Engels

Screening Visit: Eligibility and Admission

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Administrative data
Beschrijving

Administrative data

Study Name
Beschrijving

Study Name

Datatype

text

Site
Beschrijving

Site

Datatype

text

Subject
Beschrijving

Subject

Datatype

text

Visit Name
Beschrijving

Visit Name

Datatype

text

DCI Name/Shortname
Beschrijving

DCI Name/Shortname

Datatype

text

Status
Beschrijving

Status

Datatype

text

Doc#
Beschrijving

Doc#

Datatype

integer

Visit #
Beschrijving

Visit #

Datatype

float

Visit Date
Beschrijving

Visit Date

Datatype

date

Informed Consent
Beschrijving

Informed Consent

Date of Informed Consent
Beschrijving

Date of Informed Consent

Datatype

date

Admission Criteria
Beschrijving

Admission Criteria

Protocol Date
Beschrijving

Protocol Date

Datatype

date

Did the subject meet all eligibility criteria?
Beschrijving

Did the subject meet all eligibility criteria?

Datatype

boolean

If No, please record reasons
Beschrijving

If No, please record reasons

Datatype

text

Date of Sponsor Approval
Beschrijving

Date of Sponsor Approval

Datatype

date

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Similar models

Screening Visit: Eligibility and Admission

1 Formulieren
Name
Type
Description | Question | Decode (Coded Value)
Datatype
Alias
Item Group
Administrative data
Study Name
Item
Study Name
text
Site
Item
Site
text
Subject
Item
Subject
text
Visit Name
Item
Visit Name
text
DCI Name/Shortname
Item
DCI Name/Shortname
text
Status
Item
Status
text
Doc#
Item
Doc#
integer
Visit #
Item
Visit #
float
Visit Date
Item
Visit Date
date
Item Group
Informed Consent
Date of Informed Consent
Item
Date of Informed Consent
date
Item Group
Admission Criteria
Protocol Date
Item
Protocol Date
date
Did the subject meet all eligibility criteria?
Item
Did the subject meet all eligibility criteria?
boolean
If No, please record reasons
Item
If No, please record reasons
text
Date of Sponsor Approval
Item
Date of Sponsor Approval
date
Terug naar het begin van de pagina