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Subject contact worksheet GSK study Prostatic neoplasms NCT00883909

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Administrative data
Descripción

Administrative data

Center
Descripción

Center

Tipo de datos

text

Subject number
Descripción

Subject number

Tipo de datos

text

Year 1 - 1st Attempt
Descripción

Year 1 - 1st Attempt

Date of Contact Attempt
Descripción

Date of Contact Attempt

Tipo de datos

date

Contact Made?
Descripción

succesful contact attempt

Tipo de datos

boolean

Year 1 - 2nd Attempt
Descripción

Year 1 - 2nd Attempt

Date of Contact Attempt
Descripción

Date of Contact Attempt

Tipo de datos

date

Contact Made?
Descripción

succesful contact attempt

Tipo de datos

boolean

Year 1 - 3rd Attempt
Descripción

Year 1 - 3rd Attempt

Date of Contact Attempt
Descripción

Date of Contact Attempt

Tipo de datos

date

Contact Made?
Descripción

succesful contact attempt

Tipo de datos

boolean

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

Date Faxed To Monitor

Tipo de datos

date

Year 2 - 1st Attempt
Descripción

Year 2 - 1st Attempt

Date of Contact Attempt
Descripción

Date of Contact Attempt

Tipo de datos

date

Contact Made?
Descripción

succesful contact attempt

Tipo de datos

boolean

Year 2 - 2nd Attempt
Descripción

Year 2 - 2nd Attempt

Date of Contact Attempt
Descripción

Date of Contact Attempt

Tipo de datos

date

Contact Made?
Descripción

succesful contact attempt

Tipo de datos

boolean

Year 2 - 3rd Attempt
Descripción

Year 2 - 3rd Attempt

Date of Contact Attempt
Descripción

Date of Contact Attempt

Tipo de datos

date

Contact Made?
Descripción

succesful contact attempt

Tipo de datos

boolean

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

Date Faxed To Monitor

Tipo de datos

date

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Similar models

Subject contact worksheet GSK study Prostatic neoplasms NCT00883909

1 formularios
Name
Tipo
Description | Question | Decode (Coded Value)
Tipo de datos
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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