Englisch

Pre- treatment status

8 Formulare  
PRE-TREATMENT STATUS
Beschreibung

PRE-TREATMENT STATUS

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

WILL THE SUBJECT ENTER THE TREATMENT PHASE OF THIS STUDY ?

Datentyp

boolean

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

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

Adverse event:
Beschreibung

ADVERSE EVENT

Datentyp

boolean

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

SUBJECT WITHDREW CONSENT (SPECIFY)

Datentyp

text

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

DEATH

Datentyp

boolean

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

LOST TO FOLLOW-UP (DATE OF LAST CONTACT)

Datentyp

date

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

Poor/ Non- compliance (specify)

Datentyp

text

Alias
UMLS CUI-1
C1321605
Pregnancy:
Beschreibung

PREGNANCY

Datentyp

boolean

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

SUBJECT NO LONGER MEETS STUDY CRITERIA (SPECIFY)

Datentyp

text

Administrative reason by sponsor:
Beschreibung

ADMINISTRATIVE REASON BY SPONSOR

Datentyp

boolean

Others (Specify):
Beschreibung

Others (Specify)

Datentyp

text

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Ähnliche Modelle

Pre- treatment status

8 Formulare
Name
Typ
Description | Question | Decode (Coded Value)
Datentyp
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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