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Throughout: Mortality Report [MO_1] NCT01117584

1 forms  
General Information
Description

General Information

Date of Death
Description

Date of Death

Data type

date

Alias
UMLS CUI [1]
C1148348
Cause of Death
Description

Cause of Death

Data type

text

Alias
UMLS CUI [1]
C0007465
Relationship of Study Drug to Subject´s Death?
Description

Relationship to Study Drug

Data type

integer

Alias
UMLS CUI [1,1]
C0013227
UMLS CUI [1,2]
C0439849
UMLS CUI [1,3]
C0011065
Was Autopsy performed?
Description

If Yes, submit copy of autopsy report.

Data type

text

Alias
UMLS CUI [1]
C0004398
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Similar models

Throughout: Mortality Report [MO_1] NCT01117584

1 forms
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
General Information
Date of Death
Item
Date of Death
date
C1148348 (UMLS CUI [1])
Cause of Death
Item
Cause of Death
text
C0007465 (UMLS CUI [1])
Item
Relationship of Study Drug to Subject´s Death?
integer
C0013227 (UMLS CUI [1,1])
C0439849 (UMLS CUI [1,2])
C0011065 (UMLS CUI [1,3])
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
C0004398 (UMLS CUI [1])
Autopsy
Code List
Was Autopsy performed?
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
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