Diary Card 2: Other Symptoms

Administrative data
Beschrijving

Administrative data

Subject Number
Beschrijving

Subject Number

Datatype

integer

Dose
Beschrijving

Dose

Datatype

text

Other Symptoms
Beschrijving

Other Symptoms

Description
Beschrijving

Description

Datatype

text

Intensity
Beschrijving

Mild (an adverse event which is easily tolerated by the subject, causing minimal discomfort and not interfering with everyday activities); Moderate (An adverse event which is sufficiently discomforting to interfere with normal everyday activities); Severe (An adverse event which prevents normal, everyday activities: e.g attendance at school/kindergarten/a day-care centre and would cause parents/guardians to seek medical advice)

Datatype

text

Start Date
Beschrijving

Start Date

Datatype

date

End Date
Beschrijving

End Date

Datatype

date

Ongoing?
Beschrijving

Ongoing?

Datatype

boolean

Medically attended visit?
Beschrijving

Medically attended visit?

Datatype

boolean

Similar models

Diary Card 2: Other Symptoms

Name
Type
Description | Question | Decode (Coded Value)
Datatype
Alias
Item Group
Administrative data
Subject Number
Item
Subject Number
integer
Item
Dose
text
Code List
Dose
CL Item
Dose 2 (1)
Item Group
Other Symptoms
Description
Item
Description
text
Item
Intensity
text
Code List
Intensity
CL Item
Mild (1)
CL Item
Moderate (2)
CL Item
Severe (3)
Start Date
Item
Start Date
date
End Date
Item
End Date
date
Ongoing?
Item
Ongoing?
boolean
Medically attended visit?
Item
Medically attended visit?
boolean