SGQUEST

352 Formulaires

StudyEvent: CUM_AE
1. AE
2. PHYS4
3. CT
4. ABG
5. BM1
StudyEvent: CUM_CT
1. CT
2. BIBF
3. AE
4. TTM2
5. ADMBF2
6. MEDC1
7. RAND
StudyEvent: TRT CHANGE
1. BIBF
StudyEvent: IVRS
1. IVRS
StudyEvent: VISIT 1
1. PATID
2. PHYS1
3. BCOND
4. SIX_MWT
5. LBTKN V1
6. BM1
7. PREG
8. ECG1
9. SPITKN
10. LAB_BAT
11. PFT1
12. DIAG
13. INEX
14. RAND
15. PHYS3
16. DLCO
17. ABG
18. CT
19. LABTKN
20. SGQUEST
21. MRCD
22. PHYS2
23. BLD3
24. SP
25. KP
StudyEvent: VISIT 2
1. EVAL
2. PHYS2
3. SGQUEST
4. MRCD
5. LABTKN
6. BM1
7. GENETIC
8. PREG
9. SPITKN
10. PFT1
11. DLCO
12. ABG
13. SIX_MWT
14. INEX
15. RAND
16. BLD1
17. ADMBF1
18. LAB_BAT
19. PFT1
20. ADMBF1
21. CT
22. KIT 1
23. KIT 2
24. SP
25. KP
26. KP
StudyEvent: VISIT 3
1. MEDC2
2. PHYS3
3. ECG2
4. LABTKN
5. SPITKN
6. PFT1
7. LAB_BAT
8. BM1
9. SP
StudyEvent: VISIT 4
1. MEDC1
2. ADMBF2
3. PHYS2
4. ECG2
5. LABTKN
6. BM1
7. SPITKN
8. BLD1
9. KIT 2
10. LAB_BAT
11. ADMBF1
12. PFT1
13. ADMBF2
14. ADMBF1
15. GENETIC
16. SP
17. KP
18. KP
StudyEvent: VISIT 5
1. MEDC2
2. PHYS3
3. LABTKN
4. SPITKN
5. LAB_BAT
6. PFT1
7. ADMBF1
8. BLD1
9. ADMBF2
10. BM1
11. SP
StudyEvent: VISIT 6
1. MEDC1
2. PHYS2
3. SGQUEST
4. MRCD
5. ECG2
6. LABTKN
7. PREG
8. SPITKN
9. KIT 3
10. LAB_BAT
11. PFT1
12. AE
13. BM1
14. BLD1
15. ADMBF1
16. SP
StudyEvent: VISIT 6A
1. LABTKN
2. LAB_BAT
3. SIX_MWT
4. ABG
5. PFT1
6. DLCO
7. PFT1
StudyEvent: VISIT 7
1. MEDC1
2. ADMBF2
3. PHYS2
4. SGQUEST
5. MRCD
6. ECG2
7. LABTKN
8. BM1
9. PREG
10. SPITKN
11. PFT1
12. SIX_MWT
13. DLCO
14. BLD2
15. ADMBF1
16. KIT 3
17. LAB_BAT
18. PFT1
19. ABG
20. BLD3
21. SP
22. KP
23. KP
StudyEvent: VISIT 7A
1. LABTKN
2. LAB_BAT
3. SIX_MWT
4. PFT1
5. DLCO
StudyEvent: VISIT 8
1. MEDC1
2. PHYS2
3. ECG2
4. LABTKN
5. PREG
6. SPITKN
7. KIT 4
8. LAB_BAT
9. PFT1
10. DLCO
11. BM1
12. BLD1
13. SP
StudyEvent: VISIT 8A
1. LAB_BAT
2. LABTKN
3. PHYS4
4. PFT1
StudyEvent: VISIT 9
1. MEDC1
2. ADMBF2
3. PHYS2
4. SGQUEST
5. MRCD
6. LABTKN
7. BM1
8. PREG
9. SPITKN
10. PFT1
11. SIX_MWT
12. DLCO
13. ABG
14. BLD2
15. ADMBF1
16. LAB_BAT
17. PFT1
18. ECG2
19. SP
20. KP
21. KP
StudyEvent: END TRT 1
1. TTM1
2. KIT 1C
3. BM1
StudyEvent: VISIT 10
1. ADMBF3
2. MEDC2
3. PHYS2
4. ECG2
5. LABTKN
6. PREG
7. SPITKN
8. LAB_BAT
9. PFT1
10. BM1
11. SP
StudyEvent: VISIT 11
1. MEDC1
2. PHYS2
3. ECG2
4. LABTKN
5. PREG
6. SPITKN
7. KIT 2
8. PFT1
9. LAB_BAT
10. BM1
11. SP
StudyEvent: VISIT 12
1. MEDC1
2. PHYS2
3. ECG2
4. LABTKN
5. PREG
6. SPITKN
7. KIT 3
8. PFT1
9. LAB_BAT
10. PFT1
11. ABG
12. DLCO
13. BM1
14. BLD3
15. SP
StudyEvent: VISIT 12A
1. LAB_BAT
2. LABTKN
3. ECG2
4. SPITKN
5. PFT1
StudyEvent: VISIT 13
1. MEDC1
2. PHYS2
3. ECG2
4. LABTKN
5. PREG
6. SPITKN
7. DLCO
8. KIT 6
9. PFT1
10. LAB_BAT
11. BM1
12. SP
StudyEvent: VISIT 13A
1. LABTKN
2. LAB_BAT
3. ECG2
StudyEvent: VISIT 13B
1. LABTKN
2. LAB_BAT
StudyEvent: VISIT 13C
1. LAB_BAT
2. LABTKN
3. CT
4. PHYS4
StudyEvent: VISIT 14
1. MEDC1
2. PHYS2
3. ECG2
4. LABTKN
5. PREG
6. SPITKN
7. DLCO
8. KIT 6
9. PFT1
10. LAB_BAT
StudyEvent: VISIT 14A
1. LABTKN
2. LAB_BAT
StudyEvent: VISIT 14B
1. LABTKN
2. LAB_BAT
3. PFT1
StudyEvent: VISIT 14C
1. LABTKN
2. LAB_BAT
StudyEvent: VISIT 15
1. MEDC1
2. PHYS2
3. ECG2
4. LABTKN
5. PREG
6. SPITKN
7. DLCO
8. KIT 6
9. LAB_BAT
10. PFT1
StudyEvent: VISIT 15A
1. LAB_BAT
2. LABTKN
StudyEvent: VISIT 15B
1. LABTKN
2. LAB_BAT
StudyEvent: VISIT 15C
1. LABTKN
2. LAB_BAT
StudyEvent: VISIT 16
1. MEDC1
2. PHYS2
3. ECG2
4. LABTKN
5. PREG
6. SPITKN
7. DLCO
8. KIT 6
9. PFT1
10. LAB_BAT
StudyEvent: VISIT 16A
1. LABTKN
2. LAB_BAT
StudyEvent: VISIT 16B
1. LABTKN
2. LAB_BAT
StudyEvent: VISIT 16C
1. LABTKN
2. LAB_BAT
StudyEvent: END TRT 2
1. TTM2
2. VITSTA
StudyEvent: EOT
1. MEDC1
2. PHYS2
3. ECG2
4. LABTKN
5. PREG
6. SPITKN
7. BLD3
8. LAB_BAT
9. PFT1
10. SGQUEST
11. MRCD
12. BM1
13. PFT1
14. SIX_MWT
15. DLCO
16. ABG
17. SP
StudyEvent: FOLLOWUP
1. PHYS2
2. VITSTA
3. LABTKN
StudyEvent: DISC V4
1. PHYS4
2. SPITKN
3. PFT1
StudyEvent: DISC V5
1. PHYS4
2. SPITKN
3. PFT1
StudyEvent: DISC V6
1. PHYS4
2. SPITKN
3. PFT1
StudyEvent: DISC V7
1. PHYS4
2. SPITKN
3. PFT1
StudyEvent: DISC V8
1. PHYS4
2. SPITKN
3. PFT1
4. LABTKN
StudyEvent: DISC V9
1. PHYS4
2. SPITKN
3. PFT1
4. PFT1
StudyEvent: COMPLETION
1. TERM
2. VITSTA
3. PHYS4

Name

Type

Description | Question | Decode (Coded Value)

Type de données

Alias

Item Group

C0451500 (UMLS CUI [1,1])

LOCKED

Item

text

C3244297 (UMLS CUI [1, 1])

LAB

Item

text

C0022877 (UMLS CUI [1,1])
C0022877 (UMLS CUI [2,1])
C1514721 (UMLS CUI [2,2])
C1515021 (UMLS CUI [2,3])

QUALVAL

Item

text

C1514624,C1522609 (UMLS CUI [1, 1])

HEADCMT

Item

text

C0947611 (UMLS CUI [1, 1])

INV

Item

text

C0035173 (UMLS CUI [1, 1])

SITE

Item

text

C0205145 (UMLS CUI [1, 1])

SUBVISIT

Item

text

C2983704 (UMLS CUI [1,1])
C0441471 (UMLS CUI [1,2])

VISIT

Item

text

C0205210 (UMLS CUI [1,1])
C0441471 (UMLS CUI [1,2])
C1301732 (UMLS CUI [1,3])

BLANK

Item

text

C1708067 (UMLS CUI [1, 1])

DCMDATE

Item

date

C1302413 (UMLS CUI [1, 1])

DOCNUM

Item

text

C2986015 (UMLS CUI [1, 1])

PATIENT

Item

text

C0030705 (UMLS CUI [1, 1])

EXAMDT

Item

date

C0034394 C0011008 (UMLS CUI [1, 1])

SGOLYC

Item

text

C3828179,C0439508 (UMLS CUI [1, 1])

SGOLYF-1

Code List

SGOLYC

CL Item

(1)

C3840699 (UMLS CUI [1,1])

CL Item

(2)

C3843492 (UMLS CUI [1,1])

CL Item

(3)

C3843491 (UMLS CUI [1,1])

CL Item

(4)

C3843490 (UMLS CUI [1,1])

CL Item

(5)

C2984077 (UMLS CUI [1,1])

SGOLYP

Item

text

C3828181,C0439508 (UMLS CUI [1, 1])

SGOLYF-1

Code List

SGOLYP

CL Item

(1)

C3840699 (UMLS CUI [1,1])

CL Item

(2)

C3843492 (UMLS CUI [1,1])

CL Item

(3)

C3843491 (UMLS CUI [1,1])

CL Item

(4)

C3843490 (UMLS CUI [1,1])

CL Item

(5)

C2984077 (UMLS CUI [1,1])

SGOLYS

Item

text

C3828161 C0439508 (UMLS CUI [1, 1])

SGOLYF-1

Code List

SGOLYS

CL Item

(1)

C3840699 (UMLS CUI [1,1])

CL Item

(2)

C3843492 (UMLS CUI [1,1])

CL Item

(3)

C3843491 (UMLS CUI [1,1])

CL Item

(4)

C3843490 (UMLS CUI [1,1])

CL Item

(5)

C2984077 (UMLS CUI [1,1])

SGOLYW

Item

text

C3828162 C0439508 (UMLS CUI [1, 1])

SGOLYF-1

Code List

SGOLYW

CL Item

(1)

C3840699 (UMLS CUI [1,1])

CL Item

(2)

C3843492 (UMLS CUI [1,1])

CL Item

(3)

C3843491 (UMLS CUI [1,1])

CL Item

(4)

C3843490 (UMLS CUI [1,1])

CL Item

(5)

C2984077 (UMLS CUI [1,1])

SGATT

Item

text

C3828156 (UMLS CUI [1, 1])

SGATTF-1

Code List

SGATT

CL Item

(1)

C3843489 (UMLS CUI [1,1])

CL Item

(2)

C3843488 (UMLS CUI [1,1])

CL Item

(3)

C3843487 (UMLS CUI [1,1])

CL Item

(4)

C1304680 (UMLS CUI [1,1])

CL Item

(5)

C3843485 (UMLS CUI [1,1])

SGWAT

Item

text

C3828155 (UMLS CUI [1,1])
C3173993 (UMLS CUI [1,2])

SGWATF-1

Code List

SGWAT

CL Item

(1)

C3843484 (UMLS CUI [1,1])

CL Item

(2)

C3843483 (UMLS CUI [1,1])

CL Item

(3)

C3843997 (UMLS CUI [1,1])

CL Item

(4)

C3843482 (UMLS CUI [1,1])

SGGDY

Item

text

C3828163 C0332174 C0439508 (UMLS CUI [1, 1])

SGGDYF-1

Code List

SGGDY

CL Item

(1)

C3843481 (UMLS CUI [1,1])

CL Item

(2)

C3843480 (UMLS CUI [1,1])

CL Item

(3)

C3843479 (UMLS CUI [1,1])

CL Item

(4)

C3840698 (UMLS CUI [1,1])

CL Item

(5)

C3843478 (UMLS CUI [1,1])

SGWHZ

Item

text

C3828162 (UMLS CUI [1, 1])

YNF-1

Code List

SGWHZ

CL Item

(0)

C1298908 (UMLS CUI [1,1])

CL Item

(1)

C1705108 (UMLS CUI [1,1])

SGCC

Item

text

C3828155 C3173999 (UMLS CUI [1, 1])

SGCCF-1

Code List

SGCC

CL Item

(1)

C3843477 (UMLS CUI [1,1])

CL Item

(2)

C3843476 (UMLS CUI [1,1])

CL Item

(3)

C3843475 (UMLS CUI [1,1])

CL Item

(4)

C3843474 (UMLS CUI [1,1])

SGPE

Item

text

C3828155,C3174001 (UMLS CUI [1, 1])

SGPEF-1

Code List

SGPE

CL Item

(1)

C3843473 (UMLS CUI [1,1])

CL Item

(2)

C3843471 (UMLS CUI [1,1])

CL Item

(3)

C3843472 (UMLS CUI [1,1])

SGBRSL

Item

text

C3828155,C3843056 (UMLS CUI [1, 1])

TFF-1

Code List

SGBRSL

CL Item

(0)

C0205237 (UMLS CUI [1,1])

CL Item

(1)

C0205238 (UMLS CUI [1,1])

SGBRWD

Item

text

C3828146 (UMLS CUI [1, 1])

TFF-1

Code List

SGBRWD

CL Item

(0)

C0205237 (UMLS CUI [1,1])

CL Item

(1)

C0205238 (UMLS CUI [1,1])

SGBRAH

Item

text

C3828155,C3843054 (UMLS CUI [1, 1])

TFF-1

Code List

SGBRAH

CL Item

(0)

C0205237 (UMLS CUI [1,1])

CL Item

(1)

C0205238 (UMLS CUI [1,1])

SGBRWL

Item

text

C3828155,C3843053 (UMLS CUI [1, 1])

TFF-1

Code List

SGBRWL

CL Item

(0)

C0205237 (UMLS CUI [1,1])

CL Item

(1)

C0205238 (UMLS CUI [1,1])

SGBRFS

Item

text

C3828167 (UMLS CUI [1,1])

TFF-1

Code List

SGBRFS

CL Item

(0)

C0205237 (UMLS CUI [1,1])

CL Item

(1)

C0205238 (UMLS CUI [1,1])

SGBRWH

Item

text

C3828166 (UMLS CUI [1, 1])

TFF-1

Code List

SGBRWH

CL Item

(0)

C0205237 (UMLS CUI [1,1])

CL Item

(1)

C0205238 (UMLS CUI [1,1])

SGBRSG

Item

text

C3828150 (UMLS CUI [1, 1])

TFF-1

Code List

SGBRSG

CL Item

(0)

C0205237 (UMLS CUI [1,1])

CL Item

(1)

C0205238 (UMLS CUI [1,1])

SGCOUH

Item

text

C3828177 (UMLS CUI [1, 1])

TFF-1

Code List

SGCOUH

CL Item

(0)

C0205237 (UMLS CUI [1,1])

CL Item

(1)

C0205238 (UMLS CUI [1,1])

SGCOUT

Item

text

C3828176 (UMLS CUI [1, 1])

TFF-1

Code List

SGCOUT

CL Item

(0)

C0205237 (UMLS CUI [1,1])

CL Item

(1)

C0205238 (UMLS CUI [1,1])

SGCOUB

Item

text

C3828155,C3174007 (UMLS CUI [1, 1])

TFF-1

Code List

SGCOUB

CL Item

(0)

C0205237 (UMLS CUI [1,1])

CL Item

(1)

C0205238 (UMLS CUI [1,1])

SGCOUV

Item

text

C3828155,C3174009 (UMLS CUI [1, 1])

TFF-1

Code List

SGCOUV

CL Item

(0)

C0205237 (UMLS CUI [1,1])

CL Item

(1)

C0205238 (UMLS CUI [1,1])

SGCOUS

Item

text

C3828155,C3174011 (UMLS CUI [1, 1])

TFF-1

Code List

SGCOUS

CL Item

(0)

C0205237 (UMLS CUI [1,1])

CL Item

(1)

C0205238 (UMLS CUI [1,1])

SGCOUE

Item

text

C3828164 (UMLS CUI [1, 1])

TFF-1

Code List

SGCOUE

CL Item

(0)

C0205237 (UMLS CUI [1,1])

CL Item

(1)

C0205238 (UMLS CUI [1,1])

SGCTEP

Item

text

C3828175 (UMLS CUI [1, 1])

TFF-1

Code List

SGCTEP

CL Item

(0)

C0205237 (UMLS CUI [1,1])

CL Item

(1)

C0205238 (UMLS CUI [1,1])

SGCTNF

Item

text

C3828149 (UMLS CUI [1, 1])

TFF-1

Code List

SGCTNF

CL Item

(0)

C0205237 (UMLS CUI [1,1])

CL Item

(1)

C0205238 (UMLS CUI [1,1])

SGCTAP

Item

text

C3828183 (UMLS CUI [1,1])

TFF-1

Code List

SGCTAP

CL Item

(0)

C0205237 (UMLS CUI [1,1])

CL Item

(1)

C0205238 (UMLS CUI [1,1])

SGCTNC

Item

text

C3828155,C3174021 (UMLS CUI [1, 1])

TFF-1

Code List

SGCTNC

CL Item

(0)

C0205237 (UMLS CUI [1,1])

CL Item

(1)

C0205238 (UMLS CUI [1,1])

SGCTEB

Item

text

C3828155,C3174023 (UMLS CUI [1, 1])

TFF-1

Code List

SGCTEB

CL Item

(0)

C0205237 (UMLS CUI [1,1])

CL Item

(1)

C0205238 (UMLS CUI [1,1])

SGCTFI

Item

text

C3828182 (UMLS CUI [1, 1])

TFF-1

Code List

SGCTFI

CL Item

(0)

C0205237 (UMLS CUI [1,1])

CL Item

(1)

C0205238 (UMLS CUI [1,1])

SGCTES

Item

text

C3827215 (UMLS CUI [1, 1])

TFF-1

Code List

SGCTES

CL Item

(0)

C0205237 (UMLS CUI [1,1])

CL Item

(1)

C0205238 (UMLS CUI [1,1])

SGCTME

Item

text

C3828170 (UMLS CUI [1,1])

TFF-1

Code List

SGCTME

CL Item

(0)

C0205237 (UMLS CUI [1,1])

CL Item

(1)

C0205238 (UMLS CUI [1,1])

SGMDNH

Item

text

C3828155,C3174031 (UMLS CUI [1, 1])

TFF-1

Code List

SGMDNH

CL Item

(0)

C0205237 (UMLS CUI [1,1])

CL Item

(1)

C0205238 (UMLS CUI [1,1])

SGMDEP

Item

text

C3828155 (UMLS CUI [1,1])
C3174033 (UMLS CUI [1,2])

TFF-1

Code List

SGMDEP

CL Item

(0)

C0205237 (UMLS CUI [1,1])

CL Item

(1)

C0205238 (UMLS CUI [1,1])

SGMDSE

Item

text

C3828155,C3174035 (UMLS CUI [1, 1])

TFF-1

Code List

SGMDSE

CL Item

(0)

C0205237 (UMLS CUI [1,1])

CL Item

(1)

C0205238 (UMLS CUI [1,1])

SGMDIL

Item

text

C3828155,C3174037 (UMLS CUI [1, 1])

TFF-1

Code List

SGMDIL

CL Item

(0)

C0205237 (UMLS CUI [1,1])

CL Item

(1)

C0205238 (UMLS CUI [1,1])

SGACTWD

Item

text

C3828146 (UMLS CUI [1, 1])

TFF-1

Code List

SGACTWD

CL Item

(0)

C0205237 (UMLS CUI [1,1])

CL Item

(1)

C0205238 (UMLS CUI [1,1])

SGACTBS

Item

text

C3828180 (UMLS CUI [1, 1])

TFF-1

Code List

SGACTBS

CL Item

(0)

C0205237 (UMLS CUI [1,1])

CL Item

(1)

C0205238 (UMLS CUI [1,1])

SGACTWS

Item

text

C3828145 (UMLS CUI [1, 1])

TFF-1

Code List

SGACTWS

CL Item

(0)

C0205237 (UMLS CUI [1,1])

CL Item

(1)

C0205238 (UMLS CUI [1,1])

SGACTHL

Item

text

C3828155,C3174045 (UMLS CUI [1, 1])

TFF-1

Code List

SGACTHL

CL Item

(0)

C0205237 (UMLS CUI [1,1])

CL Item

(1)

C0205238 (UMLS CUI [1,1])

SGACTFS

Item

text

C3828155,C3174047 (UMLS CUI [1, 1])

TFF-1

Code List

SGACTFS

CL Item

(0)

C0205237 (UMLS CUI [1,1])

CL Item

(1)

C0205238 (UMLS CUI [1,1])

SGACTHW

Item

text

C3828159 (UMLS CUI [1, 1])

TFF-1

Code List

SGACTHW

CL Item

(0)

C0205237 (UMLS CUI [1,1])

CL Item

(1)

C0205238 (UMLS CUI [1,1])

SGACTWC

Item

text

C3828155,C3174051 (UMLS CUI [1, 1])

TFF-1

Code List

SGACTWC

CL Item

(0)

C0205237 (UMLS CUI [1,1])

CL Item

(1)

C0205238 (UMLS CUI [1,1])

SGACTCH

Item

text

C3828155,C3174053 (UMLS CUI [1, 1])

TFF-1

Code List

SGACTCH

CL Item

(0)

C0205237 (UMLS CUI [1,1])

CL Item

(1)

C0205238 (UMLS CUI [1,1])

SGACTMW

Item

text

C3828155 C3174055 (UMLS CUI [1, 1])

TFF-1

Code List

SGACTMW

CL Item

(0)

C0205237 (UMLS CUI [1,1])

CL Item

(1)

C0205238 (UMLS CUI [1,1])

SGADLSG

Item

text

C3828150 (UMLS CUI [1, 1])

TFF-1

Code List

SGADLSG

CL Item

(0)

C0205237 (UMLS CUI [1,1])

CL Item

(1)

C0205238 (UMLS CUI [1,1])

SGADLER

Item

text

C3828153 (UMLS CUI [1,1])

TFF-1

Code List

SGADLER

CL Item

(0)

C0205237 (UMLS CUI [1,1])

CL Item

(1)

C0205238 (UMLS CUI [1,1])

SGADLHS

Item

text

C3828152 (UMLS CUI [1, 1])

TFF-1

Code List

SGADLHS

CL Item

(0)

C0205237 (UMLS CUI [1,1])

CL Item

(1)

C0205238 (UMLS CUI [1,1])

SGADLHW

Item

text

C3828155,C3174063 (UMLS CUI [1, 1])

TFF-1

Code List

SGADLHW

CL Item

(0)

C0205237 (UMLS CUI [1,1])

CL Item

(1)

C0205238 (UMLS CUI [1,1])

SGADLBC

Item

text

C3828151 (UMLS CUI [1,1])

TFF-1

Code List

SGADLBC

CL Item

(0)

C0205237 (UMLS CUI [1,1])

CL Item

(1)

C0205238 (UMLS CUI [1,1])

SGCSTX

Item

text

C3828155,C3166810 (UMLS CUI [1, 1])

SGCHAF

Item

text

C5237200 (UMLS CUI [1,1])

SGCHAFF-1

Code List

SGCHAF

CL Item

(1)

C3843470 (UMLS CUI [1,1])

CL Item

(2)

C3843469 (UMLS CUI [1,1])

CL Item

(3)

C3843468 (UMLS CUI [1,1])

CL Item

(4)

C3843467 (UMLS CUI [1,1])

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