Untitle

연구자 : 병원 : 강남성모병원 1 성모병원 2 의정부성모병원 3 성가오로병원 4 성모자애병원 5 성가병원 6 CRCC승인기간 : 강남성모병원 1 성모병원 2 의정부성모병원 3 성가오로병원 4 성모자애병원 5 성가병원 6 ~ 선택된병원 접수여부 피험자 정보 피험자 번호 피험자 약자(initial) 성별 생년월일 키 CM 몸무게 Kg 연구용(스폰서) 1 성모병원 2 이상 약물 반응 보고분류 이상반응분류 부작용 발생일 보고일 연구용(스폰서) 1 성모병원 2 연구용(스폰서) 1 성모병원 2 부작용 보고 내용 관련 실험실적 검사 결과(날짜 포함)

<textarea id="textarea2" ref="/root/main/griddtl/item/repletpntoutfact" scroll="vertical" style="left:7px; top:177px; width:500px; height:55px; "/>
				<caption id="caption22" class="tit_2" style="left:20px; top:235px; width:193px; height:13px; ">원인으로 추정되는 약물정보</caption>
				<caption id="caption23" class="cell_1" style="left:265px; top:254px; width:100px; height:28px; vertical-align:middle; ">3.일일용량/용법</caption>
				<caption id="caption24" class="cell_1" style="left:368px; top:254px; width:100px; height:28px; vertical-align:middle; ">4.투여경로</caption>
				<caption id="caption25" class="cell_1" style="left:473px; top:254px; width:200px; height:28px; vertical-align:middle; ">
					<![CDATA[5.약물 투여기간
시작                  종료]]>
				</caption>
				<caption id="caption26" class="cell_1" style="left:680px; top:254px; width:173px; height:28px; vertical-align:middle; ">6.사용중단/감량결과증상소실?</caption>
				<caption id="caption27" class="cell_1" style="left:860px; top:254px; width:168px; height:28px; vertical-align:middle; ">7.재투약 결과 증상 재발?</caption>
				<caption id="caption30" class="cell_1" style="left:10px; top:254px; width:172px; height:28px; vertical-align:middle; ">
					<![CDATA[1.의심되는 약물
 (상품명/성분명/do제조번호)]]>
				</caption>
				<caption id="caption32" class="cell_1" style="left:185px; top:254px; width:77px; height:28px; vertical-align:middle; ">2.제형/단위</caption>
				<input id="input29" ref="/root/main/griddtl/item/druginfo1" class="input_search" style="left:14px; top:286px; width:165px; height:19px; "/>
				<input id="input30" ref="/root/main/griddtl/item/druginfo2" class="input_search" style="left:184px; top:286px; width:80px; height:19px; "/>
				<input id="input31" ref="/root/main/griddtl/item/druginfo3" class="input_search" style="left:269px; top:286px; width:95px; height:19px; "/>
				<input id="input32" ref="/root/main/griddtl/item/druginfo4" class="input_search" style="left:369px; top:286px; width:100px; height:19px; "/>
				<select1 id="combo6" class="combo_search" appearance="minimal" style="left:680px; top:285px; width:170px; height:19px; ">
					<choices>
						<item>
							<label>연구용(스폰서)</label>
							<value>1</value>
						</item>
						<item>
							<label>성모병원</label>
							<value>2</value>
						</item>
					</choices>
				</select1>
				<input id="input33" ref="/root/main/griddtl/item/druginfo5" class="input_s_essential" inputtype="date" style="left:475px; top:285px; width:95px; height:19px; "/>
				<select1 id="combo7" class="combo_search" appearance="minimal" style="left:856px; top:285px; width:170px; height:19px; ">
					<choices>
						<item>
							<label>연구용(스폰서)</label>
							<value>1</value>
						</item>
						<item>
							<label>성모병원</label>
							<value>2</value>
						</item>
					</choices>
				</select1>
				<input id="input34" ref="/root/main/griddtl/item/druginfo6" class="input_s_essential" inputtype="date" style="left:575px; top:285px; width:95px; height:19px; "/>
				<caption id="caption33" class="cell_1" style="left:7px; top:310px; width:495px; height:23px; vertical-align:middle; ">기타 병용약물</caption>
				<caption id="caption34" class="cell_1" style="left:532px; top:310px; width:490px; height:23px; vertical-align:middle; ">이상약물반응 관련 약물 과거력</caption>
				<caption id="caption35" class="cell_1" style="left:7px; top:395px; width:495px; height:23px; vertical-align:middle; ">이상 반응 처치후 향후계획</caption>
				<caption id="caption37" class="cell_1" style="left:532px; top:395px; width:490px; height:23px; vertical-align:middle; ">주요 병력 및 동반 질환</caption>
				<textarea id="textarea4" ref="/root/main/griddtl/item/etcwideusedrug" scroll="vertical" style="left:7px; top:337px; width:495px; height:55px; "/>
				<textarea id="textarea5" ref="/root/main/griddtl/item/drugpasthist" scroll="vertical" style="left:532px; top:337px; width:490px; height:55px; "/>
				<textarea id="textarea6" ref="/root/main/griddtl/item/hereaftplan" scroll="vertical" style="left:7px; top:422px; width:495px; height:55px; "/>
				<textarea id="textarea7" ref="/root/main/griddtl/item/acompsick" scroll="vertical" style="left:532px; top:422px; width:490px; height:55px; "/>
				<input id="input11" ref="/root/main/griddtl/item/hospnm" class="input_search" style="left:109px; top:6px; width:145px; height:19px; "/>
				<select1 id="combo2" class="combo_search" appearance="minimal" style="left:360px; top:6px; width:80px; height:19px; ">
					<choices>
						<item>
							<label>연구용(스폰서)</label>
							<value>1</value>
						</item>
						<item>
							<label>성모병원</label>
							<value>2</value>
						</item>
					</choices>
				</select1>
			</case>
			<case id="case2" style="left:0px; top:0px; width:1177px; height:518px; ">
				<input id="input3" ref="/root/main/griddtl/item/subtesteebdwt" class="input_search" style="left:456px; top:81px; width:60px; height:19px; "/>
				<caption id="caption2" class="tit_2" style="left:25px; top:35px; width:96px; height:13px; ">피험자 정보</caption>
				<input id="input4" ref="/root/main/griddtl/item/subtesteeno" class="input_search" style="left:9px; top:81px; width:90px; height:19px; "/>
				<caption id="caption3" class="cell_1" style="left:105px; top:54px; width:115px; height:23px; vertical-align:middle; ">피험자 약자(initial)</caption>
				<input id="input5" ref="/root/main/griddtl/item/subtesteenmabbr" class="input_search" style="left:104px; top:81px; width:115px; height:19px; "/>
				<caption id="caption4" class="cell_1" style="left:225px; top:54px; width:60px; height:23px; vertical-align:middle; ">성별</caption>
				<select1 id="combo8" ref="/root/main/griddtl/item/acptyn" class="combo_search" appearance="minimal" style="left:360px; top:5px; width:155px; height:19px; ">
					<choices>
						<item>
							<label>연구용(스폰서)</label>
							<value>1</value>
						</item>
						<item>
							<label>성모병원</label>
							<value>2</value>
						</item>
					</choices>
				</select1>
				<caption id="caption6" class="cell_1" style="left:289px; top:54px; width:95px; height:23px; vertical-align:middle; ">생년월일</caption>
				<input id="input6" ref="/root/main/griddtl/item/subtesteeht" class="input_search" style="left:389px; top:81px; width:60px; height:19px; "/>
				<caption id="caption28" class="cell_1" style="left:389px; top:54px; width:60px; height:23px; vertical-align:middle; ">키 CM</caption>
				<input id="input7" class="input_s_essential" inputtype="date" style="left:285px; top:80px; width:95px; height:19px; "/>
				<caption id="caption29" class="cell_1" style="left:454px; top:54px; width:63px; height:23px; vertical-align:middle; ">몸무게 Kg</caption>
				<caption id="caption31" class="tit_2" style="left:20px; top:105px; width:105px; height:13px; ">이상 약물 반응</caption>
				<caption id="caption36" class="cell_1" style="left:10px; top:4px; width:90px; height:23px; vertical-align:middle; ">선택된병원</caption>
				<caption id="caption38" class="cell_1" style="left:265px; top:4px; width:90px; height:23px; vertical-align:middle; ">접수여부</caption>
				<caption id="caption39" class="cell_1" style="left:10px; top:54px; width:90px; height:23px; vertical-align:middle; ">피험자 번호</caption>
				<select1 id="combo11" class="combo_search" appearance="minimal" style="left:225px; top:80px; width:55px; height:19px; ">
					<choices>
						<item>
							<label>연구용(스폰서)</label>
							<value>1</value>
						</item>
						<item>
							<label>성모병원</label>
							<value>2</value>
						</item>
					</choices>
				</select1>
				<select1 id="combo12" class="combo_search" appearance="minimal" style="left:105px; top:125px; width:90px; height:19px; ">
					<choices>
						<item>
							<label>연구용(스폰서)</label>
							<value>1</value>
						</item>
						<item>
							<label>성모병원</label>
							<value>2</value>
						</item>
					</choices>
				</select1>
				<select1 id="combo13" ref="/root/main/griddtl/item/trobreactcls" class="combo_search" appearance="minimal" style="left:645px; top:125px; width:385px; height:19px; ">
					<choices>
						<item>
							<label>연구용(스폰서)</label>
							<value>1</value>
						</item>
						<item>
							<label>성모병원</label>
							<value>2</value>
						</item>
					</choices>
				</select1>
				<caption id="caption40" class="cell_1" style="left:10px; top:124px; width:90px; height:23px; vertical-align:middle; ">보고분류</caption>
				<caption id="caption41" class="cell_1" style="left:548px; top:123px; width:90px; height:23px; vertical-align:middle; ">이상반응분류</caption>
				<caption id="caption42" class="cell_1" style="left:200px; top:124px; width:138px; height:23px; vertical-align:middle; ">Report No / Patient No</caption>
				<input id="input8" ref="/root/main/griddtl/item/druginfo1" class="input_search" style="left:345px; top:125px; width:195px; height:19px; "/>
				<caption id="caption43" class="cell_1" style="left:10px; top:154px; width:500px; height:23px; vertical-align:middle; ">이상반응내용</caption>
				<caption id="caption44" class="cell_1" style="left:530px; top:154px; width:501px; height:23px; vertical-align:middle; ">연구자 인과관계 평가</caption>
				<textarea id="textarea3" ref="/root/main/grid/item/answcnts" scroll="vertical" style="left:529px; top:177px; width:500px; height:100px; "/>
				<textarea id="textarea8" ref="/root/main/grid/item/repletpntoutfact" scroll="vertical" style="left:9px; top:177px; width:500px; height:100px; "/>
				<input id="input12" ref="/root/main/griddtl/item/hospnm" class="input_search" style="left:108px; top:6px; width:150px; height:19px; "/>
			</case>
			<case id="case3" style="left:0px; top:0px; width:1177px; height:493px; font-weight:bold; ">
				<textarea id="textarea9" scroll="vertical" style="left:96px; top:72px; width:510px; height:38px; "/>
				<caption id="caption46" style="left:105px; top:25px; width:590px; height:25px; color:#0000ff; ">*"과제변경항목추가" 내용이 있는지 확인하여 주십시요(계획서 ver, 동의서 ver, 연구비변경 등)</caption>
				<textarea id="textarea10" scroll="vertical" style="left:96px; top:112px; width:510px; height:38px; "/>
				<textarea id="textarea11" scroll="vertical" style="left:96px; top:152px; width:510px; height:38px; "/>
				<textarea id="textarea12" scroll="vertical" style="left:96px; top:192px; width:510px; height:38px; "/>
				<textarea id="textarea13" scroll="vertical" style="left:96px; top:232px; width:510px; height:38px; "/>
				<textarea id="textarea14" scroll="vertical" style="left:96px; top:272px; width:510px; height:38px; "/>
				<textarea id="textarea15" scroll="vertical" style="left:96px; top:312px; width:510px; height:38px; "/>
				<textarea id="textarea16" scroll="vertical" style="left:96px; top:352px; width:510px; height:38px; "/>
				<caption id="caption45" class="cell_1" style="left:5px; top:47px; width:90px; height:23px; vertical-align:middle; ">접수여부</caption>
				<caption id="caption47" class="cell_1" style="left:5px; top:71px; width:90px; height:38px; vertical-align:middle; ">기본사항</caption>
				<caption id="caption48" class="cell_1" style="left:5px; top:111px; width:90px; height:38px; vertical-align:middle; ">
					<![CDATA[연구목적 및 
배경]]>
				</caption>
				<caption id="caption49" class="cell_1" style="left:5px; top:151px; width:90px; height:38px; vertical-align:middle; ">
					<![CDATA[임상시험
대상관련]]>
				</caption>
				<caption id="caption50" class="cell_1" style="left:5px; top:191px; width:90px; height:38px; vertical-align:middle; ">피험자 관련</caption>
				<caption id="caption51" class="cell_1" style="left:5px; top:231px; width:90px; height:38px; vertical-align:middle; ">임상시험 방법</caption>
				<caption id="caption52" class="cell_1" style="left:5px; top:271px; width:90px; height:38px; vertical-align:middle; ">통계관련</caption>
				<caption id="caption53" class="cell_1" style="left:5px; top:311px; width:90px; height:38px; vertical-align:middle; ">
					<![CDATA[피험자 동의 
및 안전대책]]>
				</caption>
				<caption id="caption54" class="cell_1" style="left:0px; top:351px; width:90px; height:38px; vertical-align:middle; ">생명윤리 관련</caption>
				<caption id="caption55" class="cell_1" style="left:0px; top:416px; width:90px; height:38px; vertical-align:middle; ">변경사유</caption>
				<textarea id="textarea17" scroll="vertical" style="left:96px; top:417px; width:510px; height:38px; "/>
				<caption id="caption56" class="tit_2" style="left:20px; top:400px; width:85px; height:13px; ">변경 사유</caption>
				<button id="button17" class="btn2_letter9" style="left:724px; top:29px; width:119px; height:19px; ">
					<caption>과제변경항목추가</caption>
				</button>
				<select1 id="combo14" class="combo_search" appearance="minimal" style="left:100px; top:50px; width:90px; height:19px; ">
					<choices>
						<item>
							<label>연구용(스폰서)</label>
							<value>1</value>
						</item>
						<item>
							<label>성모병원</label>
							<value>2</value>
						</item>
					</choices>
				</select1>
			</case>
		</switch>
		<line id="line3" class="line_1" style="x1:5px; y1:307px; x2:1175px; y2:306px; "/>
		<caption id="caption1" class="cell_1" style="left:10px; top:279px; width:90px; height:23px; vertical-align:middle; ">심사차수</caption>
		<caption id="caption5" class="cell_1" style="left:215px; top:279px; width:180px; height:23px; vertical-align:middle; ">최초 임상시험 계획서 심사일자</caption>
		<input id="input9" ref="/root/main/griddtl/item/judgdd" class="input_search" format="yyyy-mm-dd" style="left:399px; top:281px; width:100px; height:19px; "/>
		<input id="input20" ref="/root/main/griddtl/item/judgappdg" class="input_search" style="left:104px; top:281px; width:100px; height:19px; "/>
	</xhtml:body>
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