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Protocol Deviations Multiple Sclerosis ALAIN01 NCT02419378

1 Formulär  
Protocol Deviations
Beskrivning

Protocol Deviations

Alias
UMLS CUI-1
C1705236
Patient ID (derived)
Beskrivning

Patient ID (derived)

Datatyp

text

Alias
UMLS CUI [1]
C2348585
Protocol Deviations: Sheet No
Beskrivning

Protocol Deviations: Sheet No

Datatyp

integer

Protocol Deviations: New eForm
Beskrivning

Protocol Deviations: New eForm

Datatyp

text

Protocol Deviations: Date of Signature
Beskrivning

Protocol Deviations: Date of Signature

Datatyp

date

Protocol Deviations: Date of Signature Status
Beskrivning

Protocol Deviations: Date of Signature Status

Datatyp

text

Protocol Deviations: Signature yes/no
Beskrivning

Protocol Deviations: Signature yes/no

Datatyp

text

Comment Prot. Deviations
Beskrivning

Comment Prot. Deviations

Datatyp

text

Protocol Deviations RQG
Beskrivning

Protocol Deviations RQG

Protocol Deviations: Number
Beskrivning

Protocol Deviations: Number

Datatyp

integer

Alias
UMLS CUI [1]
C2981577
Protocol Deviations: Planned month
Beskrivning

Protocol Deviations: Planned month

Datatyp

integer

Protocol Deviations: Description
Beskrivning

Protocol Deviations: Description

Datatyp

text

Alias
UMLS CUI [1]
C1705236
Protocol Deviations: Reason
Beskrivning

Protocol Deviations: Reason

Datatyp

text

Alias
UMLS CUI [1,1]
C1705236
UMLS CUI [1,2]
C0566251
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Similar models

Protocol Deviations Multiple Sclerosis ALAIN01 NCT02419378

1 Formulär
Name
Typ
Description | Question | Decode (Coded Value)
Datatyp
Alias
Item Group
Protocol Deviations
C1705236 (UMLS CUI-1)
Patient ID (derived)
Item
Patient ID (derived)
text
C2348585 (UMLS CUI [1])
Protocol Deviations: Sheet No
Item
integer
Protocol Deviations: New eForm
Code List
Protocol Deviations: New eForm
CL Item
yes (1)
Protocol Deviations: Date of Signature
Item
date
Protocol Deviations: Date of Signature Status
Code List
Protocol Deviations: Date of Signature Status
CL Item
T (1)
CL Item
TM (2)
CL Item
M (3)
Protocol Deviations: Signature yes/no
Code List
Protocol Deviations: Signature yes/no
CL Item
yes (1)
CL Item
no (0)
Comment Prot. Deviations
Item
text
Protocol Deviation Number
Item
Protocol Deviations: Number
integer
C2981577 (UMLS CUI [1])
Protocol Deviations: Planned month
Item
integer
Protocol Deviation
Item
Protocol Deviations: Description
text
C1705236 (UMLS CUI [1])
Protocol Deviation Reason
Item
Protocol Deviations: Reason
text
C1705236 (UMLS CUI [1,1])
C0566251 (UMLS CUI [1,2])
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