Engelsk

Investigator Signature

1 Formulär  
  1. StudyEvent: ODM
    1. Investigator Signature
Administrative Data
Beskrivning

Administrative Data

Alias
UMLS CUI-1
C1320722
Center Number
Beskrivning

Institution name, Identifier

Datatyp

integer

Alias
UMLS CUI [1,1]
C1301943
UMLS CUI [1,2]
C0600091
Patient Number
Beskrivning

Patient number

Datatyp

integer

Alias
UMLS CUI [1]
C1830427
Patient Initials
Beskrivning

Person Initials

Datatyp

text

Alias
UMLS CUI [1]
C2986440
Investigator Signature
Beskrivning

Investigator Signature

Alias
UMLS CUI-1
C2346576
Investigator's Signature
Beskrivning

I certify that I have reviewed the data on the case report form for this course, including laboratory data and that in the Adverse Experiences and Serious Adverse Experiences sections (if appropriate) and that all information is complete and accurate.

Datatyp

text

Alias
UMLS CUI [1]
C2346576
Date
Beskrivning

Investigator Signature, Date in time

Datatyp

date

Alias
UMLS CUI [1,1]
C2346576
UMLS CUI [1,2]
C0011008
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Similar models

Investigator Signature

1 Formulär
  1. StudyEvent: ODM
    1. Investigator Signature
Name
Typ
Description | Question | Decode (Coded Value)
Datatyp
Alias
Item Group
Administrative Data
C1320722 (UMLS CUI-1)
Institution name, Identifier
Item
Center Number
integer
C1301943 (UMLS CUI [1,1])
C0600091 (UMLS CUI [1,2])
Patient number
Item
Patient Number
integer
C1830427 (UMLS CUI [1])
Person Initials
Item
Patient Initials
text
C2986440 (UMLS CUI [1])
Item Group
Investigator Signature
C2346576 (UMLS CUI-1)
Investigator Signature
Item
Investigator's Signature
text
C2346576 (UMLS CUI [1])
Investigator Signature, Date in time
Item
Date
date
C2346576 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
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