Discontinue Trial Medication Multiple Sclerosis ALAIN01 NCT02419378

Discontinue Trial Medication
Beschrijving

Discontinue Trial Medication

Alias
UMLS CUI-1
C0013227
UMLS CUI-2
C0457454
Patient ID (derived)
Beschrijving

Patient ID (derived)

Datatype

text

Alias
UMLS CUI [1]
C2348585
Discont. of Trial Medication: Date
Beschrijving

Discont. of Trial Medication: Date

Datatype

date

Alias
UMLS CUI [1,1]
C1521826
UMLS CUI [1,2]
C0806020
Discont. of Trial Medication: Date Status
Beschrijving

Discont. of Trial Medication: Date Status

Datatype

text

Alias
UMLS CUI [1,1]
C1521826
UMLS CUI [1,2]
C0806020
UMLS CUI [1,3]
C0449438
Reason (Inv. considers...)
Beschrijving

Reason (Inv. considers...)

Datatype

text

Reason (Unacceptable toxicity...)
Beschrijving

Reason (Unacceptable toxicity...)

Datatype

text

Reason (HIV infection)
Beschrijving

Reason (HIV infection)

Datatype

text

Reason (Patient requests discontinuation)
Beschrijving

Reason (Patient requests discontinuation)

Datatype

text

Reason (Patient unable or unwilling to comply...)
Beschrijving

Reason (Patient unable or unwilling to comply...)

Datatype

text

Reason (Other reason)
Beschrijving

Reason (Other reason)

Datatype

text

Discont. of Trial Medication: Reason Text
Beschrijving

Discont. of Trial Medication: Reason Text

Datatype

text

Alias
UMLS CUI [1,1]
C0457454
UMLS CUI [1,2]
C0566251
Discont. of Trial Medication: Date of Signature
Beschrijving

Date of Signature

Datatype

date

Alias
UMLS CUI [1,1]
C1519316
UMLS CUI [1,2]
C0011008
Discont. of Trial Medication: Date of Sig. Status
Beschrijving

Discont. of Trial Medication: Date of Sig. Status

Datatype

text

Discont. of Trial Medication: Signature yes/no
Beschrijving

Discont. of Trial Medication: Signature yes/no

Datatype

text

Comment Discont. Trial Med.
Beschrijving

Comment Discont. Trial Med.

Datatype

text

Similar models

Discontinue Trial Medication Multiple Sclerosis ALAIN01 NCT02419378

Name
Type
Description | Question | Decode (Coded Value)
Datatype
Alias
Item Group
Discontinue Trial Medication
C0013227 (UMLS CUI-1)
C0457454 (UMLS CUI-2)
Patient ID (derived)
Item
Patient ID (derived)
text
C2348585 (UMLS CUI [1])
Trial medication end date
Item
Discont. of Trial Medication: Date
date
C1521826 (UMLS CUI [1,1])
C0806020 (UMLS CUI [1,2])
Item
Discont. of Trial Medication: Date Status
text
C1521826 (UMLS CUI [1,1])
C0806020 (UMLS CUI [1,2])
C0449438 (UMLS CUI [1,3])
Code List
Discont. of Trial Medication: Date Status
CL Item
T (1)
CL Item
TM (2)
CL Item
M (3)
Code List
Reason (Inv. considers...)
CL Item
Inv. considers it would be in the best interests of the patient (1)
Code List
Reason (Unacceptable toxicity...)
CL Item
Unacceptable toxicity of the study drug (1)
Code List
Reason (HIV infection)
CL Item
HIV infection (1)
Code List
Reason (Patient requests discontinuation)
CL Item
Patient requests discontinuation (1)
Code List
Reason (Patient unable or unwilling to comply...)
CL Item
Pat. is unable or unwilling to comply with planned study safety monitoring (1)
Code List
Reason (Other reason)
CL Item
Other reason (9)
Discontinuation reason
Item
Discont. of Trial Medication: Reason Text
text
C0457454 (UMLS CUI [1,1])
C0566251 (UMLS CUI [1,2])
Date of Signature
Item
Discont. of Trial Medication: Date of Signature
date
C1519316 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
Code List
Discont. of Trial Medication: Date of Sig. Status
CL Item
T (1)
CL Item
TM (2)
CL Item
M (3)
Code List
Discont. of Trial Medication: Signature yes/no
CL Item
yes (1)
CL Item
no (0)
Comment Discont. Trial Med.
Item
text