Subject contact worksheet GSK study Prostatic neoplasms NCT00883909

Administrative data
Descrizione

Administrative data

Center
Descrizione

Center

Tipo di dati

text

Subject number
Descrizione

Subject number

Tipo di dati

text

Year 1 - 1st Attempt
Descrizione

Year 1 - 1st Attempt

Date of Contact Attempt
Descrizione

Date of Contact Attempt

Tipo di dati

date

Contact Made?
Descrizione

succesful contact attempt

Tipo di dati

boolean

Year 1 - 2nd Attempt
Descrizione

Year 1 - 2nd Attempt

Date of Contact Attempt
Descrizione

Date of Contact Attempt

Tipo di dati

date

Contact Made?
Descrizione

succesful contact attempt

Tipo di dati

boolean

Year 1 - 3rd Attempt
Descrizione

Year 1 - 3rd Attempt

Date of Contact Attempt
Descrizione

Date of Contact Attempt

Tipo di dati

date

Contact Made?
Descrizione

succesful contact attempt

Tipo di dati

boolean

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

Date Faxed To Monitor

Tipo di dati

date

Year 2 - 1st Attempt
Descrizione

Year 2 - 1st Attempt

Date of Contact Attempt
Descrizione

Date of Contact Attempt

Tipo di dati

date

Contact Made?
Descrizione

succesful contact attempt

Tipo di dati

boolean

Year 2 - 2nd Attempt
Descrizione

Year 2 - 2nd Attempt

Date of Contact Attempt
Descrizione

Date of Contact Attempt

Tipo di dati

date

Contact Made?
Descrizione

succesful contact attempt

Tipo di dati

boolean

Year 2 - 3rd Attempt
Descrizione

Year 2 - 3rd Attempt

Date of Contact Attempt
Descrizione

Date of Contact Attempt

Tipo di dati

date

Contact Made?
Descrizione

succesful contact attempt

Tipo di dati

boolean

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

Date Faxed To Monitor

Tipo di dati

date

Similar models

Subject contact worksheet GSK study Prostatic neoplasms NCT00883909

Name
genere
Description | Question | Decode (Coded Value)
Tipo di dati
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