Englisch

No Instruction available.

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

Ccrr Module For Specimen Procurement Form - Rf36

Patient Initials
Beschreibung

PatientInitials

Datentyp

text

Study#
Beschreibung

Study#

Datentyp

text

Site#
Beschreibung

Site#

Datentyp

text

ID#
Beschreibung

ID#

Datentyp

text

Cycle #
Beschreibung

Cycle#

Datentyp

text

Seq #
Beschreibung

Seq#

Datentyp

text

Date Specimen Obtained
Beschreibung

DateSpecimenObtained

Datentyp

text

Were specimens collected
Beschreibung

Werespecimenscollected

Datentyp

text

Specimen Type Code
Beschreibung

SpecimenTypeCode

Datentyp

text

Specify Other
Beschreibung

SpecifyOther

Datentyp

text

Total Volume (ml)
Beschreibung

TotalVolume(ml)

Datentyp

text

Stored/Shipped Code
Beschreibung

Stored/ShippedCode

Datentyp

text

Specify Other
Beschreibung

SpecifyOther

Datentyp

text

Reason Sample Obtained Code
Beschreibung

ReasonSampleObtainedCode

Datentyp

text

Specify Other
Beschreibung

SpecifyOther

Datentyp

text

Person Responsible for Sample(s)
Beschreibung

PersonResponsibleforSample(s)

Datentyp

text

Date Form Completed
Beschreibung

DateFormCompleted

Datentyp

text

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Ähnliche Modelle

No Instruction available.

1 Formulare
  1. StudyEvent: Specimen Procurement Form - RF36
    1. No Instruction available.
Name
Typ
Description | Question | Decode (Coded Value)
Datentyp
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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