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Riliva_CRF_EudraCT - Nr. 2012-000108-13-Study termination

1 formularios  
Study termination
Descripción

Study termination

Alias
UMLS CUI-1
C0008972
UMLS CUI-2
C0013135
Date of termination:
Descripción

date

Tipo de datos

date

Center number:
Descripción

Center number

Tipo de datos

integer

Reasons for study termination
Descripción

Study termination; reason

Tipo de datos

text

Alias
UMLS CUI [1,1]
C0008972
UMLS CUI [1,2]
C0013135
UMLS CUI [1,3]
C1272707
Please mention the criteria, if inclusion or exclusion criteria is the reason for study drop out.
Descripción

inclusion criteria; exclusion criteria

Tipo de datos

text

Alias
UMLS CUI [1,1]
C1512693
UMLS CUI [1,2]
C0680251
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Similar models

Riliva_CRF_EudraCT - Nr. 2012-000108-13-Study termination

1 formularios
Name
Tipo
Description | Question | Decode (Coded Value)
Tipo de datos
Alias
Item Group
Study termination
C0008972 (UMLS CUI-1)
C0013135 (UMLS CUI-2)
date
Item
Date of termination:
date
Center number
Item
Center number:
integer
Item
Reasons for study termination
text
C0008972 (UMLS CUI [1,1])
C0013135 (UMLS CUI [1,2])
C1272707 (UMLS CUI [1,3])
Study termination; reason
Code List
Reasons for study termination
CL Item
Revocation of Consent by patient (1)
CL Item
Early ending of the entire study (2)
CL Item
Lack of patient compliance (3)
CL Item
Fall in hemoglobin of more than 2 units [g / dL] from initial value and source of bleeding can not be stopped (4)
CL Item
Decision of the investigator that further participation of the patient in the study is not justifiable (5)
CL Item
Violation of inclusion or exclusion criteria after 1st dose study medication (6)
inclusion criteria; exclusion criteria
Item
Please mention the criteria, if inclusion or exclusion criteria is the reason for study drop out.
text
C1512693 (UMLS CUI [1,1])
C0680251 (UMLS CUI [1,2])
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