ID

16619

Descrizione

ODM Form derived from: https://ictr.wisc.edu/CaseReptTempt. Template Name: Research Sample Tracking. 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.

collegamento

https://ictr.wisc.edu/CaseReptTempt

Keywords

  1. 26/07/16 26/07/16 -
  2. 18/11/16 18/11/16 -
Caricato su

26 luglio 2016

DOI

Per favore, per richiedere un accesso.

Licenza

Creative Commons BY-NC 3.0

Commenti del modello :

Puoi commentare il modello dati qui. Tramite i fumetti nei gruppi di articoli e articoli è possibile aggiungere commenti a quelli in modo specifico.

Commenti del gruppo di articoli per :

Commenti dell'articolo per :

Per scaricare i modelli di dati devi essere registrato. Per favore accesso o registrati GRATIS.

Research Sample Tracking: CRF Wisconsin Madison

Research Sample Tracking: CRF Wisconsin Madison

Header
Descrizione

Header

PI Name
Descrizione

PI Name

Tipo di dati

text

Protocol or IRB Number
Descrizione

Protocol or IRB Number

Tipo di dati

integer

Protocol Short Title
Descrizione

Protocol Short Title

Tipo di dati

text

Subject ID
Descrizione

Subject ID

Tipo di dati

text

Number of Page
Descrizione

Number of Page

Tipo di dati

integer

Total number of Pages
Descrizione

Total number of Pages

Tipo di dati

integer

Research Sample Tracking I
Descrizione

Research Sample Tracking I

Storage Location (including building and room number)
Descrizione

Storage Location

Tipo di dati

text

Freezer number
Descrizione

Freezer number

Tipo di dati

integer

Shelf Number
Descrizione

Shelf Number

Tipo di dati

integer

Rack Number
Descrizione

Rack Number

Tipo di dati

integer

Research Sample Tracking II
Descrizione

Research Sample Tracking II

Box Number
Descrizione

Box Number

Tipo di dati

integer

Cell Number
Descrizione

Cell Number

Tipo di dati

integer

Subject ID Number
Descrizione

Subject ID Number

Tipo di dati

integer

Visit Number
Descrizione

Visit Number

Tipo di dati

text

Date sample put in freezer
Descrizione

Date sample put in freezer

Tipo di dati

date

Time sample put in freezer
Descrizione

Time sample put in freezer

Tipo di dati

time

Time sample put in freezer: AM
Descrizione

Time sample put in freezer

Tipo di dati

boolean

Time sample put in freezer: PM
Descrizione

Time sample put in freezer

Tipo di dati

boolean

Date sample removed from freezer
Descrizione

Date sample removed from freezer

Tipo di dati

date

Time sample removed from freezer
Descrizione

Time sample removed from freezer

Tipo di dati

time

Time sample removed from freezer: AM
Descrizione

Time sample removed from freezer

Tipo di dati

boolean

Time sample removed from freezer: PM
Descrizione

Time sample removed from freezer

Tipo di dati

boolean

Sample Outcome
Descrizione

Sample Outcome

Tipo di dati

text

If Other, please specify
Descrizione

Sample Outcome

Tipo di dati

text

Similar models

Research Sample Tracking: CRF Wisconsin Madison

Name
genere
Description | Question | Decode (Coded Value)
Tipo di dati
Alias
Item Group
Header
PI Name
Item
PI Name
text
Protocol or IRB Number
Item
Protocol or IRB Number
integer
Protocol Short Title
Item
Protocol Short Title
text
Subject ID
Item
Subject ID
text
Number of Page
Item
Number of Page
integer
Total number of Pages
Item
Total number of Pages
integer
Item Group
Research Sample Tracking I
Storage Location
Item
Storage Location (including building and room number)
text
Freezer number
Item
integer
Shelf Number
Item
Shelf Number
integer
Rack Number
Item
Rack Number
integer
Item Group
Research Sample Tracking II
Box Number
Item
Box Number
integer
Cell Number
Item
Cell Number
integer
Subject ID Number
Item
Subject ID Number
integer
Item
Visit Number
text
Code List
Visit Number
CL Item
Visit 1 - Initial (1)
CL Item
Visit 2 - Mo. 6 (2)
CL Item
Visit 3 - Mo. 12 (3)
CL Item
Visit 4 - Mo. 18 (4)
CL Item
Visit 5 - Mo. 24 (5)
Date sample put in freezer
Item
Date sample put in freezer
date
Time sample put in freezer
Item
Time sample put in freezer
time
Time sample put in freezer
Item
Time sample put in freezer: AM
boolean
Time sample put in freezer
Item
Time sample put in freezer: PM
boolean
Date sample removed from freezer
Item
Date sample removed from freezer
date
Time sample removed from freezer
Item
Time sample removed from freezer
time
Time sample removed from freezer
Item
Time sample removed from freezer: AM
boolean
Time sample removed from freezer
Item
Time sample removed from freezer: PM
boolean
Item
Sample Outcome
text
Code List
Sample Outcome
CL Item
Shipped (1)
CL Item
Analyzed (2)
CL Item
Lost (3)
CL Item
Other (4)
Sample Outcome
Item
If Other, please specify
text

Si prega di utilizzare questo modulo per feedback, domande e suggerimenti per miglioramenti.

I campi contrassegnati da * sono obbligatori.

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