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Patient Status GOAL Trial B-cell Lymphoma NCT02499003

1 Formulaires  
Administrative data
Description

Administrative data

Subject ID
Description

Subject ID

Type de données

text

Visit
Description

Visit

Type de données

text

Patient status
Description

Patient status

Patient status
Description

Patient status

Type de données

text

If 'Patient alive':
Description

If 'Patient alive':

Date of follow up
Description

Date of follow up

Type de données

date

Progression after last contact?
Description

Progression after last contact

Type de données

text

If 'YES': Date of diagnosis of progression
Description

Date of diagnosis of progression

Type de données

date

Diagnosis via
Description

Means of diagnosis

Type de données

text

If 'Other', please specify:
Description

means of diagnosis specification

Type de données

text

If 'Patient deceased':
Description

If 'Patient deceased':

Date of death
Description

Date of death

Type de données

date

Cause of death
Description

Cause of death

Type de données

text

If 'other', please specify:
Description

other cause of death

Type de données

text

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Similar models

Patient Status GOAL Trial B-cell Lymphoma NCT02499003

1 Formulaires
Name
Type
Description | Question | Decode (Coded Value)
Type de données
Alias
Item Group
Administrative data
Subject ID
Item
Subject ID
text
Item
Visit
text
Visit
Code List
Visit
CL Item
Follow Up 1 (Follow Up 1)
CL Item
Follow Up 2 (Follow Up 2)
CL Item
Follow Up 3 (Follow Up 3)
CL Item
Follow Up 4 (Follow Up 4)
CL Item
Follow Up 5 (Follow Up 5)
CL Item
Follow Up 6 (Follow Up 6)
CL Item
Follow Up 7 (Follow Up 7)
CL Item
Follow Up 8 (Follow Up 8)
CL Item
Follow Up 9 (Follow Up 9)
Item Group
Patient status
Item
Patient status
text
Patient status
Code List
Patient status
CL Item
Patient alive (Patient alive)
CL Item
Patient deceased (Patient deceased)
CL Item
Lost-to-follow-up (Lost-to-follow-up)
CL Item
Follow-up not done (Follow-up not done)
Item Group
If 'Patient alive':
Date of follow up
Item
Date of follow up
date
Item
Progression after last contact?
text
Progression after last contact
Code List
Progression after last contact?
CL Item
Yes (Yes)
CL Item
No (No)
CL Item
Unknown (Diagnostics not done) (Unknown (Diagnostics not done))
Date of diagnosis of progression
Item
If 'YES': Date of diagnosis of progression
date
Item
Diagnosis via
text
Means of diagnosis
Code List
Diagnosis via
CL Item
CT (CT)
CL Item
MRI (MRI)
CL Item
Clinically evident (Clinically evident)
CL Item
Other (Other)
means of diagnosis specification
Item
If 'Other', please specify:
text
Item Group
If 'Patient deceased':
Date of death
Item
Date of death
date
Item
Cause of death
text
Cause of death
Code List
Cause of death
CL Item
Progression of underlying disease (Progression of underlying disease)
CL Item
Unknown (Unknown)
CL Item
Other (Other)
other cause of death
Item
If 'other', please specify:
text
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