Inglese

Study Conclusion Form

1 moduli  
  1. StudyEvent: ODM
    1. Study Conclusion Form
Administrative data
Descrizione

Administrative data

Subject Identifier
Descrizione

Subject Identifier

Tipo di dati

integer

Study Conclusion
Descrizione

Study Conclusion

Tipo di dati

text

Date of subject completion or withdrawal
Descrizione

Date of subject completion or withdrawal

Tipo di dati

date

Was the subject withdrawn from the study?
Descrizione

Was the subject withdrawn from the study?

Tipo di dati

boolean

If YES, mark the primary reason for withdrawal:
Descrizione

If YES, mark the primary reason for withdrawal:

Tipo di dati

text

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Similar models

Study Conclusion Form

1 moduli
  1. StudyEvent: ODM
    1. Study Conclusion Form
Name
genere
Description | Question | Decode (Coded Value)
Tipo di dati
Alias
Item Group
Administrative data
Subject Identifier
Item
Subject Identifier
integer
Study Conclusion
Item
Study Conclusion
text
Date of subject completion or withdrawal
Item
Date of subject completion or withdrawal
date
Was the subject withdrawn from the study?
Item
Was the subject withdrawn from the study?
boolean
Item
If YES, mark the primary reason for withdrawal:
text
If YES, mark the primary reason for withdrawal:
Code List
If YES, mark the primary reason for withdrawal:
CL Item
[1] Adverse event -> Record details on the Non-Serious Adverse Events or Serious Adverse Event pages as appropriate. (1)
CL Item
[2] Lost to follow-up (2)
CL Item
[3] Protocol violation (3)
CL Item
[4] Subject decided to withdraw from the study (4)
CL Item
[6] Sponsor terminated study (5)
CL Item
[Z] Other, specify______________________________ (6)
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