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Part 2 - Screening Visit - Regimen Form

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Administrative data
Beschrijving

Administrative data

Subject Identifier
Beschrijving

Subject Identifier

Datatype

integer

Randomisation Number
Beschrijving

Randomisation Number

Record randomisation number
Beschrijving

Record randomisation number

Datatype

integer

Regimen
Beschrijving

Regimen

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

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

Datatype

text

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

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

Datatype

text

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Similar models

Part 2 - Screening Visit - Regimen Form

1 Formulieren
Name
Type
Description | Question | Decode (Coded Value)
Datatype
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
Record below the treatment assignment for the subject participating in Part 1 of the study.
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
Complete only for subjects participating in PART 2 of the study
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])
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