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Medical History I: CRF QMCR University of Alberta

1 forms  
General Information
Description

General Information

Study Name
Description

Study Name

Data type

text

Site Number
Description

Site Number

Data type

integer

Pt_ID
Description

Pt_ID

Data type

integer

Visit Date
Description

Visit Date

Data type

date

Visit Type
Description

Visit Type

Data type

text

Medical History (See Description)
Description

Medical History (See Description)

Code
Description

Code

Data type

integer

Condition/Disease
Description

Condition/Disease

Data type

text

Start Day
Description

Start Day

Data type

date

Current/Resolved
Description

Current/Resolved

Data type

text

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Similar models

Medical History I: CRF QMCR University of Alberta

1 forms
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
General Information
Study Name
Item
Study Name
text
Site Number
Item
Site Number
integer
Pt_ID
Item
Pt_ID
integer
Visit Date
Item
Visit Date
date
Item
Visit Type
text
Visit Type
Code List
Visit Type
CL Item
Screening (1)
CL Item
Baseline (2)
Item Group
Medical History (See Description)
Code
Item
Code
integer
Condition/Disease
Item
Condition/Disease
text
Start Day
Item
Start Day
date
Item
Current/Resolved
text
Current/Resolved
Code List
Current/Resolved
CL Item
Current (1)
CL Item
Resolved (2)
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