Inglés

PROTOCOL EXCEPTIONS

1 formularios  
  1. StudyEvent: ODM
    1. PROTOCOL EXCEPTIONS
PROTOCOL EXCEPTIONS
Descripción

PROTOCOL EXCEPTIONS

Alias
UMLS CUI-1
C1507394
PATIENT INT.
Descripción

Patient initial

Tipo de datos

text

Alias
UMLS CUI [1]
C2986440
PATIENT NUMBER
Descripción

Patient id

Tipo de datos

integer

Alias
UMLS CUI [1]
C2348585
DATE OF VISIT
Descripción

DATE OF VISIT

Tipo de datos

date

Alias
UMLS CUI [1,1]
C0011008
UMLS CUI [1,2]
C0545082
1. DID THE PATIENT GET RANDOMIZED WITH PROTOCOL EXCEPTIONS?
Descripción

Randomization Protocol Document

Tipo de datos

boolean

Alias
UMLS CUI [1]
C3897777
2. IF YES. PLEASE INDICATE THE NUMBER(S) OF ELIGIBILITY CRITERIA FROM THE WORKSHEET WHICH WERE NOT SATISFIED AND PROVIDE A BRIEF DESCRIPTION OF EACH. PL.EASE ALSO SPECIFY THE NAME OF THE EMPLOYEE CONTACTED FOR APPROVAL AND THE DATE APPROVAL WAS OBTAINED
Descripción

2. IF YES. PLEASE INDICATE THE NUMBER(S) OF ELIGIBILITY CRITERIA FROM THE WORKSHEET WHICH WERE NOT SATISFIED AND PROVIDE A BRIEF DESCRIPTION OF EACH. PL.EASE ALSO SPECIFY THE NAME OF THE EMPLOYEE CONTACTED FOR APPROVAL AND THE DATE APPROVAL WAS OBTAINED

Eligibility Criteria
Descripción

Eligibility Criteria

Tipo de datos

text

Alias
UMLS CUI [1]
C1516637
BRIEF DESCRIPTION OF DEVIATION
Descripción

description Eligibility Criteria

Tipo de datos

text

Alias
UMLS CUI [1,1]
C0678257
UMLS CUI [1,2]
C1516637
Clinical Contact
Descripción

investigator name

Tipo de datos

text

Alias
UMLS CUI [1]
C2826892
DATE OF CONTACT
Descripción

DATE OF CONTACT

Tipo de datos

date

Alias
UMLS CUI [1,1]
C0011008
UMLS CUI [1,2]
C0332158
SIGNATURE OF INVESTIGATOR (MD):
Descripción

Investigator name

Tipo de datos

text

Alias
UMLS CUI [1]
C2826892
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Similar models

PROTOCOL EXCEPTIONS

1 formularios
  1. StudyEvent: ODM
    1. PROTOCOL EXCEPTIONS
Name
Tipo
Description | Question | Decode (Coded Value)
Tipo de datos
Alias
Item Group
PROTOCOL EXCEPTIONS
C1507394 (UMLS CUI-1)
Patient initial
Item
PATIENT INT.
text
C2986440 (UMLS CUI [1])
Patient id
Item
PATIENT NUMBER
integer
C2348585 (UMLS CUI [1])
DATE OF VISIT
Item
DATE OF VISIT
date
C0011008 (UMLS CUI [1,1])
C0545082 (UMLS CUI [1,2])
Randomization Protocol Document
Item
1. DID THE PATIENT GET RANDOMIZED WITH PROTOCOL EXCEPTIONS?
boolean
C3897777 (UMLS CUI [1])
Item Group
2. IF YES. PLEASE INDICATE THE NUMBER(S) OF ELIGIBILITY CRITERIA FROM THE WORKSHEET WHICH WERE NOT SATISFIED AND PROVIDE A BRIEF DESCRIPTION OF EACH. PL.EASE ALSO SPECIFY THE NAME OF THE EMPLOYEE CONTACTED FOR APPROVAL AND THE DATE APPROVAL WAS OBTAINED
Eligibility Criteria
Item
Eligibility Criteria
text
C1516637 (UMLS CUI [1])
description Eligibility Criteria
Item
BRIEF DESCRIPTION OF DEVIATION
text
C0678257 (UMLS CUI [1,1])
C1516637 (UMLS CUI [1,2])
investigator name
Item
Clinical Contact
text
C2826892 (UMLS CUI [1])
DATE OF CONTACT
Item
DATE OF CONTACT
date
C0011008 (UMLS CUI [1,1])
C0332158 (UMLS CUI [1,2])
Investigator name
Item
SIGNATURE OF INVESTIGATOR (MD):
text
C2826892 (UMLS CUI [1])
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