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Drug Screen, Alcohol Breath Test

1 forms  
Administrative Data
Description

Administrative Data

Alias
UMLS CUI-1
C1320722
Subject Identifier
Description

Subject Identifier

Data type

text

Alias
UMLS CUI [1]
C2348585
Visit Date
Description

Visit Date

Data type

date

Alias
UMLS CUI [1]
C1320303
Visit Type
Description

Visit Type

Data type

text

Alias
UMLS CUI [1,1]
C0545082
UMLS CUI [1,2]
C0332307
Drug Screening
Description

Drug Screening

Alias
UMLS CUI-1
C0451130
Date and time of sample taken
Description

Drug screen - Date and time sample taken

Data type

datetime

Alias
UMLS CUI [1,1]
C0373483
UMLS CUI [1,2]
C0870078
UMLS CUI [1,3]
C0011008
UMLS CUI [1,4]
C0040223
Cocaine
Description

If positive, exclude subject from the study.

Data type

text

Alias
UMLS CUI [1,1]
C0373483
UMLS CUI [1,2]
C0009170
Amphetamines
Description

If positive, exclude subject from the study.

Data type

text

Alias
UMLS CUI [1,1]
C0373483
UMLS CUI [1,2]
C0002667
Benzodiazepines
Description

If positive, exclude subject from the study.

Data type

text

Alias
UMLS CUI [1,1]
C0373483
UMLS CUI [1,2]
C0005064
Cannabinoids
Description

If positive, exclude subject from the study.

Data type

text

Alias
UMLS CUI [1,1]
C0373483
UMLS CUI [1,2]
C0006864
Opiates
Description

If positive, exclude subject from the study.

Data type

text

Alias
UMLS CUI [1,1]
C0373483
UMLS CUI [1,2]
C0376196
Barbiturates
Description

If positive, exclude subject from the study.

Data type

text

Alias
UMLS CUI [1,1]
C0373483
UMLS CUI [1,2]
C0004745
Methadone
Description

If positive, exclude subject from the study.

Data type

text

Alias
UMLS CUI [1,1]
C0373483
UMLS CUI [1,2]
C0025605
Cotinine
Description

If positive, exclude subject from the study.

Data type

text

Alias
UMLS CUI [1,1]
C0373483
UMLS CUI [1,2]
C0202363
Alcohol Breath Test
Description

Alcohol Breath Test

Alias
UMLS CUI-1
C0202306
Date sample taken
Description

Alcohol Breath Test - Date sample taken

Data type

date

Alias
UMLS CUI [1,1]
C0202306
UMLS CUI [1,2]
C0011008
Results
Description

If positive, exclude subject from the study.

Data type

text

Alias
UMLS CUI [1]
C0202306
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Similar models

Drug Screen, Alcohol Breath Test

1 forms
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Administrative Data
C1320722 (UMLS CUI-1)
Subject Identifier
Item
Subject Identifier
text
C2348585 (UMLS CUI [1])
Visit Date
Item
Visit Date
date
C1320303 (UMLS CUI [1])
Item
Visit Type
text
C0545082 (UMLS CUI [1,1])
C0332307 (UMLS CUI [1,2])
Visit Type
Code List
Visit Type
CL Item
Screening (Screening)
(Comment:en)
CL Item
Treatment Period 1 Predose (Treatment Period 1 Predose)
(Comment:en)
CL Item
Treatment Period 2 Predose (Treatment Period 2 Predose)
(Comment:en)
Item Group
Drug Screening
C0451130 (UMLS CUI-1)
Drug screen - Date and time sample taken
Item
Date and time of sample taken
datetime
C0373483 (UMLS CUI [1,1])
C0870078 (UMLS CUI [1,2])
C0011008 (UMLS CUI [1,3])
C0040223 (UMLS CUI [1,4])
Item
Cocaine
text
C0373483 (UMLS CUI [1,1])
C0009170 (UMLS CUI [1,2])
Drug Screen, Cocaine
Code List
Cocaine
CL Item
Positive (Positive)
CL Item
Negative (Negative)
Item
Amphetamines
text
C0373483 (UMLS CUI [1,1])
C0002667 (UMLS CUI [1,2])
Drug Screen, Amphetamines
Code List
Amphetamines
CL Item
Positive (Positive)
CL Item
Negative (Negative)
Item
Benzodiazepines
text
C0373483 (UMLS CUI [1,1])
C0005064 (UMLS CUI [1,2])
Drug Screen, Benzodiazepines
Code List
Benzodiazepines
CL Item
Positive (Positive)
CL Item
Negative (Negative)
Item
Cannabinoids
text
C0373483 (UMLS CUI [1,1])
C0006864 (UMLS CUI [1,2])
Drug Screen, Cannabinoids
Code List
Cannabinoids
CL Item
Positive (Positive)
CL Item
Negative (Negative)
Item
Opiates
text
C0373483 (UMLS CUI [1,1])
C0376196 (UMLS CUI [1,2])
Drug Screen, Opiates
Code List
Opiates
CL Item
Positive (Positive)
CL Item
Negative (Negative)
Item
Barbiturates
text
C0373483 (UMLS CUI [1,1])
C0004745 (UMLS CUI [1,2])
Drug Screen, Barbiturates
Code List
Barbiturates
CL Item
Positive (Positive)
CL Item
Negative (Negative)
Item
Methadone
text
C0373483 (UMLS CUI [1,1])
C0025605 (UMLS CUI [1,2])
Drug Screen, Methadone
Code List
Methadone
CL Item
Positive (Positive)
CL Item
Negative (Negative)
Item
Cotinine
text
C0373483 (UMLS CUI [1,1])
C0202363 (UMLS CUI [1,2])
Drug Screen, Cotinine
Code List
Cotinine
CL Item
Positive (Positive)
CL Item
Negative (Negative)
Item Group
Alcohol Breath Test
C0202306 (UMLS CUI-1)
Alcohol Breath Test - Date sample taken
Item
Date sample taken
date
C0202306 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
Item
Results
text
C0202306 (UMLS CUI [1])
Alcohol Breath Test Result
Code List
Results
CL Item
Positive (Positive)
CL Item
Negative (Negative)
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