Englisch

Patient Status GOAL Trial B-cell Lymphoma NCT02499003

1 Formulare  
Administrative data
Beschreibung

Administrative data

Subject ID
Beschreibung

Subject ID

Datentyp

text

Visit
Beschreibung

Visit

Datentyp

text

Patient status
Beschreibung

Patient status

Patient status
Beschreibung

Patient status

Datentyp

text

If 'Patient alive':
Beschreibung

If 'Patient alive':

Date of follow up
Beschreibung

Date of follow up

Datentyp

date

Progression after last contact?
Beschreibung

Progression after last contact

Datentyp

text

If 'YES': Date of diagnosis of progression
Beschreibung

Date of diagnosis of progression

Datentyp

date

Diagnosis via
Beschreibung

Means of diagnosis

Datentyp

text

If 'Other', please specify:
Beschreibung

means of diagnosis specification

Datentyp

text

If 'Patient deceased':
Beschreibung

If 'Patient deceased':

Date of death
Beschreibung

Date of death

Datentyp

date

Cause of death
Beschreibung

Cause of death

Datentyp

text

If 'other', please specify:
Beschreibung

other cause of death

Datentyp

text

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Ähnliche Modelle

Patient Status GOAL Trial B-cell Lymphoma NCT02499003

1 Formulare
Name
Typ
Description | Question | Decode (Coded Value)
Datentyp
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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