SacBo PZ: Case Report Form First Visit Randomization NCT01143272

Default Itemgroup
Descrizione

Default Itemgroup

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

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

Tipo di dati

boolean

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

Date informed consent was signed

Tipo di dati

date

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

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

Tipo di dati

integer

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

Entry of randomization number

Tipo di dati

integer

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

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

Tipo di dati

integer

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

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

Tipo di dati

date

Alias
UMLS CUI [1]
C0034656

Similar models

SacBo PZ: Case Report Form First Visit Randomization NCT01143272

Name
genere
Description | Question | Decode (Coded Value)
Tipo di dati
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])