CDE Detailed Report
Disease: General (For all diseases)
Subdomain Name: Study Management
CRF: Visit Checklist
Displaying 1 - 5 of 5
Subdomain Name: Study Management
CRF: Visit Checklist
Displaying 1 - 5 of 5
| CDE ID | CDE Name | Variable Name | Definition | Short Description | Question Text | Permissible Values | Description | Data Type | Disease Specific Instructions | Disease Specific Reference | Population | Classification (e.g., Core) | Version Number | Version Date | CRF Name (CRF Module / Guidance) | Subdomain Name | Domain Name | Size | Input Restrictions | Min Value | Max Value | Measurement Type | External Id Loinc | External Id Snomed | External Id caDSR | External Id CDISC |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| C21109 | Visit assessment complete type | VisitAssessmentCompleteTyp | Type of assessment completed during visit | Type of assessment completed during visi | 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 | Adult;Pediatric | Supplemental | 1.00 | 2015-06-12 13:52:25.0 | Visit Checklist | Study Management | Protocol Experience |
Multiple Pre-Defined Values Selected |
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| C21110 | Last visit indicator | LastVisitInd | Indicator for the visit being the last one | Indicator for the visit being the last on | Is this the last visit? | No;Yes | No;Yes (If Yes, complete Subject Status form) | Alphanumeric | Adult;Pediatric | Supplemental | 1.00 | 2015-06-12 14:05:44.0 | Visit Checklist | Study Management | Protocol Experience |
Single Pre-Defined Value Selected |
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| C21111 | Form not completed indicator | FormNotCompleteInd | Indicator for the incompletion of the form | Indicator for the incompletion of the form | Check here if form not completed | Yes | Yes | Alphanumeric | Adult;Pediatric | Supplemental | 1.00 | 2015-06-12 14:15:59.0 | Visit Checklist | Study Management | Protocol Experience |
Single Pre-Defined Value Selected |
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| C18027 | Comment text | CmmntTxt | Provide any additional information that pertains to the question | Provide any additional information that pertains to the question | Comments | Alphanumeric | Adult;Pediatric | Supplemental | 3.00 | 2013-07-16 14:01:43.01 | Visit Checklist | Study Management | Protocol Experience | 4000 |
Free-Form Entry |
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| C21108 | Visit present indicator | VisitPresentInd | Indicator for the presence of the subject at the visit | Indicator for the presence of the subject at the visi | Did the subject attend this visit? | No;Yes | No;If Yes, continue | Alphanumeric | Adult;Pediatric | Supplemental | 1.00 | 2015-06-12 13:44:45.0 | Visit Checklist | Study Management | Protocol Experience |
Single Pre-Defined Value Selected |
