Telephone Visit Vital Signs BG00012 Monotherapy Safety and Efficacy Extension Study in Multiple Sclerosis (MS) (ENDORSE) NCT00835770

Subject Identification
Descrição

Subject Identification

Number of Facility
Descrição

Site number

Tipo de dados

integer

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

Subject number

Tipo de dados

integer

Alias
UMLS CUI [1]
C2348585
Subject Initials
Descrição

Subject Initials

Tipo de dados

text

Alias
UMLS CUI [1]
C2986440
Telepone Visit Details
Descrição

Telepone Visit Details

Date of telephone call
Descrição

Date of telephone call

Tipo de dados

date

Alias
UMLS CUI [1,1]
C0302186
UMLS CUI [1,2]
C0011008
Person contacted
Descrição

if other please specify

Tipo de dados

integer

Alias
UMLS CUI [1]
C0337611
Other person
Descrição

Other person

Tipo de dados

text

Alias
UMLS CUI [1]
C0337611
Since the subject was last contacted, has the subject experienced any new or continuing adverse events?
Descrição

if yes please specify in the CRF

Tipo de dados

boolean

Alias
UMLS CUI [1]
C0877248
Since the subject was last contacted, has the subject received any concomitant medications?*
Descrição

*Includes IV Steroid therapy and alternate MS therapy. If yes please record concomitant medications in the CRF.

Tipo de dados

boolean

Alias
UMLS CUI [1]
C2347852

Similar models

Telephone Visit Vital Signs BG00012 Monotherapy Safety and Efficacy Extension Study in Multiple Sclerosis (MS) (ENDORSE) NCT00835770

Name
Tipo
Description | Question | Decode (Coded Value)
Tipo de dados
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])
Date of telephone call
Item
Date of telephone call
date
C0302186 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
Item
Person contacted
integer
C0337611 (UMLS CUI [1])
Code List
Person contacted
CL Item
subject (1)
CL Item
other  (2)
CL Item
unable to make contact (3)
Other person
Item
Other person
text
C0337611 (UMLS CUI [1])
adverse events
Item
Since the subject was last contacted, has the subject experienced any new or continuing adverse events?
boolean
C0877248 (UMLS CUI [1])
concomitant medication
Item
Since the subject was last contacted, has the subject received any concomitant medications?*
boolean
C2347852 (UMLS CUI [1])