ID
30792
Beschrijving
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
Trefwoorden
Versies (3)
- 30-07-16 30-07-16 -
- 25-11-16 25-11-16 -
- 20-06-18 20-06-18 - Julian Varghese
Houder van rechten
Wisconsin Madison
Geüploaded op
20 juni 2018
DOI
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Licentie
Creative Commons BY 3.0
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Subject Off Study: CRF Wisconsin Madison
Subject Off Study: CRF Wisconsin Madison
- StudyEvent: ODM
Beschrijving
Subject Off Study
Beschrijving
Off Study Date
Datatype
date
Alias
- UMLS CUI [1]
- C2985813 (Off Study Date)
Beschrijving
Last visit
Datatype
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
Beschrijving
Primary reason
Datatype
text
Alias
- UMLS CUI [1,1]
- C1549995 (Primary Reason)
- UMLS CUI [1,2]
- C2348570 (Study Terminated)
Beschrijving
Was subject treatment unblinded?
Datatype
text
Alias
- UMLS CUI [1]
- C2826259 (Subject Unblinding)
Beschrijving
Additional explanation required
Datatype
text
Alias
- UMLS CUI [1,1]
- C0681841 (Explanation)
- LOINC
- LA15331-4
- UMLS CUI [1,2]
- C1524062 (Additional)
- LOINC
- LP35025-3
Beschrijving
Form completed by
Datatype
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])
Geen commentaren