crfgen - JSON CRF Library

Forms in IE (2)

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Sources: DB1 | Forms loaded: 2

IE (Inclusion/Exclusion Criteria Not Met)

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#	Question	Response / annotation
1	Inclusion Criteria 1 field_001	Yes No IEORRES when IETESTCD = INCL01
2	Inclusion Criteria 2 field_002	Yes No IEORRES when IETESTCD = INCL02
3	Inclusion Criteria 3 field_003	Yes No IEORRES when IETESTCD = INCL03
4	Inclusion Criteria 4 field_004	Yes No IEORRES when IETESTCD = INCL04
5	Inclusion Criteria 5 field_005	Yes No IEORRES when IETESTCD = INCL05
6	Exclusion Criteria 1 field_006	Yes No IEORRES when IETESTCD = EXCL01
7	Exclusion Criteria 2 field_007	Yes No IEORRES when IETESTCD = EXCL02
8	Exclusion Criteria 3 field_008	Yes No IEORRES when IETESTCD = EXCL03
9	Exclusion Criteria 4 field_009	Yes No IEORRES when IETESTCD = EXCL04
10	Exclusion Criteria 5 field_010	Yes No IEORRES when IETESTCD = EXCL05

Sources: DB1 | Forms loaded: 2

IE (Inclusion/Exclusion Criteria Not Met)

Show domain info

Primary Domain

IE

All Domains

IE

#	Question	Response / annotation
1	What was the date the eligibility criteria assessment was performed? field_001	IEDTC
2	What is the protocol version that was used to perform the eligibility criteria assessment? field_002	PROTVERS in SUPPIE
3	Were all eligibility criteria met? field_003	Yes No [NOT SUBMITTED]
4	Line Number (Derived, Hidden) field_004	IESPID
5	Criterion Type field_005	Inclusion Exclusion IECAT
6	Criterion Identifier field_006	IETESTCD IEORRES = N when IECAT = INCLUSION IEORRES = Y when IECAT = EXCLUSION