Engelsk

Screening Registration GOAL Trial B-cell Lymphoma NCT02499003

1 Formulär  
Admininstrative data
Beskrivning

Admininstrative data

Subject ID
Beskrivning

Subject ID

Datatyp

text

Registration
Beskrivning

Registration

Subject complies with all inclusion criteria?
Beskrivning

compliance inclusion criteria

Datatyp

boolean

Subject complies with all exclusion criteria?
Beskrivning

compliance exclusion criteria

Datatyp

boolean

Include subject into study?
Beskrivning

In case of non-inclusion, please fill out the End of Study form

Datatyp

boolean

Patient No.
Beskrivning

Patient number

Datatyp

integer

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Similar models

Screening Registration GOAL Trial B-cell Lymphoma NCT02499003

1 Formulär
Name
Typ
Description | Question | Decode (Coded Value)
Datatyp
Alias
Item Group
Admininstrative data
Subject ID
Item
Subject ID
text
Item Group
Registration
compliance inclusion criteria
Item
Subject complies with all inclusion criteria?
boolean
compliance exclusion criteria
Item
Subject complies with all exclusion criteria?
boolean
Inclusion in study
Item
Include subject into study?
boolean
Patient number
Item
Patient No.
integer
Tillbaka till toppen