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Throughout: Mortality Report [MO_1] NCT01117584

1 Formulários  
General Information
Descrição

General Information

Date of Death
Descrição

Date of Death

Tipo de dados

date

Cause of Death
Descrição

Cause of Death

Tipo de dados

text

Relationship of Study Drug to Subject´s Death?
Descrição

Relationship to Study Drug

Tipo de dados

integer

Was Autopsy performed?
Descrição

If Yes, submit copy of autopsy report.

Tipo de dados

text

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Similar models

Throughout: Mortality Report [MO_1] NCT01117584

1 Formulários
Name
Tipo
Description | Question | Decode (Coded Value)
Tipo de dados
Alias
Item Group
General Information
Date of Death
Item
Date of Death
date
Cause of Death
Item
Cause of Death
text
Item
Relationship of Study Drug to Subject´s Death?
integer
Relationship to Study Drug
Code List
Relationship of Study Drug to Subject´s Death?
CL Item
Not related (1)
CL Item
Possible (2)
CL Item
Probable (3)
Item
Was Autopsy performed?
text
Autopsy
Code List
Was Autopsy performed?
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
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