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Throughout: Hospitalization Records [HO_1] NCT01117584

1 Formulär  
General Information
Beskrivning

General Information

Was the subject hospitalized from the time of First Dose of Randomized Study Drug through Visit 9?
Beskrivning

Any Hospitalization

Datatyp

boolean

Date of Admission
Beskrivning

Date of Admission

Datatyp

date

Ongoing?
Beskrivning

Ongoing

Datatyp

boolean

Date of Discharge
Beskrivning

Date of Discharge

Datatyp

date

Type of Hospitalization
Beskrivning

Type of Hospitalization

Datatyp

integer

Reason for Hospitalization
Beskrivning

Reason for Hospitalization

Datatyp

text

If Other, please specify
Beskrivning

Other

Datatyp

text

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Similar models

Throughout: Hospitalization Records [HO_1] NCT01117584

1 Formulär
Name
Typ
Description | Question | Decode (Coded Value)
Datatyp
Alias
Item Group
General Information
Any Hospitalization
Item
Was the subject hospitalized from the time of First Dose of Randomized Study Drug through Visit 9?
boolean
Date of Admission
Item
Date of Admission
date
Ongoing
Item
Ongoing?
boolean
Date of Discharge
Item
Date of Discharge
date
Item
Type of Hospitalization
integer
Type of Hospitalization
Code List
Type of Hospitalization
CL Item
Non ICU (1)
CL Item
ICU (2)
Item
Reason for Hospitalization
text
Reason for Hospitalization
Code List
Reason for Hospitalization
CL Item
Adverse Event  (1)
CL Item
Other (2)
Other
Item
If Other, please specify
text
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