ID

13333

Beschrijving

Test Study

Trefwoorden

  1. 05-02-16 05-02-16 -
  2. 11-02-16 11-02-16 -
Houder van rechten

CC BY-NC 3.0

Geüploaded op

5 februari 2016

DOI

Voor een aanvraag inloggen.

Licentie

Creative Commons BY-NC 3.0

Model Commentaren :

Hier kunt u commentaar leveren op het model. U kunt de tekstballonnen bij de itemgroepen en items gebruiken om er specifiek commentaar op te geven.

Itemgroep Commentaren voor :

Item Commentaren voor :

U moet ingelogd zijn om formulieren te downloaden. AUB inloggen of schrijf u gratis in.

SacBo PZ: Case Report Form First Visit Randomization

SacBo PZ: Case Report Form First Visit Randomization

Default Itemgroup
Beschrijving

Default Itemgroup

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

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

Datatype

boolean

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

Date informed consent was signed

Datatype

date

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

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

Datatype

integer

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

Entry of randomization number

Datatype

integer

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

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

Datatype

integer

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

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

Datatype

date

Alias
UMLS CUI [1]
C0034656

Similar models

SacBo PZ: Case Report Form First Visit Randomization

Name
Type
Description | Question | Decode (Coded Value)
Datatype
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])

Gebruik dit formulier voor feedback, vragen en verbeteringsvoorstellen.

Velden gemarkeerd met een * zijn verplicht.

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