Confirmation Form

  1. StudyEvent: ODM
    1. Confirmation Form
Investigational Product
Beskrivning

Investigational Product

Name of Investigational Product
Beskrivning

e.g., Dutasteride

Datatyp

text

Date of Dose
Beskrivning

Date of Dose

Datatyp

date

Time of Dose
Beskrivning

Time of Dose

Datatyp

time

Treatment Confirmation
Beskrivning

Treatment Confirmation

Did the subject receive the correct treatment (e.g., treatment which the subject was assigned to) during this dosing interval?
Beskrivning

Did the subject receive the correct treatment (e.g., treatment which the subject was assigned to) during this dosing interval?

Datatyp

boolean

If NO, record reason(s)
Beskrivning

If NO, record reason(s)

Datatyp

text

Similar models

Confirmation Form

  1. StudyEvent: ODM
    1. Confirmation Form
Name
Typ
Description | Question | Decode (Coded Value)
Datatyp
Alias
Item Group
Investigational Product
Name of Investigational Product
Item
Name of Investigational Product
text
Date of Dose
Item
Date of Dose
date
Time of Dose
Item
Time of Dose
time
Item Group
Treatment Confirmation
Did the subject receive the correct treatment (e.g., treatment which the subject was assigned to) during this dosing interval?
Item
Did the subject receive the correct treatment (e.g., treatment which the subject was assigned to) during this dosing interval?
boolean
If NO, record reason(s)
Item
If NO, record reason(s)
text