Englisch

CRB Electronic Signature Affidavit

1 Formulare  
CRB Electronic Signature Affidavit
Beschreibung

CRB Electronic Signature Affidavit

Alias
UMLS CUI-1
C2346576
By my dated signature below, I, (First Name) (Last Name) verify that this case report form accurately displays the results of the examinations, tests, evaluations and treatments performed on this patient.
Beschreibung

Investigator Name

Datentyp

text

Alias
UMLS CUI [1]
C2826892
Date
Beschreibung

Investigator Signature, Date in time

Datentyp

date

Alias
UMLS CUI [1,1]
C2346576
UMLS CUI [1,2]
C0011008
Investigator Signature
Beschreibung

Investigator Signature

Datentyp

text

Alias
UMLS CUI [1]
C2346576
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Ähnliche Modelle

CRB Electronic Signature Affidavit

1 Formulare
Name
Typ
Description | Question | Decode (Coded Value)
Datentyp
Alias
Item Group
CRB Electronic Signature Affidavit
C2346576 (UMLS CUI-1)
Investigator Name
Item
By my dated signature below, I, (First Name) (Last Name) verify that this case report form accurately displays the results of the examinations, tests, evaluations and treatments performed on this patient.
text
C2826892 (UMLS CUI [1])
Investigator Signature, Date in time
Item
Date
date
C2346576 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
Investigator Signature
Item
Investigator Signature
text
C2346576 (UMLS CUI [1])
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