Has sample been collected?
Item
Has sample been collected?
boolean
C0005834 (UMLS CUI [1])
Date sample taken
Item
Date sample taken
date
C1302413 (UMLS CUI [1])
Item
If sample has not been collected, provide reason
text
C0200345 (UMLS CUI [1,1])
C0005516 (UMLS CUI [1,2])
C2826287 (UMLS CUI [1,3])
Code List
If sample has not been collected, provide reason
CL Item
Subject not asked by investigator (2)
CL Item
Other, specify (OT)
If other reason for sample has not been collected, specify
Item
If other reason for sample has not been collected, specify
text
C0200345 (UMLS CUI [1,1])
C0005516 (UMLS CUI [1,2])
C2826287 (UMLS CUI [1,3])
C0205394 (UMLS CUI [2,1])
C2348235 (UMLS CUI [2,2])
Sample Type
Item
Sample Type
text
C2347029 (UMLS CUI [1])
Sample Number
Item
Sample Number
text
C1299222 (UMLS CUI [1])
Indicate Pain diagnosis
Item
Indicate Pain diagnosis
text
C0030193 (UMLS CUI [1,1])
C0011900 (UMLS CUI [1,2])
Disease onset date
Item
Disease onset date
date
C0012634 (UMLS CUI [1,1])
C0574845 (UMLS CUI [1,2])
Item
Functional class pertaining to subject?
integer
C0003873 (UMLS CUI [1,1])
C0598463 (UMLS CUI [1,2])
C0456387 (UMLS CUI [1,3])
Code List
Functional class pertaining to subject?
CL Item
Class I - Completely able to perform usual activities of daily living (1)
CL Item
Class II- Able to perform self-care & vocational activities, limited avocational (2)
CL Item
Class III-Able to perform self-care activities, limited vocational & avocational (3)
CL Item
Class IV-Limited ability to perform self-care vocational &avocational activities (4)
Category for medication code - Prior Methotrexate Treatment
Item
Category for medication code - Prior Methotrexate Treatment
text
C0013227 (UMLS CUI [1,1])
C0009219 (UMLS CUI [1,2])
C0683312 (UMLS CUI [1,3])
C1514463 (UMLS CUI [2,1])
C0025677 (UMLS CUI [2,2])
Medication Type - Prior Methotrexate Treatment
Item
Medication Type - Prior Methotrexate Treatment
text
C0013227 (UMLS CUI [1,1])
C0332307 (UMLS CUI [1,2])
C1514463 (UMLS CUI [2,1])
C0025677 (UMLS CUI [2,2])
Prior Methotrexate Treatment - Sequence Number
Item
Prior Methotrexate Treatment - Sequence Number
integer
C1514463 (UMLS CUI [1,1])
C0025677 (UMLS CUI [1,2])
C2348184 (UMLS CUI [2])
Prior Methotrexate Treatment - Drug Name
Item
Prior Methotrexate Treatment - Drug Name
text
C1514463 (UMLS CUI [1,1])
C0025677 (UMLS CUI [1,2])
C2360065 (UMLS CUI [2])
Prior Methotrexate Treatment - Start Date
Item
Prior Methotrexate Treatment - Start Date
date
C1514463 (UMLS CUI [1,1])
C0025677 (UMLS CUI [1,2])
C0808070 (UMLS CUI [2])
Prior Methotrexate Treatment - Ongoing?
Item
Prior Methotrexate Treatment - Ongoing?
boolean
C1514463 (UMLS CUI [1,1])
C0025677 (UMLS CUI [1,2])
C0549178 (UMLS CUI [2])
Prior Methotrexate Treatment - End Date if not ongoing
Item
Prior Methotrexate Treatment - End Date if not ongoing
date
C1514463 (UMLS CUI [1,1])
C0025677 (UMLS CUI [1,2])
C0806020 (UMLS CUI [2])
Prior Methotrexate Treatment - Unit Dose
Item
Prior Methotrexate Treatment - Unit Dose
float
C1514463 (UMLS CUI [1,1])
C0025677 (UMLS CUI [1,2])
C0869039 (UMLS CUI [2])
Prior Methotrexate Treatment - Units
Item
Prior Methotrexate Treatment - Units
text
C1514463 (UMLS CUI [1,1])
C0025677 (UMLS CUI [1,2])
C1519795 (UMLS CUI [2])
Prior Methotrexate Treatment - Frequency
Item
Prior Methotrexate Treatment - Frequency
text
C1514463 (UMLS CUI [1,1])
C0025677 (UMLS CUI [1,2])
C3476109 (UMLS CUI [2])
Item
Prior Methotrexate Treatment - Route
text
C1514463 (UMLS CUI [1,1])
C0025677 (UMLS CUI [1,2])
C0013153 (UMLS CUI [2])
Code List
Prior Methotrexate Treatment - Route
CL Item
Subcutaneous (SC)
CL Item
Intramuscular (IM)
Item
Prior Methotrexate Treatment - Primary reason for failing methotrexate
text
C1514463 (UMLS CUI [1,1])
C0025677 (UMLS CUI [1,2])
C0025677 (UMLS CUI [2,1])
C0231175 (UMLS CUI [2,2])
C0392360 (UMLS CUI [2,3])
Code List
Prior Methotrexate Treatment - Primary reason for failing methotrexate
CL Item
Lack of efficacy (11)
CL Item
Non-treatment related Adverse Event (14)
CL Item
Treatment related toxicity/treatment not tolerated (15)
CL Item
Subject no longer wanted treatment (17)
CL Item
If reason for failing methotrexate is other, specify (?)
Prior Methotrexate Treatment - If other reason for failing methotrexate, specify
Item
Prior Methotrexate Treatment - If other reason for failing methotrexate, specify
text
C1514463 (UMLS CUI [1,1])
C0025677 (UMLS CUI [1,2])
C0025677 (UMLS CUI [2,1])
C0231175 (UMLS CUI [2,2])
C0392360 (UMLS CUI [2,3])
C0205394 (UMLS CUI [3,1])
C2348235 (UMLS CUI [3,2])
Category for medication code - Prior RA Medications
Item
Category for medication code - Prior RA Medications
text
C0013227 (UMLS CUI [1,1])
C0009219 (UMLS CUI [1,2])
C0683312 (UMLS CUI [1,3])
C1514463 (UMLS CUI [2,1])
C0003873 (UMLS CUI [2,2])
Medication Type - Prior RA Medications
Item
Medication Type - Prior RA Medications
text
C0013227 (UMLS CUI [1,1])
C0332307 (UMLS CUI [1,2])
C1514463 (UMLS CUI [2,1])
C0003873 (UMLS CUI [2,2])
Prior RA Medications - Sequence Number
Item
Prior RA Medications - Sequence Number
integer
C1514463 (UMLS CUI [1,1])
C0003873 (UMLS CUI [1,2])
C2348184 (UMLS CUI [2])
Prior RA Medications - Drug Name
Item
Prior RA Medications - Drug Name
text
C1514463 (UMLS CUI [1,1])
C0003873 (UMLS CUI [1,2])
C2360065 (UMLS CUI [2])
Item
Primary reason medication stopped - Prior RA Medications
text
C0392360 (UMLS CUI [1,1])
C0013227 (UMLS CUI [1,2])
C1444662 (UMLS CUI [1,3])
C1514463 (UMLS CUI [2,1])
C0003873 (UMLS CUI [2,2])
Code List
Primary reason medication stopped - Prior RA Medications
CL Item
Lack of efficacy (11)
CL Item
Non-treatment related Adverse Event (14)
CL Item
Treatment related toxicity/treatment not tolerated (15)
CL Item
Washout of prohibited medication prior to trial entry (16)
CL Item
Subject no longer wanted treatment (17)
CL Item
Reason medication stopped, other specify (OT)
If other reason for medication stopped, specify - Prior RA Medications
Item
If other reason for medication stopped, specify - Prior RA Medications
text
C0392360 (UMLS CUI [1,1])
C0013227 (UMLS CUI [1,2])
C1444662 (UMLS CUI [1,3])
C0205394 (UMLS CUI [2,1])
C2348235 (UMLS CUI [2,2])
C1514463 (UMLS CUI [3,1])
C0003873 (UMLS CUI [3,2])
Was this subject a screen failure?
Item
Was this subject a screen failure?
boolean
C1710476 (UMLS CUI [1])
Screen failure date
Item
Screen failure date
date
C1710476 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
Item
Reason for screen failure
text
C1710476 (UMLS CUI [1,1])
C0566251 (UMLS CUI [1,2])
Code List
Reason for screen failure
CL Item
Did not meet inclusion/exclusion criteria (F01)
CL Item
Adverse Event (unspecified) (F02)
CL Item
Protocol deviation (unspecified) (F04)
CL Item
Study closed/terminated (unspecified) (F06)
CL Item
Withdrew consent, specify (F09)