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Completion/Discontinuation Genzyme Chronic Kidney Disease EudraCT 2005-003233-41

1 forms  
Patient administration
Description

Patient administration

Patient Initials
Description

Patient Initials

Data type

text

Alias
UMLS CUI [1]
C2986440
Patient ID Number
Description

Patient ID Number

Data type

integer

Alias
UMLS CUI [1]
C2348585
Study completion/discontinuation
Description

Study completion/discontinuation

Alias
UMLS CUI-1
C2826674
1. Did the Patient complete the protocol?
Description

protocol completion

Data type

boolean

Alias
UMLS CUI [1]
C2826674
Completion Date
Description

Completion Date

Data type

date

Alias
UMLS CUI [1,1]
C0805732
UMLS CUI [1,2]
C0011008
Discontinuation Date
Description

Discontinuation Date

Data type

date

Alias
UMLS CUI [1,1]
C1444662
UMLS CUI [1,2]
C0011008
Primary reason for withdrawal
Description

Primary reason for withdrawal

Data type

integer

Alias
UMLS CUI [1,1]
C2349954
UMLS CUI [1,2]
C0392360
specification of withdrawal reason
Description

specification of withdrawal reason

Data type

text

Alias
UMLS CUI [1,1]
C2349954
UMLS CUI [1,2]
C0392360
Investigator's Comments
Description

Investigators Comments

Data type

text

Alias
UMLS CUI [1,1]
C0947611
UMLS CUI [1,2]
C0008961
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Similar models

Completion/Discontinuation Genzyme Chronic Kidney Disease EudraCT 2005-003233-41

1 forms
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Patient administration
Patient Initials
Item
Patient Initials
text
C2986440 (UMLS CUI [1])
Patient ID Number
Item
Patient ID Number
integer
C2348585 (UMLS CUI [1])
Item Group
Study completion/discontinuation
C2826674 (UMLS CUI-1)
protocol completion
Item
1. Did the Patient complete the protocol?
boolean
C2826674 (UMLS CUI [1])
Completion Date
Item
Completion Date
date
C0805732 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
Discontinuation Date
Item
Discontinuation Date
date
C1444662 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
Item
Primary reason for withdrawal
integer
C2349954 (UMLS CUI [1,1])
C0392360 (UMLS CUI [1,2])
Primary reason for withdrawal
Code List
Primary reason for withdrawal
CL Item
Screen failure: Inclusion Criterion (1)
CL Item
Screen failure: Exclusion Criterion (2)
CL Item
Adverse Event(s) (3)
CL Item
Non-compliant (4)
CL Item
Wishes to withdraw (5)
CL Item
Lost to Follow-up (6)
CL Item
Other, please specify (7)
specification of withdrawal reason
Item
specification of withdrawal reason
text
C2349954 (UMLS CUI [1,1])
C0392360 (UMLS CUI [1,2])
Investigators Comments
Item
Investigator's Comments
text
C0947611 (UMLS CUI [1,1])
C0008961 (UMLS CUI [1,2])
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