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Treatment Confirmation Form

1 forms  
Treatment Confirmation Question
Description

Treatment Confirmation Question

Did the subject receive the correct treatment (e.g., treatment which the subject was assigned to) during this dosing interval?
Description

Fill this form for every dosing interval

Data type

boolean

If NO, record reason(s) below
Description

If NO, record reason(s) below

Data type

text

Fill this form for every dosing interval
Description

Fill this form for every dosing interval

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Treatment Confirmation Form

1 forms
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Treatment Confirmation Question
Did the subject receive the correct treatment (e.g., treatment which the subject was assigned to) during this dosing interval?
Item
Did the subject receive the correct treatment (e.g., treatment which the subject was assigned to) during this dosing interval?
boolean
If NO, record reason(s) below
Item
If NO, record reason(s) below
text
Item Group
Fill this form for every dosing interval
Back to the top of the page