Confirmation Form

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

Investigational Product

Name of Investigational Product
Descripción

e.g., Dutasteride

Tipo de datos

text

Date of Dose
Descripción

Date of Dose

Tipo de datos

date

Time of Dose
Descripción

Time of Dose

Tipo de datos

time

Treatment Confirmation
Descripción

Treatment Confirmation

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

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

Tipo de datos

boolean

If NO, record reason(s)
Descripción

If NO, record reason(s)

Tipo de datos

text

Similar models

Confirmation Form

  1. StudyEvent: ODM
    1. Confirmation Form
Name
Tipo
Description | Question | Decode (Coded Value)
Tipo de datos
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