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eCRF XForms example

Courtesy of

XML4Pharma

Form: Baseline

In order to update fields, use the tab key or click somewhere else

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Group: Common

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Must be an integer.
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Must be a valid date. Correct format is: yyyy-mm-dd
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Must be a valid time. Correct format is: hh:mm:ss


Group: Demographics

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Must be a valid date. Correct format is: yyyy-mm-dd
Male
Female
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Caucasian
Black
Asian
Other
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Group: Smoking History

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Give "false" or "true"
Less Than 10 cigarettes per day
10 to 20 cigarettes per day
Greater Than 20 cigarettes per day
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Group: Drinking history

< 1
1-2
> 2
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Group: Physical examination: Base

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The height value should be below 220 cm
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The weight value should be below 150 kg
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The value should be below 180
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The value should be below 120
No
Yes
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Group: X-Ray

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Must be a valid URI or URL


Group: Complaints related to smoking

No
Yes
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No
Yes
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No
Yes
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Must be an integer.Value must be lower than 1000
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Must be an integer.Value must be lower than 100
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Must be an integer.Value must be lower than 100
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