Confirmation Form

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

Investigational Product

Name of Investigational Product
Description

e.g., Dutasteride

Data type

text

Date of Dose
Description

Date of Dose

Data type

date

Time of Dose
Description

Time of Dose

Data type

time

Treatment Confirmation
Description

Treatment Confirmation

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

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

Data type

boolean

If NO, record reason(s)
Description

If NO, record reason(s)

Data type

text

Similar models

Confirmation Form

  1. StudyEvent: ODM
    1. Confirmation Form
Name
Type
Description | Question | Decode (Coded Value)
Data type
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