Engelsk

Pre- treatment status

8 Formulär  
PRE-TREATMENT STATUS
Beskrivning

PRE-TREATMENT STATUS

Will the subject enter the treatment phase of this study?
Beskrivning

WILL THE SUBJECT ENTER THE TREATMENT PHASE OF THIS STUDY ?

Datatyp

boolean

PRIMARY REASON FOR NOT ENTERING THE TREATMENT PHASE OF THIS STUDY (Fill only if study entry is denied)
Beskrivning

PRIMARY REASON FOR NOT ENTERING THE TREATMENT PHASE OF THIS STUDY (Fill only if study entry is denied)

Adverse event:
Beskrivning

ADVERSE EVENT

Datatyp

boolean

Alias
UMLS CUI-1
C0877248
Subject withdrew consent (specify):
Beskrivning

SUBJECT WITHDREW CONSENT (SPECIFY)

Datatyp

text

Alias
UMLS CUI-1
C0514044
UMLS CUI-2
C0805443
Death:
Beskrivning

DEATH

Datatyp

boolean

Alias
UMLS CUI-1
C0011065
Lost to Follow-up (Date of last contact):
Beskrivning

LOST TO FOLLOW-UP (DATE OF LAST CONTACT)

Datatyp

date

Alias
UMLS CUI-1
C0011008
Poor/ Non- compliance (specify):
Beskrivning

Poor/ Non- compliance (specify)

Datatyp

text

Alias
UMLS CUI-1
C1321605
Pregnancy:
Beskrivning

PREGNANCY

Datatyp

boolean

Alias
UMLS CUI-1
C0549206
Subject no longer meets study criteria (specify):
Beskrivning

SUBJECT NO LONGER MEETS STUDY CRITERIA (SPECIFY)

Datatyp

text

Administrative reason by sponsor:
Beskrivning

ADMINISTRATIVE REASON BY SPONSOR

Datatyp

boolean

Others (Specify):
Beskrivning

Others (Specify)

Datatyp

text

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Similar models

Pre- treatment status

8 Formulär
Name
Typ
Description | Question | Decode (Coded Value)
Datatyp
Alias
Item Group
PRE-TREATMENT STATUS
PRE-TREATMENT STATUS
Item
Will the subject enter the treatment phase of this study?
boolean
Item Group
PRIMARY REASON FOR NOT ENTERING THE TREATMENT PHASE OF THIS STUDY (Fill only if study entry is denied)
ADVERSE EVENT
Item
Adverse event:
boolean
C0877248 (UMLS CUI-1)
CONSENT
Item
Subject withdrew consent (specify):
text
C0514044 (UMLS CUI-1)
C0805443 (UMLS CUI-2)
DEATH
Item
Death:
boolean
C0011065 (UMLS CUI-1)
Date
Item
Lost to Follow-up (Date of last contact):
date
C0011008 (UMLS CUI-1)
COMPLIANCE
Item
Poor/ Non- compliance (specify):
text
C1321605 (UMLS CUI-1)
PREGNANCY
Item
Pregnancy:
boolean
C0549206 (UMLS CUI-1)
STUDY CRITERIA
Item
Subject no longer meets study criteria (specify):
text
ADMINISTRATIVE REASON BY SPONSOR
Item
Administrative reason by sponsor:
boolean
Others
Item
Others (Specify):
text
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