Englisch

Follow-Up: Study Conclusion

1 Formulare  
Study Conclusion Data
Beschreibung

Study Conclusion Data

Date of subject completion or withdrawal
Beschreibung

Date of subject completion or withdrawal

Datentyp

date

Time of subject completion or withdrawal
Beschreibung

Time of subject completion or withdrawal

Datentyp

time

Was the subject withdrawn from the study?
Beschreibung

Was the subject withdrawn from the study?

Datentyp

boolean

If YES, specify primary reason for withdrawal
Beschreibung

If YES, specify primary reason for withdrawal

Datentyp

text

If OTHER, specify
Beschreibung

If OTHER, specify

Datentyp

text

Case book ready for signature
Beschreibung

Data owner should check the box when data cleaning is complete

Datentyp

text

Office Use 1
Beschreibung

Office Use 1

Datentyp

boolean

Office Use 2
Beschreibung

Office Use 2

Datentyp

text

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Ähnliche Modelle

Follow-Up: Study Conclusion

1 Formulare
Name
Typ
Description | Question | Decode (Coded Value)
Datentyp
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Was the subject withdrawn from the study?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Was the subject withdrawn from the study?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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