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NCI/DCTD/CTMS CASE REPORT FORM

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

Header Module

Date Completed
Description

DateCompleted

Data type

text

Protocol #
Description

Protocol#

Data type

text

Institution
Description

Institution

Data type

text

Sheet #
Description

Sheet#

Data type

text

Patient ID
Description

PatientID

Data type

text

PANEL #
Description

PANEL#

Data type

text

ASSIGNED TEST NAME
Description

ASSIGNEDTESTNAME

Data type

text

DATE
Description

DATE

Data type

text

TIME
Description

TIME

Data type

text

RESULT
Description

RESULT

Data type

text

Ccrr Module For Special Literal Labs
Description

Ccrr Module For Special Literal Labs

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Similar models

NCI/DCTD/CTMS CASE REPORT FORM

1 forms
  1. StudyEvent: SPECIAL LITERAL LABS
    1. NCI/DCTD/CTMS CASE REPORT FORM
Name
Type
Description | Question | Decode (Coded Value)
Data type
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
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