Englisch

Subject contact worksheet GSK study Prostatic neoplasms NCT00883909

1 Formulare  
Administrative data
Beschreibung

Administrative data

Center
Beschreibung

Center

Datentyp

text

Subject number
Beschreibung

Subject number

Datentyp

text

Year 1 - 1st Attempt
Beschreibung

Year 1 - 1st Attempt

Date of Contact Attempt
Beschreibung

Date of Contact Attempt

Datentyp

date

Contact Made?
Beschreibung

succesful contact attempt

Datentyp

boolean

Year 1 - 2nd Attempt
Beschreibung

Year 1 - 2nd Attempt

Date of Contact Attempt
Beschreibung

Date of Contact Attempt

Datentyp

date

Contact Made?
Beschreibung

succesful contact attempt

Datentyp

boolean

Year 1 - 3rd Attempt
Beschreibung

Year 1 - 3rd Attempt

Date of Contact Attempt
Beschreibung

Date of Contact Attempt

Datentyp

date

Contact Made?
Beschreibung

succesful contact attempt

Datentyp

boolean

Date Faxed To Monitor (if 3rd contact attempt is unsuccessful)
Beschreibung

Date Faxed To Monitor

Datentyp

date

Year 2 - 1st Attempt
Beschreibung

Year 2 - 1st Attempt

Date of Contact Attempt
Beschreibung

Date of Contact Attempt

Datentyp

date

Contact Made?
Beschreibung

succesful contact attempt

Datentyp

boolean

Year 2 - 2nd Attempt
Beschreibung

Year 2 - 2nd Attempt

Date of Contact Attempt
Beschreibung

Date of Contact Attempt

Datentyp

date

Contact Made?
Beschreibung

succesful contact attempt

Datentyp

boolean

Year 2 - 3rd Attempt
Beschreibung

Year 2 - 3rd Attempt

Date of Contact Attempt
Beschreibung

Date of Contact Attempt

Datentyp

date

Contact Made?
Beschreibung

succesful contact attempt

Datentyp

boolean

Date Faxed To Monitor (if 3rd contact attempt is unsuccessful)
Beschreibung

Date Faxed To Monitor

Datentyp

date

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Ähnliche Modelle

Subject contact worksheet GSK study Prostatic neoplasms NCT00883909

1 Formulare
Name
Typ
Description | Question | Decode (Coded Value)
Datentyp
Alias
Item Group
Administrative data
Center
Item
Center
text
Subject number
Item
Subject number
text
Item Group
Year 1 - 1st Attempt
Date of Contact Attempt
Item
Date of Contact Attempt
date
succesful contact attempt
Item
Contact Made?
boolean
Item Group
Year 1 - 2nd Attempt
Date of Contact Attempt
Item
Date of Contact Attempt
date
succesful contact attempt
Item
Contact Made?
boolean
Item Group
Year 1 - 3rd Attempt
Date of Contact Attempt
Item
Date of Contact Attempt
date
succesful contact attempt
Item
Contact Made?
boolean
Date Faxed To Monitor
Item
Date Faxed To Monitor (if 3rd contact attempt is unsuccessful)
date
Item Group
Year 2 - 1st Attempt
Date of Contact Attempt
Item
Date of Contact Attempt
date
succesful contact attempt
Item
Contact Made?
boolean
Item Group
Year 2 - 2nd Attempt
Date of Contact Attempt
Item
Date of Contact Attempt
date
succesful contact attempt
Item
Contact Made?
boolean
Item Group
Year 2 - 3rd Attempt
Date of Contact Attempt
Item
Date of Contact Attempt
date
succesful contact attempt
Item
Contact Made?
boolean
Date Faxed To Monitor
Item
Date Faxed To Monitor (if 3rd contact attempt is unsuccessful)
date
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