model
Detalles

Diary Form

11 formularios

StudyEvent: Baseline Visit
StudyEvent: Week 1 Visit
1. Week 1 and 2 Form
2. Laboratory
StudyEvent: Week 2 Visit
1. Week 1 and 2 Form
2. Laboratory
StudyEvent: Patient Diary Event
1. Diary Form
StudyEvent: Adverse Event
1. Adverse Event Form (ACRO)
2. Prior or Concomitant Medications (ACRO)

Name

Tipo

Description | Question | Decode (Coded Value)

Tipo de datos

Alias

Common

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

Patient Diary

Item Group

Diary Day

Item

integer

Diary Day

Code List

Diary Day

CL Item

(1)

CL Item

(2)

CL Item

(3)

CL Item

(4)

CL Item

(5)

CL Item

(6)

CL Item

(7)

Diary Date

Item

date

Scale

Item

integer

Diary

Code List

Scale

CL Item

(1)

CL Item

(2)

CL Item

(3)

CL Item

(4)

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