Center number
Item
Center number
text
C1301943 (UMLS CUI [1,1])
C0805701 (UMLS CUI [1,2])
Subject ID
Item
Subject ID
text
C2348585 (UMLS CUI [1])
Treatment Number
Item
Treatment Number
text
C1522541 (UMLS CUI [1])
Date of birth
Item
Date of birth
date
C0421451 (UMLS CUI [1])
Item
Gender
text
C0079399 (UMLS CUI [1])
Subject number
Item
Previous subject number:
text
C1709561 (UMLS CUI [1])
Date of birth
Item
Date of birth
date
C0421451 (UMLS CUI [1])
Item
Please document reason for non participation
integer
C3166257 (UMLS CUI [1])
Code List
Please document reason for non participation
CL Item
Subject not eligible (1)
CL Item
Subject lost to follow-up or not reached (2)
CL Item
Subject eligible but not willing to participate (3)
CL Item
Adverse events, or serious adverse event (4)
Specification of non-eligibility
Item
please specify criteria that are not fullfilled
text
C3166257 (UMLS CUI [1])
Subject not willing due to: adverse events, or serious adverse event: please specify:
Item
Subject not willing due to: adverse events, or serious adverse event: please specify:
text
C0877248 (UMLS CUI [1])
Subject not willing due to other: please specify:
Item
Subject not willing due to other: please specify:
text
Death date
Item
Subject died on:
date
C1148348 (UMLS CUI [1])
Number of SAEs
Item
Number of SAEs
text
C1519255 (UMLS CUI [1,1])
C0237753 (UMLS CUI [1,2])