Forms in IE (2)
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Example Case Report Forms for IE domain
Sources: DB1 | Forms loaded: 2
Form: Eligibility Criteria
Show domain info
Primary Domain
IE
All Domains
IE
# 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
Example Case Report Forms for IE domain
Sources: DB1 | Forms loaded: 2
Form: Eligibility Criteria Not Met
Show domain info
Primary Domain
IE
All Domains
IE
# 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