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Inclusion/Exclusion Criteria: CRF QMCR University of Alberta

1 Formulär  
General Information
Beskrivning

General Information

Study Name
Beskrivning

Study Name

Datatyp

text

Site Number
Beskrivning

Site Number

Datatyp

integer

Pt_ID
Beskrivning

Pt_ID

Datatyp

integer

Visit Date
Beskrivning

Visit Date

Datatyp

date

Visit Type
Beskrivning

Visit Type

Datatyp

text

Inclusion Criteria
Beskrivning

Inclusion Criteria

Inclusion Description
Beskrivning

Inclusion Description

Datatyp

text

Applicability of inclusion criteria (See Description)
Beskrivning

Note: All Inclusion Criteria must be answered YES, to be included in study.

Datatyp

boolean

Exclusion Criteria
Beskrivning

Exclusion Criteria

Exclusion Description
Beskrivning

Exclusion Description

Datatyp

text

Applicability of exclusion criteria (See Description)
Beskrivning

Note: All Exclusion Criteria must be answered NO, to be included in study.

Datatyp

boolean

Result
Beskrivning

Result

Did the participant meet the eligibility requirements for this study?
Beskrivning

Did the participant meet the eligibility requirements for this study?

Datatyp

boolean

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Similar models

Inclusion/Exclusion Criteria: CRF QMCR University of Alberta

1 Formulär
Name
Typ
Description | Question | Decode (Coded Value)
Datatyp
Alias
Item Group
General Information
Study Name
Item
Study Name
text
Site Number
Item
Site Number
integer
Pt_ID
Item
Pt_ID
integer
Visit Date
Item
Visit Date
date
Item
Visit Type
text
Visit Type
Code List
Visit Type
CL Item
Screening (1)
CL Item
Baseline (2)
Item Group
Inclusion Criteria
Inclusion Description
Item
Inclusion Description
text
Applicability of inclusion criteria
Item
Applicability of inclusion criteria (See Description)
boolean
Item Group
Exclusion Criteria
Exclusion Description
Item
Exclusion Description
text
Applicability of exclusion criteria (See Description)
Item
Applicability of exclusion criteria (See Description)
boolean
Item Group
Result
Did the participant meet the eligibility requirements for this study?
Item
Did the participant meet the eligibility requirements for this study?
boolean
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