CRF Studio

Protocol:

OncologyPhase III

Layout Canvas12-Column Responsive Grid

DM

Demographics & Informed Consent

Subject baseline characteristics, demographics, and consent tracking

§1.

Informed Consent

ICDATdate

6/12

Date Informed Consent Signed*

SDTM: DS.DSSTDTC [DSDECOD=INFORMED CONSENT OBTAINED]Core: R

ICYNradio

6/12

Did subject provide written consent prior to any protocol procedures?*

No

Yes

§2.

Baseline Demographics

BRTHYRinteger

4/12

Year of Birth (YYYY)*

SDTM: DM.BRTHYRCore: HR

AGEinteger

4/12

Age at Screening*

Years

SDTM: DM.AGECore: HR

SEXsingle_select

4/12

Sex assigned at birth*

-- Select from 4 options --▼

SDTM: DM.SEXCore: R

RACEsingle_select

6/12

Race (Select primary)*

-- Select from 6 options --▼

SDTM: DM.RACECore: HR

ETHNICsingle_select

6/12

Ethnicity*

-- Select from 4 options --▼

SDTM: DM.ETHNICCore: HR

Layout Canvas12-Column Responsive Grid

DM

Demographics & Informed Consent

Subject baseline characteristics, demographics, and consent tracking

§1.

Informed Consent

ICDATdate

6/12

Date Informed Consent Signed*

SDTM: DS.DSSTDTC [DSDECOD=INFORMED CONSENT OBTAINED]Core: R

ICYNradio

6/12

Did subject provide written consent prior to any protocol procedures?*

No

Yes

§2.

Baseline Demographics

BRTHYRinteger

4/12

Year of Birth (YYYY)*

SDTM: DM.BRTHYRCore: HR

AGEinteger

4/12

Age at Screening*

Years

SDTM: DM.AGECore: HR

SEXsingle_select

4/12

Sex assigned at birth*

-- Select from 4 options --▼

SDTM: DM.SEXCore: R

RACEsingle_select

6/12

Race (Select primary)*

-- Select from 6 options --▼

SDTM: DM.RACECore: HR

ETHNICsingle_select

6/12

Ethnicity*

-- Select from 4 options --▼

SDTM: DM.ETHNICCore: HR

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