Engelsk

No Instruction available.

1 Formulär  
  1. StudyEvent: Specimen Procurement Form - RF36
    1. No Instruction available.
Ccrr Module For Specimen Procurement Form - Rf36
Beskrivning

Ccrr Module For Specimen Procurement Form - Rf36

Patient Initials
Beskrivning

PatientInitials

Datatyp

text

Study#
Beskrivning

Study#

Datatyp

text

Site#
Beskrivning

Site#

Datatyp

text

ID#
Beskrivning

ID#

Datatyp

text

Cycle #
Beskrivning

Cycle#

Datatyp

text

Seq #
Beskrivning

Seq#

Datatyp

text

Date Specimen Obtained
Beskrivning

DateSpecimenObtained

Datatyp

text

Were specimens collected
Beskrivning

Werespecimenscollected

Datatyp

text

Specimen Type Code
Beskrivning

SpecimenTypeCode

Datatyp

text

Specify Other
Beskrivning

SpecifyOther

Datatyp

text

Total Volume (ml)
Beskrivning

TotalVolume(ml)

Datatyp

text

Stored/Shipped Code
Beskrivning

Stored/ShippedCode

Datatyp

text

Specify Other
Beskrivning

SpecifyOther

Datatyp

text

Reason Sample Obtained Code
Beskrivning

ReasonSampleObtainedCode

Datatyp

text

Specify Other
Beskrivning

SpecifyOther

Datatyp

text

Person Responsible for Sample(s)
Beskrivning

PersonResponsibleforSample(s)

Datatyp

text

Date Form Completed
Beskrivning

DateFormCompleted

Datatyp

text

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Similar models

No Instruction available.

1 Formulär
  1. StudyEvent: Specimen Procurement Form - RF36
    1. No Instruction available.
Name
Typ
Description | Question | Decode (Coded Value)
Datatyp
Alias
Item Group
Ccrr Module For Specimen Procurement Form - Rf36
PatientInitials
Item
Patient Initials
text
Study#
Item
Study#
text
Site#
Item
Site#
text
ID#
Item
ID#
text
Cycle#
Item
Cycle #
text
Seq#
Item
Seq #
text
DateSpecimenObtained
Item
Date Specimen Obtained
text
Item
Were specimens collected
text
CL.1
Code List
Were specimens collected
CL Item
Yes (Yes)
CL Item
No (No)
SpecimenTypeCode
Item
Specimen Type Code
text
SpecifyOther
Item
Specify Other
text
TotalVolume(ml)
Item
Total Volume (ml)
text
Stored/ShippedCode
Item
Stored/Shipped Code
text
SpecifyOther
Item
Specify Other
text
ReasonSampleObtainedCode
Item
Reason Sample Obtained Code
text
SpecifyOther
Item
Specify Other
text
PersonResponsibleforSample(s)
Item
Person Responsible for Sample(s)
text
DateFormCompleted
Item
Date Form Completed
text
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