CEC - Hospitalisation for heart failure GSK study Chronic Coronary Heart Disease NCT00799903

CEC - Hospitalisation for heart failure
Beschrijving

CEC - Hospitalisation for heart failure

1. Date of event
Beschrijving

[hidden]

Datatype

date

1. Time of event
Beschrijving

[hidden]

Datatype

time

Hospitalisation for heart failure - CEC Section
Beschrijving

Hospitalisation for heart failure - CEC Section

2. Adjudication
Beschrijving

[hidden]

Datatype

text

2. If criteria for heart failure not met, specify
Beschrijving

criteria for heart failure not met specification

Datatype

text

3. Date of adjudication
Beschrijving

[hidden]

Datatype

date

CEC Status
Beschrijving

CEC Status

4. Trigger number
Beschrijving

[hidden]

Datatype

text

5. CEC Status
Beschrijving

[hidden]

Datatype

integer

6. Date of status change
Beschrijving

[read-only]

Datatype

date

7. Physician review #1: Physician
Beschrijving

[hidden]

Datatype

integer

7. Physician review #1: Date sent to reviewer
Beschrijving

[hidden]

Datatype

date

7. Physician review #1: Date received from reviewer
Beschrijving

[hidden]

Datatype

date

8. Physician review #2: Physician
Beschrijving

[hidden]

Datatype

integer

8. Physician review #2: Date sent to reviewer
Beschrijving

[hidden]

Datatype

date

8. Physician review #2: Date received from reviewer
Beschrijving

[hidden]

Datatype

date

9. CEC Coordinator comments
Beschrijving

[hidden]

Datatype

text

10. CV event number
Beschrijving

[hidden]

Datatype

text

11. Adverse event reference identifier
Beschrijving

Use SAE Sequence number from the corresponding SAE form (the last item on the form, in the "Non-Clinical" section) [hidden].

Datatype

text

12. Adverse event term
Beschrijving

Copy Serious Adverse Event term from corresponding SAE form [hidden].

Datatype

text

Similar models

CEC - Hospitalisation for heart failure GSK study Chronic Coronary Heart Disease NCT00799903

Name
Type
Description | Question | Decode (Coded Value)
Datatype
Alias
Item Group
CEC - Hospitalisation for heart failure
Date of event
Item
1. Date of event
date
Time of event
Item
1. Time of event
time
Item Group
Hospitalisation for heart failure - CEC Section
Item
2. Adjudication
text
Code List
2. Adjudication
CL Item
Does not meet criteria for heart failure (NC)
CL Item
Hospitalisation for heart failure (72)
criteria for heart failure not met specification
Item
2. If criteria for heart failure not met, specify
text
Date of adjudication
Item
3. Date of adjudication
date
Item Group
CEC Status
Trigger number
Item
4. Trigger number
text
Item
5. CEC Status
integer
Code List
5. CEC Status
CL Item
New (1)
CL Item
Coordinator Screen check (2)
CL Item
Hold (3)
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
Data change (9)
CL Item
Re-Review (10)
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
6. Date of status change
date
Item
7. Physician review #1: Physician
integer
Code List
7. Physician review #1: Physician
CL Item
01 (1)
CL Item
02 (2)
CL Item
03 (3)
CL Item
04 (4)
CL Item
05 (5)
CL Item
06 (6)
CL Item
07 (7)
CL Item
08 (8)
CL Item
09 (9)
CL Item
10 (10)
CL Item
11 (11)
CL Item
12 (12)
CL Item
13 (13)
CL Item
4 (14)
CL Item
15 (15)
CL Item
16 (16)
CL Item
17 (17)
CL Item
18 (18)
CL Item
19 (19)
CL Item
20 (20)
CL Item
21 (21)
CL Item
22 (22)
CL Item
23 (23)
CL Item
24 (24)
CL Item
25 (25)
CL Item
26 (26)
CL Item
27 (27)
CL Item
28 (28)
CL Item
29 (29)
CL Item
30 (30)
CL Item
31 (31)
CL Item
32 (32)
CL Item
33 (33)
CL Item
34 (34)
CL Item
35 (35)
CL Item
36 (36)
CL Item
37 (37)
CL Item
38 (38)
CL Item
39 (39)
CL Item
40 (40)
CL Item
41 (41)
CL Item
42 (42)
CL Item
43 (43)
CL Item
4 (44)
CL Item
45 (45)
CL Item
46 (46)
CL Item
47 (47)
CL Item
48 (48)
CL Item
49 (49)
CL Item
50 (50)
Physician review 1 Date sent to reviewer
Item
7. Physician review #1: Date sent to reviewer
date
Physician review 1 Date received from reviewer
Item
7. Physician review #1: Date received from reviewer
date
Item
8. Physician review #2: Physician
integer
Code List
8. Physician review #2: Physician
CL Item
01 (1)
CL Item
02 (2)
CL Item
03 (3)
CL Item
04 (4)
CL Item
05 (5)
CL Item
06 (6)
CL Item
07 (7)
CL Item
08 (8)
CL Item
09 (9)
CL Item
10 (10)
CL Item
11 (11)
CL Item
12 (12)
CL Item
13 (13)
CL Item
4 (14)
CL Item
15 (15)
CL Item
16 (16)
CL Item
17 (17)
CL Item
18 (18)
CL Item
19 (19)
CL Item
20 (20)
CL Item
21 (21)
CL Item
22 (22)
CL Item
23 (23)
CL Item
24 (24)
CL Item
25 (25)
CL Item
26 (26)
CL Item
27 (27)
CL Item
28 (28)
CL Item
29 (29)
CL Item
30 (30)
CL Item
31 (31)
CL Item
32 (32)
CL Item
33 (33)
CL Item
34 (34)
CL Item
35 (35)
CL Item
36 (36)
CL Item
37 (37)
CL Item
38 (38)
CL Item
39 (39)
CL Item
40 (40)
CL Item
41 (41)
CL Item
42 (42)
CL Item
43 (43)
CL Item
4 (44)
CL Item
45 (45)
CL Item
46 (46)
CL Item
47 (47)
CL Item
48 (48)
CL Item
49 (49)
CL Item
50 (50)
Physician review 2 Date sent to reviewer
Item
8. Physician review #2: Date sent to reviewer
date
Physician review 2 Date received from reviewer
Item
8. Physician review #2: Date received from reviewer
date
CEC Coordinator comments
Item
9. CEC Coordinator comments
text
CV event number
Item
10. CV event number
text
Adverse event reference identifier
Item
11. Adverse event reference identifier
text
Adverse event term
Item
12. Adverse event term
text