ID
16618
Beskrivning
ODM Form derived from: https://ictr.wisc.edu/CaseReptTempt. Template Name: Device Accountability Log (per subject). Case Report Form (CRF)/Source Document templates were created for University of Wisconsin-Madison researchers. These templates are consistent with the FDA's CDASH (Clinical Data Acquisition Standards Harmonization) standards. The CDASH standards identify those elements that should be captured on a Case Report Form (CRF). The forms serve only as templates, and must be edited to meet the study data collection needs as described in the protocol.
Länk
https://ictr.wisc.edu/CaseReptTempt
Nyckelord
Versioner (1)
- 2016-07-26 2016-07-26 -
Uppladdad den
26 juli 2016
DOI
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Licens
Creative Commons BY-NC 3.0
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Device Accountability Log (per subject): CRF Wisconsin Madison
Device Accountability Log (per subject): CRF Wisconsin Madison
- StudyEvent: ODM
Beskrivning
Drug Dispensation & Accountability Log
Beskrivning
Drug Dispensation & Accountability Log: Dispensed to Subject
Beskrivning
Number of Containers Dispensed
Datatyp
integer
Beskrivning
Number of Units Dispensed
Datatyp
integer
Beskrivning
Date Dispensed
Datatyp
date
Beskrivning
Dispensed by (staff initials)
Datatyp
text
Beskrivning
Expected Date of First Dose
Datatyp
date
Beskrivning
Drug Dispensation & Accountability Log: Returned by Subject
Beskrivning
Number of Containers Returned
Datatyp
integer
Beskrivning
Number of units returned
Datatyp
integer
Beskrivning
Date Returned
Datatyp
date
Beskrivning
Verified by (staff initials)
Datatyp
text
Beskrivning
Drug Dispensation & Accountability Log: Compliance
Similar models
Device Accountability Log (per subject): CRF Wisconsin Madison
- StudyEvent: ODM