Inglese

Signature

13 moduli  
  1. StudyEvent: PREBOT Pilot
    1. Visit 1: Enrollment and Randomization
    2. Visit 2: Endoscopic intervention
    3. Visit 3: Operation
    4. Visit 4: POD 3
    5. Visit 5: Day of discharge
    6. Visit 6: POD 30
    7. Visit 7: 3 months post OP/ premature discontinuation
    8. Signature
  2. StudyEvent: Complications
    1. Complications
  3. StudyEvent: Readmission To Hospital (repeatable instrument)
    1. Readmission To Hospital (repeatable instrument)
  4. StudyEvent: Adverse Events (repeatable instrument)
    1. Adverse Events (repeatable instrument)
  5. StudyEvent: Concomitant Medication
    1. Concomitant Medication
  6. StudyEvent: Protocol Violation (repeatable instrument)
    1. Protocol Violation (repeatable instrument)
  7. StudyEvent: Patient report: EORTC QLQ-C30
  8. StudyEvent: Patient report: EORTC QLQ-PAN26
Investigator’s statement
Descrizione

Investigator’s statement

Alias
UMLS CUI [1,1]
C1710187
UMLS CUI [1,2]
C2826892
I confirm that all data entered in the eCRF are complete and accurate at the best of my knowledge
Descrizione

I confirm

Tipo di dati

date

Alias
UMLS CUI [1,1]
C0750484
Investigator’s signature
Descrizione

(electronic signature)

Tipo di dati

text

Alias
UMLS CUI [1,1]
C2346576
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Similar models

Signature

13 moduli
  1. StudyEvent: PREBOT Pilot
    1. Visit 1: Enrollment and Randomization
    2. Visit 2: Endoscopic intervention
    3. Visit 3: Operation
    4. Visit 4: POD 3
    5. Visit 5: Day of discharge
    6. Visit 6: POD 30
    7. Visit 7: 3 months post OP/ premature discontinuation
    8. Signature
  2. StudyEvent: Complications
    1. Complications
  3. StudyEvent: Readmission To Hospital (repeatable instrument)
    1. Readmission To Hospital (repeatable instrument)
  4. StudyEvent: Adverse Events (repeatable instrument)
    1. Adverse Events (repeatable instrument)
  5. StudyEvent: Concomitant Medication
    1. Concomitant Medication
  6. StudyEvent: Protocol Violation (repeatable instrument)
    1. Protocol Violation (repeatable instrument)
  7. StudyEvent: Patient report: EORTC QLQ-C30
  8. StudyEvent: Patient report: EORTC QLQ-PAN26
Name
genere
Description | Question | Decode (Coded Value)
Tipo di dati
Alias
Item Group
Investigator’s statement
C1710187 (UMLS CUI [1,1])
C2826892 (UMLS CUI [1,2])
I confirm
Item
I confirm that all data entered in the eCRF are complete and accurate at the best of my knowledge
date
C0750484 (UMLS CUI [1,1])
(electronic signature)
Item
Investigator’s signature
text
C2346576 (UMLS CUI [1,1])
Ritorna all'inizio della pagina