Patient
person John Doe
DOB
14/04/1894
Alpha ATP3 ID_Y
Sponsor
Northvale Therapeutics
EDC Site
101_DEV_100
EDC Subject
AF08FEB241
Imaging
-
Screening
| Form | Export date-time (local) | Status unfold_more | |
|---|---|---|---|
| Vital Signs | - | notesNot exported | |
| Local Lab Results - Hematology | - | checkExported | |
| Hepatic Risk Factor Assessment | - | checkExported | |
| Medical History | - | notesNot exported | |
| Substance Use: Alcohol Change | - | notesNot exported |
Common Forms
| Form | Export date-time (local) | Status unfold_more | |
|---|---|---|---|
| Prior and Concomitant Medications | - | notesNot exported | |
| Adverse Events | - | notesNot exported |
Week 1 Visit
| Form | Export date-time (local) | Status unfold_more | |
|---|---|---|---|
| Vital Signs Screening | - | notesNot exported | |
| Adverse Events | - | infoExport Changed |
Week 2 Visit
| Form | Export date-time (local) | Status unfold_more | |
|---|---|---|---|
| Vital Signs Screening | - | notesNot exported | |
| Local Lab Results - Hematology | - | infoExport Changed |
Week 3 Visit
| Form | Export date-time (local) | Status unfold_more | |
|---|---|---|---|
| Vital Signs Screening | - | checkExported | |
| Local Lab Results - Liver Function | - | notesNot exported |
Week 4 Visit
| Form | Export date-time (local) | Status unfold_more | |
|---|---|---|---|
| Vital Signs Screening | - | infoExport Changed | |
| Local Lab Results - Urinalysis | - | notesNot exported | |
| Local Lab Results - Lipid Panel | - | notesNot exported | |
| ECG Assessment | - | infoExport Changed | |
| Hematology Panel | - | checkExported | |
| Concomitant Medications | - | notesNot exported | |
| Urinalysis | - | infoExport Changed |
Week 5 Visit
| Form | Export date-time (local) | Status unfold_more | |
|---|---|---|---|
| Vital Signs | - | notesNot exported | |
| Local Lab Results - Hematology | - | infoExport Changed | |
| Local Lab Results - Liver Function | - | notesNot exported | |
| Substance Use: Alcohol Change | - | notesNot exported |
Week 6 Visit
| Form | Export date-time (local) | Status unfold_more | |
|---|---|---|---|
| Vital Signs Screening | - | notesNot exported | |
| Substance Use: Alcohol Change | - | infoExport Changed | |
| Adverse Event | - | notesNot exported |
Week 7 Visit
| Form | Export date-time (local) | Status unfold_more | |
|---|---|---|---|
| Vital Signs Screening | - | infoExport Changed | |
| Local Lab Results - Liver Function | - | checkExported | |
| Adverse Events - Data Reconciliation | - | notesNot exported |
LB_GL_903
Export status
LB_GL_904
Export status
LB_GL_905
| Vital Techyn Signs | Systolic Blood Pressure | Disastolic Blood Pressure | Pulse Rate | Respiratory Rate | Export date-time (local) | Status | Confirmation status | |
|---|---|---|---|---|---|---|---|---|
| 76 | 76 | 75 | 72 | 14 | 22 Sep 2026 15:44 | warningPartially failed | ||
| 76 | 76 | - | - | - | - | checkExported | - | |
| 76 | 76 | - | - | - | - | infoExport unknown | ||
| 76 | 76 | - | - | - | - | warningExport failed | - | |
| 76 | 76 | - | - | - | - | notesNot reviewed | - | |
| 76 | 76 | - | - | - | - | - | ||
| - | - | - | - | - | - | - | ||
| - | - | - | - | - | - | - |
Vital Signs
Resource date timeExport status
CM_GL_900_LOG_LINE
0/5 rows selected
| Export status | Resource date time | Medication/Therapy Category | Medication or Therapy | Dose | Dose Unit | Dose Form | Route | Start date | End date |
|---|
Adverse Events
0/2 rows selected
| Export status | Resource date time | Adverse event | Start date | Toxicity grade | Serious | Relationship to study treatment | Outcome |
|---|
VS_VITAL-G07_S01
Resource date timeExport status
LB_GL_903_HEM
Resource date timeExport status
Medical History
0/2 rows selected
| Export status | Resource date time | Medical history term | Condition start date | Ongoing | Toxicity | End date |
|---|
Substance Use: Alcohol Change
0/5 rows selected
| Export status | Resource date time | Question | Response |
|---|
Hepatic Risk Factors
Resource date timeExport status
Select visit dates to see results
1Choose a date range under
2Select Get Results
Select visit dates to see results
1Choose a date range under
2Select Get Results
AE_log_line
| Event name | Start date | End date | Grade | Attribution | Outcome | EDC link status | Export status |
|---|
Link EDC data to EHR records
Step 1 of 3
Link EDC record to EHR
Select an EHR record to link to this EDC record so Archer can reference existing EDC log lines and prevent data duplication.
EDC data (from patient record)
| Event name | Start date | End date | Grade | Attribution | Outcome | |
|---|---|---|---|---|---|---|
| Vomiting | 02 Apr 2023 | 04 Apr 2023 | 3 | Definite | Resolved |
EHR records (Archer form data)
| Event name | Start date | End date | Grade | Attribution | Outcome | |
|---|---|---|---|---|---|---|
| VomitingSuggested | 02 Apr 2023 | 04 Apr 2023 | 3 | Definite | Resolved | |
| Diarrhea | 27 Mar 2023 | 31 Mar 2023 | 2 | Probable | Resolved with sequelae | |
| Nausea | 05 Apr 2023 | 07 Apr 2023 | 2 | Definite | Resolved | |
| Headache | 15 Mar 2023 | 16 Mar 2023 | 1 | Unrelated | Resolved |
Link EDC data to EHR records
Step 2 of 3
Link EDC record to EHR
Select an EHR record to link to this EDC record so Archer can reference existing EDC log lines and prevent data duplication.
EDC data (from patient record)
| Event name | Start date | End date | Grade | Attribution | Outcome | |
|---|---|---|---|---|---|---|
| Diarrhea | 27 Mar 2023 | 31 Mar 2023 | 2 | Probable | Resolved with sequelae |
EHR records (Archer form data)
| Event name | Start date | End date | Grade | Attribution | Outcome | |
|---|---|---|---|---|---|---|
| DiarrheaExported | 27 Mar 2023 | 31 Mar 2023 | 2 | Probable | Resolved with sequelae | |
| Vomiting | 02 Apr 2023 | 04 Apr 2023 | 3 | Definite | Resolved | |
| Nausea | 05 Apr 2023 | 07 Apr 2023 | 2 | Definite | Resolved | |
| Headache | 15 Mar 2023 | 16 Mar 2023 | 1 | Unrelated | Resolved |
Link EDC data to EHR records
Step 3 of 3
Link EDC record to EHR
Select an EHR record to link to this EDC record so Archer can reference existing EDC log lines and prevent data duplication.
EDC data (from patient record)
| Event name | Start date | End date | Grade | Attribution | Outcome | |
|---|---|---|---|---|---|---|
| Nausea | 05 Apr 2023 | 07 Apr 2023 | 2 | Definite | Resolved |
EHR records (Archer form data)
| Event name | Start date | End date | Grade | Attribution | Outcome | |
|---|---|---|---|---|---|---|
| NauseaSuggested | 05 Apr 2023 | 07 Apr 2023 | 2 | Definite | Resolved | |
| Vomiting | 02 Apr 2023 | 04 Apr 2023 | 3 | Definite | Resolved | |
| Diarrhea | 27 Mar 2023 | 31 Mar 2023 | 2 | Probable | Resolved with sequelae | |
| Headache | 15 Mar 2023 | 16 Mar 2023 | 1 | Unrelated | Resolved |
Link EDC data to EHR records
Step 2 of 3
Edit link for this EDC record
Select an EHR record to link to this EDC record so Archer can reference existing EDC log lines and prevent data duplication.
EDC data (from patient record)
| Event name | Start date | End date | Grade | Attribution | Outcome | |
|---|---|---|---|---|---|---|
| Diarrhea | 27 Mar 2023 | 31 Mar 2023 | 2 | Probable | Resolved with sequelae |
EHR records (Archer form data)
| Event name | Start date | End date | Grade | Attribution | Outcome | |
|---|---|---|---|---|---|---|
| HeadacheCurrent | 15 Mar 2023 | 16 Mar 2023 | 1 | Unrelated | Resolved | |
| DiarrheaExported | 27 Mar 2023 | 31 Mar 2023 | 2 | Probable | Resolved with sequelae | |
| Vomiting | 02 Apr 2023 | 04 Apr 2023 | 3 | Definite | Resolved | |
| Nausea | 05 Apr 2023 | 07 Apr 2023 | 2 | Definite | Resolved |
Linking complete
Review your links before returning to the form
Vomiting
Linked to EHR record: Vomiting (02 Apr 2023 - 04 Apr 2023)
Diarrhea
Linked to EHR record: Diarrhea (27 Mar 2023 - 31 Mar 2023)
Nausea
Linked to EHR record: Nausea (05 Apr 2023 - 07 Apr 2023)