Inglés

Visit 3

1 formularios  
  1. StudyEvent: ODM
    1. Visit 3
Administrative Data
Descripción

Administrative Data

Alias
UMLS CUI-1
C1320722
Date of visit
Descripción

Date of visit

Tipo de datos

date

Alias
UMLS CUI [1]
C1320303
Subject Number
Descripción

Clinical Trial Subject Unique Identifier

Tipo de datos

integer

Alias
UMLS CUI [1]
C2348585
Check for Study Continuation
Descripción

Check for Study Continuation

Alias
UMLS CUI-1
C0805733
UMLS CUI-2
C0008976
Did the subject come at visit 3?
Descripción

Yes -> Please complete the next pages. No -> Please complete below.

Tipo de datos

boolean

Alias
UMLS CUI [1,1]
C0805733
UMLS CUI [1,2]
C0008976
If No, Please tick the ONE most appropriate reason and skip the following pages of this visit.
Descripción

Continuation status, Clinical Trials, Reason

Tipo de datos

text

Alias
UMLS CUI [1,1]
C0805733
UMLS CUI [1,2]
C0008976
UMLS CUI [1,3]
C0566251
Specify
Descripción

Continuation status, Clinical Trials, Reason

Tipo de datos

text

Alias
UMLS CUI [1,1]
C0805733
UMLS CUI [1,2]
C0008976
UMLS CUI [1,3]
C0566251
Please tick who took the decision
Descripción

Continuation status, Clinical Trials, Decision

Tipo de datos

text

Alias
UMLS CUI [1,1]
C0805733
UMLS CUI [1,2]
C0008976
UMLS CUI [1,3]
C0679006
Laboratory Tests - Post-Vaccination Blood Sample
Descripción

Laboratory Tests - Post-Vaccination Blood Sample

Alias
UMLS CUI-1
C0005834
UMLS CUI-2
C1443955
Has a blood sample been taken?
Descripción

Collection of blood specimen for laboratory procedure, Post-vaccination precautions

Tipo de datos

boolean

Alias
UMLS CUI [1,1]
C0005834
UMLS CUI [1,2]
C1443955
Please complete only if different from visit date
Descripción

Collection of blood specimen for laboratory procedure, Post-vaccination precautions, Date in time

Tipo de datos

date

Alias
UMLS CUI [1,1]
C0005834
UMLS CUI [1,2]
C1443955
UMLS CUI [1,3]
C0011008
Gastroenteritis Episodes
Descripción

Gastroenteritis Episodes

Alias
UMLS CUI-1
C0017160
UMLS CUI-2
C0332189
Did the subject present Gastroenteritis anytime starting from day 8 after dose 2 until visit 3?
Descripción

If Yes, please fill the Gastroenteritis section If Yes, please collect a stool sample as soon as possible after Gastroenteritis begins and not later than 7 days after the start of the Gastroenteritis and report the stool collection date in the Gastroenteritis section.

Tipo de datos

boolean

Alias
UMLS CUI [1]
C0017160
Height / Weight
Descripción

Height / Weight

Alias
UMLS CUI-1
C0005890
UMLS CUI-2
C0005910
Height
Descripción

Body Height

Tipo de datos

integer

Unidades de medida
  • cm
Alias
UMLS CUI [1]
C0005890
cm
Weight
Descripción

Body Weight

Tipo de datos

float

Unidades de medida
  • kg
Alias
UMLS CUI [1]
C0005910
kg
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Similar models

Visit 3

1 formularios
  1. StudyEvent: ODM
    1. Visit 3
Name
Tipo
Description | Question | Decode (Coded Value)
Tipo de datos
Alias
Item Group
Administrative Data
C1320722 (UMLS CUI-1)
Date of visit
Item
Date of visit
date
C1320303 (UMLS CUI [1])
Clinical Trial Subject Unique Identifier
Item
Subject Number
integer
C2348585 (UMLS CUI [1])
Item Group
Check for Study Continuation
C0805733 (UMLS CUI-1)
C0008976 (UMLS CUI-2)
Continuation status, Clinical Trials
Item
Did the subject come at visit 3?
boolean
C0805733 (UMLS CUI [1,1])
C0008976 (UMLS CUI [1,2])
Item
If No, Please tick the ONE most appropriate reason and skip the following pages of this visit.
text
C0805733 (UMLS CUI [1,1])
C0008976 (UMLS CUI [1,2])
C0566251 (UMLS CUI [1,3])
Continuation status, Clinical Trials, Reason
Code List
If No, Please tick the ONE most appropriate reason and skip the following pages of this visit.
CL Item
Same reason and decision as previous visit. (1)
CL Item
Serious adverse event (Please specify SAE N°) (2)
CL Item
Non-Serious adverse event (Please specify unsolicited AE N° or solicited AE code) (3)
CL Item
Other, please specify (e.g. consent withdrawal, Protocol violation, ...) (4)
Item
Specify
text
C0805733 (UMLS CUI [1,1])
C0008976 (UMLS CUI [1,2])
C0566251 (UMLS CUI [1,3])
Continuation status, Clinical Trials, Reason
Code List
Specify
Item
Please tick who took the decision
text
C0805733 (UMLS CUI [1,1])
C0008976 (UMLS CUI [1,2])
C0679006 (UMLS CUI [1,3])
Continuation status, Clinical Trials, Decision
Code List
Please tick who took the decision
CL Item
Investigator  (1)
CL Item
Parents/Guardians (2)
Item Group
Laboratory Tests - Post-Vaccination Blood Sample
C0005834 (UMLS CUI-1)
C1443955 (UMLS CUI-2)
Collection of blood specimen for laboratory procedure, Post-vaccination precautions
Item
Has a blood sample been taken?
boolean
C0005834 (UMLS CUI [1,1])
C1443955 (UMLS CUI [1,2])
Collection of blood specimen for laboratory procedure, Post-vaccination precautions, Date in time
Item
Please complete only if different from visit date
date
C0005834 (UMLS CUI [1,1])
C1443955 (UMLS CUI [1,2])
C0011008 (UMLS CUI [1,3])
Item Group
Gastroenteritis Episodes
C0017160 (UMLS CUI-1)
C0332189 (UMLS CUI-2)
Gastroenteritis
Item
Did the subject present Gastroenteritis anytime starting from day 8 after dose 2 until visit 3?
boolean
C0017160 (UMLS CUI [1])
Item Group
Height / Weight
C0005890 (UMLS CUI-1)
C0005910 (UMLS CUI-2)
Body Height
Item
Height
integer
C0005890 (UMLS CUI [1])
Body Weight
Item
Weight
float
C0005910 (UMLS CUI [1])
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