Inglês

SAE Additional/Follow-Up Information

1 Formulários  
Administrative data
Descrição

Administrative data

Subject Identifier
Descrição

Subject Identifier

Tipo de dados

integer

Centre Number
Descrição

Centre Number

Tipo de dados

integer

Randomisation Number
Descrição

Randomisation Number

Tipo de dados

integer

Section 12 SAE Additional/Follow-Up Information
Descrição

Section 12 SAE Additional/Follow-Up Information

Use this page to provide any additional details on the SAE not already captured on the previous pages
Descrição

Use this page to provide any additional details on the SAE not already captured on the previous pages

Tipo de dados

text

Investigator's signature
Descrição

confirming that the data on this page is accurate and complete

Tipo de dados

text

Investigator's name (print)
Descrição

Investigator's name (print)

Tipo de dados

text

Date
Descrição

Date

Tipo de dados

date

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Similar models

SAE Additional/Follow-Up Information

1 Formulários
Name
Tipo
Description | Question | Decode (Coded Value)
Tipo de dados
Alias
Item Group
Administrative data
Subject Identifier
Item
Subject Identifier
integer
Centre Number
Item
Centre Number
integer
Randomisation Number
Item
Randomisation Number
integer
Item Group
Section 12 SAE Additional/Follow-Up Information
Use this page to provide any additional details on the SAE not already captured on the previous pages
Item
Use this page to provide any additional details on the SAE not already captured on the previous pages
text
Investigator's signature
Item
Investigator's signature
text
Investigator's name (print)
Item
Investigator's name (print)
text
Date
Item
Date
date
Voltar ao início da página