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Hospitalization Data CRF ImproveCareNow

1 Formulär  
Complete only for patients that have been admitted
Beskrivning

Complete only for patients that have been admitted

Date of admission
Beskrivning

mm/dd/yyyy

Datatyp

date

Discharge Date
Beskrivning

mm/dd/yyyy

Datatyp

date

Is hospitalization IBD related?
Beskrivning

Hospitalization IBD related

Datatyp

integer

Was an intra-abdominal GI surgery performed during the admission?
Beskrivning

Intra-abdominal GI surgery during admission

Datatyp

integer

Comments
Beskrivning

Comments

Datatyp

text

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Similar models

Hospitalization Data CRF ImproveCareNow

1 Formulär
Name
Typ
Description | Question | Decode (Coded Value)
Datatyp
Alias
Item Group
Complete only for patients that have been admitted
Date of admission
Item
Date of admission
date
Discharge Date
Item
Discharge Date
date
Item
Is hospitalization IBD related?
integer
Hospitalization IBD related
Code List
Is hospitalization IBD related?
CL Item
Yes (1)
CL Item
No (2)
CL Item
Not Sure (3)
Item
Was an intra-abdominal GI surgery performed during the admission?
integer
Intra-abdominal GI surgery during admission
Code List
Was an intra-abdominal GI surgery performed during the admission?
CL Item
Yes (1)
CL Item
No (2)
CL Item
Not Sure (3)
Comments
Item
Comments
text
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