Engelsk

Screen Failure Form

1 Formulär  
  1. StudyEvent: ODM
    1. Screen Failure Form
Screen Failure Data
Beskrivning

Screen Failure Data

Was this subject a screen failure?
Beskrivning

Was this subject a screen failure?

Datatyp

boolean

Screen Failure Date
Beskrivning

Screen Failure Date

Datatyp

date

If YES, please select reason
Beskrivning

If YES, please select reason

Datatyp

text

Tillbaka till toppen

Similar models

Screen Failure Form

1 Formulär
  1. StudyEvent: ODM
    1. Screen Failure Form
Name
Typ
Description | Question | Decode (Coded Value)
Datatyp
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)
Tillbaka till toppen