NCI/DCTD/CTMS CASE REPORT FORM

  1. StudyEvent: SPECIAL LITERAL LABS
    1. NCI/DCTD/CTMS CASE REPORT FORM
Header Module
Beschrijving

Header Module

Date Completed
Beschrijving

DateCompleted

Datatype

text

Protocol #
Beschrijving

Protocol#

Datatype

text

Institution
Beschrijving

Institution

Datatype

text

Sheet #
Beschrijving

Sheet#

Datatype

text

Patient ID
Beschrijving

PatientID

Datatype

text

PANEL #
Beschrijving

PANEL#

Datatype

text

ASSIGNED TEST NAME
Beschrijving

ASSIGNEDTESTNAME

Datatype

text

DATE
Beschrijving

DATE

Datatype

text

TIME
Beschrijving

TIME

Datatype

text

RESULT
Beschrijving

RESULT

Datatype

text

Ccrr Module For Special Literal Labs
Beschrijving

Ccrr Module For Special Literal Labs

Similar models

NCI/DCTD/CTMS CASE REPORT FORM

  1. StudyEvent: SPECIAL LITERAL LABS
    1. NCI/DCTD/CTMS CASE REPORT FORM
Name
Type
Description | Question | Decode (Coded Value)
Datatype
Alias
Item Group
Header Module
DateCompleted
Item
Date Completed
text
Protocol#
Item
Protocol #
text
Institution
Item
Institution
text
Sheet#
Item
Sheet #
text
PatientID
Item
Patient ID
text
PANEL#
Item
PANEL #
text
ASSIGNEDTESTNAME
Item
ASSIGNED TEST NAME
text
DATE
Item
DATE
text
TIME
Item
TIME
text
RESULT
Item
RESULT
text
Item Group
Ccrr Module For Special Literal Labs