Contents
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Contents |
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Field Name |
Description / Instructions |
Format |
|---|---|---|
|
Visit Date |
The Visit Date is required. |
DD-MMM-YYYY |
| Data Collected | Enter the date the information was collected. |
DD-MMM-YYYY |
| Reason if Not Collected | Enter the reason the information was not collected. | 200 characters |
| Sequence | Symptom's sequence. Pre-defined. | |
| Symptom | Description of Symptom. Pre-defined. | |
| Score |
Symptom's score. Use the pick list. 0 - NOT AT ALL |
Use pick list. |
| Total Score (d) | Total score derived by adding all the symptoms scores. | Number (3.0) |
|
Legend: (d) derived field, (m) RDC mandatory, (c) for CTEP reporting only. |
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Code |
Description |
Resolutions |
|---|---|---|
| There are no validations. |
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Code |
Field Name |
Description |
|---|---|---|
| N/A | Total Score | Total Score derived from adding all individual symptom scores on this CRF. |