Signature GOAL Trial B-cell Lymphoma NCT02499003

Admininstrative data
Description

Admininstrative data

Alias
UMLS CUI-1
C1320722
Subject ID
Description

Subject ID

Data type

text

Alias
UMLS CUI [1]
C2348585
Signature
Description

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
Description

confirmation patient information

Data type

boolean

Alias
UMLS CUI [1,1]
C0521091
UMLS CUI [1,2]
C1955348
Date of signature
Description

Date of signature

Data type

date

Alias
UMLS CUI [1]
C0807937
Name of investigator
Description

Name of investigator

Data type

text

Alias
UMLS CUI [1]
C2826892

Similar models

Signature GOAL Trial B-cell Lymphoma NCT02499003

Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Admininstrative data
C1320722 (UMLS CUI-1)
Subject ID
Item
Subject ID
text
C2348585 (UMLS CUI [1])
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
C0521091 (UMLS CUI [1,1])
C1955348 (UMLS CUI [1,2])
Date of signature
Item
Date of signature
date
C0807937 (UMLS CUI [1])
Name of investigator
Item
Name of investigator
text
C2826892 (UMLS CUI [1])