Adverse Event Form (ACRO)

Common
Beskrivning

Common

Alias
TEST
Common ItemGroup Alias
Site Number
Beskrivning

Site Number

Datatyp

integer

Alias
SDTM
SITEID
Subject ID
Beskrivning

Subject ID

Datatyp

text

Alias
SDTM
USUBJID
Visit Date
Beskrivning

Visit Date

Datatyp

date

Visit Time
Beskrivning

Visit Time

Datatyp

time

Adverse Events Occurred
Beskrivning

Adverse Events Occurred

Adverse Event Experienced
Beskrivning

Adverse Event Experienced

Datatyp

integer

Adverse Event
Beskrivning

Adverse Event

Adverse Event Number
Beskrivning

Adverse Event Number

Datatyp

integer

Adverse Event Term
Beskrivning

Adverse Event Term

Datatyp

text

Adverse Event Start Date
Beskrivning

Adverse Event Start Date

Datatyp

date

Adverse Event Continues
Beskrivning

Adverse Event Continues

Datatyp

integer

Adverse Event Stop Date
Beskrivning

Adverse Event Stop Date

Datatyp

date

AE duration
Beskrivning

AE duration

Datatyp

durationDatetime

Adverse Event Serious
Beskrivning

Adverse Event Serious

Datatyp

integer

Adverse Event Severity
Beskrivning

Adverse Event Severity

Datatyp

integer

Adverse Event Action Taken
Beskrivning

Adverse Event Action Taken

Datatyp

integer

Adverse Event Subject Outcome
Beskrivning

Adverse Event Subject Outcome

Datatyp

integer

Similar models

Adverse Event Form (ACRO)

Name
Typ
Description | Question | Decode (Coded Value)
Datatyp
Alias
Item Group
Common ItemGroup Alias (TEST)
Site Number
Item
integer
SITEID (SDTM)
Subject ID
Item
text
USUBJID (SDTM)
Visit Date
Item
date
Visit Time
Item
time
Code List
Adverse Event Experienced
CL Item
 (0)
CL Item
 (1)
Item Group
Adverse Event Number
Item
integer
Adverse Event Term
Item
text
Adverse Event Start Date
Item
date
Code List
Adverse Event Continues
CL Item
 (0)
CL Item
 (1)
Adverse Event Stop Date
Item
date
AE duration
Item
durationDatetime
Code List
Adverse Event Serious
CL Item
 (0)
CL Item
 (1)
Code List
Adverse Event Severity
CL Item
 (1)
CL Item
 (2)
CL Item
 (3)
Code List
Adverse Event Related
CL Item
 (0)
CL Item
 (1)
Code List
Adverse Event Action Taken
CL Item
 (1)
CL Item
 (2)
CL Item
 (3)
CL Item
 (4)
Code List
Adverse Event Subject Outcome
CL Item
 (1)
CL Item
 (2)
CL Item
 (3)
CL Item
 (4)