No Instruction available.

Unnamed 1
Descrição

Unnamed 1

Date of Onset
Descrição

Adverse Event Onset Date

Tipo de dados

date

Alias
NCI Thesaurus ValueDomain
C25164
UMLS CUI-1
C2985916
NCI Thesaurus ValueDomain-2
C25367
NCI Thesaurus ObjectClass
C49704
NCI Thesaurus Property
C25279
Event description
Descrição

AdverseEventDescriptiveText

Tipo de dados

text

Alias
NCI Thesaurus ValueDomain
C25704
UMLS 2011AA ValueDomain
C1527021
NCI Thesaurus ObjectClass
C41331
UMLS 2011AA ObjectClass
C0877248
NCI Metathesaurus Property
C0678257
Comments
Descrição

Research Comments

Tipo de dados

text

Alias
NCI Thesaurus ValueDomain
C25704
UMLS CUI-1
C0947611
NCI Thesaurus ObjectClass
C15319
NCI Thesaurus Property
C25393
Segment
Descrição

Segment

Tipo de dados

text

Has this event been determined to be an unexpected, grade 3-5 adverse event
Descrição

Hasthiseventbeendeterminedtobeanunexpected,grade3-5adverseevent

Tipo de dados

boolean

Does this require expedited reporting to the FDA
Descrição

DoesthisrequireexpeditedreportingtotheFDA

Tipo de dados

boolean

Does this require expedited reporting to the DSMB
Descrição

DoesthisrequireexpeditedreportingtotheDSMB

Tipo de dados

boolean

Do you recommend the patient be withdrawn from further protocol therapy
Descrição

Doyourecommendthepatientbewithdrawnfromfurtherprotocoltherapy

Tipo de dados

boolean

Is this review complete
Descrição

Isthisreviewcomplete

Tipo de dados

boolean

If No, what additional information is required
Descrição

IfNo,whatadditionalinformationisrequired

Tipo de dados

text

Similar models

No Instruction available.

Name
Tipo
Description | Question | Decode (Coded Value)
Tipo de dados
Alias
Item Group
Unnamed 1
Adverse Event Onset Date
Item
Date of Onset
date
C25164 (NCI Thesaurus ValueDomain)
C2985916 (UMLS CUI-1)
C25367 (NCI Thesaurus ValueDomain-2)
C49704 (NCI Thesaurus ObjectClass)
C25279 (NCI Thesaurus Property)
AdverseEventDescriptiveText
Item
Event description
text
C25704 (NCI Thesaurus ValueDomain)
C1527021 (UMLS 2011AA ValueDomain)
C41331 (NCI Thesaurus ObjectClass)
C0877248 (UMLS 2011AA ObjectClass)
C0678257 (NCI Metathesaurus Property)
Research Comments
Item
Comments
text
C25704 (NCI Thesaurus ValueDomain)
C0947611 (UMLS CUI-1)
C15319 (NCI Thesaurus ObjectClass)
C25393 (NCI Thesaurus Property)
Segment
Item
Segment
text
Hasthiseventbeendeterminedtobeanunexpected,grade3-5adverseevent
Item
Has this event been determined to be an unexpected, grade 3-5 adverse event
boolean
DoesthisrequireexpeditedreportingtotheFDA
Item
Does this require expedited reporting to the FDA
boolean
DoesthisrequireexpeditedreportingtotheDSMB
Item
Does this require expedited reporting to the DSMB
boolean
Doyourecommendthepatientbewithdrawnfromfurtherprotocoltherapy
Item
Do you recommend the patient be withdrawn from further protocol therapy
boolean
Isthisreviewcomplete
Item
Is this review complete
boolean
IfNo,whatadditionalinformationisrequired
Item
If No, what additional information is required
text