ID

42794

Beschrijving

Study part: Demographics Screening . A Phase IIIb, Multicenter, Randomized, Double-Masked, Sham Injection-Controlled Study Of The Efficacy And Safety Of Ranibizumab In Subjects With Subfoveal Choroidal Neovascular (CNV) With Or Without Classic CNV Secondary To Age-Related Macular Degeneration.

Trefwoorden

Versies (2)
  1. 22-02-18 22-02-18 -
  2. 17-09-21 17-09-21 -
Houder van rechten

Roche

Geüploaded op

17 september 2021

DOI

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Licentie

Creative Commons BY-NC 3.0
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Demographics Screening Ranibizumab Age-Related Macular Degeneration FVF3192g

Engels

Demographics Screening

1 Formulieren  
  1. StudyEvent: ODM
    1. Demographics Screening
DEMOGRAPHICS (SCREENING)
Beschrijving

DEMOGRAPHICS (SCREENING)

Alias
UMLS CUI-1
C0011298
Subject Number:
Beschrijving

Subject Number

Datatype

text

Alias
UMLS CUI [1]
C2348585
Subject Initials:
Beschrijving

Subject Initials

Datatype

text

Alias
UMLS CUI [1,1]
C1997894
UMLS CUI [1,2]
C2986440
Visit Date:
Beschrijving

Visit Date

Datatype

date

Alias
UMLS CUI [1]
C1320303
Date of Birth:
Beschrijving

Date of Birth

Datatype

date

Alias
UMLS CUI [1]
C0421451
Sex:
Beschrijving

Gender

Datatype

text

Alias
UMLS CUI [1]
C0079399
Race / Ethnicity:
Beschrijving

Ethnicity

Datatype

text

Alias
UMLS CUI [1]
C0015031
If other, specify
Beschrijving

Other

Datatype

text

Alias
UMLS CUI [1]
C0205394
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Similar models

Demographics Screening

1 Formulieren
  1. StudyEvent: ODM
    1. Demographics Screening
Name
Type
Description | Question | Decode (Coded Value)
Datatype
Alias
Item Group
DEMOGRAPHICS (SCREENING)
C0011298 (UMLS CUI-1)
Subject Number
Item
Subject Number:
text
C2348585 (UMLS CUI [1])
Subject Initials
Item
Subject Initials:
text
C1997894 (UMLS CUI [1,1])
C2986440 (UMLS CUI [1,2])
Visit Date
Item
Visit Date:
date
C1320303 (UMLS CUI [1])
Date of Birth
Item
Date of Birth:
date
C0421451 (UMLS CUI [1])
Item
Sex:
text
C0079399 (UMLS CUI [1])
Gender
Code List
Sex:
CL Item
Male (Male)
C0086582 (UMLS CUI-1)
(Comment:en)
CL Item
Female (Female)
C0086287 (UMLS CUI-1)
(Comment:en)
Item
Race / Ethnicity:
text
C0015031 (UMLS CUI [1])
Ethnicity
Code List
Race / Ethnicity:
CL Item
White (White)
C0007457 (UMLS CUI-1)
(Comment:en)
CL Item
Black (Black)
C0005680 (UMLS CUI-1)
(Comment:en)
CL Item
Asian or Pacific Islander (Asian or Pacific Islander)
C1531604 (UMLS CUI-1)
(Comment:en)
CL Item
Hispanic (Hispanic)
C0086409 (UMLS CUI-1)
(Comment:en)
CL Item
American Indian or Alaskan Native (American Indian or Alaskan Native)
C1515945 (UMLS CUI-1)
(Comment:en)
CL Item
Other (Other)
C0205394 (UMLS CUI-1)
(Comment:en)
Other
Item
If other, specify
text
C0205394 (UMLS CUI [1])
Terug naar het begin van de pagina 

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