Unscheduled / Emergency Clinic Contacts

Unscheduled / Emergency Clinic Contacts
Descrizione

Unscheduled / Emergency Clinic Contacts

Alias
UMLS CUI-1
C1552423
Did the subject make any unscheduled emergency contact with the clinic during the study?
Descrizione

The other items of this form/itemgroup should be completed each time the subject makes an unscheduled / emergency visit or telephone contact to the clinic (this question answered with YES). Ensure that any adverse events and/or changes in concomitant medications are also documented on the appropriate pages of the CRF. If the subject is withdrawn, complete Early Withdrawal pages and make an appointment for the subject to return for a follow-up visit in 1 week (± 2 days) time.

Tipo di dati

text

Alias
UMLS CUI [1,1]
C1552423
UMLS CUI [1,2]
C0332158
UMLS CUI [1,3]
C0681850
Date of unscheduled/emergency contact
Descrizione

Date of unscheduled/emergency contact

Tipo di dati

date

Alias
UMLS CUI [1,1]
C1552423
UMLS CUI [1,2]
C0332158
UMLS CUI [1,3]
C0681850
UMLS CUI [1,4]
C0011008
Type of Contact
Descrizione

Type of Contact

Tipo di dati

text

Alias
UMLS CUI [1,1]
C0332158
UMLS CUI [1,2]
C0332307
Reason for Contact
Descrizione

e.g., headache

Tipo di dati

text

Alias
UMLS CUI [1]
C1547629
Subject withdrawn?
Descrizione

Subject withdrawn

Tipo di dati

text

Alias
UMLS CUI [1]
C0422727

Similar models

Unscheduled / Emergency Clinic Contacts

Name
genere
Description | Question | Decode (Coded Value)
Tipo di dati
Alias
Item Group
Unscheduled / Emergency Clinic Contacts
C1552423 (UMLS CUI-1)
Item
Did the subject make any unscheduled emergency contact with the clinic during the study?
text
C1552423 (UMLS CUI [1,1])
C0332158 (UMLS CUI [1,2])
C0681850 (UMLS CUI [1,3])
Code List
Did the subject make any unscheduled emergency contact with the clinic during the study?
CL Item
yes (Y)
CL Item
no (N)
Date of unscheduled/emergency contact
Item
Date of unscheduled/emergency contact
date
C1552423 (UMLS CUI [1,1])
C0332158 (UMLS CUI [1,2])
C0681850 (UMLS CUI [1,3])
C0011008 (UMLS CUI [1,4])
Item
Type of Contact
text
C0332158 (UMLS CUI [1,1])
C0332307 (UMLS CUI [1,2])
Code List
Type of Contact
CL Item
Visit (V)
CL Item
Telephone (T)
Reason for Contact
Item
Reason for Contact
text
C1547629 (UMLS CUI [1])
Item
Subject withdrawn?
text
C0422727 (UMLS CUI [1])
Code List
Subject withdrawn?
CL Item
yes (Y)
CL Item
no (N)