English

Throughout: Hospitalization Records [HO_1] NCT01117584

1 forms  
General Information
Description

General Information

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

Any Hospitalization

Data type

boolean

Date of Admission
Description

Date of Admission

Data type

date

Ongoing?
Description

Ongoing

Data type

boolean

Date of Discharge
Description

Date of Discharge

Data type

date

Type of Hospitalization
Description

Type of Hospitalization

Data type

integer

Reason for Hospitalization
Description

Reason for Hospitalization

Data type

text

If Other, please specify
Description

Other

Data type

text

Back to the top of the page

Similar models

Throughout: Hospitalization Records [HO_1] NCT01117584

1 forms
Name
Type
Description | Question | Decode (Coded Value)
Data type
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
Back to the top of the page