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Comments

1 Formulieren  
  1. StudyEvent: ODM
    1. Comments
Administrative Data
Beschrijving

Administrative Data

Alias
UMLS CUI-1
C1320722
Site #
Beschrijving

Study centre number

Datatype

integer

Alias
UMLS CUI [1,1]
C0600091
UMLS CUI [1,2]
C0019994
Patient #
Beschrijving

patient ID

Datatype

integer

Alias
UMLS CUI [1]
C2348585
Visit Date
Beschrijving

visit date

Datatype

date

Alias
UMLS CUI [1]
C1320303
Investigator Name
Beschrijving

Investigator Name

Datatype

text

Alias
UMLS CUI [1]
C2826892
Check if (additional) supplemental instance of this form was used.
Beschrijving

Use one instance for every seven comments. Check this box on all instances except for the last one.

Datatype

boolean

Alias
UMLS CUI [1]
C1706499
Instance Number
Beschrijving

Fill in the instance number, starting from 1. On all instances except for the last one, the preceding box has to be checked.

Datatype

integer

Alias
UMLS CUI [1,1]
C1516308
UMLS CUI [1,2]
C2348184
Comments
Beschrijving

Comments

Alias
UMLS CUI-1
C0947611
CRF Section:
Beschrijving

CRF section

Datatype

text

Alias
UMLS CUI [1,1]
C1516308
UMLS CUI [1,2]
C1828479
CRF Instance Number
Beschrijving

Originally "CRF Page". Not relevant in this version - identified byy CRF . Replaced with Instance Number to record the exact instance of a form in forms which can have more instances.

Datatype

integer

Alias
UMLS CUI [1,1]
C1516308
UMLS CUI [1,2]
C2348184
Comment:
Beschrijving

Comment

Datatype

text

Alias
UMLS CUI [1]
C0947611
Signature
Beschrijving

Investigator signature

Datatype

text

Alias
UMLS CUI [1]
C2346576
Date
Beschrijving

(dd-mmm-yyyy)

Datatype

date

Alias
UMLS CUI [1]
C0011008
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Similar models

Comments

1 Formulieren
  1. StudyEvent: ODM
    1. Comments
Name
Type
Description | Question | Decode (Coded Value)
Datatype
Alias
Item Group
Administrative Data
C1320722 (UMLS CUI-1)
Study centre number
Item
Site #
integer
C0600091 (UMLS CUI [1,1])
C0019994 (UMLS CUI [1,2])
patient ID
Item
Patient #
integer
C2348585 (UMLS CUI [1])
visit date
Item
Visit Date
date
C1320303 (UMLS CUI [1])
Investigator Name
Item
Investigator Name
text
C2826892 (UMLS CUI [1])
Additional form
Item
Check if (additional) supplemental instance of this form was used.
boolean
C1706499 (UMLS CUI [1])
CRF Sequential Number
Item
Instance Number
integer
C1516308 (UMLS CUI [1,1])
C2348184 (UMLS CUI [1,2])
Item Group
Comments
C0947611 (UMLS CUI-1)
CRF section
Item
CRF Section:
text
C1516308 (UMLS CUI [1,1])
C1828479 (UMLS CUI [1,2])
CRF instance number
Item
CRF Instance Number
integer
C1516308 (UMLS CUI [1,1])
C2348184 (UMLS CUI [1,2])
Comment
Item
Comment:
text
C0947611 (UMLS CUI [1])
Investigator signature
Item
Signature
text
C2346576 (UMLS CUI [1])
Date
Item
Date
date
C0011008 (UMLS CUI [1])
Terug naar het begin van de pagina