Engels

Status of Treatment Blind

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Status of treatment blind
Beschrijving

Status of treatment blind

Was the treatment blind broken during the study?
Beschrijving

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

Datatype

boolean

If YES, complete the following:
Beschrijving

If YES, complete the following:

Date blind broken
Beschrijving

Date blind broken

Datatype

date

Reason blind broken
Beschrijving

Reason blind broken

Datatype

text

If OTHER, specify
Beschrijving

If OTHER, specify

Datatype

text

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Similar models

Status of Treatment Blind

1 Formulieren
Name
Type
Description | Question | Decode (Coded Value)
Datatype
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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