Hi Julia, Typically "complete" in ALCOA means the completeness of the individual note; were things removed/deleted, is critical data that should exist absent, and not necessarily the chart as a whole. ALCOA helps answer the question - is this record ...

Hi Sunakshi, In my experiences working with trials on rare / orphan diseases, the following have worked well: select small Service Providers, even as small as sole-traders, to assist you with the language-, disease-, and country-specific challenges ...

Congratulations David, well deserved for all you have done through the years. Quite an honor. ------------------------------ Laura Wollenweber CCRC, ACRP-PM DPClinical Waukesha WI United States ------------------------------