Informações:
Falhas:
ID
16996
Descrição
ODM derived from: http://www.qmcr.ualberta.ca/en/ToolsandTemplates/CaseReportFormCRFTemplates.aspx. Template Name: Protocol Deviations Log. University of Alberta, Quality Management in Clinical Research. Copyright: 2002-2016 University of Alberta.
Link
http://www.qmcr.ualberta.ca/en/ToolsandTemplates/CaseReportFormCRFTemplates.aspx
Palavras-chave
Versões (1)
- 19/08/2016 19/08/2016 -
Transferido a
19 de agosto de 2016
DOI
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Licença
Creative Commons BY-NC 3.0
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Protocol Deviations Log: CRF QMCR University of Alberta
Protocol Deviations Log: CRF QMCR University of Alberta
- StudyEvent: ODM
Similar models
Protocol Deviations Log: CRF QMCR University of Alberta
- StudyEvent: ODM
Name
Tipo
Description | Question | Decode (Coded Value)
Tipo de dados
Alias
Study Name
Item
Study Name
text
Site Number
Item
Site Number
integer
Pt_ID
Item
Pt_ID
integer
Visit Date
Item
Visit Date
date
Did this participant have any protocol deviations?
Item
Did this participant have any protocol deviations?
boolean
Description of Protocol Deviation
Item
Description of Protocol Deviation
text
Deviation Category (See Description)
Item
Deviation Category (See Description)
text
Deviation Code
Item
Deviation Code
integer
Date Deviation Occurred
Item
Date Deviation Occurred
date
Date IRB Notified (if applicable)
Item
Date IRB Notified (if applicable)
date
Principal Investigator´s Signature
Item
Principal Investigator´s Signature
text
Date Signed
Item
Date Signed
date