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Visit 1: Demographics

1 forms  
  1. StudyEvent: ODM
    1. Visit 1: Demographics
Administrative data
Description

Administrative data

Date of Visit
Description

Date of Visit

Data type

date

Subject Number
Description

Subject Number

Data type

integer

Demographics
Description

Demographics

Center number
Description

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

Data type

integer

Date of birth
Description

Date of birth

Data type

date

Gender
Description

Gender

Data type

boolean

Race
Description

Race

Data type

text

If Other race, please specify
Description

If Other race, please specify

Data type

text

Height
Description

Height

Data type

integer

Measurement units
  • cm
cm
Weight
Description

Weight

Data type

float

Measurement units
  • kg
kg
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Similar models

Visit 1: Demographics

1 forms
  1. StudyEvent: ODM
    1. Visit 1: Demographics
Name
Type
Description | Question | Decode (Coded Value)
Data type
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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