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Email: support@ppdi.com
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Home   Call Log   Specification Sheet  
Current User: Shelly Smith (ssmith01)    Last Login: 08:59 06-Dec-2007
Caller
Information
Caller Name: Phone: Fax: Study Number: Site Number:
Fred Smith - Investigator 763-234-5678 763-235-2323 10001 101
Email: Phone Toll Free: Fax Toll Free: Protocol Number: Call Start Time/Date:
fredsmith@investigator.com 888-234-5678   12321 09:05 06-Dec-2007
= changes from completion of DDE, sample entry = recent change = all tests reported
P
= pending test  
Resident Information
Screening ID:
100001
Randomization ID:
123456
Accession ID:
888888
Initials:
AAA
DOB:
12-Nov-1973
Gender:
Male
 
Site Information
Mailing Address:
1234 Main Street, New Hope, MN 55428-3623
Phone:
763-404-1443
Fax:
763-553-9796
Email:
abccompany@somewhere.com
Visit History         
Visit 1 Samples Clinical History
DSR: 02-Nov-2007 Exp: 6 Fasting
  Rec'd: 4 Weight: 185 lbs
Sample Type
Test
Reported
Time/Date
Urine
12:01 02-Nov-2007
NS
01-Nov-2007
Heam
12:01 02-Nov-2007
NS
01-Nov-2007
Hbalc
12:01 02-Nov-2007
NS
01-Nov-2007
Chemistry
12:01 02-Nov-2007
NS
01-Nov-2007
Lipid
P
NS
01-Nov-2007
Storage        
Exceptions (2)
Exception #
Subject
Issue
Date
Status
2
100001
03-Nov-2007
O
Outstanding
Queries (1)
Subject
Issue
Date
Status
100001
No entry recorded for Fasting field
04-Nov-2007
O