Screening Signature Screening GOAL Trial B-cell Lymphoma NCT02499003

Admininstrative data
Beschreibung

Admininstrative data

Subject ID
Beschreibung

Subject ID

Datentyp

text

Signature
Beschreibung

Signature

I have reviewed this eCRF and confirm that, to the best of my knowledge, it accurately reflects the study information obtained for this patient. All entries were made either by me or by a person under my supervision who has signed the Delegation and Signature Log
Beschreibung

confirmation patient information

Datentyp

boolean

Date of signature
Beschreibung

Date of signature

Datentyp

date

Name of investigator
Beschreibung

Name of investigator

Datentyp

text

Ähnliche Modelle

Screening Signature Screening GOAL Trial B-cell Lymphoma NCT02499003

Name
Typ
Description | Question | Decode (Coded Value)
Datentyp
Alias
Item Group
Admininstrative data
Subject ID
Item
Subject ID
text
Item Group
Signature
confirmation patient information
Item
I have reviewed this eCRF and confirm that, to the best of my knowledge, it accurately reflects the study information obtained for this patient. All entries were made either by me or by a person under my supervision who has signed the Delegation and Signature Log
boolean
Date of signature
Item
Date of signature
date
Name of investigator
Item
Name of investigator
text