Englisch

Baseline Visit (Day 1): Inclusion/Exclusion BG00012 Monotherapy Safety and Efficacy Extension Study in Multiple Sclerosis (MS) (ENDORSE) NCT00835770

1 Formulare  
Subject Identification
Beschreibung

Subject Identification

Number of Facility
Beschreibung

Site number

Datentyp

integer

Alias
UMLS CUI [1,1]
C0018704
UMLS CUI [1,2]
C0600091
Subject number
Beschreibung

Subject number

Datentyp

integer

Alias
UMLS CUI [1]
C2348585
Subject Initials
Beschreibung

Subject Initials

Datentyp

text

Alias
UMLS CUI [1]
C2986440
Inclusion/Exclusion
Beschreibung

Inclusion/Exclusion

Protocol Version under which the subject is entered
Beschreibung

Protocol Version

Datentyp

text

Alias
UMLS CUI [1]
C2985700
informed consent date
Beschreibung

informed consent date

Datentyp

text

Alias
UMLS CUI [1]
C2985782
Did the subject meet the eligibility criteria for the study?
Beschreibung

If no, record the unmet criterion numbers as indicated in the protocol.

Datentyp

boolean

Alias
UMLS CUI [1]
C1516637
Inclusion Criteria 1
Beschreibung

Inclusion Criteria

Datentyp

text

Alias
UMLS CUI [1]
C1512693
Inclusion Criteria 2
Beschreibung

Inclusion Criteria

Datentyp

text

Alias
UMLS CUI [1]
C1512693
Inclusion Criteria 3
Beschreibung

Inclusion Criteria

Datentyp

text

Alias
UMLS CUI [1]
C1512693
Inclusion Criteria 1
Beschreibung

Exclusion Criteria

Datentyp

text

Alias
UMLS CUI [1]
C0680251
Exclusion Criteria 2
Beschreibung

Exclusion Criteria

Datentyp

text

Alias
UMLS CUI [1]
C0680251
Exclusion Criteria 3
Beschreibung

Exclusion Criteria

Datentyp

text

Alias
UMLS CUI [1]
C0680251
Exclusion Criteria 4
Beschreibung

Exclusion Criteria

Datentyp

text

Alias
UMLS CUI [1]
C0680251
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Ähnliche Modelle

Baseline Visit (Day 1): Inclusion/Exclusion BG00012 Monotherapy Safety and Efficacy Extension Study in Multiple Sclerosis (MS) (ENDORSE) NCT00835770

1 Formulare
Name
Typ
Description | Question | Decode (Coded Value)
Datentyp
Alias
Item Group
Subject Identification
Site number
Item
Number of Facility
integer
C0018704 (UMLS CUI [1,1])
C0600091 (UMLS CUI [1,2])
Subject number
Item
Subject number
integer
C2348585 (UMLS CUI [1])
Subject Initials
Item
Subject Initials
text
C2986440 (UMLS CUI [1])
Item Group
Inclusion/Exclusion
Protocol Version
Item
Protocol Version under which the subject is entered
text
C2985700 (UMLS CUI [1])
informed consent date
Item
text
C2985782 (UMLS CUI [1])
Eligibility criteria
Item
Did the subject meet the eligibility criteria for the study?
boolean
C1516637 (UMLS CUI [1])
Inclusion Criteria
Item
Inclusion Criteria 1
text
C1512693 (UMLS CUI [1])
Inclusion Criteria
Item
Inclusion Criteria 2
text
C1512693 (UMLS CUI [1])
Inclusion Criteria
Item
Inclusion Criteria 3
text
C1512693 (UMLS CUI [1])
Exclusion Criteria
Item
Inclusion Criteria 1
text
C0680251 (UMLS CUI [1])
Exclusion Criteria
Item
Exclusion Criteria 2
text
C0680251 (UMLS CUI [1])
Exclusion Criteria
Item
Exclusion Criteria 3
text
C0680251 (UMLS CUI [1])
Exclusion Criteria
Item
Exclusion Criteria 4
text
C0680251 (UMLS CUI [1])
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