Engelsk

Visit 1: Demographics

1 Formulär  
  1. StudyEvent: ODM
    1. Visit 1: Demographics
Administrative data
Beskrivning

Administrative data

Date of Visit
Beskrivning

Date of Visit

Datatyp

date

Subject Number
Beskrivning

Subject Number

Datatyp

integer

Demographics
Beskrivning

Demographics

Center number
Beskrivning

Previous Study: 101222 (DTPw-HBV=Hib Kft-001) Same subject number as previous study!

Datatyp

integer

Date of birth
Beskrivning

Date of birth

Datatyp

date

Gender
Beskrivning

Gender

Datatyp

boolean

Race
Beskrivning

Race

Datatyp

text

If Other race, please specify
Beskrivning

If Other race, please specify

Datatyp

text

Height
Beskrivning

Height

Datatyp

integer

Måttenheter
  • cm
cm
Weight
Beskrivning

Weight

Datatyp

float

Måttenheter
  • kg
kg
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Similar models

Visit 1: Demographics

1 Formulär
  1. StudyEvent: ODM
    1. Visit 1: Demographics
Name
Typ
Description | Question | Decode (Coded Value)
Datatyp
Alias
Item Group
Administrative data
Date of Visit
Item
Date of Visit
date
Subject Number
Item
Subject Number
integer
Item Group
Demographics
Center number
Item
Center number
integer
Date of birth
Item
Date of birth
date
Gender
Item
Gender
boolean
Item
Race
text
Race
Code List
Race
CL Item
Black (1)
CL Item
Arabic/North African (2)
CL Item
White/Caucasian (3)
CL Item
East & South East Asian (4)
CL Item
South Asian (5)
CL Item
American Hispanic (6)
CL Item
Japanese (7)
CL Item
Other (8)
If Other race, please specify
Item
If Other race, please specify
text
Height
Item
Height
integer
Weight
Item
Weight
float
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