Englisch

Status of Treatment Blind

1 Formulare  
Status of treatment blind
Beschreibung

Status of treatment blind

Was the treatment blind broken during the study?
Beschreibung

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

Datentyp

boolean

If YES, complete the following:
Beschreibung

If YES, complete the following:

Date blind broken
Beschreibung

Date blind broken

Datentyp

date

Reason blind broken
Beschreibung

Reason blind broken

Datentyp

text

If OTHER, specify
Beschreibung

If OTHER, specify

Datentyp

text

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Ähnliche Modelle

Status of Treatment Blind

1 Formulare
Name
Typ
Description | Question | Decode (Coded Value)
Datentyp
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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