Engelsk

Screening - Investigator's Statement

1 Formulär  
Administrative
Beskrivning

Administrative

Alias
UMLS CUI-1
C1320722
Patient Number
Beskrivning

Patient Number

Datatyp

text

Alias
UMLS CUI [1]
C2348585
Centre Number
Beskrivning

Centre Number

Datatyp

text

Alias
UMLS CUI [1,1]
C0600091
UMLS CUI [1,2]
C0019994
Investigator's Statement
Beskrivning

Investigator's Statement

Alias
UMLS CUI-1
C0008961
UMLS CUI-2
C1710187
Check that all appropriate pages are signed (thus indicating completion) and dated
Beskrivning

Check that all appropriate pages are signed (thus indicating completion) and dated

Datatyp

integer

Alias
UMLS CUI [1,1]
C1704732
UMLS CUI [1,2]
C1519316
UMLS CUI [2,1]
C1704732
UMLS CUI [2,2]
C0011008
Check that laboratory results are included
Beskrivning

Check that laboratory results are included

Datatyp

integer

Alias
UMLS CUI [1,1]
C1254595
UMLS CUI [1,2]
C0920316
Investigator's Signature
Beskrivning

I certify that the observations and findings are recorded correctly and completely in this CRF.

Datatyp

text

Alias
UMLS CUI [1]
C2346576
Investigator's Signature Date
Beskrivning

Investigator's Signature Date

Datatyp

date

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

Screening - Investigator's Statement

1 Formulär
Name
Typ
Description | Question | Decode (Coded Value)
Datatyp
Alias
Item Group
Administrative
C1320722 (UMLS CUI-1)
Patient Number
Item
Patient Number
text
C2348585 (UMLS CUI [1])
Centre Number
Item
Centre Number
text
C0600091 (UMLS CUI [1,1])
C0019994 (UMLS CUI [1,2])
Item Group
Investigator's Statement
C0008961 (UMLS CUI-1)
C1710187 (UMLS CUI-2)
Item
Check that all appropriate pages are signed (thus indicating completion) and dated
integer
C1704732 (UMLS CUI [1,1])
C1519316 (UMLS CUI [1,2])
C1704732 (UMLS CUI [2,1])
C0011008 (UMLS CUI [2,2])
Check that all appropriate pages are signed (thus indicating completion) and dated
Code List
Check that all appropriate pages are signed (thus indicating completion) and dated
CL Item
Tick, when done (1)
Item
Check that laboratory results are included
integer
C1254595 (UMLS CUI [1,1])
C0920316 (UMLS CUI [1,2])
Check that laboratory results are included
Code List
Check that laboratory results are included
CL Item
Tick when done (1)
Investigator's Signature
Item
Investigator's Signature
text
C2346576 (UMLS CUI [1])
Investigator's Signature Date
Item
Investigator's Signature Date
date
C2346576 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
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