SAE Additional/Follow-Up Information

Administrative data
Description

Administrative data

Alias
UMLS CUI-1
C1320722
Subject Identifier
Description

Clinical Trial Subject Unique Identifier

Data type

integer

Alias
UMLS CUI [1]
C2348585
Centre Number
Description

Identifier, Hospitals

Data type

integer

Alias
UMLS CUI [1,1]
C0600091
UMLS CUI [1,2]
C0019994
Randomisation Number
Description

Randomization, Numbers

Data type

integer

Alias
UMLS CUI [1,1]
C0034656
UMLS CUI [1,2]
C0237753
Serious Adverse Event - Additional/Follow-Up Information
Description

Serious Adverse Event - Additional/Follow-Up Information

Alias
UMLS CUI-1
C1519255
Use this page to provide any additional details on the SAE not already captured on the previous pages
Description

Serious Adverse Event, Details

Data type

text

Alias
UMLS CUI [1,1]
C1519255
UMLS CUI [1,2]
C1522508
Investigator's signature
Description

confirming that the data on this page is accurate and complete

Data type

text

Alias
UMLS CUI [1]
C2346576
Investigator's name (print)
Description

Investigator Name

Data type

text

Alias
UMLS CUI [1]
C2826892
Date
Description

Date in time

Data type

date

Alias
UMLS CUI [1]
C0011008

Similar models

SAE Additional/Follow-Up Information

Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Administrative data
C1320722 (UMLS CUI-1)
Clinical Trial Subject Unique Identifier
Item
Subject Identifier
integer
C2348585 (UMLS CUI [1])
Identifier, Hospitals
Item
Centre Number
integer
C0600091 (UMLS CUI [1,1])
C0019994 (UMLS CUI [1,2])
Randomization, Numbers
Item
Randomisation Number
integer
C0034656 (UMLS CUI [1,1])
C0237753 (UMLS CUI [1,2])
Item Group
Serious Adverse Event - Additional/Follow-Up Information
C1519255 (UMLS CUI-1)
Serious Adverse Event, Details
Item
Use this page to provide any additional details on the SAE not already captured on the previous pages
text
C1519255 (UMLS CUI [1,1])
C1522508 (UMLS CUI [1,2])
Investigator Signature
Item
Investigator's signature
text
C2346576 (UMLS CUI [1])
Investigator Name
Item
Investigator's name (print)
text
C2826892 (UMLS CUI [1])
Date in time
Item
Date
date
C0011008 (UMLS CUI [1])