Engels

Liver Imaging Form 1

1 Formulieren  
  1. StudyEvent: ODM
    1. Liver Imaging Form 1
Administrative data
Beschrijving

Administrative data

Study Name
Beschrijving

Study Name

Datatype

text

Site
Beschrijving

Site

Datatype

text

Subject
Beschrijving

Subject

Datatype

text

Visit Name
Beschrijving

Visit Name

Datatype

text

DCI Name/Shortname
Beschrijving

DCI Name/Shortname

Datatype

text

Status
Beschrijving

Status

Datatype

text

Doc#
Beschrijving

Doc#

Datatype

integer

Visit #
Beschrijving

Visit #

Datatype

float

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

Complete a separate form for each individual imaging test performed.

Date of hepatic or liver imaging test
Beschrijving

Date of hepatic or liver imaging test

Datatype

date

What method was used for this imaging test?
Beschrijving

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

Datatype

text

If Other, specify
Beschrijving

If Other, specify

Datatype

text

Image Quality
Beschrijving

Image Quality

Are images technically adequate?
Beschrijving

check one

Datatype

text

If Other, specify
Beschrijving

If Other, specify

Datatype

text

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Similar models

Liver Imaging Form 1

1 Formulieren
  1. StudyEvent: ODM
    1. Liver Imaging Form 1
Name
Type
Description | Question | Decode (Coded Value)
Datatype
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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