Engelsk

Diary Card: Temperature (All Groups)

1 Formulär  
Administrative data
Beskrivning

Administrative data

Dose Number
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Dose Number

Datatyp

text

Subject Number
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Subject Number

Datatyp

integer

Please do not forget to bring back the diary card on
Beskrivning

fill the date below

Datatyp

date

Temperature (day 0 - day 14)
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Temperature (day 0 - day 14)

Route
Beskrivning

Route

Datatyp

text

Fever
Beskrivning

definition

Datatyp

text

Please record temperature daily from day 0 to day 14 after vaccination at bedtime
Beskrivning

If multiple measures on the same day, take the maximum value. Please keep always the same route

Datatyp

text

Temperature Log
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Temperature Log

Episode Number
Beskrivning

Day 0 to Day 14

Datatyp

integer

Temperature
Beskrivning

Temperature

Datatyp

float

Måttenheter
  • °C
°C
Medical advice
Beskrivning

Medical advice

Datatyp

boolean

Temperature (day 15 - day 42)
Beskrivning

Temperature (day 15 - day 42)

Please screen temperature daily from day 15 to 42 please use the temperature sensitive pad or thermometer.
Beskrivning

If fever is indicated, please take the child's temperature using a thermometer and report measurement below. If multiple measures on the same day, take the maximum value.

Datatyp

text

Temperature Log
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Temperature Log

Day
Beskrivning

Day

Datatyp

text

Fever
Beskrivning

Fever

Datatyp

boolean

Temperature
Beskrivning

Temperature

Datatyp

float

Måttenheter
  • °C
°C
Medical advice
Beskrivning

Medical advice

Datatyp

boolean

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Similar models

Diary Card: Temperature (All Groups)

1 Formulär
Name
Typ
Description | Question | Decode (Coded Value)
Datatyp
Alias
Item Group
Administrative data
Item
Dose Number
text
Dose Number
Code List
Dose Number
CL Item
Dose 1 (1)
Subject Number
Item
Subject Number
integer
Please do not forget to bring back the diary card on
Item
Please do not forget to bring back the diary card on
date
Item Group
Temperature (day 0 - day 14)
Item
Route
text
Route
Code List
Route
CL Item
Axillary (1)
CL Item
Rectal (2)
Item
Fever
text
Fever
Code List
Fever
CL Item
Axillary (>=37.5°C) (1)
CL Item
Rectal (>=38°C) (2)
Please record temperature daily from day 0 to day 14 after vaccination at bedtime
Item
Please record temperature daily from day 0 to day 14 after vaccination at bedtime
text
Item Group
Temperature Log
Episode Number
Item
Episode Number
integer
Temperature
Item
Temperature
float
Medical advice
Item
Medical advice
boolean
Item Group
Temperature (day 15 - day 42)
Please screen temperature daily from day 15 to 42 please use the temperature sensitive pad or thermometer.
Item
Please screen temperature daily from day 15 to 42 please use the temperature sensitive pad or thermometer.
text
Item Group
Temperature Log
Day
Item
Day
text
Fever
Item
Fever
boolean
Temperature
Item
Temperature
float
Medical advice
Item
Medical advice
boolean
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