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Hospitalization Data CRF ImproveCareNow

1 forms  
Complete only for patients that have been admitted
Description

Complete only for patients that have been admitted

Date of admission
Description

mm/dd/yyyy

Data type

date

Discharge Date
Description

mm/dd/yyyy

Data type

date

Is hospitalization IBD related?
Description

Hospitalization IBD related

Data type

integer

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

Intra-abdominal GI surgery during admission

Data type

integer

Comments
Description

Comments

Data type

text

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Similar models

Hospitalization Data CRF ImproveCareNow

1 forms
Name
Type
Description | Question | Decode (Coded Value)
Data type
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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