)
CL Item
Liver Event Stopping Criteria (subject has met protocol defined liver event stopping criteria or has been monitored for 4 weeks and continues to meet liver chemistry event criteria) (3)
Item Group
ETDRS Refraction
C3899277 (UMLS CUI-1)
C0034949 (UMLS CUI-2)
Assessment date
Item
Assessment date
date
C2985720 (UMLS CUI [1])
Sphere - Right Eye
Item
Sphere - Right Eye
float
C0946401 (UMLS CUI [1,1])
C0229089 (UMLS CUI [1,2])
Cylinder - Right Eye
Item
Cylinder - Right Eye
float
C0946265 (UMLS CUI [1,1])
C0229089 (UMLS CUI [1,2])
Axis - Right Eye
Item
Axis - Right Eye
integer
C0429590 (UMLS CUI [1,1])
C0229089 (UMLS CUI [1,2])
Sphere - Left Eye
Item
Sphere - Left Eye
float
C0946401 (UMLS CUI [1,1])
C0229090 (UMLS CUI [1,2])
Cylinder - Left Eye
Item
Cylinder - Left Eye
float
C0946265 (UMLS CUI [1,1])
C0229090 (UMLS CUI [1,2])
Axis - Left Eye
Item
Axis - Left Eye
integer
C0429590 (UMLS CUI [1,1])
C0229090 (UMLS CUI [1,2])
Item Group
ETDRS Visual Acuity
C1275992 (UMLS CUI-1)
Assessment Date and Time
Item
Assessment Date and Time
datetime
C2985720 (UMLS CUI [1,1])
C1264639 (UMLS CUI [1,2])
Assessor's Certification Number
Item
Assessor's Certification Number
text
C0007836 (UMLS CUI [1,1])
C0600091 (UMLS CUI [1,2])
C2646699 (UMLS CUI [1,3])
Total calculated visual acuity score - Right Eye
Item
Total calculated visual acuity score - Right Eye
integer
C1275992 (UMLS CUI [1,1])
C0229089 (UMLS CUI [1,2])
C0444686 (UMLS CUI [1,3])
Has there been a visual acuity loss that is more than 15 letters since the previous visit? - Right Eye
Item
Has there been a visual acuity loss that is more than 15 letters since the previous visit? - Right Eye
boolean
C0234632 (UMLS CUI [1])
C0545082 (UMLS CUI [2,1])
C1517741 (UMLS CUI [2,2])
C1711239 (UMLS CUI [2,3])
C0229089 (UMLS CUI [3])
Item
Predominant cause of visual acuity loss - Right Eye
text
C0234632 (UMLS CUI [1,1])
C0015127 (UMLS CUI [1,2])
C0229089 (UMLS CUI [2])
Predominant cause of visual acuity loss
Code List
Predominant cause of visual acuity loss - Right Eye
CL Item
Hemorrhage (1)
CL Item
Fluid/edema (2)
CL Item
Unknown (3)
CL Item
Other, specify A100 (OT)
Item
Snellen/Acuity Equivalent - Right Eye
integer
C1827708 (UMLS CUI [1,1])
C0229089 (UMLS CUI [1,2])
Snellen/Acuity Equivalent - Right Eye
Code List
Snellen/Acuity Equivalent - Right Eye
CL Item
Performed at 4 Meters (4)
CL Item
Performed at 1 Meter (1)
Item
If performed at 4 Meters, specify
integer
C0442746 (UMLS CUI [1,1])
C0229089 (UMLS CUI [1,2])
If performed at 4 Meters, specify
Code List
If performed at 4 Meters, specify
CL Item
20/200 (0401)
CL Item
20/160 (0402)
CL Item
20/125 (0403)
CL Item
20/100 (0404)
CL Item
20/80 (0405)
CL Item
20/63 (0406)
CL Item
20/50 (0407)
CL Item
20/40 (0408)
CL Item
20/32 (0409)
CL Item
20/25 (0410)
CL Item
20/20 (0411)
CL Item
20/16 (0412)
CL Item
20/12.5 (0415)
CL Item
20/10 (0414)
Item
If performed at 1 Meter, specify
integer
C0442746 (UMLS CUI [1,1])
C0229089 (UMLS CUI [1,2])
If performed at 1 Meter, specify
Code List
If performed at 1 Meter, specify
CL Item
20/800 (0101)
CL Item
20/640 (0102)
CL Item
20/500 (0103)
CL Item
20/400 (0104)
CL Item
20/320 (0105)
CL Item
20/350 (0106)
Item
Light Perception - Right Eye
integer
C1154616 (UMLS CUI [1,1])
C0229089 (UMLS CUI [1,2])
Light Perception - Right Eye
Code List
Light Perception - Right Eye
CL Item
Not applicable (4)
CL Item
No light perception (0)
CL Item
Light perception (1)
CL Item
Perceives hand motions (2)
CL Item
Counts fingers (3)
Total calculated visual acuity score - Left Eye
Item
Total calculated visual acuity score - Left Eye
integer
C1275992 (UMLS CUI [1,1])
C0229090 (UMLS CUI [1,2])
C0444686 (UMLS CUI [1,3])
Has there been a visual acuity loss that is more than 15 letters since the previous visit? - Left Eye
Item
Has there been a visual acuity loss that is more than 15 letters since the previous visit? - Left Eye
boolean
C0234632 (UMLS CUI [1])
C0545082 (UMLS CUI [2,1])
C1517741 (UMLS CUI [2,2])
C1711239 (UMLS CUI [2,3])
C0229090 (UMLS CUI [3])
Item
Predominant cause of visual acuity loss - Left Eye
text
C0234632 (UMLS CUI [1,1])
C0015127 (UMLS CUI [1,2])
C0229090 (UMLS CUI [2])
Predominant cause of visual acuity loss - Left Eye
Code List
Predominant cause of visual acuity loss - Left Eye
CL Item
Hemorrhage (1)
CL Item
Fluid/edema (2)
CL Item
Unknown (3)
CL Item
Other, specify A100 (OT)
Item
Snellen/Acuity Equivalent - Left Eye
integer
C1827708 (UMLS CUI [1,1])
C0229090 (UMLS CUI [1,2])
Snellen/Acuity Equivalent - Left Eye
Code List
Snellen/Acuity Equivalent - Left Eye
CL Item
Performed at 4 Meters  (4)
CL Item
Performed at 1 Meter (1)
Item
If performed at 4 Meters, specify
integer
C0442746 (UMLS CUI [1,1])
C0229090 (UMLS CUI [1,2])
If performed at 4 Meters, specify
Code List
If performed at 4 Meters, specify
CL Item
20/200 (0401)
CL Item
20/160 (0402)
CL Item
20/125 (0403)
CL Item
20/100 (0404)
CL Item
20/80 (0405)
CL Item
20/63 (0406)
CL Item
20/50 (0407)
CL Item
20/40 (0408)
CL Item
20/32 (0409)
CL Item
20/25 (0410)
CL Item
20/20 (0411)
CL Item
20/16 (0412)
CL Item
20/12.5 (0415)
CL Item
20/10 (0414)
Item
If performed at 1 Meter, specify
integer
C0442746 (UMLS CUI [1,1])
C0229090 (UMLS CUI [1,2])
If performed at 1 Meter, specify
Code List
If performed at 1 Meter, specify
CL Item
20/800 (0101)
CL Item
20/640 (0102)
CL Item
20/500 (0103)
CL Item
20/400 (0104)
CL Item
20/320 (0105)
CL Item
20/350 (0106)
Item
Light Perception - Left Eye
integer
C1154616 (UMLS CUI [1,1])
C0229090 (UMLS CUI [1,2])
Light Perception - Left Eye
Code List
Light Perception - Left Eye
CL Item
Not applicable  (4)
CL Item
No light perception  (0)
CL Item
Light perception  (1)
CL Item
Perceives hand motions  (2)
CL Item
Counts fingers (3)
Item Group
Intraocular Pressure Exam
C0430888 (UMLS CUI-1)
Intraocular Pressure Exam - Assessment Date and Time
Item
Intraocular Pressure Exam - Assessment Date and Time
datetime
C0430888 (UMLS CUI [1,1])
C2985720 (UMLS CUI [1,2])
C1264639 (UMLS CUI [1,3])
Intraocular Pressure Measurement - Right Eye
Item
Intraocular Pressure Measurement - Right Eye
integer
C0040420 (UMLS CUI [1,1])
C0229089 (UMLS CUI [1,2])
Intraocular Pressure Measurement - Left Eye
Item
Intraocular Pressure Measurement - Left Eye
integer
C0040420 (UMLS CUI [1,1])
C0229090 (UMLS CUI [1,2])
Item Group
External Ocular Exam
C0031809 (UMLS CUI-1)
C1299003 (UMLS CUI-2)
External Ocular Exam - Assessment date
Item
External Ocular Exam - Assessment date
date
C0031809 (UMLS CUI [1,1])
C1299003 (UMLS CUI [1,2])
C2985720 (UMLS CUI [1,3])
Item Group
Pupil Exam - Right Eye
C0031809 (UMLS CUI-1)
C0034121 (UMLS CUI-2)
C0229089 (UMLS CUI-3)
Item
Pupils are equal, round, and reactive to light (PERRL)
text
C0034121 (UMLS CUI [1,1])
C0205163 (UMLS CUI [1,2])
C0034121 (UMLS CUI [2,1])
C0332490 (UMLS CUI [2,2])
C0034121 (UMLS CUI [3,1])
C0205332 (UMLS CUI [3,2])
Pupils are equal, round, and reactive to light (PERRL)
Code List
Pupils are equal, round, and reactive to light (PERRL)
CL Item
Normal (1)
CL Item
Abnormal (2)
CL Item
Post-surgical  (PERRLPSU)
CL Item
Other, Specify (?)
If other pupil finding, specify
Item
If other pupil finding, specify
text
C0034121 (UMLS CUI [1,1])
C0243095 (UMLS CUI [1,2])
C0205394 (UMLS CUI [1,3])
C2348235 (UMLS CUI [1,4])
Item
Afferent pupillary defect (APD) - Right Eye
integer
C0339662 (UMLS CUI [1,1])
C0229089 (UMLS CUI [1,2])
Afferent pupillary defect (APD) - Right Eye
Code List
Afferent pupillary defect (APD) - Right Eye
CL Item
Present  (1)
CL Item
Absent (2)
Item Group
Pupil Exam - Left Eye
C0031809 (UMLS CUI-1)
C0034121 (UMLS CUI-2)
C0229090 (UMLS CUI-3)
Item
Pupils are equal, round, and reactive to light (PERRL)
text
C0034121 (UMLS CUI [1,1])
C0205163 (UMLS CUI [1,2])
C0034121 (UMLS CUI [2,1])
C0332490 (UMLS CUI [2,2])
C0034121 (UMLS CUI [3,1])
C0205332 (UMLS CUI [3,2])
Pupils are equal, round, and reactive to light (PERRL)
Code List
Pupils are equal, round, and reactive to light (PERRL)
CL Item
Normal  (1)
CL Item
Abnormal PERRLPSU=Post-surgical  (2)
CL Item
Other, Specify (?)
If other pupil finding, specify
Item
If other pupil finding, specify
text
C0034121 (UMLS CUI [1,1])
C0243095 (UMLS CUI [1,2])
C0205394 (UMLS CUI [1,3])
C2348235 (UMLS CUI [1,4])
Item
Afferent pupillary defect (APD) - Left Eye
integer
C0339662 (UMLS CUI [1,1])
C0229090 (UMLS CUI [1,2])
Afferent pupillary defect (APD) - Left Eye
Code List
Afferent pupillary defect (APD) - Left Eye
CL Item
Present  (1)
CL Item
Absent (2)
Item Group
Motility Exam
C1510470 (UMLS CUI-1)
Item
Motility Exam - Right Eye
integer
C1510470 (UMLS CUI [1,1])
C0229089 (UMLS CUI [1,2])
Motility Exam - Right Eye
Code List
Motility Exam - Right Eye
CL Item
Normal  (1)
CL Item
Abnormal, Specify (2)
Item
Motility Exam - Left Eye
integer
C1510470 (UMLS CUI [1,1])
C0229089 (UMLS CUI [1,2])
Motility Exam - Left Eye
Code List
Motility Exam - Left Eye
CL Item
Normal  (1)
CL Item
Abnormal, Specify (2)
Item Group
Confrontation Visual Field
C1444674 (UMLS CUI-1)
Item
Eye full to confrontation - Right Eye
integer
C2053834 (UMLS CUI [1])
Eye full to confrontation - Right Eye
Code List
Eye full to confrontation - Right Eye
CL Item
Normal  (1)
CL Item
Abnormal, specify (2)
If other Confrontation Visual Field, specify - Right Eye
Item
If other Confrontation Visual Field, specify - Right Eye
text
C1444674 (UMLS CUI [1,1])
C0205394 (UMLS CUI [1,2])
C2348235 (UMLS CUI [1,3])
C0229089 (UMLS CUI [1,4])
Item
Eye full to confrontation - Left Eye
integer
C2053833 (UMLS CUI [1])
Eye full to confrontation - Left Eye
Code List
Eye full to confrontation - Left Eye
CL Item
Normal  (1)
CL Item
Abnormal, specify (2)
If other Confrontation Visual Field, specify - Left Eye
Item
If other Confrontation Visual Field, specify - Left Eye
text
C1444674 (UMLS CUI [1,1])
C0205394 (UMLS CUI [1,2])
C2348235 (UMLS CUI [1,3])
C0229090 (UMLS CUI [1,4])
Item Group
Eye Lid and Lash Exam
C0031809 (UMLS CUI-1)
C0015392 (UMLS CUI-2)
C2706046 (UMLS CUI-3)
Eye Lid and Lash Exam - Assessment date
Item
Eye Lid and Lash Exam - Assessment date
date
C0031809 (UMLS CUI [1,1])
C0015392 (UMLS CUI [1,2])
C2706046 (UMLS CUI [1,3])
C2985720 (UMLS CUI [2])
Item
Right Upper Eye Lid
text
C0229089 (UMLS CUI [1,1])
C0585636 (UMLS CUI [1,2])
Right Upper Eye Lid
Code List
Right Upper Eye Lid
CL Item
Normal  (1)
CL Item
Abnormal  (2)
CL Item
Ptosis  (UELPTSIS)
CL Item
Retraction  (UELRTRAC)
CL Item
Benign eye lid leason  (UELBLLS)
CL Item
Other, Specify (?)
If other finding of right upper eye lid, sepcify
Item
If other finding of right upper eye lid, sepcify
text
C0229089 (UMLS CUI [1,1])
C0585636 (UMLS CUI [1,2])
C0243095 (UMLS CUI [2,1])
C0205394 (UMLS CUI [2,2])
C2348235 (UMLS CUI [2,3])
Item
Right Lower Eye Lid
text
C0229089 (UMLS CUI [1,1])
C2706046 (UMLS CUI [1,2])
C0205251 (UMLS CUI [1,3])
Right Lower Eye Lid
Code List
Right Lower Eye Lid
CL Item
Normal  (1)
CL Item
Abnormal (2)
CL Item
Entropion  (LELENTP)
CL Item
Ectropion  (LELECTP)
CL Item
Benign eye lid lesions  (LELBLLS)
CL Item
Other, specify (?)
If other finding of right lower eye lid, specify
Item
If other finding of right lower eye lid, specify
text
C0229089 (UMLS CUI [1,1])
C2706046 (UMLS CUI [1,2])
C0205251 (UMLS CUI [1,3])
C0243095 (UMLS CUI [2,1])
C0205394 (UMLS CUI [2,2])
C2348235 (UMLS CUI [2,3])
Item
Meibomian Gland Dysfunction Right Eye
integer
C1275684 (UMLS CUI [1,1])
C0229089 (UMLS CUI [1,2])
Meibomian Gland Dysfunction Right Eye
Code List
Meibomian Gland Dysfunction Right Eye
CL Item
Absent (0)
CL Item
Present (1)
CL Item
Mild inspisation/debris without injection or thickening  (11)
CL Item
Obvious inspisation/debris, mild injection, no trichiasis or lid thickening  (12)
CL Item
Inspisation, debris, obvious injection, lid thickening, may have trichiasis (13)
Item
Right Eye Eyelid margin
text
C0444582 (UMLS CUI [1,1])
C0229089 (UMLS CUI [1,2])
Right Eye Eyelid margin
Code List
Right Eye Eyelid margin
CL Item
Normal  (N)
CL Item
Abnormal  (A)
CL Item
Crusting/ discharge  (1)
CL Item
Erythema  (2)
CL Item
Teleangiectatic blood vessels  (3)
CL Item
Other, specify (OT)
If other finding of eyelid margin of right eye, specify
Item
If other finding of eyelid margin of right eye, specify
text
C0444582 (UMLS CUI [1,1])
C0229089 (UMLS CUI [1,2])
C0243095 (UMLS CUI [2,1])
C0205394 (UMLS CUI [2,2])
C2348235 (UMLS CUI [2,3])
Item
Left Upper Eye Lid
text
C0229090 (UMLS CUI [1,1])
C0585636 (UMLS CUI [1,2])
Left Upper Eye Lid
Code List
Left Upper Eye Lid
CL Item
Normal  (1)
CL Item
Abnormal  (2)
CL Item
Ptosis  (UELPTSIS)
CL Item
Retraction  (UELRTRAC)
CL Item
Benign eye lid leason  (UELBLLS)
CL Item
Other, Specify (?)
If other finding of left upper eye lid, sepcify
Item
If other finding of left upper eye lid, sepcify
text
C0229090 (UMLS CUI [1,1])
C0585636 (UMLS CUI [1,2])
C0243095 (UMLS CUI [2,1])
C0205394 (UMLS CUI [2,2])
C2348235 (UMLS CUI [2,3])
Item
Left Lower Eye Lid
text
C0229090 (UMLS CUI [1,1])
C2706046 (UMLS CUI [1,2])
C0205251 (UMLS CUI [1,3])
Left Lower Eye Lid
Code List
Left Lower Eye Lid
CL Item
Normal  (1)
CL Item
Abnormal  (2)
CL Item
Entropion  (LELENTP)
CL Item
Ectropion  (LELECTP)
CL Item
Benign eye lid lesions  (LELBLLS)
CL Item
Other, specify (?)
If other finding of left lower eye lid, specify
Item
If other finding of left lower eye lid, specify
text
C0229090 (UMLS CUI [1,1])
C2706046 (UMLS CUI [1,2])
C0205251 (UMLS CUI [1,3])
C0243095 (UMLS CUI [2,1])
C0205394 (UMLS CUI [2,2])
C2348235 (UMLS CUI [2,3])
Item
Meibomian Gland Dysfunction Left Eye
integer
C1275684 (UMLS CUI [1,1])
C0229090 (UMLS CUI [1,2])
Meibomian Gland Dysfunction Left Eye
Code List
Meibomian Gland Dysfunction Left Eye
CL Item
Absent (0)
CL Item
Present (1)
CL Item
Mild inspisation/debris without injection or thickening  (11)
CL Item
Obvious inspisation/debris, mild injection, no trichiasis or lid thickening  (12)
CL Item
Inspisation, debris, obvious injection, lid thickening, may have trichiasis (13)
Item
Left Eye Eyelid margin
text
C0444582 (UMLS CUI [1,1])
C0229090 (UMLS CUI [1,2])
Left Eye Eyelid margin
Code List
Left Eye Eyelid margin
CL Item
Normal  (N)
CL Item
Abnormal  (A)
CL Item
Crusting/ discharge  (1)
CL Item
Erythema  (2)
CL Item
Teleangiectatic blood vessels  (3)
CL Item
Other, specify (OT)
If other finding of eyelid margin of left eye, specify
Item
If other finding of eyelid margin of left eye, specify
text
C0444582 (UMLS CUI [1,1])
C0229090 (UMLS CUI [1,2])
C0243095 (UMLS CUI [2,1])
C0205394 (UMLS CUI [2,2])
C2348235 (UMLS CUI [2,3])
Item Group
Iris Color
C0474350 (UMLS CUI-1)
Item
AREDS Iris pigmentation standards - Right Eye
integer
C0022077 (UMLS CUI [1,1])
C0031911 (UMLS CUI [1,2])
C1442989 (UMLS CUI [1,3])
C0229089 (UMLS CUI [2])
AREDS Iris pigmentation standards
Code List
AREDS Iris pigmentation standards - Right Eye
CL Item
less than or equal to Std. #1 (1)
CL Item
greater than Std. #1, but less than or equal to Std. #2 (2)
CL Item
greater than Std. #2, but less than or equal to Std. #3 (3)
CL Item
greater than Std. #3, but less than or equal to Std. #4 (4)
CL Item
greater than Std. #4 (5)
Item
AREDS Iris pigmentation standards - Left Eye
text
C0022077 (UMLS CUI [1,1])
C0031911 (UMLS CUI [1,2])
C1442989 (UMLS CUI [1,3])
C0229090 (UMLS CUI [2])
AREDS Iris pigmentation standards - Left Eye
Code List
AREDS Iris pigmentation standards - Left Eye
CL Item
less than or equal to Std. #1 (1)
CL Item
greater than Std. #1, but less than or equal to Std. #2 (2)
CL Item
greater than Std. #2, but less than or equal to Std. #3 (3)
CL Item
greater than Std. #3, but less than or equal to Std. #4 (4)
CL Item
greater than Std. #4 (5)
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