Engelsk

Screening Visit: Eligibility and Admission

1 Formulär  
Administrative data
Beskrivning

Administrative data

Study Name
Beskrivning

Study Name

Datatyp

text

Site
Beskrivning

Site

Datatyp

text

Subject
Beskrivning

Subject

Datatyp

text

Visit Name
Beskrivning

Visit Name

Datatyp

text

DCI Name/Shortname
Beskrivning

DCI Name/Shortname

Datatyp

text

Status
Beskrivning

Status

Datatyp

text

Doc#
Beskrivning

Doc#

Datatyp

integer

Visit #
Beskrivning

Visit #

Datatyp

float

Visit Date
Beskrivning

Visit Date

Datatyp

date

Informed Consent
Beskrivning

Informed Consent

Date of Informed Consent
Beskrivning

Date of Informed Consent

Datatyp

date

Admission Criteria
Beskrivning

Admission Criteria

Protocol Date
Beskrivning

Protocol Date

Datatyp

date

Did the subject meet all eligibility criteria?
Beskrivning

Did the subject meet all eligibility criteria?

Datatyp

boolean

If No, please record reasons
Beskrivning

If No, please record reasons

Datatyp

text

Date of Sponsor Approval
Beskrivning

Date of Sponsor Approval

Datatyp

date

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Similar models

Screening Visit: Eligibility and Admission

1 Formulär
Name
Typ
Description | Question | Decode (Coded Value)
Datatyp
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
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