Inglés

AE Follow-Up

1 formularios  
  1. StudyEvent: ODM
    1. AE Follow-Up
Administrative Data
Descripción

Administrative Data

Alias
UMLS CUI-1
C1320722
Subject Screening number
Descripción

Subject Screening No.

Tipo de datos

integer

Alias
UMLS CUI [1,1]
C0220908
UMLS CUI [1,2]
C0600091
Subject no.
Descripción

Subject Number

Tipo de datos

integer

Alias
UMLS CUI [1]
C2348585
AE Follow-Up
Descripción

AE Follow-Up

Alias
UMLS CUI-1
C1522577
UMLS CUI-2
C0877248
Has the subject’s adverse events been reviewed?
Descripción

Adverse Events Reviewed

Tipo de datos

boolean

Alias
UMLS CUI [1,1]
C0877248
UMLS CUI [1,2]
C1709940
Does the subject have any ongoing adverse event at follow up?
Descripción

If yes, update adverse event source document and provide adverse event follow up letter

Tipo de datos

boolean

Alias
UMLS CUI [1]
C2826663
AE letter given to subject?
Descripción

If no, provide reason

Tipo de datos

boolean

Alias
UMLS CUI [1,1]
C0877248
UMLS CUI [1,2]
C1096774
UMLS CUI [1,3]
C1999230
Reason Letter Provided
Descripción

Reason Letter Provided

Tipo de datos

text

Alias
UMLS CUI [1,1]
C0877248
UMLS CUI [1,2]
C1096774
UMLS CUI [1,3]
C1999230
UMLS CUI [1,4]
C0392360
Date Letter Provided
Descripción

Date Letter Provided

Tipo de datos

date

Alias
UMLS CUI [1,1]
C0011008
UMLS CUI [1,2]
C1096774
UMLS CUI [1,3]
C1999230
Conclusion
Descripción

Conclusion

Alias
UMLS CUI-1
C1707478
Staff initials
Descripción

Staff initials

Tipo de datos

text

Alias
UMLS CUI [1,1]
C2986440
UMLS CUI [1,2]
C1552089
Date
Descripción

Date

Tipo de datos

date

Alias
UMLS CUI [1]
C0011008
Volver a la parte superior de la página

Similar models

AE Follow-Up

1 formularios
  1. StudyEvent: ODM
    1. AE Follow-Up
Name
Tipo
Description | Question | Decode (Coded Value)
Tipo de datos
Alias
Item Group
Administrative Data
C1320722 (UMLS CUI-1)
Subject Screening No.
Item
Subject Screening number
integer
C0220908 (UMLS CUI [1,1])
C0600091 (UMLS CUI [1,2])
Subject Number
Item
Subject no.
integer
C2348585 (UMLS CUI [1])
Item Group
AE Follow-Up
C1522577 (UMLS CUI-1)
C0877248 (UMLS CUI-2)
Adverse Events Reviewed
Item
Has the subject’s adverse events been reviewed?
boolean
C0877248 (UMLS CUI [1,1])
C1709940 (UMLS CUI [1,2])
Adverse Event Ongoing
Item
Does the subject have any ongoing adverse event at follow up?
boolean
C2826663 (UMLS CUI [1])
AE letter Given to Subject
Item
AE letter given to subject?
boolean
C0877248 (UMLS CUI [1,1])
C1096774 (UMLS CUI [1,2])
C1999230 (UMLS CUI [1,3])
Reason Letter Provided
Item
Reason Letter Provided
text
C0877248 (UMLS CUI [1,1])
C1096774 (UMLS CUI [1,2])
C1999230 (UMLS CUI [1,3])
C0392360 (UMLS CUI [1,4])
Date Letter Provided
Item
Date Letter Provided
date
C0011008 (UMLS CUI [1,1])
C1096774 (UMLS CUI [1,2])
C1999230 (UMLS CUI [1,3])
Item Group
Conclusion
C1707478 (UMLS CUI-1)
Staff initials
Item
Staff initials
text
C2986440 (UMLS CUI [1,1])
C1552089 (UMLS CUI [1,2])
Date
Item
Date
date
C0011008 (UMLS CUI [1])
Volver a la parte superior de la página