| Order | Question Text | Prompt | CRF Completion Instructions | CDASH Variable Name | SDTMIG Target Variable | SDTM Target Mapping | Controlled Terminology Code List Name | Permissible Values | Pre-Populated Value |
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| 1 | What was the date of the measurements? | Date | Record date of measurements using this format | VSDAT | VSDTC |
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| 2 | What was the time of the measurements? | Time | Record time of measurement. | VSTIM | VSDTC |
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| 3 | What was the result of the height measurement? | Height | Record the height result. | HEIGHT | VSORRES | VSORRES where VSTESTCD = "HEIGHT" |
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| 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. | HEIGHTU | VSORRESU | VSORRESU where VSTESTCD = "HEIGHT" | (VSRESU) | cm; in |
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| 5 | What was the result of the weight measurement? | Weight | Record the weight result. | WEIGHT | VSORRESS |
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| 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. | WEIGHTU | VSORRESU | VSORRESU where VSTESTCD = "WEIGHT" | (VSRESU) | kg; LB |
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| What was the result of the temperature measurement? | Temperature | Record the temperature result. | TEMP | VSORRES | VSORRES where VSTESTCD = "TEMP" |
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| 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. | TEMPU | VSORRESU | VSORRESU where VSTESTCD = "TEMP" | (VSRESU) | C; F |
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| What was the result of the respiratory rate measurement? | Respiratory Rate | Record the respiratory rate result. | RESP | VSORRES | VSORRES where VSTESTCD = "RESP" |
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| 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. | RESPU | VSORRESU | VSORRESU where VSTESTCD = "RESP" | (VSRESU) |
| breaths/min |
| What was the result of the systolic blood pressure measurement? | Systolic Blood Pressure | Record the systolic blood pressure result. | SYSBP | VSORRES | VSORRES where VSTESTCD = "SYSBP" |
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| 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. | SYSBPU | VSORRESU | VSORRESU where VSTESTCD = "SYSBP" | (VSRESU) |
| mmHg |
| What was the result of the diastolic blood pressure measurement? | Diastolic Blood Pressure | Record the diastolic blood pressure result. | DIABP | VSORRES | VSORRES where VSTESTCD = "DIABP" |
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| 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. | DIABPU | VSORRESU | VSORRESU where VSTESTCD = "DIABP" | (VSRESU) |
| mmHg |
| What was the result of the pulse measurement? | Pulse Rate | Record the pulse rate result. | PULSE | VSORRES | VSORRES where VSTESTCD = "PULSE" |
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| 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. | PULSEU | VSORRESU | VSORRESU where VSTESTCD = "PULSE" | (VSRESU) |
| beats/min |