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Screening Visit: Eligibility and Admission

1 forms  
Administrative data
Description

Administrative data

Study Name
Description

Study Name

Data type

text

Site
Description

Site

Data type

text

Subject
Description

Subject

Data type

text

Visit Name
Description

Visit Name

Data type

text

DCI Name/Shortname
Description

DCI Name/Shortname

Data type

text

Status
Description

Status

Data type

text

Doc#
Description

Doc#

Data type

integer

Visit #
Description

Visit #

Data type

float

Visit Date
Description

Visit Date

Data type

date

Informed Consent
Description

Informed Consent

Date of Informed Consent
Description

Date of Informed Consent

Data type

date

Admission Criteria
Description

Admission Criteria

Protocol Date
Description

Protocol Date

Data type

date

Did the subject meet all eligibility criteria?
Description

Did the subject meet all eligibility criteria?

Data type

boolean

If No, please record reasons
Description

If No, please record reasons

Data type

text

Date of Sponsor Approval
Description

Date of Sponsor Approval

Data type

date

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Similar models

Screening Visit: Eligibility and Admission

1 forms
Name
Type
Description | Question | Decode (Coded Value)
Data type
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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