Inglés

Liver Imaging Form 1

1 formularios  
  1. StudyEvent: ODM
    1. Liver Imaging Form 1
Administrative data
Descripción

Administrative data

Study Name
Descripción

Study Name

Tipo de datos

text

Site
Descripción

Site

Tipo de datos

text

Subject
Descripción

Subject

Tipo de datos

text

Visit Name
Descripción

Visit Name

Tipo de datos

text

DCI Name/Shortname
Descripción

DCI Name/Shortname

Tipo de datos

text

Status
Descripción

Status

Tipo de datos

text

Doc#
Descripción

Doc#

Tipo de datos

integer

Visit #
Descripción

Visit #

Tipo de datos

float

Complete a separate form for each individual imaging test performed.
Descripción

Complete a separate form for each individual imaging test performed.

Date of hepatic or liver imaging test
Descripción

Date of hepatic or liver imaging test

Tipo de datos

date

What method was used for this imaging test?
Descripción

check one; if more than one imaging tet was performed, complete a separate form for each test.

Tipo de datos

text

If Other, specify
Descripción

If Other, specify

Tipo de datos

text

Image Quality
Descripción

Image Quality

Are images technically adequate?
Descripción

check one

Tipo de datos

text

If Other, specify
Descripción

If Other, specify

Tipo de datos

text

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Similar models

Liver Imaging Form 1

1 formularios
  1. StudyEvent: ODM
    1. Liver Imaging Form 1
Name
Tipo
Description | Question | Decode (Coded Value)
Tipo de datos
Alias
Item Group
Administrative data
Study Name
Item
Study Name
text
Site
Item
Site
text
Subject
Item
Subject
text
Visit Name
Item
Visit Name
text
DCI Name/Shortname
Item
DCI Name/Shortname
text
Status
Item
Status
text
Doc#
Item
Doc#
integer
Visit #
Item
Visit #
float
Item Group
Complete a separate form for each individual imaging test performed.
Date of hepatic or liver imaging test
Item
Date of hepatic or liver imaging test
date
Item
What method was used for this imaging test?
text
What method was used for this imaging test?
Code List
What method was used for this imaging test?
CL Item
Ultrasound - transabdominal (1)
CL Item
Ultrasound - endoscopic (2)
CL Item
Magnetic Resonance Imaging (MRI) (3)
CL Item
Computerised Tomography (CT) (4)
CL Item
Endoscopic Retrograde Cholangiopancreatography (ERCP) (5)
CL Item
Positron Emission Tomography (PET) (6)
CL Item
Positron Emission Tomography/Computed Tomography (PET/CT) (7)
CL Item
Other (8)
If Other, specify
Item
If Other, specify
text
Item Group
Image Quality
Item
Are images technically adequate?
text
Are images technically adequate?
Code List
Are images technically adequate?
CL Item
Optimal (1)
CL Item
Readable, but not optimal (2)
CL Item
Not readable (3)
CL Item
Other (4)
If Other, specify
Item
If Other, specify
text
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