SAE Additional/Follow-Up Information

Administrative data
Description

Administrative data

Alias
UMLS CUI-1
C1320722
Subject Identifier
Description

Clinical Trial Subject Unique Identifier

Type de données

integer

Alias
UMLS CUI [1]
C2348585
Centre Number
Description

Identifier, Hospitals

Type de données

integer

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

Randomization, Numbers

Type de données

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

Type de données

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

Type de données

text

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

Investigator Name

Type de données

text

Alias
UMLS CUI [1]
C2826892
Date
Description

Date in time

Type de données

date

Alias
UMLS CUI [1]
C0011008

Similar models

SAE Additional/Follow-Up Information

Name
Type
Description | Question | Decode (Coded Value)
Type de données
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])