Engels

Throughout: Mortality Report [MO_1] NCT01117584

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General Information
Beschrijving

General Information

Date of Death
Beschrijving

Date of Death

Datatype

date

Cause of Death
Beschrijving

Cause of Death

Datatype

text

Relationship of Study Drug to Subject´s Death?
Beschrijving

Relationship to Study Drug

Datatype

integer

Was Autopsy performed?
Beschrijving

If Yes, submit copy of autopsy report.

Datatype

text

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Similar models

Throughout: Mortality Report [MO_1] NCT01117584

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Name
Type
Description | Question | Decode (Coded Value)
Datatype
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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