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Protocol Deviations Multiple Sclerosis ALAIN01 NCT02419378

1 forms  
Protocol Deviations
Description

Protocol Deviations

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

Patient ID (derived)

Data type

text

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

Protocol Deviations: Sheet No

Data type

integer

Protocol Deviations: New eForm
Description

Protocol Deviations: New eForm

Data type

text

Protocol Deviations: Date of Signature
Description

Protocol Deviations: Date of Signature

Data type

date

Alias
UMLS CUI [1,1]
C1519316
UMLS CUI [1,2]
C0011008
Protocol Deviations: Date of Signature Status
Description

Protocol Deviations: Date of Signature Status

Data type

text

Alias
UMLS CUI [1,1]
C1519316
UMLS CUI [1,2]
C0011008
UMLS CUI [1,3]
C0449438
Protocol Deviations: Signature yes/no
Description

Protocol Deviations: Signature yes/no

Data type

text

Alias
UMLS CUI [1,1]
C1519316
UMLS CUI [1,2]
C1705848
Comment Prot. Deviations
Description

Comment Prot. Deviations

Data type

text

Alias
UMLS CUI [1,1]
C1705236
UMLS CUI [1,2]
C0947611
Protocol Deviations RQG
Description

Protocol Deviations RQG

Protocol Deviations: Number
Description

Protocol Deviations: Number

Data type

integer

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

Protocol Deviations: Planned month

Data type

integer

Alias
UMLS CUI [1,1]
C1705236
UMLS CUI [1,2]
C0011008
Protocol Deviations: Description
Description

Protocol Deviations: Description

Data type

text

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

Protocol Deviations: Reason

Data type

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 forms
Name
Type
Description | Question | Decode (Coded Value)
Data type
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
Protocol Deviations: Date of Signature
date
C1519316 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
Item
Protocol Deviations: Date of Signature Status
text
C1519316 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
C0449438 (UMLS CUI [1,3])
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)
Item
Protocol Deviations: Signature yes/no
text
C1519316 (UMLS CUI [1,1])
C1705848 (UMLS CUI [1,2])
Protocol Deviations: Signature yes/no
Code List
Protocol Deviations: Signature yes/no
CL Item
yes (1)
CL Item
no (0)
Comment Prot. Deviations
Item
Comment Prot. Deviations
text
C1705236 (UMLS CUI [1,1])
C0947611 (UMLS CUI [1,2])
Protocol Deviation Number
Item
Protocol Deviations: Number
integer
C2981577 (UMLS CUI [1])
Protocol Deviations: Planned month
Item
Protocol Deviations: Planned month
integer
C1705236 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
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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