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Visit Documentation 3

1 forms  
  1. StudyEvent: ODM
    1. Visit Documentation 3
Date and Type of Visit
Description

Date and Type of Visit

Alias
UMLS CUI-1
C1320303
UMLS CUI-2
C3641100
UMLS CUI-3
C0008976
Site
Description

Site

Data type

text

Alias
UMLS CUI [1]
C2825164
Patient
Description

Patient

Data type

text

Alias
UMLS CUI [1]
C1299487
Patient Number
Description

Patient Number

Data type

text

Alias
UMLS CUI [1]
C2348585
Date of Visit/Assessment
Description

Date of Visit/Assessment

Data type

date

Alias
UMLS CUI [1]
C1320303
Time of Visit
Description

Time of Visit

Data type

time

Alias
UMLS CUI [1]
C1320304
Cohort
Description

Cohort

Data type

integer

Alias
UMLS CUI [1]
C0599755
Type of Visit
Description

Please choose the type of visit/form you would like to answer, for example Cohort 1-4 SD Day 1

Data type

integer

Alias
UMLS CUI [1,1]
C3641100
UMLS CUI [1,2]
C0008976
ECG
Description

ECG

Alias
UMLS CUI-1
C1623258
Type of ECG
Description

Following please answer specific ECG forms (f.e.: Holter ECG Abnormalities) Cohort 1-4 SD Day-3,4: 12-lead-ECG

Data type

integer

Alias
UMLS CUI [1]
C1623258
Start Date ECG
Description

Start Date ECG

Data type

date

Alias
UMLS CUI [1,1]
C1623258
UMLS CUI [1,2]
C0808070
Start Time ECG
Description

Start Time ECG

Data type

time

Alias
UMLS CUI [1,1]
C1623258
UMLS CUI [1,2]
C1301880
Stop Date ECG
Description

Stop Date ECG

Data type

date

Alias
UMLS CUI [1,1]
C1623258
UMLS CUI [1,2]
C0806020
Stop Time ECG
Description

Stop Time ECG

Data type

time

Alias
UMLS CUI [1,1]
C1623258
UMLS CUI [1,2]
C1522314
If Holter ECG, please select duration of ECG recording
Description

Duration of ECG recording

Data type

integer

Alias
UMLS CUI [1,1]
C1623258
UMLS CUI [1,2]
C0449238
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Similar models

Visit Documentation 3

1 forms
  1. StudyEvent: ODM
    1. Visit Documentation 3
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Date and Type of Visit
C1320303 (UMLS CUI-1)
C3641100 (UMLS CUI-2)
C0008976 (UMLS CUI-3)
Site
Item
Site
text
C2825164 (UMLS CUI [1])
Patient
Item
Patient
text
C1299487 (UMLS CUI [1])
Patient Number
Item
Patient Number
text
C2348585 (UMLS CUI [1])
Date of Visit/Assessment
Item
Date of Visit/Assessment
date
C1320303 (UMLS CUI [1])
Time of Visit
Item
Time of Visit
time
C1320304 (UMLS CUI [1])
Item
Cohort
integer
C0599755 (UMLS CUI [1])
Cohort
Code List
Cohort
CL Item
Cohort 1 (1)
CL Item
Cohort 2 (2)
CL Item
Cohort 3 (3)
CL Item
Cohort 4 (4)
CL Item
PET (5)
Item
Type of Visit
integer
C3641100 (UMLS CUI [1,1])
C0008976 (UMLS CUI [1,2])
Type of Visit
Code List
Type of Visit
CL Item
Cohort 1-4 SD Day 1 (1)
Item Group
ECG
C1623258 (UMLS CUI-1)
Item
Type of ECG
integer
C1623258 (UMLS CUI [1])
Type of ECG
Code List
Type of ECG
CL Item
12 lead ECG (1)
CL Item
Holter ECG (2)
CL Item
Telemetry ECG (3)
Start Date ECG
Item
Start Date ECG
date
C1623258 (UMLS CUI [1,1])
C0808070 (UMLS CUI [1,2])
Start Time ECG
Item
Start Time ECG
time
C1623258 (UMLS CUI [1,1])
C1301880 (UMLS CUI [1,2])
Stop Date ECG
Item
Stop Date ECG
date
C1623258 (UMLS CUI [1,1])
C0806020 (UMLS CUI [1,2])
Stop Time ECG
Item
Stop Time ECG
time
C1623258 (UMLS CUI [1,1])
C1522314 (UMLS CUI [1,2])
Item
If Holter ECG, please select duration of ECG recording
integer
C1623258 (UMLS CUI [1,1])
C0449238 (UMLS CUI [1,2])
Duration of ECG recording
Code List
If Holter ECG, please select duration of ECG recording
CL Item
0-24hrs (1)
CL Item
0-48hrs (2)
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