ID
30792
Descripción
ODM Form derived from: https://ictr.wisc.edu/CaseReptTempt. Template Name: Subject Off Study. Case Report Form (CRF)/Source Document templates were created for University of Wisconsin-Madison researchers. These templates are consistent with the FDA's CDASH (Clinical Data Acquisition Standards Harmonization) standards. The CDASH standards identify those elements that should be captured on a Case Report Form (CRF). The forms serve only as templates, and must be edited to meet the study data collection needs as described in the protocol.
Link
https://ictr.wisc.edu/CaseReptTempt
Palabras clave
Versiones (3)
- 30/7/16 30/7/16 -
- 25/11/16 25/11/16 -
- 20/6/18 20/6/18 - Julian Varghese
Titular de derechos de autor
Wisconsin Madison
Subido en
20 de junio de 2018
DOI
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Licencia
Creative Commons BY 3.0
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Subject Off Study: CRF Wisconsin Madison
Subject Off Study: CRF Wisconsin Madison
- StudyEvent: ODM
Descripción
Subject Off Study
Descripción
Off Study Date
Tipo de datos
date
Alias
- UMLS CUI [1]
- C2985813 (Off Study Date)
Descripción
Last visit
Tipo de datos
text
Alias
- UMLS CUI [1,1]
- C0545082 (Visit)
- UMLS CUI [1,2]
- C1517741 (Last)
- LOINC
- LP200101-6
- UMLS CUI [1,3]
- C0205197 (Complete)
- SNOMED
- 255594003
- LOINC
- LA13937-0
Descripción
Primary reason
Tipo de datos
text
Alias
- UMLS CUI [1,1]
- C1549995 (Primary Reason)
- UMLS CUI [1,2]
- C2348570 (Study Terminated)
Descripción
Was subject treatment unblinded?
Tipo de datos
text
Alias
- UMLS CUI [1]
- C2826259 (Subject Unblinding)
Descripción
Additional explanation required
Tipo de datos
text
Alias
- UMLS CUI [1,1]
- C0681841 (Explanation)
- LOINC
- LA15331-4
- UMLS CUI [1,2]
- C1524062 (Additional)
- LOINC
- LP35025-3
Descripción
Form completed by
Tipo de datos
text
Alias
- UMLS CUI [1]
- C1550483 (data entry person)
Similar models
Subject Off Study: CRF Wisconsin Madison
- StudyEvent: ODM
C1521895 (UMLS CUI [1,2])
C0237753 (UMLS CUI [1,2])
C1705824 (UMLS CUI [1,2])
C1517741 (UMLS CUI [1,2])
C0205197 (UMLS CUI [1,3])
C2348570 (UMLS CUI [1,2])
C1524062 (UMLS CUI [1,2])
Sin comentarios