Overview

Note! When making edits to this lesson, make sure to check if the corresponding edits are needed also in PMS>Clinic Side>Entering and editing data in a PMS study.

Details page

When you select a subject card in the Selection page, or add a new subject, the Details page opens.

Here you will find the following information:

1. Subject details - including subject ID, site name and a status summary.

Note! The subject details view reflects the subject status and the review flags considering the role visibility, while the Selection page does not take into account the role visibility. Therefore, the subject status on the Selection page reflects the general status of the subject in the study, regardless of the user who has tasks to be performed. This could result, for example, in a subject status in the subject details view where a subject could have a green check mark or being locked, while in the Selection page it is not (due to some other user role having unfinished work/forms to complete on the respective subject).

The following flags show the status of each form:

Note! The flags are not displayed for the empty forms.

2. Toolbar with the following functions:

a. Return to the Selection page
b. Set up Viedoc Me
c. Initiate a Viedoc Connect call
d. Add a new subject
e. Toggle between subjects

Depending on the role and permissions you have, the following might also be available:

• Signing console (for details, see Signing data):
  
• Data review console, for user roles with data review permissions (for details, see Clinical review, SDV and Lock and Data review and Lock):
  

See also the video tutorial Enter data.

3. Event slider - a list of all the scheduled and unscheduled events for the subject.

From the top-left corner you can search for events. All events containing characters of the search string are filtered and shown in the slider.

From the top-right corner you can toggle the view and change the way the events are displayed: only by name or with detailed cards. Tip! Toggle to the "only by name" view to fit all events, if there are many matches in your search result.

From the dropdown list to the right you can select to:

• Show all events
• Show all initiated events
• Show all unplanned events
• Show / hide subject-initiated events
• Show / hide deleted events

4. Common events - here you can add events that cannot be scheduled in advance, such as adverse events, by clicking on the respective event name.

You can also add unscheduled events by clicking the Add new event link. The unplanned events will show up in the event slider inserted among the existing events according to the event date.

5. The list of the forms to be filled in for the event selected in the event slider (2). Click the form bar to open it and enter the data. Depending on the study setup, it may be necessary to initiate the event through the Event date form, to be able to enter data. For more information, see Initiating an event.

6. The protocol date, the scheduled date (if set), and the event date (if set).

7. Private notes. For details, see Adding private notes.

An example of a form

When you click on a form on the Details page, the form opens. The below image shows an example of a form:

1. Subject ID. You can use this dropdown list to navigate to other subjects within the same form, see Navigating between subjects/events within the same form.
2. Event name. You can use this dropdown list to navigate to other events within the same form, see Navigating between subjects/events within the same form.
3. Close. Click to close the form and return to the Details page.
4. Flags showing the status of the form, see the description of these flags above.
5. Show history. Activate the switch to display the history of each form item.
6. Action button. Click to select a field (item) and select the type of action you wish to perform, for example to confirm data as missing or to add a private note. For more information, see Confirm data as missing and Adding private notes.
7. Form history, see Form history PDF.
8. Add note. Click to add a private note to the form, see Adding private notes.
9. Footer of the form, containing the following information:

a. User name
b. Viedoc version number
c. Date and time of last form edit
d. The protocol version that the study is based on
e. Study design version number of the version that is active on the moment the event is initiated
f. Name of the study
g. Name of the site

Initiating an event

There are two types of events that can be initiated for a subject:

• Scheduled events - events that were scheduled in advance. These can be events initiated in Viedoc Clinic or subject-initiated events. The subject-initiated events can be initiated only by the subject via Viedoc Me - the filled-in data is visible in Viedoc Clinic afterwards.
• Unscheduled events - events that cannot be scheduled in advance.

To start entering data on an event, the event must first be initiated.
The exception is when the event date is configured in the study design to be automatically set and based on the data entered within the event.

Note! When the event date is automatically set, the following apply to the Event date form based on the settings in the study design:

• The Event date form is visible and can be edited if this option is enabled for your study. Queries can be raised on the Event date form.
• The Event date form is not visible. This means that the Event date form is not shown on the Details page, in the Review console, in the Signing console, or in the Issues list, and that it is not possible to raise queries on the event date. The Event date form is neither included in metrics but still available in the data export.

Scheduled event

To initiate a scheduled event:

1	Open the Event date form, in one of the following ways: a - Next to the event name, click Set an event date. b - On the form, click Event date. c - On the right-side pane, click Scheduled date. d - On the right-side pane, click Event date.
2	In the event date dialog, click Initiate event and select the date: Note! For the events that are already scheduled, the protocol date is also displayed. Entering an event date that is outside the protocol date will raise a warning message.
3	Click Save changes. The event date dialog closes and the event is initiated. The event status changes to Ongoing.

Unscheduled events

To add and initiate an unscheduled event manually:

1	On the Details page, click Add new event in the left-side pane. The Add new event dialog opens.
2	Choose the Event name from the dropdown list. The events available are the ones that were configured by the study designer as unscheduled events.
3	Click Initiate event and select the date:
4	Click Add event. The event date dialog closes and the event is added and initiated. The unplanned events will show up in the event slider inserted among the existing events according to the event date. The event status changes to Ongoing.

Entering data

When the event date is set, automatically or manually, it is possible to start filling in the forms.

To enter data in a form:

1	Open a form by clicking the form bar:
2	Fill in the fields - most fields are self-explanatory when it comes to how they should be filled in:
3	Click Save changes.

When all the forms in one event are filled in, the event is considered completed and a green check mark appears on the event tab in the event slider.

Below, we explain how to fill in some of the most common fields in a form:

• Dates
• Times
• Ranges
• File upload
• Linking between forms

Dates

You can fill in the date field in two ways:

• Click the dropdown menu and select one of the following options:

  Current date Yesterday Day not known Month not known Clear (remove date)

• Click the calendar icon to open the date picker and select a date. Click the arrows to change month.

Tip! You can click the month/year header to view all months of the year, and then click the year header to view a range of years.

Times

You can fill in the time field in two ways:

• Click the dropdown menu to select the current time:
  
• Click the clock icon to open the time picker. Click the arrows to select the hour and minute (with a five minutes time interval), or double-click the hour and minute fields to manually enter any hour and minute:
  

Range

You can define a range of values by selecting a comparator symbol, and then enter the numeric value(s). You can chose between the following comparators:

- Inclusive in between < Less than ≤ Less than or equal to > Greater than ≥ Greater than or equal to = Equal to

File upload

To upload a file to a form:

1	Click the arrow on the right side of the upload box or click the thumbnail if this is available.
2	Browse for the file to be uploaded and click Open. During the upload process: A progress bar is showing the upload status. You can cancel the file upload by clicking the X button on the right side of the progress bar. You can continue editing the form. You cannot close the form until the upload process is completed.
3	The uploaded file(s) will be stored once the respective form is saved by clicking Save changes.

You can download an existing file by clicking the file name or by clicking the thumbnail (if it exists). If a drawing pad item was submitted from Viedoc Me it will be available as a downloadable file.

You can remove an uploaded file by clicking the trash can icon on the right side of the file name.

Note!

• The file upload icon will display a thumbnail of the image if a jpeg, gif or png file is uploaded. If other file types are uploaded, the icon will only show the file extension.
• The maximum allowed file size is 2 GB.
• The upload of password-protected zip files is not supported.
• For security reasons, it is not possible to upload executable files. See the complete list of unsupported file types in the end of this lesson, in Blacklisted file formats.

Linking between forms

When editing a form, you can add links between different types of forms with the Form link item. This can be useful for example, to quickly see when a medication was taken by a subject and for what reason.

Note! To access the Form link item Clinic users must have access to whichever form type it is configured to link to, for example the Medical History, Adverse events or Prior and Concomitant Medications forms. Viedoc Me does not support forms with Form link items.

Forms can be linked with several instances of a specified form type. For example, while editing the Prior and Concomitant Medications form, links can be made to several registered Medical History events.

To link two forms:

1	Open a subject card. In this card you can see two Medical History forms under Common events:
2	In this example, we will link the Prior and Concomitant Medications form to the existing Medical History form instances and enter the medication that the subject has taken for the Medical History event.
3	To link the Prior and Concomitant Medications form to the Medical History form instances: Select Add new in the Prior and Concomitant Medications form.
4	In the Prior and Concomitant Medications forms, select Medical history to show all existing form instances of the same type. The available link items are shown in a dropdown list. 1. Enter the name of the drug/medication/therapy. 2. Select the relevant Medical history. 3. Select Save changes - the Prior and Concomitant Medications form is now linked to the Medical history form instance. Notes! The forms in the link item are shown in the order of the earliest date first according to the event date, (and by the order of activities reflecting the order in the design) within each event. If a date item is used in the format of a form link item, then the date will be saved in the system language of that user. When the next user edits the form, the language of the date item is automatically updated to reflect the language setting of the editing user.
4	After saving the form, select any link item to open and read that form. In the example shown below, the Adverse events form. Closing the form returns you to the original form, in this example the Prior and Concomitant Medications form. Note! You can also search in the form link item field. This can be useful to find a specific form instance if there are many adverse events for example.

Updates to linked forms

If you update a linked form by resetting, deleting, or changing data, the following occurs:

• The form containing the linked form instance is marked with an issue flag (the red [ i ] icon).
• An error message is displayed at the top of the form containing the link item:

Locations of updated linked forms

In the Issues view of the Selection page, forms are easily identified and are labelled Form link broken:

In the Events view of the Selection page, forms are easily identified and marked with an issue flag (the red [ i ] icon). Select the red [ i ] icon to open the subject card.

On the subject card, the issue is marked with an issue flag:

Updating a linked form

1	Select the red [ i ] icon to open the issue, (in this example under Common events).
2	Select the red [ i ] icon (in this example under Prior and Concomitant Medications) to open the form with the issue.
3	Select Edit to update the form:
4	A message is displayed as part of the audit trail when the linked items are updated:

Navigating between subjects/events within the same form

Once you have a form open, it is possible to navigate through different subjects, or different events, if the form is included in other initiated events as well. This function is available through the dropdown lists in the form header, as illustrated below:

• Navigate through subjects:
  
• Navigate through events:
  

Editing data

To edit data that already have been saved:

1	Open the form that contains the data you want to change.
2	Click Edit in the top right corner of the form.
3	Edit the data and click Give reason. A dialog opens.
4	Select one of the pre-formulated reasons for change, or click Other reason and provide a description. Click Ready and Save changes.

Note!

• A form that has been locked by the Monitor or Data Manager cannot be edited. If you anyway want to edit a locked form, contact your Monitor.
• Subject-submitted (Viedoc Me) forms are locked by default. If you, together with the subject, consider that changes need to be made to the answers in a subject-submitted form, contact your Monitor. Depending on the settings for your study, your Monitor might have the possibility to unlock the subject-submitted form.

Repeating forms

It is possible to create several instances of the same form within one activity. This can only be done if the form is set as repeating in the study design.

If a form is set as repeating, a ghost form will appear once you have filled in and saved the first instance of the form (see the lab form example in the image).

Note! The ghost form of a repeating form is displayed below the main form and marked with a + icon. If you see a ghost form above the main form, it is a copyable form. See the image below, and see Copyable forms.

1. Main form instance of repeating form
2. Ghost form of a repeating form, displayed below the main form instance and marked with a + icon
3. Main form instance of a copyable form
4. Ghost form of a copyable form, displayed above the main form instance and marked with a copy icon

To fill in an instance of a repeating form:

To delete an instance of a repeating form:

Note!

• It is not possible to reset a repeating form. If you wish to clear the data, it is only possible to completely delete that specific instance of a repeating form and create a new one again.
• In order for the event to be considered as completed, at least one instance of a repeating form must be filled in.

Copyable forms

It is possible to initiate a form based on copied data from a previous event. This can only be done if the form is set as copyable in the study design.

If a form is set as copyable, a ghost form will appear above the main form.

1. Main form - click the main form to enter data manually. Data from the same form in a previous event will not be copied into this form in the current event.
2. Ghost form - click the ghost form to initiate the form by copying data from a previous event. See below for instructions.

Note! The ghost form of a copyable form is displayed above the main form, and marked with a copy icon. If you see a ghost form below the main form, it is a repeating form. See the image below, and see Repeating forms.

1. Main form instance of repeating form.
2. Ghost form of a repeating form, displayed below the main form instance and marked with a + icon.
3. Main form instance of a copyable form.
4. Ghost form of a copyable form, displayed above the main form instance and marked with a copy icon.

If the copyable form is also set as repeating (see Repeating forms), and in the previous event, three instances of that form have been initiated, then in the current event all three instances appear as ghost form. By clicking one of these ghost forms, you can select the instance from which the data are copied.

To initiate a form based on data copied from a previous event:

1	Click the ghost form. A dialog opens asking you to confirm whether you want to create a form instance by copying data from a previous event.
2	Click Confirm to continue. An instance of the form opens, pre-filled with data from the previous event.
3	If you want to save the form as is, click Close. The form will be saved containing the copied data. If you want to make any changes, click Edit. Edit the fields you would like to change. Click Give reason and provide a reason for change. Click Ready, and Save changes to save the changes to the data. The ghost form disappears and the form is displayed as initiated.

To delete a copied form:

Note!

• A form instance based on copied data always contains the data of the previous event, even if data have been changed during that event. If a copyable form is included in Event 1, 2 and 3, and the data is copied from Event 1 to Event 2, edited during Event 2, and then copied to Event 3, the changes made during Event 2 are included in the data copied into Event 3.
• A form instance based on copied data always contains the latest saved data from the previous event at the moment of copying. Any changes performed to the form instance from which the data are copied (the source) after the copy action are not reflected in the form instance containing the copied data (the destination).

Confirming data as missing

To mark the data as missing, if you are not able to provide information in a field:

Adding private notes

You can add private notes for:

• Events
• Forms
• Single fields (items)

Note! It is only possible to add private notes if this feature is enabled for your role.

Private notes for events

You can add private notes to every event. Private notes are only visible to the user that created the notes, and can only be edited by that user. Adding or editing a private note does not break the signature. It is possible to add as many notes as you like. Notes are ordered according to date in descending order.

To add a private note for an event:

To add another note:

To edit an existing note:

To delete a private note:

To see a history of changes to private notes, activate the Show history switch. Private notes are not recorded in the audit trail, neither included in the data export.

Private notes for forms

You can add private notes to every form. Private notes are only visible to the user that created the notes, and can only be edited by that user. Adding or editing a private note does not break the signature.

To add a private note for a form:

Private notes for fields

You can add private notes to single fields in a form. Private notes are only visible to the user that created the notes, and can only be edited by that user. Adding or editing a private note does not break the signature.

To add a private note for an event:

1	Click the action icon in the top right corner of the field group. A dialog opens. Select the field you would like to add the private note to.
2	Enter the note text and click Ready.
3	Click Save changes. The notes dialog closes and the note is saved at the bottom of the field group.

Resolving a query

For complete instructions on how to resolve a query, see Resolving queries.

See also:

• The video tutorial Issues: Resolve a query
• Overview of the queries process and workflow in Viedoc - Queries overview

Audit trail and form history

You can view the history of a form, including information on who entered the initial data and who made any changes. To view the history, activate the Show history switch on the top right side of the form:

Limited number of audit trail records

To make the form history and the form history PDFs more manageable in terms of size, there is a limit to the number of displayed audit trail records. The history only displays the initial data entry and the latest 25 audit trail records. If there are more records, a message is displayed:

To see the complete form history, export to CSV or Excel. For more details on how to download and export the Admin Audit trail please select this link.

Note! It is not very likely that clinic staff would make more than 25 edits to a field. However, when working with JavaScript functions, that is a possibility.

Form history PDF

You can download PDFs of all the saved versions of the form by clicking Form History located on the bottom right side of the form.

If any of the fields in the form are hidden for your role, you are not able to see the form PDFs.

By clicking Form History, a list with all the form versions is displayed, and you can choose which version you want to download. There is one version of the form for each change performed on the eCRF.

1. The user name of the user who saved the edited form.

2. "Revision applied" is displayed when a user has updated the form according to a new design revision. This can be done in one of two ways:

• Manually edit a specific form
• Manually perform a batch update of all forms with a pending upgrade

3. "Revision applied X.Y <Study Manager user name> <date time>" is displayed when the system has automatically updated the form according to a new design revision. This happens if the update in the revision does not affect the data integrity.

The PDF shows a screenshot of the form with the editing history included:

The page header and footer provide the following information, as illustrated in the previous image:

1. Subject ID
2. Form name
3. Event info (in the format set in the study design)
4. Site name
5. Study name
6. User name - the user who last edited the form
7. Version number - the version of the eCRF
8. Viedoc version number
9. Date and time when the form was last edited
10. Page number out of total number of pages of the PDF document

Masking of sensitive data

If sensitive data has been entered into a form, it is possible to mask such data so that it is not visible in the form history (except for roles with the specific permission). Sensitive data can, for example, reveal information about a subject's name or gender.

To mask sensitive data in the form history, your role must have the permission to anonymize data. The permission is set up in Viedoc Designer.

When sensitive data has been entered into a form, you first need to edit the data into something not sensitive, see Editing data. Then a record in the form history is created.

Masking text

To mask sensitive text data in the form history:

1	Click Show history in the top right corner of the form to open the form history.
2	For the history record with the sensitive data, click the Changed value icon.
3	Click Anonymize subject data.
4	In the dialog that is displayed, select Anonymize data value and click Continue.
5	Enter your password and click Confirm.
6	The dialog now displays a text confirming that the data is anonymized. Click Ready. Note! All masking actions are logged so that it is possible to see when they were made and by whom. Note! When the data has been masked, a PDF acknowledgement is created. The PDF contains information about what has been masked, when and by whom it was done. To download the PDF, click the link in the dialog. It is recommended to archive the PDF together with your study documentation.
7	The form history now displays asterisks in place of the sensitive data. Note! The masked data will be masked also in an export. Note! Anonymization of data in linked forms does not affect the form link items, these have to be anonymized separately.

Masking a filename

To mask a sensitive filename in the form history:

1	Click Show history in the top right corner of the form to open the form history.
2	For the history record with the sensitive filename, click the Changed value icon.
3	Click Anonymize subject data.
4	In the dialog that is displayed, select Anonymize file name and click Continue.
5	Enter your password and click Confirm.
6	The dialog now displays a text confirming that the filename is anonymized. Click Ready. Note! When the filename has been masked, a PDF acknowledgement is created. The PDF contains information about what has been masked, when and by whom it was done. To download the PDF, click the link in the dialog. It is recommended to archive the PDF together with your study documentation.
7	The masked filename is now no longer visible in the form history.

Masking file content

1	Click Show history in the top right corner of the form to open the form history.
2	For the history record with the sensitive file content, click the Changed value icon.
3	Click Anonymize subject data.
4	In the dialog that is displayed, select Anonymize file content and click Continue.
5	Enter your password and click Confirm.
6	The dialog now displays a text confirming that the data is anonymized. Click Ready. Note! When the file content has been masked, a PDF acknowledgement is created. The PDF contains information about what has been masked, when and by whom it was done. To download the PDF, click the link in the dialog. It is recommended to archive the PDF together with your study documentation.
7	The masked file is now no longer accessible in the form history.

Consequences of masking data

Data exports

Historical data exports that were created before the data masking can no longer be downloaded because such exports could include the data that was later masked.

Form PDFs

When data has been masked, it is reflected in all form PDFs.

For a form version with masked data, and for all previous form versions, all form PDFs become unavailable because they could include the data that was masked.

Viewing masked data

For roles with the permission to view anonymized data, it is possible to view masked data in the form history. The permission is set up in Viedoc Designer.

To view masked data:

1	Click Show history in the top right corner of the form to open the form history.
2	For the history record with the masked data, click the Changed value icon. Note! You can download a confirmation PDF using the link in this dialog.
3	Click View anonymized data.
4	For masked text and filenames, the sensitive data is immediately displayed in the field Old value. For masked file content, the disabled download link for the file is enabled. Note! From this dialog, you can download a confirmation PDF. The PDF contains masked data and should not be shown to unauthorized staff.

Blacklisted file formats

The following executable file types are considered as high risk because essentially all computers with the listed operating system installed can carry out the commands contained in the executable file.

In other words, files with the extensions listed below can be executed with some basic part of Windows, Mac OS, Linux, and so on.

Due to this, the following file formats will not be accepted by Viedoc form file loader:

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