Englisch

Screening Registration GOAL Trial B-cell Lymphoma NCT02499003

1 Formulare  
Admininstrative data
Beschreibung

Admininstrative data

Alias
UMLS CUI-1
C1320722
Subject ID
Beschreibung

Subject ID

Datentyp

text

Alias
UMLS CUI [1]
C2348585
Registration
Beschreibung

Registration

Alias
UMLS CUI-1
C1514821
Subject complies with all inclusion criteria?
Beschreibung

compliance inclusion criteria

Datentyp

boolean

Alias
UMLS CUI [1,1]
C1321605
UMLS CUI [1,2]
C1512693
Subject complies with all exclusion criteria?
Beschreibung

compliance exclusion criteria

Datentyp

boolean

Alias
UMLS CUI [1,1]
C1321605
UMLS CUI [1,2]
C0680251
Include subject into study?
Beschreibung

In case of non-inclusion, please fill out the End of Study form

Datentyp

boolean

Alias
UMLS CUI [1,1]
C1512693
UMLS CUI [1,2]
C2348563
Patient No.
Beschreibung

Patient number

Datentyp

integer

Alias
UMLS CUI [1]
C1830427
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Ähnliche Modelle

Screening Registration GOAL Trial B-cell Lymphoma NCT02499003

1 Formulare
Name
Typ
Description | Question | Decode (Coded Value)
Datentyp
Alias
Item Group
Admininstrative data
C1320722 (UMLS CUI-1)
Subject ID
Item
Subject ID
text
C2348585 (UMLS CUI [1])
Item Group
Registration
C1514821 (UMLS CUI-1)
compliance inclusion criteria
Item
Subject complies with all inclusion criteria?
boolean
C1321605 (UMLS CUI [1,1])
C1512693 (UMLS CUI [1,2])
compliance exclusion criteria
Item
Subject complies with all exclusion criteria?
boolean
C1321605 (UMLS CUI [1,1])
C0680251 (UMLS CUI [1,2])
Inclusion in study
Item
Include subject into study?
boolean
C1512693 (UMLS CUI [1,1])
C2348563 (UMLS CUI [1,2])
Patient number
Item
Patient No.
integer
C1830427 (UMLS CUI [1])
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