Part 2 - Screening Visit - Regimen Form

Administrative data
Descripción

Administrative data

Subject Identifier
Descripción

Subject Identifier

Tipo de datos

integer

Randomisation Number
Descripción

Randomisation Number

Record randomisation number
Descripción

Record randomisation number

Tipo de datos

integer

Regimen
Descripción

Regimen

Complete only for subjects participating in PART 1 of the study.
Descripción

Record below the treatment assignment for the subject participating in Part 1 of the study Mark one

Tipo de datos

text

Complete only for subjects participating in PART 2 of the study
Descripción

Record below the treatment assignment for the subject participating in Part 2 of the study mark one.

Tipo de datos

text

Similar models

Part 2 - Screening Visit - Regimen Form

Name
Tipo
Description | Question | Decode (Coded Value)
Tipo de datos
Alias
Item Group
Administrative data
Subject Identifier
Item
Subject Identifier
integer
Item Group
Randomisation Number
Record randomisation number
Item
Record randomisation number
integer
Item Group
Regimen
Item
Complete only for subjects participating in PART 1 of the study.
text
Code List
Complete only for subjects participating in PART 1 of the study.
CL Item
Part 1 Treatment Sequence 1 ([25])
CL Item
Part 1 Treatment Sequence 2 ([26])
CL Item
Part 1 Treatment Sequence 3 ([27])
CL Item
Part 1 Treatment Sequence 4 ([28])
CL Item
Part 1 Treatment Sequence 5 ([29])
CL Item
Part 1 Treatment Sequence 6 ([30])
Item
Complete only for subjects participating in PART 2 of the study
text
Code List
Complete only for subjects participating in PART 2 of the study
CL Item
Treatment D ([20])
CL Item
Treatment E ([21])
CL Item
Treatment F ([22])