End of study Telephone contact GSK study Chronic Coronary Heart Disease NCT00799903

End of study contact form
Description

End of study contact form

1. Was subject contacted?
Description

subject contact

Data type

boolean

Alias
UMLS CUI [1,1]
C0332158
UMLS CUI [1,2]
C0681850
Type of contact
Description

Type of contact

Data type

integer

Alias
UMLS CUI [1]
C0332158
If telephone: Time of contact
Description

Time of contact

Data type

time

Alias
UMLS CUI [1]
C1320531
If telephone: Site staff who conducted call
Description

ensure documented in source notes

Data type

text

Alias
UMLS CUI [1]
C0302186
If telephone: Reason why visit was not perfomed in the clinic
Description

Reason visit was not perfomed in clinic

Data type

text

Alias
UMLS CUI [1,1]
C0566251
UMLS CUI [1,2]
C3838685
Other, specify
Description

Reason visit was not perfomed in clinic specification

Data type

text

Alias
UMLS CUI [1,1]
C0566251
UMLS CUI [1,2]
C3838685
UMLS CUI [1,3]
C0545082

Similar models

End of study Telephone contact GSK study Chronic Coronary Heart Disease NCT00799903

Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
End of study contact form
subject contact
Item
1. Was subject contacted?
boolean
C0332158 (UMLS CUI [1,1])
C0681850 (UMLS CUI [1,2])
Item
Type of contact
integer
C0332158 (UMLS CUI [1])
Code List
Type of contact
CL Item
Clinic visit (1)
CL Item
Telephone (2)
Time of contact
Item
If telephone: Time of contact
time
C1320531 (UMLS CUI [1])
Item
If telephone: Site staff who conducted call
text
C0302186 (UMLS CUI [1])
Code List
If telephone: Site staff who conducted call
CL Item
Physician (34)
CL Item
Nurse (35)
CL Item
Other (OT)
Item
If telephone: Reason why visit was not perfomed in the clinic
text
C0566251 (UMLS CUI [1,1])
C3838685 (UMLS CUI [1,2])
Code List
If telephone: Reason why visit was not perfomed in the clinic
CL Item
Subject refused (1)
C1705116 (UMLS CUI-1)
(Comment:en)
CL Item
Subject not able to visit clinic (2)
C3838685 (UMLS CUI-1)
C0545082 (UMLS CUI-2)
(Comment:en)
CL Item
Other (OT)
C0205394 (UMLS CUI-1)
(Comment:en)
Reason visit was not perfomed in clinic specification
Item
Other, specify
text
C0566251 (UMLS CUI [1,1])
C3838685 (UMLS CUI [1,2])
C0545082 (UMLS CUI [1,3])