| # | Question | Response |
|---|---|---|
|
1
|
Inclusion Criteria 1
field_001
|
|
|
2
|
Inclusion Criteria 2
field_002
|
|
|
3
|
Inclusion Criteria 3
field_003
|
|
|
4
|
Inclusion Criteria 4
field_004
|
|
|
5
|
Inclusion Criteria 5
field_005
|
|
|
6
|
Exclusion Criteria 1
field_006
|
|
|
7
|
Exclusion Criteria 2
field_007
|
|
|
8
|
Exclusion Criteria 3
field_008
|
|
|
9
|
Exclusion Criteria 4
field_009
|
|
|
10
|
Exclusion Criteria 5
field_010
|
| # | Question | Response |
|---|---|---|
|
1
|
What was the date the eligibility criteria assessment was performed?
field_001
|
|
|
2
|
What is the protocol version that was used to perform the eligibility criteria assessment?
field_002
|
|
|
3
|
Were all eligibility criteria met?
field_003
|
|
|
4
|
Line Number (Derived, Hidden)
field_004
|
|
|
5
|
Criterion Type
field_005
|
|
|
6
|
Criterion Identifier
field_006
|