ID
18744
Beskrivning
ODM Form derived from: https://ictr.wisc.edu/CaseReptTempt. Template Name: Drug Dispension & Accountability Log. 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 (2)
- 2016-07-26 2016-07-26 -
- 2016-11-18 2016-11-18 -
Uppladdad den
18 november 2016
DOI
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Licens
Creative Commons BY-NC 3.0
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Drug Dispension & Accountability Log: CRF Wisconsin Madison
Drug Dispension & Accountability Log: CRF Wisconsin Madison
- StudyEvent: ODM
Beskrivning
Drug Dispensation & Accountability Log
Beskrivning
Subject Initials
Datatyp
text
Alias
- UMLS CUI [1]
- C2986440
Beskrivning
Subject Study ID
Datatyp
integer
Alias
- UMLS CUI [1]
- C2348585
Beskrivning
Lot Number(s)
Datatyp
integer
Alias
- UMLS CUI [1]
- C1115660
Beskrivning
Unit Dose
Datatyp
text
Alias
- UMLS CUI [1]
- C0869039
Beskrivning
Drug Dispensation & Accountability Log: Dispensed to Subject
Beskrivning
Number of Containers Dispensed
Datatyp
integer
Alias
- UMLS CUI [1,1]
- C0449788
- UMLS CUI [1,2]
- C0180098
- UMLS CUI [1,3]
- C0805077
Beskrivning
Number of Units Dispensed
Datatyp
integer
Alias
- UMLS CUI [1]
- C0805077
Beskrivning
Date Dispensed
Datatyp
date
Alias
- UMLS CUI [1,1]
- C0011008
- UMLS CUI [1,2]
- C0947323
Beskrivning
Dispensed by (staff initials)
Datatyp
text
Alias
- UMLS CUI [1,1]
- C0947323
- UMLS CUI [1,2]
- C2986440
Beskrivning
Drug Dispensation & Accountability Log: Returned by Subject
Beskrivning
Number of Containers Returned
Datatyp
integer
Alias
- UMLS CUI [1,1]
- C0449788
- UMLS CUI [1,2]
- C0180098
- UMLS CUI [1,3]
- C0332156
Beskrivning
Number of units returned
Datatyp
integer
Alias
- UMLS CUI [1]
- C2981651
Beskrivning
Date Returned
Datatyp
date
Alias
- UMLS CUI [1,1]
- C0011008
- UMLS CUI [1,2]
- C0332156
Beskrivning
Verified by (staff initials)
Datatyp
text
Alias
- UMLS CUI [1,1]
- C1547321
- UMLS CUI [1,2]
- C2986440
Beskrivning
Drug Dispensation & Accountability Log: Compliance
Beskrivning
Expected number of units to be used/taken
Datatyp
integer
Alias
- UMLS CUI [1,1]
- C0449961
- UMLS CUI [1,2]
- C1517001
Beskrivning
Actual number of units used/taken
Datatyp
integer
Alias
- UMLS CUI [1,1]
- C0449961
- UMLS CUI [1,2]
- C0237400
Beskrivning
% compliance
Datatyp
integer
Alias
- UMLS CUI [1]
- C3714738
Similar models
Drug Dispension & Accountability Log: CRF Wisconsin Madison
- StudyEvent: ODM
C1521895 (UMLS CUI [1,2])
C1705824 (UMLS CUI [1,2])
C0449788 (UMLS CUI [1,2])
C0449788 (UMLS CUI [1,2])
C0180098 (UMLS CUI [1,2])
C0805077 (UMLS CUI [1,3])
C0947323 (UMLS CUI [1,2])
C2986440 (UMLS CUI [1,2])
C0180098 (UMLS CUI [1,2])
C0332156 (UMLS CUI [1,3])
C0332156 (UMLS CUI [1,2])
C2986440 (UMLS CUI [1,2])
C1517001 (UMLS CUI [1,2])
C0237400 (UMLS CUI [1,2])