Inglés

Status of treatment blind GSK study Chronic Coronary Heart Disease NCT00799903

1 formularios  
Status of treatment blind
Descripción

Status of treatment blind

1. Was the treatment blind broken during the study?
Descripción

If yes, complete Non-Serious Adverse Events, Serious Adverse Event and/or Investigational Product forms as appropriate

Tipo de datos

boolean

If treatment blind was broken, complete the following: Date blind broken
Descripción

Date blind broken

Tipo de datos

date

If treatment blind was broken, complete the following: Time blind broken
Descripción

Time blind broken is optional

Tipo de datos

time

If treatment blind was broken, complete the following: Reason blind broken
Descripción

Reason blind broken

Tipo de datos

text

If treatment blind was broken, due to "other" reason, specifiy
Descripción

Reason blind broken other

Tipo de datos

text

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Similar models

Status of treatment blind GSK study Chronic Coronary Heart Disease NCT00799903

1 formularios
Name
Tipo
Description | Question | Decode (Coded Value)
Tipo de datos
Alias
Item Group
Status of treatment blind
treatment blind broken during the study
Item
1. Was the treatment blind broken during the study?
boolean
Date blind broken
Item
If treatment blind was broken, complete the following: Date blind broken
date
Time blind broken
Item
If treatment blind was broken, complete the following: Time blind broken
time
Item
If treatment blind was broken, complete the following: Reason blind broken
text
Reason blind broken
Code List
If treatment blind was broken, complete the following: Reason blind broken
CL Item
Medical emergency requiring identification of investigational product for further treatment (1)
CL Item
Other (Z)
Item
If treatment blind was broken, due to "other" reason, specifiy
text
Reason blind broken
Code List
If treatment blind was broken, due to "other" reason, specifiy
CL Item
Medical emergency requiring identification of investigational product for further treatment (1)
CL Item
Other (Z)
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