Confirmation Form

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

Investigational Product

Name of Investigational Product
Beschrijving

e.g., Dutasteride

Datatype

text

Date of Dose
Beschrijving

Date of Dose

Datatype

date

Time of Dose
Beschrijving

Time of Dose

Datatype

time

Treatment Confirmation
Beschrijving

Treatment Confirmation

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

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

Datatype

boolean

If NO, record reason(s)
Beschrijving

If NO, record reason(s)

Datatype

text

Similar models

Confirmation Form

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