Date of onset of symptoms
Item
1. Date of onset of symptoms
date
Time of onset of symptoms
Item
1. Time of onset of symptoms
time
Date of symptom resolution
Item
2. Date of symptom resolution
date
Time of symptom resolution
Item
2. Time of symptom resolution
time
Item
3. Adjudication
text
Code List
3. Adjudication
CL Item
Does not meet criteria for stroke (NC)
CL Item
Non-fatal stroke (44)
CL Item
Fatal stroke (45)
Item
If non-fatal stroke, select one
integer
Code List
If non-fatal stroke, select one
CL Item
Cerebral infarction with blood felt to represent hemorrhagic conversion and not a primary hemorrhage (79)
CL Item
Type uncertain (8)
Non-fatal stroke type uncertain
Item
If non-fatal stroke of uncertain type, comment
text
Item
If fatal stroke, select one
integer
Code List
If fatal stroke, select one
CL Item
Cerebral infarction with blood felt to represent hemorrhagic conversion and not a primary hemorrhage (79)
CL Item
Type uncertain (8)
Fatal stroke type uncertain
Item
If fatal stroke of uncertain type, comment
text
criteria for stroke not met comment
Item
If criteria for stroke not met, comment
text
Item
If criteria for stroke not met, select one
text
Code List
If criteria for stroke not met, select one
Item
If other, please comment
text
Code List
If other, please comment
Date of adjudication
Item
4. Date of adjudication
date
Trigger number
Item
5. Trigger number
text
Item
6. CEC Status
integer
CL Item
Coordinator Screen check (2)
CL Item
Ready for review (4)
CL Item
In Phase I review (5)
CL Item
Queried (InForm) (6)
CL Item
Additional documents required (7)
CL Item
In Phase II committee (8)
CL Item
Completed event (11)
CL Item
No event to adjudicate (12)
CL Item
QC Random sample (13)
CL Item
In Translation (14)
Date of status change
Item
7. Date of status change
date
Item
8. Physician review #1: Physician
integer
Code List
8. Physician review #1: Physician
Physician review 1 Date sent to reviewer
Item
8. Physician review #1: Date sent to reviewer
date
Physician review 1 Date received from reviewer
Item
8. Physician review #1: Date received from reviewer
date
Item
9. Physician review #2: Physician
integer
Code List
9. Physician review #2: Physician
Physician review 2 Date sent to reviewer
Item
9. Physician review #2: Date sent to reviewer
date
Physician review 2 Date received from reviewer
Item
9. Physician review #2: Date received from reviewer
date
CEC Coordinator comments
Item
10. CEC Coordinator comments
text
CV event number
Item
11. CV event number
text
Adverse event reference identifier
Item
12. Adverse event reference identifier
text
Adverse event term
Item
13. Adverse event term
text