ID

13378

Descripción

Test Study

Palabras clave

  1. 10/2/16 10/2/16 -
  2. 10/2/16 10/2/16 - Julian Varghese
  3. 11/2/16 11/2/16 -
Subido en

10 de febrero de 2016

DOI

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Licencia

Creative Commons BY-NC 3.0

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SacBo PZ: Case Report Form AE Termination Signature Early Study Termination

SacBo PZ: Case Report Form AE Termination Signature Early Study Termination

Early study termination
Descripción

Early study termination

Alias
UMLS CUI-1
C2718058
When was the study terminated?
Descripción

Date of early study termination

Tipo de datos

date

Alias
UMLS CUI [1]
C2718058
Was the reason for early study termination the repeal of consent?
Descripción

Repeal of consent

Tipo de datos

boolean

Alias
UMLS CUI [1]
C0021430
Did the patient become retrospectively ineligible by failing to meet the inclusion/exclusion criteria and if so what criterion was the reason for becoming ineligible?
Descripción

Retrospectively ineligible

Tipo de datos

text

Alias
UMLS CUI [1]
C1516637
Does the patient receive a central venous catheter?
Descripción

Central venous catheter

Tipo de datos

boolean

Alias
UMLS CUI [1]
C1145640
Did any kind of immunosuppression occur?
Descripción

Immunosuppression

Tipo de datos

boolean

Alias
UMLS CUI [1]
C0021079
Was the study early terminated by the doctor due to hypersensitivity reaction or any other severe complications?
Descripción

Termination by the doctor due to hypersensitivity reaction (see also professional information, attachment 2 section 4.8) or any other severe complications

Tipo de datos

boolean

Alias
UMLS CUI [1]
C0020517
UMLS CUI [2]
C0009566
Comment:
Descripción

Comment

Tipo de datos

text

Alias
UMLS CUI [1]
C0947611
Is there any other reason for early study termination?
Descripción

Any other reason for early study termination

Tipo de datos

boolean

Alias
UMLS CUI [1]
C2718058
Comment:
Descripción

Comment

Tipo de datos

text

Alias
UMLS CUI [1]
C0947611

Similar models

SacBo PZ: Case Report Form AE Termination Signature Early Study Termination

Name
Tipo
Description | Question | Decode (Coded Value)
Tipo de datos
Alias
Item Group
Early study termination
C2718058 (UMLS CUI-1)
Date of early study termination
Item
When was the study terminated?
date
C2718058 (UMLS CUI [1])
Repeal of consent
Item
Was the reason for early study termination the repeal of consent?
boolean
C0021430 (UMLS CUI [1])
Item
Did the patient become retrospectively ineligible by failing to meet the inclusion/exclusion criteria and if so what criterion was the reason for becoming ineligible?
text
C1516637 (UMLS CUI [1])
Code List
Did the patient become retrospectively ineligible by failing to meet the inclusion/exclusion criteria and if so what criterion was the reason for becoming ineligible?
CL Item
Adult (Inclusion1 )
CL Item
Patient physically and mentally fit (Inclusion5 )
CL Item
Patient hospitalized in study hospital (Inclusion2 )
CL Item
systemic antiobiotic treatment planned (>= 3 days) (Inclusion3 )
CL Item
Patient contractually capable (Inclusion4 )
CL Item
For women of child-bearing age: contraception (Inclusion6 )
CL Item
Informed consent obtained (Inclusion7 )
CL Item
Hypersensitivity to yeast and/or perenterol (Exclusion1 )
CL Item
Central venous catheterization (Exclusion2 )
CL Item
Immunosuppression (Exclusion3 )
CL Item
Currently having diarrhea and/or frequent diarrhea (Exclusion4 )
CL Item
Frequent use of perenterol or yomogi (7 days before start of study) (Exclusion5 )
CL Item
systemic antifungal treatment (Exclusion6 )
CL Item
systemic antibiotic treatment (6 weeks before start of study) (Exclusion7 )
CL Item
for women: pregnancy (Exclusion8 )
CL Item
for women: lactation (Exclusion9 )
CL Item
currently participating in another trial (Exclusion10 )
Central venous catheter
Item
Does the patient receive a central venous catheter?
boolean
C1145640 (UMLS CUI [1])
Immunosuppression
Item
Did any kind of immunosuppression occur?
boolean
C0021079 (UMLS CUI [1])
Termination by the doctor
Item
Was the study early terminated by the doctor due to hypersensitivity reaction or any other severe complications?
boolean
C0020517 (UMLS CUI [1])
C0009566 (UMLS CUI [2])
Comment
Item
Comment:
text
C0947611 (UMLS CUI [1])
Any other reason for early study termination
Item
Is there any other reason for early study termination?
boolean
C2718058 (UMLS CUI [1])
Comment
Item
Comment:
text
C0947611 (UMLS CUI [1])

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