Information:
Error:
ID
17006
Description
ODM derived from: http://www.qmcr.ualberta.ca/en/ToolsandTemplates/CaseReportFormCRFTemplates.aspx. Template Name: Vital Signs. University of Alberta, Quality Management in Clinical Research. Copyright: 2002-2016 University of Alberta.
Link
http://www.qmcr.ualberta.ca/en/ToolsandTemplates/CaseReportFormCRFTemplates.aspx
Keywords
Versions (1)
- 8/20/16 8/20/16 -
Uploaded on
August 20, 2016
DOI
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License
Creative Commons BY-NC 3.0
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Vital Signs: CRF QMCR University of Alberta
Vital Signs: CRF QMCR University of Alberta
- StudyEvent: ODM
Similar models
Vital Signs: CRF QMCR University of Alberta
- StudyEvent: ODM
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Study Name
Item
Study Name
text
Site Number
Item
Site Number
integer
Pt_ID
Item
Pt_ID
integer
Visit Date
Item
Visit Date
date
CL Item
Screening (1)
CL Item
Baseline (2)
CL Item
Visit 1 (3)
CL Item
Visit 2 (4)
CL Item
Visit 3 (5)
CL Item
Visit 4 (6)
CL Item
Visit 5 (7)
CL Item
Completion Visit (8)
1. Time
Item
1. Time
time
CL Item
AM (1)
CL Item
PM (2)
2. Heart Rate
Item
2. Heart Rate
integer
Heart Rate - not done
Item
Heart Rate - not done
boolean
3. Blood pressure
Item
3. Blood pressure (systolic)
integer
Blood pressure
Item
Blood pressure (diastolic)
integer
Blood pressure - not done
Item
Blood pressure - not done
boolean
CL Item
Sitting (1)
CL Item
Supine (2)
CL Item
Standing (3)
4. Temperature
Item
4. Temperature
integer
CL Item
°F (1)
CL Item
°C (2)
Temperature
Item
Temperature - not done
boolean
5. Respiratory Rate
Item
5. Respiratory Rate
integer
Respiratory Rate
Item
Respiratory Rate - not done
boolean
6. Weight
Item
6. Weight
integer
CL Item
pounds (1)
CL Item
kilograms (2)
Weight
Item
Weight - Estimated?
boolean
Weight
Item
Weight - not done
boolean
7. Height
Item
7. Height
integer
CL Item
inches (1)
CL Item
centimeters (2)
Height
Item
Height - Estimated?
boolean
Height
Item
Height - not done
boolean
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