Engelsk

Status of Treatment Blind

1 Formulär  
Status of treatment blind
Beskrivning

Status of treatment blind

Was the treatment blind broken during the study?
Beskrivning

if yes, complete the SAE, Ae, and/or Investigational Product forms as appropriate

Datatyp

boolean

If YES, complete the following:
Beskrivning

If YES, complete the following:

Date blind broken
Beskrivning

Date blind broken

Datatyp

date

Reason blind broken
Beskrivning

Reason blind broken

Datatyp

text

If OTHER, specify
Beskrivning

If OTHER, specify

Datatyp

text

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Similar models

Status of Treatment Blind

1 Formulär
Name
Typ
Description | Question | Decode (Coded Value)
Datatyp
Alias
Item Group
Status of treatment blind
Was the treatment blind broken during the study?
Item
Was the treatment blind broken during the study?
boolean
Item Group
If YES, complete the following:
Date blind broken
Item
Date blind broken
date
Item
Reason blind broken
text
Reason blind broken
Code List
Reason blind broken
CL Item
Medical emergency requiring identification of investigational product for further treatment (1)
CL Item
Progressive disease (2)
CL Item
Other (3)
If OTHER, specify
Item
text
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