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CDE Detailed Report
This report contains detailed information about the selected CDEs.
Note: If at least one CDE was selected from a copyright- or trademark-protected instrument/scale then all of the CDEs from that instrument/scale are included in this report.
Disease: General (For all diseases)
Sub-Domain: Study Management
CRF: Visit Checklist
Item count: 5 (5 distinct CDEs)
CDE ID
CDE Name
Variable Name
Definition / Description
Question Text
Permissible Value
Description
Data Type
Instructions
References
Population
Classification (e.g., Core)
Version #
Version Date
Aliases for Variable Name
CRF Module / Guideline
© or TM
Sub-Domain
Domain
Previous Title
Size
Input Restrictions
Min Value
Max Value
Measurement Type
LOINC ID
SNOMED
caDSR ID
CDISC ID
C21111
Form not completed indicator
FormNotCompleteInd
Indicator for the incompletion of the form
Check here if form not completed
Yes;
Yes;
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
1.0
6/12/2015
Aliases for variable name not defined
Visit Checklist
Study Management
Protocol Experience
  
Single Pre-Defined Value Selected
       
C21108
Visit present indicator
VisitPresentInd
Indicator for the presence of the subject at the visit.
Did the subject attend this visit?
No;Yes;
No;If Yes, continue;
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
1.0
6/12/2015
Aliases for variable name not defined
Visit Checklist
Study Management
Protocol Experience
  
Single Pre-Defined Value Selected
       
C21109
Visit assessment complete type
VisitAssessmentCompleteTyp
Type of assessment completed during visit.
Please check all assessments completed at this visit:
Adverse Events;Form A;Form B;Form C;Form D;Form E;Form F;Prior and Concomitant Medications;
Adverse Events;Form A;Form B;Form C;Form D;Form E;Form F;Prior and Concomitant Medications;
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
1.0
6/12/2015
Aliases for variable name not defined
Visit Checklist
Study Management
Protocol Experience
  
Multiple Pre-Defined Values Selected
       
C21110
Last visit indicator
LastVisitInd
Indicator for the visit being the last one.
Is this the last visit?
No;Yes;
No;Yes (If Yes, complete Subject Status form);
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
1.0
6/12/2015
Aliases for variable name not defined
Visit Checklist
Study Management
Protocol Experience
  
Single Pre-Defined Value Selected
       
C18027
Comment text
CmmntTxt
Provide any additional information that pertains to the question.
Comments
  
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
3.0
7/16/2013
Aliases for variable name not defined
Visit Checklist
Study Management
Protocol Experience
 
4000
Free-Form Entry
       
12-17-2018
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