Inglés

End of Study Multiple Sclerosis ALAIN01 NCT02419378

1 formularios  
End of Study
Descripción

End of Study

Alias
UMLS CUI-1
C0444496
Patient ID (derived)
Descripción

Patient ID (derived)

Tipo de datos

text

Alias
UMLS CUI [1]
C2348585
Date of End of Study/Discontinuation
Descripción

Date of End of Study/Discontinuation

Tipo de datos

date

Alias
UMLS CUI [1]
C2983670
Date of End of Study/Discontinuation Status
Descripción

Date of End of Study/Discontinuation Status

Tipo de datos

text

End of Study: regular/early
Descripción

End of Study: regular/early

Tipo de datos

text

Reason for Disc. (Patient s request)
Descripción

Reason for Disc. (Patient s request)

Tipo de datos

text

Reason for Disc. (Medical, cognitive,...)
Descripción

Reason for Disc. (Medical, cognitive,...)

Tipo de datos

text

Reason for Disc. (Screening failure)
Descripción

Reason for Disc. (Screening failure)

Tipo de datos

text

Reason for Disc. (Other reason)
Descripción

Reason for Disc. (Other reason)

Tipo de datos

text

End of Study: Reason for Discontinuation Text
Descripción

End of Study: Reason for Discontinuation Text

Tipo de datos

text

Alias
UMLS CUI [1,1]
C0457454
UMLS CUI [1,2]
C0566251
End of Study: Date of Signature
Descripción

End of Study: Date of Signature

Tipo de datos

date

End of Study: Date of Signature Status
Descripción

End of Study: Date of Signature Status

Tipo de datos

text

End of Study: Signature yes/no
Descripción

End of Study: Signature yes/no

Tipo de datos

text

Comment End of Study
Descripción

Comment End of Study

Tipo de datos

text

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Similar models

End of Study Multiple Sclerosis ALAIN01 NCT02419378

1 formularios
Name
Tipo
Description | Question | Decode (Coded Value)
Tipo de datos
Alias
Item Group
End of Study
C0444496 (UMLS CUI-1)
Patient ID (derived)
Item
Patient ID (derived)
text
C2348585 (UMLS CUI [1])
End of Study date
Item
Date of End of Study/Discontinuation
date
C2983670 (UMLS CUI [1])
Date of End of Study/Discontinuation Status
Code List
Date of End of Study/Discontinuation Status
CL Item
T (1)
CL Item
TM (2)
CL Item
M (3)
End of Study: regular/early
Code List
End of Study: regular/early
CL Item
Regular end of study (1)
CL Item
Early discontinuation (2)
Reason for Disc. (Patient s request)
Code List
Reason for Disc. (Patient s request)
CL Item
Patient s request (1)
Reason for Disc. (Medical, cognitive,...)
Code List
Reason for Disc. (Medical, cognitive,...)
CL Item
Medical, cognitive, or other conditions... (1)
Reason for Disc. (Screening failure)
Code List
Reason for Disc. (Screening failure)
CL Item
Screening failure (1)
Reason for Disc. (Other reason)
Code List
Reason for Disc. (Other reason)
CL Item
Other reason (9)
Discontinuation Reason
Item
End of Study: Reason for Discontinuation Text
text
C0457454 (UMLS CUI [1,1])
C0566251 (UMLS CUI [1,2])
End of Study: Date of Signature
Item
date
End of Study: Date of Signature Status
Code List
End of Study: Date of Signature Status
CL Item
T (1)
CL Item
TM (2)
CL Item
M (3)
End of Study: Signature yes/no
Code List
End of Study: Signature yes/no
CL Item
yes (1)
CL Item
no (0)
Comment End of Study
Item
text
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