Patient person John Doe
DOB 14/04/1894
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Alpha ATP3 ID_Y

Sponsor
Northvale Therapeutics
EDC Site
101_DEV_100
EDC Subject
AF08FEB241
Imaging
-
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Select Study
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Screening
Week 1 Visit
Week 2 Visit
Week 3 Visit
Week 4 Visit
Week 6 Visit
Week 7 Visit
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Exported
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Export Changed

Screening

calendar_today Visit dates
FormExport 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
LB_GL_903
Include Vitals status
Export status
1
-
Include Date of Vitals status assessment
22 Sep 2026UTC 07:57
-
Include More information
1
-
LB_GL_904
Include Performance Vitals (LB_GL_904_LBPT)
Export status
1
-
Include Date of performance Vitals assessment (LB_GL_904_LBCAT)
22 Sep 2026UTC 07:57
-
Include Sodium levels (LB_GL_904_BPERF)
1
-
LB_GL_905
Include Vital Techyn Signs
Vital Techyn SignsSystolic Blood PressureDisastolic Blood Pressure Pulse RateRespiratory RateExport date-time (local) StatusConfirmation status
767675721422 Sep 2026 15:44warningPartially failed
7676----checkExported-
7676----infoExport unknown
7676----warningExport failed-
7676----notesNot reviewed-
7676-----
-------
-------
Export Total Items8 Selected6
uploadExport
Vital Signs
Include Were vital signs collected?
Resource date timeExport status
Yes
22 Sep 2026 09:12-
Include Date and Time of Assessment
22 Sep 2026 09:12
22 Sep 2026 09:12-
Include Height
178 cm
22 Sep 2026 09:12-
Include Weight
82 kg
22 Sep 2026 09:12-
Include Body Mass Index
25.9
22 Sep 2026 09:12-
Include Systolic Blood Pressure
128
22 Sep 2026 09:12-
Include Diastolic Blood Pressure
82
22 Sep 2026 09:12-
Include Position
Sitting
22 Sep 2026 09:12-
Include Temperature
36.8 C
22 Sep 2026 09:12-
Export Total Items9 Selected9
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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
Export Total Items5 Selected0
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Adverse Events
0/2 rows selected
Export status Resource date time Adverse event Start date Toxicity grade Serious Relationship to study treatment Outcome
Export Total Items9 Selected0
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VS_VITAL-G07_S01
Include Weight
Resource date timeExport status
Export Total Items1 Selected0
uploadExport
LB_GL_903_HEM
Include Haemoglobin
Resource date timeExport status
13.6 g/dL
22 Sep 2026 08:31checkExported
Include Haematocrit
41 %
22 Sep 2026 08:31checkExported
Include Red blood cell count
4.7 x10¹²/L
22 Sep 2026 08:31checkExported
Include White blood cell count
6.8 x10⁹/L
22 Sep 2026 08:31checkExported
Include Neutrophils
4.1 x10⁹/L
22 Sep 2026 08:31checkExported
Include Lymphocytes
2.0 x10⁹/L
22 Sep 2026 08:31checkExported
Include Platelet count
232 x10⁹/L
22 Sep 2026 08:31checkExported
Include Mean cell volume
88 fL
22 Sep 2026 08:31checkExported
Export Total Items8 Selected0
uploadExport
Medical History
0/2 rows selected
Export status Resource date time Medical history term Condition start date Ongoing Toxicity End date
Export Total Items7 Selected0
uploadExport
Substance Use: Alcohol Change
0/5 rows selected
Export status Resource date time Question Response
Export Total Items5 Selected0
uploadExport
Hepatic Risk Factors
Include Significant alcohol use history
Resource date timeExport status
Yes
22 Sep 2026 08:26checkExported
Include Viral hepatitis (HBV/HCV)
No
22 Sep 2026 08:26checkExported
Include Hepatotoxic concomitant medication
Yes - acetaminophen/paracetamol
22 Sep 2026 08:26checkExported
Include Non-alcoholic fatty liver disease (NAFLD)
No
22 Sep 2026 08:26checkExported
Export Total Items4 Selected0
uploadExport
calendar_month
Select visit dates to see results
1Choose a date range under
2Select Get Results
calendar_month
Select visit dates to see results
1Choose a date range under
2Select Get Results
Export Total Items24 Selected0
uploadExport

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 nameStart dateEnd dateGradeAttributionOutcome
Vomiting02 Apr 202304 Apr 20233DefiniteResolved
EHR records (Archer form data)
Event nameStart dateEnd dateGradeAttributionOutcome
VomitingSuggested02 Apr 202304 Apr 20233DefiniteResolved
Diarrhea27 Mar 202331 Mar 20232ProbableResolved with sequelae
Nausea05 Apr 202307 Apr 20232DefiniteResolved
Headache15 Mar 202316 Mar 20231UnrelatedResolved

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 nameStart dateEnd dateGradeAttributionOutcome
Diarrhea27 Mar 202331 Mar 20232ProbableResolved with sequelae
EHR records (Archer form data)
Event nameStart dateEnd dateGradeAttributionOutcome
DiarrheaExported27 Mar 202331 Mar 20232ProbableResolved with sequelae
Vomiting02 Apr 202304 Apr 20233DefiniteResolved
Nausea05 Apr 202307 Apr 20232DefiniteResolved
Headache15 Mar 202316 Mar 20231UnrelatedResolved

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 nameStart dateEnd dateGradeAttributionOutcome
Nausea05 Apr 202307 Apr 20232DefiniteResolved
EHR records (Archer form data)
Event nameStart dateEnd dateGradeAttributionOutcome
NauseaSuggested05 Apr 202307 Apr 20232DefiniteResolved
Vomiting02 Apr 202304 Apr 20233DefiniteResolved
Diarrhea27 Mar 202331 Mar 20232ProbableResolved with sequelae
Headache15 Mar 202316 Mar 20231UnrelatedResolved

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 nameStart dateEnd dateGradeAttributionOutcome
Diarrhea27 Mar 202331 Mar 20232ProbableResolved with sequelae
EHR records (Archer form data)
Event nameStart dateEnd dateGradeAttributionOutcome
HeadacheCurrent15 Mar 202316 Mar 20231UnrelatedResolved
DiarrheaExported27 Mar 202331 Mar 20232ProbableResolved with sequelae
Vomiting02 Apr 202304 Apr 20233DefiniteResolved
Nausea05 Apr 202307 Apr 20232DefiniteResolved

Linking complete

Review your links before returning to the form
priority_high

Are you sure you want to proceed?

When you confirm this step, Archer will automatically link the EDC and EHR records to prevent data duplication. The EDC data will remain unchanged. If you choose to export the records in the next step, any differing EDC data will be replaced with the corresponding data from the EHR.

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)
Review confirmation
Would you like to confirm the resource material related to these questions?
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clinical_notes Clinical Notes

… Seen in clinic on 22 Sep 2026, 07:57 UTC. She reports increased fatigue over the past several weeks, intermittent shortness of breath with exertion, and decreased appetite. She remains independent in basic activities of daily living but requires rest periods during the day.

Performance Status:
ECOG: 1

Continue current regimen and monitor for worsening fatigue, dyspnea, or weight loss. …

info This is an excerpt around the performance status, not the full note — view the full note in the EHR.
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    Click continue to auto-select these matching results, or cancel to keep your current selection.
    priority_high link Important: EDC Data Requires Review
    This form contains existing data in the EDC that must be reviewed and linked before exporting. Linking helps prevent duplicate entries and ensures data accuracy. We strongly recommend reviewing and linking this data now.
    info Export Linked Records
    You are exporting linked records. This will overwrite the current EDC data with the data from the EHR. Are you sure you want to continue?