Inglés

Follow-Up: Study Conclusion

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Study Conclusion Data
Descripción

Study Conclusion Data

Date of subject completion or withdrawal
Descripción

Date of subject completion or withdrawal

Tipo de datos

date

Time of subject completion or withdrawal
Descripción

Time of subject completion or withdrawal

Tipo de datos

time

Was the subject withdrawn from the study?
Descripción

Was the subject withdrawn from the study?

Tipo de datos

boolean

If YES, specify primary reason for withdrawal
Descripción

If YES, specify primary reason for withdrawal

Tipo de datos

text

If OTHER, specify
Descripción

If OTHER, specify

Tipo de datos

text

Case book ready for signature
Descripción

Data owner should check the box when data cleaning is complete

Tipo de datos

text

Office Use 1
Descripción

Office Use 1

Tipo de datos

boolean

Office Use 2
Descripción

Office Use 2

Tipo de datos

text

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Similar models

Follow-Up: Study Conclusion

1 formularios
Name
Tipo
Description | Question | Decode (Coded Value)
Tipo de datos
Alias
Item Group
Study Conclusion Data
Date of subject completion or withdrawal
Item
Date of subject completion or withdrawal
date
Time of subject completion or withdrawal
Item
Time of subject completion or withdrawal
time
Was the subject withdrawn from the study?
Item
Was the subject withdrawn from the study?
boolean
Item
If YES, specify primary reason for withdrawal
text
If YES, specify primary reason for withdrawal
Code List
If YES, specify primary reason for withdrawal
CL Item
Adverse event (1)
CL Item
Lost to follow-up (2)
CL Item
Protocol violation (3)
CL Item
Subject decided to withdraw from the study (4)
CL Item
Sponsor terminated study (5)
CL Item
Other (6)
If OTHER, specify
Item
If OTHER, specify
text
Item
Case book ready for signature
text
Case book ready for signature
Code List
Case book ready for signature
CL Item
Yes (1)
Office Use 1
Item
Office Use 1
boolean
Item
Office Use 2
text
Office Use 2
Code List
Office Use 2
CL Item
1 (1)
CL Item
2 (2)
CL Item
3 (3)
CL Item
4 (4)
CL Item
5 (5)
CL Item
6 (6)
CL Item
7 (7)
CL Item
8 (8)
CL Item
9 (9)
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