Discontinue Trial Medication Multiple Sclerosis ALAIN01 NCT02419378

Discontinue Trial Medication
Descrizione

Discontinue Trial Medication

Alias
UMLS CUI-1
C0013227
UMLS CUI-2
C0457454
Patient ID (derived)
Descrizione

Patient ID (derived)

Tipo di dati

text

Alias
UMLS CUI [1]
C2348585
Discont. of Trial Medication: Date
Descrizione

Discont. of Trial Medication: Date

Tipo di dati

date

Alias
UMLS CUI [1,1]
C1521826
UMLS CUI [1,2]
C0806020
Discont. of Trial Medication: Date Status
Descrizione

Discont. of Trial Medication: Date Status

Tipo di dati

text

Alias
UMLS CUI [1,1]
C1521826
UMLS CUI [1,2]
C0806020
UMLS CUI [1,3]
C0449438
Reason (Inv. considers...)
Descrizione

Reason (Inv. considers...)

Tipo di dati

text

Reason (Unacceptable toxicity...)
Descrizione

Reason (Unacceptable toxicity...)

Tipo di dati

text

Reason (HIV infection)
Descrizione

Reason (HIV infection)

Tipo di dati

text

Reason (Patient requests discontinuation)
Descrizione

Reason (Patient requests discontinuation)

Tipo di dati

text

Reason (Patient unable or unwilling to comply...)
Descrizione

Reason (Patient unable or unwilling to comply...)

Tipo di dati

text

Reason (Other reason)
Descrizione

Reason (Other reason)

Tipo di dati

text

Discont. of Trial Medication: Reason Text
Descrizione

Discont. of Trial Medication: Reason Text

Tipo di dati

text

Alias
UMLS CUI [1,1]
C0457454
UMLS CUI [1,2]
C0566251
Discont. of Trial Medication: Date of Signature
Descrizione

Date of Signature

Tipo di dati

date

Alias
UMLS CUI [1,1]
C1519316
UMLS CUI [1,2]
C0011008
Discont. of Trial Medication: Date of Sig. Status
Descrizione

Discont. of Trial Medication: Date of Sig. Status

Tipo di dati

text

Discont. of Trial Medication: Signature yes/no
Descrizione

Discont. of Trial Medication: Signature yes/no

Tipo di dati

text

Comment Discont. Trial Med.
Descrizione

Comment Discont. Trial Med.

Tipo di dati

text

Similar models

Discontinue Trial Medication Multiple Sclerosis ALAIN01 NCT02419378

Name
genere
Description | Question | Decode (Coded Value)
Tipo di dati
Alias
Item Group
Discontinue Trial Medication
C0013227 (UMLS CUI-1)
C0457454 (UMLS CUI-2)
Patient ID (derived)
Item
Patient ID (derived)
text
C2348585 (UMLS CUI [1])
Trial medication end date
Item
Discont. of Trial Medication: Date
date
C1521826 (UMLS CUI [1,1])
C0806020 (UMLS CUI [1,2])
Item
Discont. of Trial Medication: Date Status
text
C1521826 (UMLS CUI [1,1])
C0806020 (UMLS CUI [1,2])
C0449438 (UMLS CUI [1,3])
Code List
Discont. of Trial Medication: Date Status
CL Item
T (1)
CL Item
TM (2)
CL Item
M (3)
Code List
Reason (Inv. considers...)
CL Item
Inv. considers it would be in the best interests of the patient (1)
Code List
Reason (Unacceptable toxicity...)
CL Item
Unacceptable toxicity of the study drug (1)
Code List
Reason (HIV infection)
CL Item
HIV infection (1)
Code List
Reason (Patient requests discontinuation)
CL Item
Patient requests discontinuation (1)
Code List
Reason (Patient unable or unwilling to comply...)
CL Item
Pat. is unable or unwilling to comply with planned study safety monitoring (1)
Code List
Reason (Other reason)
CL Item
Other reason (9)
Discontinuation reason
Item
Discont. of Trial Medication: Reason Text
text
C0457454 (UMLS CUI [1,1])
C0566251 (UMLS CUI [1,2])
Date of Signature
Item
Discont. of Trial Medication: Date of Signature
date
C1519316 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
Code List
Discont. of Trial Medication: Date of Sig. Status
CL Item
T (1)
CL Item
TM (2)
CL Item
M (3)
Code List
Discont. of Trial Medication: Signature yes/no
CL Item
yes (1)
CL Item
no (0)
Comment Discont. Trial Med.
Item
text