Information:
Error:
PASI Psoriasis MIPSO EudraCT 2014-003022-40
- StudyEvent: ODM
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item
Form has to be used several times. Please mark the time of use.
integer
C1516308 (UMLS CUI [1,1])
C1265611 (UMLS CUI [1,2])
C1265611 (UMLS CUI [1,2])
CL Item
Screening (1)
CL Item
Visite 1 (Baseline) (2)
CL Item
Visite 2 (Week 4) (3)
CL Item
Visite 3 (Week 8) (4)
CL Item
Visite 4 (Week 12) (5)
CL Item
Visite 5 (Week 16) (6)
CL Item
Visite 6 (Week 20) (7)
CL Item
Visite 7 (Week 24) (8)
CL Item
Termination visite (9)
Item Group
Psoriasis Area and Severity Index
C4528685 (UMLS CUI-1)
CL Item
none (0)
CL Item
mild (1)
CL Item
moderate (2)
CL Item
severe (3)
CL Item
very severe (4)
CL Item
none (0)
CL Item
mild (1)
CL Item
moderate (2)
CL Item
severe (3)
CL Item
very severe (4)
CL Item
none (0)
CL Item
mild (1)
CL Item
moderate (2)
CL Item
severe (3)
CL Item
very severe (4)
CL Item
none (0)
CL Item
mild (1)
CL Item
moderate (2)
CL Item
severe (3)
CL Item
very severe (4)
CL Item
none (0)
CL Item
mild (1)
CL Item
moderate (2)
CL Item
severe (3)
CL Item
very severe (4)
CL Item
none (0)
CL Item
mild (1)
CL Item
moderate (2)
CL Item
severe (3)
CL Item
very severe (4)
CL Item
none (0)
CL Item
mild (1)
CL Item
moderate (2)
CL Item
severe (3)
CL Item
very severe (4)
CL Item
none (0)
CL Item
mild (1)
CL Item
moderate (2)
CL Item
severe (3)
CL Item
very severe (4)
CL Item
none (0)
CL Item
mild (1)
CL Item
moderate (2)
CL Item
severe (3)
CL Item
very severe (4)
CL Item
none (0)
CL Item
mild (1)
CL Item
moderate (2)
CL Item
severe (3)
CL Item
very severe (4)
CL Item
none (0)
CL Item
mild (1)
CL Item
moderate (2)
CL Item
severe (3)
CL Item
very severe (4)
CL Item
none (0)
CL Item
mild (1)
CL Item
moderate (2)
CL Item
severe (3)
CL Item
very severe (4)
Subtotal A1
Item
Subtotal A1: Head/Neck
integer
C4526026 (UMLS CUI [1])
Subtotal A2
Item
Subtotal A2: Arms
integer
C4526040 (UMLS CUI [1])
Subtotal A3
Item
Subtotal A3: Trunk
integer
C4526033 (UMLS CUI [1])
Subtotal A4
Item
Subtotal A4: Legs
integer
C4526047 (UMLS CUI [1])
CL Item
0% (0)
CL Item
<10% (1)
CL Item
≥10-29% (2)
CL Item
≥30-49% (3)
CL Item
≥50-69% (4)
CL Item
≥70-89% (5)
CL Item
≥90-100% (6)
CL Item
0% (0)
CL Item
<10% (1)
CL Item
≥10-29% (2)
CL Item
≥30-49% (3)
CL Item
≥50-69% (4)
CL Item
≥70-89% (5)
CL Item
≥90-100% (6)
CL Item
0% (0)
CL Item
<10% (1)
CL Item
≥10-29% (2)
CL Item
≥30-49% (3)
CL Item
≥50-69% (4)
CL Item
≥70-89% (5)
CL Item
≥90-100% (6)
CL Item
0% (0)
CL Item
<10% (1)
CL Item
≥10-29% (2)
CL Item
≥30-49% (3)
CL Item
≥50-69% (4)
CL Item
≥70-89% (5)
CL Item
≥90-100% (6)
Subtotal B1
Item
Subtotal B1: Head/Neck
integer
C4526028 (UMLS CUI [1])
Subtotal B2
Item
Subtotal B2: Arms
integer
C4526042 (UMLS CUI [1])
Subtotal B3
Item
Subtotal B3: Trunk (incl. axillae + groins)
integer
C4526035 (UMLS CUI [1])
Subtotal B4
Item
Subtotal B4: Legs (incl. gluteal)
integer
C4526049 (UMLS CUI [1])
Subtotal C1
Item
Subtotal C1: Head/Neck
float
C4526029 (UMLS CUI [1])
Subtotal C2
Item
Subtotal C2: Arms
float
C4526043 (UMLS CUI [1])
Subtotal C3
Item
Subtotal C3: Trunk (incl. axillae + groins)
float
C4526036 (UMLS CUI [1])
Subtotal C4
Item
Subtotal C4: Legs (incl. gluteal)
float
C4526050 (UMLS CUI [1])
PASI Total
Item
PASI Total Score
float
C4526051 (UMLS CUI [1])
Total Body Surface Area with Psoriasis
Item
Total Body Surface Area with Psoriasis
integer
C0005902 (UMLS CUI [1,1])
C0033860 (UMLS CUI [1,2])
C0033860 (UMLS CUI [1,2])
Signature date
Item
Signature date
date
C0807937 (UMLS CUI [1])
PASI Comments
Item
PASI Comments
text
C4528685 (UMLS CUI [1,1])
C0947611 (UMLS CUI [1,2])
C0947611 (UMLS CUI [1,2])