ID

16978

Descripción

ODM derived from: http://www.qmcr.ualberta.ca/en/ToolsandTemplates/CaseReportFormCRFTemplates.aspx. Template Name: Inclusion/Exclusion Criteria. University of Alberta, Quality Management in Clinical Research. Copyright: 2002-2016 University of Alberta.

Link

http://www.qmcr.ualberta.ca/en/ToolsandTemplates/CaseReportFormCRFTemplates.aspx

Palabras clave

  1. 17/8/16 17/8/16 -
Subido en

17 de agosto de 2016

DOI

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Licencia

Creative Commons BY-NC 3.0

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Inclusion/Exclusion Criteria: CRF QMCR University of Alberta

Inclusion/Exclusion Criteria: CRF QMCR University of Alberta

General Information
Descripción

General Information

Study Name
Descripción

Study Name

Tipo de datos

text

Site Number
Descripción

Site Number

Tipo de datos

integer

Pt_ID
Descripción

Pt_ID

Tipo de datos

integer

Visit Date
Descripción

Visit Date

Tipo de datos

date

Visit Type
Descripción

Visit Type

Tipo de datos

text

Inclusion Criteria
Descripción

Inclusion Criteria

Inclusion Description
Descripción

Inclusion Description

Tipo de datos

text

Applicability of inclusion criteria (See Description)
Descripción

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

Tipo de datos

boolean

Exclusion Criteria
Descripción

Exclusion Criteria

Exclusion Description
Descripción

Exclusion Description

Tipo de datos

text

Applicability of exclusion criteria (See Description)
Descripción

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

Tipo de datos

boolean

Result
Descripción

Result

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

Did the participant meet the eligibility requirements for this study?

Tipo de datos

boolean

Similar models

Inclusion/Exclusion Criteria: CRF QMCR University of Alberta

Name
Tipo
Description | Question | Decode (Coded Value)
Tipo de datos
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
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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