Patient Withdrawal from Study

Date of withdrawal from study
Descrição

Date of withdrawal from study

Alias
UMLS CUI-1
C0422727
UMLS CUI-2
C0011008
Date of withdrawal from study
Descrição

Patient withdrawn from trial; Date in time

Tipo de dados

date

Alias
UMLS CUI [1,1]
C0422727
UMLS CUI [1,2]
C0011008
Reason for withdrawal from study
Descrição

Reason for withdrawal from study

Alias
UMLS CUI-1
C0422727
UMLS CUI-2
C3146298
Reason for withdrawal from study (check primary reason only)
Descrição

Patient withdrawn from trial | Indication

Tipo de dados

text

Alias
UMLS CUI [1,1]
C0422727
UMLS CUI [1,2]
C3146298
If patient was lost to follow-up, date of last contact
Descrição

Lost to Follow-Up | Date last contact

Tipo de dados

date

Alias
UMLS CUI [1]
C1302313
UMLS CUI [2]
C0805839
If other reason for withdrawal from study, please specify
Descrição

Patient withdrawn from trial; Indication; Other; Specification

Tipo de dados

text

Alias
UMLS CUI [1,1]
C0422727
UMLS CUI [1,2]
C3146298
UMLS CUI [1,3]
C0205394
UMLS CUI [1,4]
C2348235
Explanation of withdrawal
Descrição

Explanation of withdrawal

Alias
UMLS CUI-1
C0422727
UMLS CUI-2
C0681841
Explanation of withdrawal (when appropriate)
Descrição

Patient withdrawn from trial; explanation

Tipo de dados

text

Alias
UMLS CUI [1,1]
C0422727
UMLS CUI [1,2]
C0681841

Similar models

Patient Withdrawal from Study

Name
Tipo
Description | Question | Decode (Coded Value)
Tipo de dados
Alias
Item Group
Date of withdrawal from study
C0422727 (UMLS CUI-1)
C0011008 (UMLS CUI-2)
Patient withdrawn from trial; Date in time
Item
Date of withdrawal from study
date
C0422727 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
Item Group
Reason for withdrawal from study
C0422727 (UMLS CUI-1)
C3146298 (UMLS CUI-2)
Item
Reason for withdrawal from study (check primary reason only)
text
C0422727 (UMLS CUI [1,1])
C3146298 (UMLS CUI [1,2])
Code List
Reason for withdrawal from study (check primary reason only)
CL Item
Patient was lost to follow-up (explain below) (1)
CL Item
Patient wished to withdraw from study (explain below) (2)
CL Item
Patient received alternative therapy (explain below) (3)
CL Item
Patient had progressive disease (4)
CL Item
Patient died (5)
CL Item
Other (6)
Lost to Follow-Up | Date last contact
Item
If patient was lost to follow-up, date of last contact
date
C1302313 (UMLS CUI [1])
C0805839 (UMLS CUI [2])
Patient withdrawn from trial; Indication; Other; Specification
Item
If other reason for withdrawal from study, please specify
text
C0422727 (UMLS CUI [1,1])
C3146298 (UMLS CUI [1,2])
C0205394 (UMLS CUI [1,3])
C2348235 (UMLS CUI [1,4])
Item Group
Explanation of withdrawal
C0422727 (UMLS CUI-1)
C0681841 (UMLS CUI-2)
Patient withdrawn from trial; explanation
Item
Explanation of withdrawal (when appropriate)
text
C0422727 (UMLS CUI [1,1])
C0681841 (UMLS CUI [1,2])