| CDASH Variable | Order | Question Text | Prompt | CRF Completion Instructions | Type | SDTMIG Target Variable | SDTMIG Target Mapping | Controlled Terminology Code List Name | Permissible Values | Pre-Populated Value | Query Display | List Style | Hidden |
| VSDAT | 1 | What was the date of the measurements? | Date | Record date of measurements using this format (DD-MON-YYYY). | Date | VSDTC |
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| VSTIM | 2 | What was the time of the measurements? | Time | Record time of measurement. | Time | VSDTC |
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| HEIGHT | 3 | What was the result of the height measurement? | Height | Record the height result. | Float | VSORRES; VSTEST; VSTESTCD | VSORRES where VSTESTCD = "HEIGHT" |
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| HEIGHTU | 4 | What was the unit of the height measurement? | Height Unit | Record or select the original unit in which these data were collected, if not pre-printed on CRF. | Text | VSORRESU | VSORRESU where VSTESTCD = "HEIGHT" | (VSRESU) | cm; in |
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| WEIGHT | 5 | What was the result of the weight measurement? | Weight | Record the weight result. | Float | VSORRES; VSTEST; VSTESTCD | VSORRES where VSTESTCD = "WEIGHT" |
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| WEIGHTU | 6 | What was the unit of the weight measurement? | Weight Unit | Record or select the original unit in which these data were collected, if not pre-printed on CRF. | Text | VSORRESU | VSORRESU where VSTESTCD = "WEIGHT" | (VSRESU) | kg; LB |
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| TEMP | 7 | What was the result of the temperature measurement? | Temperature | Record the temperature result. | Float | VSORRES; VSTEST; VSTESTCD | VSORRES where VSTESTCD = "TEMP" |
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| TEMPU | 8 | What was the unit of the temperature measurement? | Temperature Unit | Record or select the original unit in which these data were collected, if not pre-printed on CRF. | Text | VSORRESU | VSORRESU where VSTESTCD = "TEMP" | (VSRESU) | C; F |
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| RESP | 9 | What was the result of the respiratory rate measurement? | Respiratory Rate | Record the respiratory rate result. | Integer | VSORRES; VSTEST; VSTESTCD | VSORRES where VSTESTCD = "RESP" |
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| RESPU | 10 | What was the unit of the respiratory rate measurement? | Respiratory Rate Unit | Record or select the original unit in which these data were collected, if not pre-printed on CRF. | Text | VSORRESU | VSORRESU where VSTESTCD = "RESP" | (VSRESU) |
| breaths/min | Prompt |
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| SYSBP | 11 | What was the result of the systolic blood pressure measurement? | Systolic Blood Pressure | Record the systolic blood pressure result. | Integer | VSORRES; VSTEST; VSTESTCD | VSORRES where VSTESTCD = "SYSBP" |
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| SYSBPU | 12 | What was the unit of the systolic blood pressure measurement? | Systolic Blood Pressure Unit | Record or select the original unit in which these data were collected, if not pre-printed on CRF. | Text | VSORRESU | VSORRESU where VSTESTCD = "SYSBP" | (VSRESU) |
| mmHg | Prompt |
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| DIABP | 13 | What was the result of the diastolic blood pressure measurement? | Diastolic Blood Pressure | Record the diastolic blood pressure result. | Integer | VSORRES; VSTEST; VSTESTCD | VSORRES where VSTESTCD = "DIABP" |
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| DIABPU | 14 | What was the unit of the diastolic blood pressure measurement? | Diastolic Blood Pressure Unit | Record or select the original unit in which these data were collected, if not pre-printed on CRF. | Text | VSORRESU | VSORRESU where VSTESTCD = "DIABP" | (VSRESU) |
| mmHg | Prompt |
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| PULSE | 15 | What was the result of the pulse measurement? | Pulse Rate | Record the pulse rate result. | Integer | VSORRES; VSTEST; VSTESTCD | VSORRES where VSTESTCD = "PULSE" |
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| PULSEU | 16 | What was the unit of the pulse rate measurement? | Pulse Rate Unit | Record or select the original unit in which these data were collected, if not pre-printed on CRF. | Text | VSORRESU | VSORRESU where VSTESTCD = "PULSE" | (VSRESU) |
| beats/min | Prompt |
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