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End of Study Multiple Sclerosis ALAIN01 NCT02419378

1 Formulär  
End of Study
Beskrivning

End of Study

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

Patient ID (derived)

Datatyp

text

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

Date of End of Study/Discontinuation

Datatyp

date

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

Date of End of Study/Discontinuation Status

Datatyp

text

End of Study: regular/early
Beskrivning

End of Study: regular/early

Datatyp

text

Reason for Disc. (Patient s request)
Beskrivning

Reason for Disc. (Patient s request)

Datatyp

text

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

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

Datatyp

text

Reason for Disc. (Screening failure)
Beskrivning

Reason for Disc. (Screening failure)

Datatyp

text

Reason for Disc. (Other reason)
Beskrivning

Reason for Disc. (Other reason)

Datatyp

text

End of Study: Reason for Discontinuation Text
Beskrivning

End of Study: Reason for Discontinuation Text

Datatyp

text

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

End of Study: Date of Signature

Datatyp

date

End of Study: Date of Signature Status
Beskrivning

End of Study: Date of Signature Status

Datatyp

text

End of Study: Signature yes/no
Beskrivning

End of Study: Signature yes/no

Datatyp

text

Comment End of Study
Beskrivning

Comment End of Study

Datatyp

text

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Similar models

End of Study Multiple Sclerosis ALAIN01 NCT02419378

1 Formulär
Name
Typ
Description | Question | Decode (Coded Value)
Datatyp
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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