Confirmation Form

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

Investigational Product

Name of Investigational Product
Descrizione

e.g., Dutasteride

Tipo di dati

text

Date of Dose
Descrizione

Date of Dose

Tipo di dati

date

Time of Dose
Descrizione

Time of Dose

Tipo di dati

time

Treatment Confirmation
Descrizione

Treatment Confirmation

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

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

Tipo di dati

boolean

If NO, record reason(s)
Descrizione

If NO, record reason(s)

Tipo di dati

text

Similar models

Confirmation Form

  1. StudyEvent: ODM
    1. Confirmation Form
Name
genere
Description | Question | Decode (Coded Value)
Tipo di dati
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