Engelsk

Serious Adverse Event (SAE)- Additional/ Follow- Up Information Week 38

1 Formulär  
Serious Adverse Event (SAE)- Additional/ Follow- Up Information
Beskrivning

Serious Adverse Event (SAE)- Additional/ Follow- Up Information

Alias
UMLS CUI-1
C1519255
Subject ID
Beskrivning

Subject ID

Datatyp

text

Alias
UMLS CUI [1]
C2348585
Centre Number
Beskrivning

Centre Number

Datatyp

integer

Alias
UMLS CUI [1,1]
C0600091
UMLS CUI [1,2]
C0019994
Randomisation Number
Beskrivning

Randomisation Number

Datatyp

integer

Alias
UMLS CUI [1,1]
C0034656
UMLS CUI [1,2]
C0237753
SECTION 12 SAE Additional/Follow-up Information
Beskrivning

SAE

Datatyp

text

Alias
UMLS CUI [1]
C1519255
Investigator’s signature
Beskrivning

Investigator signature

Datatyp

text

Alias
UMLS CUI [1]
C2346576
Investigator’s name
Beskrivning

Investigator name

Datatyp

text

Alias
UMLS CUI [1]
C2826892
Date
Beskrivning

Date

Datatyp

date

Alias
UMLS CUI [1]
C0011008
Tillbaka till toppen

Similar models

Serious Adverse Event (SAE)- Additional/ Follow- Up Information Week 38

1 Formulär
Name
Typ
Description | Question | Decode (Coded Value)
Datatyp
Alias
Item Group
Serious Adverse Event (SAE)- Additional/ Follow- Up Information
C1519255 (UMLS CUI-1)
Subject ID
Item
Subject ID
text
C2348585 (UMLS CUI [1])
Centre Number
Item
Centre Number
integer
C0600091 (UMLS CUI [1,1])
C0019994 (UMLS CUI [1,2])
Randomisation Number
Item
Randomisation Number
integer
C0034656 (UMLS CUI [1,1])
C0237753 (UMLS CUI [1,2])
SAE
Item
SECTION 12 SAE Additional/Follow-up Information
text
C1519255 (UMLS CUI [1])
Investigator signature
Item
Investigator’s signature
text
C2346576 (UMLS CUI [1])
Investigator name
Item
Investigator’s name
text
C2826892 (UMLS CUI [1])
Date
Item
Date
date
C0011008 (UMLS CUI [1])
Tillbaka till toppen