ID

13333

Description

Test Study

Mots-clés

  1. 05/02/2016 05/02/2016 -
  2. 11/02/2016 11/02/2016 -
Détendeur de droits

CC BY-NC 3.0

Téléchargé le

5 février 2016

DOI

Pour une demande vous connecter.

Licence

Creative Commons BY-NC 3.0

Modèle Commentaires :

Ici, vous pouvez faire des commentaires sur le modèle. À partir des bulles de texte, vous pouvez laisser des commentaires spécifiques sur les groupes Item et les Item.

Groupe Item commentaires pour :

Item commentaires pour :

Vous devez être connecté pour pouvoir télécharger des formulaires. Veuillez vous connecter ou s’inscrire gratuitement.

SacBo PZ: Case Report Form First Visit Randomization

SacBo PZ: Case Report Form First Visit Randomization

Default Itemgroup
Description

Default Itemgroup

Is the patient eligible for this study according to inclusion and exclusion criteria?
Description

Patient is eligible for this study according to inclusion and exclusion criteria

Type de données

boolean

Alias
UMLS CUI [1]
C1516637
When was the informed consent form signed?
Description

Date informed consent was signed

Type de données

date

Alias
UMLS CUI [1]
C0021430
What is the randomization number?
Description

Randomization number. Please note that the randomization number cannot be changed after successful registration.

Type de données

integer

Alias
UMLS CUI [1]
C2986235
Entry of randomization number
Description

Entry of randomization number

Type de données

integer

Alias
UMLS CUI [1]
C2986235
Control entry of randomization number
Description

Control entry of randomization number. Note that after successful registration the items above are not filled out.

Type de données

integer

Alias
UMLS CUI [1]
C2986235
What date did the randomization take place?
Description

Randomization date. Note that all information is necessary for registration.

Type de données

date

Alias
UMLS CUI [1]
C0034656

Similar models

SacBo PZ: Case Report Form First Visit Randomization

Name
Type
Description | Question | Decode (Coded Value)
Type de données
Alias
Patient is eligible for this study
Item
Is the patient eligible for this study according to inclusion and exclusion criteria?
boolean
C1516637 (UMLS CUI [1])
Date informed consent was signed
Item
When was the informed consent form signed?
date
C0021430 (UMLS CUI [1])
Randomization number
Item
What is the randomization number?
integer
C2986235 (UMLS CUI [1])
Entry of randomization number
Item
Entry of randomization number
integer
C2986235 (UMLS CUI [1])
Control entry of randomization number
Item
Control entry of randomization number
integer
C2986235 (UMLS CUI [1])
Randomization date
Item
What date did the randomization take place?
date
C0034656 (UMLS CUI [1])

Utilisez ce formulaire pour les retours, les questions et les améliorations suggérées.

Les champs marqués d’un * sont obligatoires.

Do you need help on how to use the search function? Please watch the corresponding tutorial video for more details and learn how to use the search function most efficiently.

Watch Tutorial