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Surgery / Invasive Procedure Information

1 forms  
Administrative Data
Description

Administrative Data

Alias
UMLS CUI-1
C1320722
Site #
Description

Study centre number

Data type

integer

Alias
UMLS CUI [1,1]
C0600091
UMLS CUI [1,2]
C0019994
Patient #
Description

patient ID

Data type

integer

Alias
UMLS CUI [1]
C2348585
Visit Date
Description

visit date

Data type

date

Alias
UMLS CUI [1]
C1320303
Investigator Name
Description

Investigator Name

Data type

text

Alias
UMLS CUI [1]
C2826892
Check if (additional) supplemental instance of this form was used.
Description

Use one instance for every 18 surgeries or other invasive procedures performed. Check this box on all instances except for the last one.

Data type

boolean

Alias
UMLS CUI [1]
C1706499
Instance Number
Description

Fill in the instance number, starting from 1. On all instances except for the last one, the preceding box has to be checked.

Data type

integer

Alias
UMLS CUI [1,1]
C1516308
UMLS CUI [1,2]
C2348184
Did the patient undergo surgery or other invasive procedure during the study period?
Description

Did the patient undergo surgery or other invasive procedure during the study period?

Alias
UMLS CUI-1
C0543467
UMLS CUI-2
C4048276
UMLS CUI-3
C0347984
UMLS CUI-4
C0008976
Did the patient undergo surgery or other invasive procedure during the study period?
Description

If Yes, please complete below.

Data type

boolean

Alias
UMLS CUI [1,1]
C0543467
UMLS CUI [1,2]
C0347984
UMLS CUI [1,3]
C0008976
UMLS CUI [2,1]
C4048276
UMLS CUI [2,2]
C0347984
UMLS CUI [2,3]
C0008976
Surgery / Invasive Procedure Information
Description

Surgery / Invasive Procedure Information

Alias
UMLS CUI-1
C0543467
UMLS CUI-2
C4048276
Type of Surgery / Procedure
Description

Type of surgery/procedure

Data type

text

Alias
UMLS CUI [1,1]
C0543467
UMLS CUI [1,2]
C0455713
UMLS CUI [2,1]
C4048276
UMLS CUI [2,2]
C0455713
Date
Description

(dd-mmm-yyyy)

Data type

date

Alias
UMLS CUI [1,1]
C0543467
UMLS CUI [1,2]
C0011008
UMLS CUI [2,1]
C4048276
UMLS CUI [2,2]
C0011008
Time
Description

(0000-2359)

Data type

time

Alias
UMLS CUI [1,1]
C0543467
UMLS CUI [1,2]
C0040223
UMLS CUI [2,1]
C4048276
UMLS CUI [2,2]
C0040223
Underlying Condition Necessitating Surgery / Procedure
Description

Indication of surgery/invasive procedure

Data type

text

Alias
UMLS CUI [1,1]
C3146298
UMLS CUI [1,2]
C0543467
UMLS CUI [2,1]
C3146298
UMLS CUI [2,2]
C4048276
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Similar models

Surgery / Invasive Procedure Information

1 forms
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Administrative Data
C1320722 (UMLS CUI-1)
Study centre number
Item
Site #
integer
C0600091 (UMLS CUI [1,1])
C0019994 (UMLS CUI [1,2])
patient ID
Item
Patient #
integer
C2348585 (UMLS CUI [1])
visit date
Item
Visit Date
date
C1320303 (UMLS CUI [1])
Investigator Name
Item
Investigator Name
text
C2826892 (UMLS CUI [1])
Additional form
Item
Check if (additional) supplemental instance of this form was used.
boolean
C1706499 (UMLS CUI [1])
CRF Sequential Number
Item
Instance Number
integer
C1516308 (UMLS CUI [1,1])
C2348184 (UMLS CUI [1,2])
Item Group
Did the patient undergo surgery or other invasive procedure during the study period?
C0543467 (UMLS CUI-1)
C4048276 (UMLS CUI-2)
C0347984 (UMLS CUI-3)
C0008976 (UMLS CUI-4)
Surgery or invasive procedure during clinical trial
Item
Did the patient undergo surgery or other invasive procedure during the study period?
boolean
C0543467 (UMLS CUI [1,1])
C0347984 (UMLS CUI [1,2])
C0008976 (UMLS CUI [1,3])
C4048276 (UMLS CUI [2,1])
C0347984 (UMLS CUI [2,2])
C0008976 (UMLS CUI [2,3])
Item Group
Surgery / Invasive Procedure Information
C0543467 (UMLS CUI-1)
C4048276 (UMLS CUI-2)
Type of surgery/procedure
Item
Type of Surgery / Procedure
text
C0543467 (UMLS CUI [1,1])
C0455713 (UMLS CUI [1,2])
C4048276 (UMLS CUI [2,1])
C0455713 (UMLS CUI [2,2])
Date of surgery or invasive procedure
Item
Date
date
C0543467 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
C4048276 (UMLS CUI [2,1])
C0011008 (UMLS CUI [2,2])
Time of surgery or invasive procedure
Item
Time
time
C0543467 (UMLS CUI [1,1])
C0040223 (UMLS CUI [1,2])
C4048276 (UMLS CUI [2,1])
C0040223 (UMLS CUI [2,2])
Indication of surgery/invasive procedure
Item
Underlying Condition Necessitating Surgery / Procedure
text
C3146298 (UMLS CUI [1,1])
C0543467 (UMLS CUI [1,2])
C3146298 (UMLS CUI [2,1])
C4048276 (UMLS CUI [2,2])
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