Forms in DA (1)
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Example Case Report Forms for DA domain
Sources: DB1 | Forms loaded: 1
Form: Drug Accountability
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Primary Domain
DA
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DA
# Question Response
1
Date Tablets Dispensed
field_001
2
Dispensed Treatment label ID
field_002
3
Number of Tablets Dispensed
field_003
4
Date Tablets Returned
field_004
5
Returned Treatment label ID
field_005
6
Number of Tablets Returned
field_006
7
Returned Amount Compliance
field_007
8
Reason Returned Amount Higher than Expected
field_008
9
Reason Returned Amount Lower than Expected
field_009