Englisch

Liver Imaging Form 1

1 Formulare  
  1. StudyEvent: ODM
    1. Liver Imaging Form 1
Administrative data
Beschreibung

Administrative data

Study Name
Beschreibung

Study Name

Datentyp

text

Site
Beschreibung

Site

Datentyp

text

Subject
Beschreibung

Subject

Datentyp

text

Visit Name
Beschreibung

Visit Name

Datentyp

text

DCI Name/Shortname
Beschreibung

DCI Name/Shortname

Datentyp

text

Status
Beschreibung

Status

Datentyp

text

Doc#
Beschreibung

Doc#

Datentyp

integer

Visit #
Beschreibung

Visit #

Datentyp

float

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

Complete a separate form for each individual imaging test performed.

Date of hepatic or liver imaging test
Beschreibung

Date of hepatic or liver imaging test

Datentyp

date

What method was used for this imaging test?
Beschreibung

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

Datentyp

text

If Other, specify
Beschreibung

If Other, specify

Datentyp

text

Image Quality
Beschreibung

Image Quality

Are images technically adequate?
Beschreibung

check one

Datentyp

text

If Other, specify
Beschreibung

If Other, specify

Datentyp

text

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Ähnliche Modelle

Liver Imaging Form 1

1 Formulare
  1. StudyEvent: ODM
    1. Liver Imaging Form 1
Name
Typ
Description | Question | Decode (Coded Value)
Datentyp
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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