ID
42150
Beskrivning
ODM Form derived from: https://ictr.wisc.edu/CaseReptTempt. Template Name: Device Accountability Log. Case Report Form (CRF)/Source Document templates were created for University of Wisconsin-Madison researchers. These templates are consistent with the FDA's CDASH (Clinical Data Acquisition Standards Harmonization) standards. The CDASH standards identify those elements that should be captured on a Case Report Form (CRF). The forms serve only as templates, and must be edited to meet the study data collection needs as described in the protocol.
Länk
https://ictr.wisc.edu/CaseReptTempt
Nyckelord
Versioner (4)
- 2016-07-26 2016-07-26 -
- 2016-11-18 2016-11-18 -
- 2021-04-13 2021-04-13 - Dr. rer. medic Philipp Neuhaus
- 2021-11-17 2021-11-17 -
Uppladdad den
13 april 2021
DOI
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Licens
Creative Commons BY-NC 3.0
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Device Accountability Log: CRF Wisconsin Madison
Device Accountability Log: CRF Wisconsin Madison
- StudyEvent: ODM
Beskrivning
Device Accountability Log: Device Receipt
Beskrivning
Date Received
Datatyp
date
Alias
- UMLS CUI [1,1]
- C0011008
- UMLS CUI [1,2]
- C1514756
Beskrivning
Batch # or Device Type
Datatyp
text
Alias
- UMLS CUI [1]
- C3641829
- UMLS CUI [2]
- C0449497
Beskrivning
Lot #, Serial #, or Model Number(s)
Datatyp
integer
Alias
- UMLS CUI [1,1]
- C1115660
- UMLS CUI [1,2]
- | C2348188
- UMLS CUI [2]
- C3274659
Beskrivning
Received by (staff initials)
Datatyp
text
Alias
- UMLS CUI [1,1]
- C1709850
- UMLS CUI [1,2]
- C2986440
Beskrivning
Device Accountability Log: Device Use
Beskrivning
Device Accountability Log: Device Return/Repair/Destruction
Beskrivning
RET = Returned DES = Destroyed REP = Repaired
Datatyp
text
Alias
- UMLS CUI [1,1]
- C0025080
- UMLS CUI [1,2]
- C0733755
Beskrivning
Date of final Device Disposition
Datatyp
date
Alias
- UMLS CUI [1,1]
- C0011008
- UMLS CUI [1,2]
- C0743223
- UMLS CUI [1,3]
- C0025080
Beskrivning
Reason
Datatyp
text
Alias
- UMLS CUI [1]
- C0392360
Beskrivning
Confirmed by (staff initials)
Datatyp
text
Alias
- UMLS CUI [1,1]
- C0521093
- UMLS CUI [1,2]
- C2986440
Beskrivning
Comments
Datatyp
text
Alias
- UMLS CUI [1]
- C0947611
Similar models
Device Accountability Log: CRF Wisconsin Madison
- StudyEvent: ODM
C1521895 (UMLS CUI [1,2])
C1705824 (UMLS CUI [1,2])
C0449788 (UMLS CUI [1,2])
C0449788 (UMLS CUI [1,2])
C1514756 (UMLS CUI [1,2])
C0449497 (UMLS CUI [2])
| C2348188 (UMLS CUI [1,2])
C3274659 (UMLS CUI [2])
C2986440 (UMLS CUI [1,2])
C0733755 (UMLS CUI [1,2])
C0743223 (UMLS CUI [1,2])
C0025080 (UMLS CUI [1,3])
C2986440 (UMLS CUI [1,2])