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Screen Failure Form

1 Formulários  
  1. StudyEvent: ODM
    1. Screen Failure Form
Screen Failure Data
Descrição

Screen Failure Data

Was this subject a screen failure?
Descrição

Was this subject a screen failure?

Tipo de dados

boolean

Screen Failure Date
Descrição

Screen Failure Date

Tipo de dados

date

If YES, please select reason
Descrição

If YES, please select reason

Tipo de dados

text

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Similar models

Screen Failure Form

1 Formulários
  1. StudyEvent: ODM
    1. Screen Failure Form
Name
Tipo
Description | Question | Decode (Coded Value)
Tipo de dados
Alias
Item Group
Screen Failure Data
Was this subject a screen failure?
Item
Was this subject a screen failure?
boolean
Screen Failure Date
Item
Screen Failure Date
date
Item
If YES, please select reason
text
If YES, please select reason
Code List
If YES, please select reason
CL Item
Did not meet inclusion/exclusion criteria (1)
CL Item
Adverse Event (unspecified) (2)
CL Item
Study closed/terminated  (3)
CL Item
Investigator discretion, specify_____ (4)
CL Item
withdrew consent, specify______ (5)
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