Tobacco Implementation Guide-Protocol Deviations
Any Protocol Deviations
*
Were there any protocol deviations?
No
Yes
Protocol Deviations
What is the protocol deviation identifier?
01 Jan 2000
What was the protocol deviation?
Choose
Prohibited Medications
Informed Consent Issues
Inclusion Exclusion Criteria Violations
Adverse Event Not Reported in Timeline
Procedure not performed per protocol
Visit out of window
Other
What was the protocol deviation term?
What was the protocol deviation start date?
01 Jan 2000
What was the protocol deviation end date?
01 Jan 2000
*
Mandatory field