Patient Withdrawal from Study

Administrative Data
Description

Administrative Data

Alias
UMLS CUI-1
C1320722
Site Number
Description

Site number

Data type

text

Alias
UMLS CUI [1,1]
C0018704
UMLS CUI [1,2]
C0600091
Patient Number
Description

Patient Number

Data type

text

Alias
UMLS CUI [1]
C1830427
Patient Initials
Description

Patient Initials

Data type

text

Alias
UMLS CUI [1]
C2986440
Date of withdrawal from study
Description

Withdrawal Date

Data type

date

Alias
UMLS CUI [1,1]
C2349954
UMLS CUI [1,2]
C0011008
Withdrawal from study
Description

Withdrawal from study

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

Withdrawal from study; reason

Data type

text

Alias
UMLS CUI [1,1]
C0422727
UMLS CUI [1,2]
C0085978
Explanation of withdrawal
Description

Withdrawal from study, explanation

Data type

text

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

Similar models

Patient Withdrawal from Study

Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Administrative Data
C1320722 (UMLS CUI-1)
Site number
Item
Site Number
text
C0018704 (UMLS CUI [1,1])
C0600091 (UMLS CUI [1,2])
Patient Number
Item
Patient Number
text
C1830427 (UMLS CUI [1])
Patient Initials
Item
Patient Initials
text
C2986440 (UMLS CUI [1])
Withdrawal Date
Item
Date of withdrawal from study
date
C2349954 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
Item Group
Withdrawal from study
C0422727 (UMLS CUI-1)
Item
Reason for withdrawal from study (check primary reason only)
text
C0422727 (UMLS CUI [1,1])
C0085978 (UMLS CUI [1,2])
Code List
Reason for withdrawal from study (check primary reason only)
CL Item
Patient was lost to follow up (Date of last contact and explain below). (Patient was lost to follow up (Date of last contact and explain below).)
CL Item
Patient wished to withdraw from study (explain below). (Patient wished to withdraw from study (explain below).)
CL Item
Patient received an alternate therapy (explain below). (Patient received an alternate therapy (explain below).)
CL Item
Patient had progressive disease. (Patient had progressive disease.)
CL Item
Patient died. (Patient died.)
CL Item
Other (specify) (Other (specify))
Withdrawal from study, explanation
Item
Explanation of withdrawal
text
C0422727 (UMLS CUI [1,1])
C0681841 (UMLS CUI [1,2])