Visit 10: Adverse Events

Administrative data
Beschrijving

Administrative data

Site
Beschrijving

Site

Datatype

text

Subject
Beschrijving

Subject

Datatype

text

Visit Name
Beschrijving

Visit Name

Datatype

text

Status
Beschrijving

Status

Datatype

text

Doc №
Beschrijving

Doc №

Datatype

integer

Is Page Blank?
Beschrijving

blank page?

Datatype

boolean

Adverse Events
Beschrijving

Adverse Events

Has the subject experienced any adverse events?
Beschrijving

Has the subject experienced any adverse events?

Datatype

boolean

If Yes, please add Adverse Event details on Adverse Events/Serious Adverse Events Form.
Beschrijving

If Yes, please add Adverse Event details on Adverse Events/Serious Adverse Events Form.

Datatype

text

Similar models

Visit 10: Adverse Events

Name
Type
Description | Question | Decode (Coded Value)
Datatype
Alias
Item Group
Administrative data
Site
Item
Site
text
Subject
Item
Subject
text
Item
Visit Name
text
Code List
Visit Name
CL Item
Adverse Events (1)
Status
Item
Status
text
Doc №
Item
Doc №
integer
blank page?
Item
Is Page Blank?
boolean
Item Group
Adverse Events
Has the subject experienced any adverse events?
Item
Has the subject experienced any adverse events?
boolean
If Yes, please add Adverse Event details on Adverse Events/Serious Adverse Events Form.
Item
If Yes, please add Adverse Event details on Adverse Events/Serious Adverse Events Form.
text