jro_apps/pbase Files · trunk/components/com_data/views/frm_39.php

modificada la instancia de la clase SessionModel

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      <label>Abnormal Laboratories <font color="red">(only use if electronically transfered)</font></label><br/><br/>

      <label>were there any abnormal laboratory values during this study?</label>&nbsp;

      <input type="radio" name="rbn_opt"/>Yes&nbsp;&nbsp;<input type="radio" name="rbn_opt"/>No<br/>

      <p>Note: An abnormal laboratory value may be considered an Adverse Event if any of the following occurs?:</p>

      <p>

          1. Intervention is required for the abnormal laboratory value. Report the abnormality(diagnosis preferred) as<br/>

          an AE on the Adverse Event Form. Also record the abnormal value on this form.

      </p>

      <p>

          2. Clinical sequelae develop as a result of an abnormal laboratory. Report the sequelae as an AE on the<br/>

          Adverse Event Form. Also record the abnormal lab value in this form.

      </p>

      <table border="1">

      <thead>

      <tr>

          <th>Test</th>

          <th>Visit<br/>Screen&nbsp;|&nbsp;Study Exit&nbsp;|&nbsp;Unscheduled</th>

          <th>Result</th>

          <th>Clinically Significant?<br/>(Y*&nbsp;/&nbsp;N)</th>

          <th>*If Clinically significant, was<br/>repeat done?<br/>Yes&nbsp;|&nbsp;No&nsbp;|&nbsp;**If no, comment</th>

      </tr>

      </thead>

      <tbody>

      <tr>

          <td><input type="text" name="txt_test" value="" /></td>

          <td><input type="radio" name="txt_optVisit" value="" />&nbsp;|&nbsp;<input type="radio" name="txt_optVisit" value="" />&nbsp;|&nbsp;<input type="radio" name="txt_optVisit" value="" /></td>

          <td><input type="text" name="txt_test" value="" /></td>

          <td><input type="text" name="txt_test" value="" /></td>

          <td><input type="radio" name="txt_optrepeat" value="" />&nbsp;|&nbsp;<input type="radio" name="txt_optrepeat" value="" />&nbsp;|&nbsp;<input type="text" name="txt_comment" value="" /></td>

      </tr>

      </tbody>

      </table>

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				<label>Abnormal Laboratories <font color="red">(only use if electronically transfered)</font></label><br/><br/>
				<label>were there any abnormal laboratory values during this study?</label>
				<input type="radio" name="rbn_opt"/>Yes  <input type="radio" name="rbn_opt"/>No<br/>
				<p>Note: An abnormal laboratory value may be considered an Adverse Event if any of the following occurs?:</p>
				<p>
				1. Intervention is required for the abnormal laboratory value. Report the abnormality(diagnosis preferred) as<br/>
				an AE on the Adverse Event Form. Also record the abnormal value on this form.
				</p>
				<p>
				2. Clinical sequelae develop as a result of an abnormal laboratory. Report the sequelae as an AE on the<br/>
				Adverse Event Form. Also record the abnormal lab value in this form.
				</p>
				<table border="1">
				<thead>
				<tr>
				<th>Test</th>
				<th>Visit<br/>Screen \| Study Exit \| Unscheduled</th>
				<th>Result</th>
				<th>Clinically Significant?<br/>(Y* / N)</th>
				<th>If Clinically significant, was<br/>repeat done?<br/>Yes \| No&nsbp;\| *If no, comment</th>
				</tr>
				</thead>
				<tbody>
				<tr>
				<td><input type="text" name="txt_test" value="" /></td>
				<td><input type="radio" name="txt_optVisit" value="" /> \| <input type="radio" name="txt_optVisit" value="" /> \| <input type="radio" name="txt_optVisit" value="" /></td>
				<td><input type="text" name="txt_test" value="" /></td>
				<td><input type="text" name="txt_test" value="" /></td>
				<td><input type="radio" name="txt_optrepeat" value="" /> \| <input type="radio" name="txt_optrepeat" value="" /> \| <input type="text" name="txt_comment" value="" /></td>
				</tr>
				</tbody>
				</table>