Third party follow-up GSK study Chronic Coronary Heart Disease NCT00799903

Date of last contact attempt
Description

Date of last contact attempt

1. Date of most recent attempt to contact third party
Description

Date of last contact attempt

Data type

date

Contact details
Description

Contact details

2. Was contact successful? (i.e. actually spoke to someone)
Description

contact successful

Data type

boolean

If contact successful: Type of third party contact
Description

Type of third party contact

Data type

text

Other type of third party contact
Description

Other type of third party contact

Data type

text

Are there any new study endpoints to report?
Description

If Yes, complete SAE-EP and appropriate Endpoint forms.

Data type

text

Date endpoint information assessed by third party
Description

Date endpoint information assessed by third party

Data type

date

Similar models

Third party follow-up GSK study Chronic Coronary Heart Disease NCT00799903

Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Date of last contact attempt
Date of last contact attempt
Item
1. Date of most recent attempt to contact third party
date
Item Group
Contact details
contact successful
Item
2. Was contact successful? (i.e. actually spoke to someone)
boolean
Item
If contact successful: Type of third party contact
text
Code List
If contact successful: Type of third party contact
CL Item
Investigative site staff (4)
CL Item
Health care provider other than investigative site staff (1)
CL Item
Family member (2)
CL Item
Friend or neighbor (5)
CL Item
Other (OT)
Other type of third party contact
Item
Other type of third party contact
text
Item
Are there any new study endpoints to report?
text
Code List
Are there any new study endpoints to report?
CL Item
Unknown (Third party not able to find out if subject did or did not have new study endpoint, or the only information available is vital status "death" without details) (U)
CL Item
No (Third party able to confirm no new study endpoints) (N)
CL Item
Yes (Third party able to confirm the presence of new study endpoints. Do not select this option if the only information available is vital status "death" without details) (Y)
Date endpoint information assessed by third party
Item
Date endpoint information assessed by third party
date