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End of Study

1 forms  
  1. StudyEvent: ODM
    1. End of Study
Administrative data
Description

Administrative data

Alias
UMLS CUI-1
C1320722
Country No.
Description

Country No.

Data type

integer

Alias
UMLS CUI [1,1]
C0454664
UMLS CUI [1,2]
C0600091
Centre No.
Description

Centre No.

Data type

integer

Alias
UMLS CUI [1,1]
C1301943
UMLS CUI [1,2]
C0600091
Subject No.
Description

Clinical Trial Subject Unique Identifier

Data type

integer

Alias
UMLS CUI [1]
C2348585
Subject Initials
Description

Subject Initials

Data type

text

Alias
UMLS CUI [1,1]
C1997894
UMLS CUI [1,2]
C2986440
End of Study
Description

End of Study

Alias
UMLS CUI-1
C0444496
Date of end of study
Description

Study end date

Data type

date

Alias
UMLS CUI [1]
C2983670
Main reason for stopping study
Description

Select lack of effficacy in case of suspicion of DVT and/or PE, even if not confirmed, and complete appropriate forms. For Adverse Events, complete AE/SAE forms as well as Bleeding or Death Forms, if appropriate. Specify other main reason in next item.

Data type

integer

Alias
UMLS CUI [1,1]
C1542147
UMLS CUI [1,2]
C0566251
UMLS CUI [1,3]
C0457454
UMLS CUI [1,4]
C0008976
If other main reason for stopping study, specify
Description

if applicable

Data type

text

Alias
UMLS CUI [1,1]
C1521902
UMLS CUI [1,2]
C1542147
UMLS CUI [1,3]
C3840932
UMLS CUI [1,4]
C0457454
UMLS CUI [1,5]
C0008976
Was the study code broken at any time?
Description

If yes, specify

Data type

boolean

Alias
UMLS CUI [1]
C3897431
If yes, specify
Description

Specification of study code broken

Data type

text

Alias
UMLS CUI [1,1]
C1521902
UMLS CUI [1,2]
C3897431
Investigator's Signature
Description

Investigator's Signature

Alias
UMLS CUI-1
C2346576
Investigator's Signature
Description

"I, the undersigned, certify that I have carefully examined all entries on the CRF for this subject.To the best of my knowledge, all information is correct."

Data type

text

Alias
UMLS CUI [1]
C2346576
Date
Description

Investigator's signature date

Data type

date

Alias
UMLS CUI [1,1]
C2346576
UMLS CUI [1,2]
C0011008
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Similar models

End of Study

1 forms
  1. StudyEvent: ODM
    1. End of Study
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Administrative data
C1320722 (UMLS CUI-1)
Country No.
Item
Country No.
integer
C0454664 (UMLS CUI [1,1])
C0600091 (UMLS CUI [1,2])
Centre No.
Item
Centre No.
integer
C1301943 (UMLS CUI [1,1])
C0600091 (UMLS CUI [1,2])
Clinical Trial Subject Unique Identifier
Item
Subject No.
integer
C2348585 (UMLS CUI [1])
Subject Initials
Item
Subject Initials
text
C1997894 (UMLS CUI [1,1])
C2986440 (UMLS CUI [1,2])
Item Group
End of Study
C0444496 (UMLS CUI-1)
Study end date
Item
Date of end of study
date
C2983670 (UMLS CUI [1])
Item
Main reason for stopping study
integer
C1542147 (UMLS CUI [1,1])
C0566251 (UMLS CUI [1,2])
C0457454 (UMLS CUI [1,3])
C0008976 (UMLS CUI [1,4])
Main reason for stopping treatment
Code List
Main reason for stopping study
CL Item
Completed follow-up period (1)
CL Item
Lack of efficacy (2)
CL Item
Adverse event (3)
CL Item
Poor compliance to protocol (4)
CL Item
Subject's request (5)
CL Item
Subject lost to follow-up (6)
CL Item
Other reason (7)
Specify other main reason for stopping study
Item
If other main reason for stopping study, specify
text
C1521902 (UMLS CUI [1,1])
C1542147 (UMLS CUI [1,2])
C3840932 (UMLS CUI [1,3])
C0457454 (UMLS CUI [1,4])
C0008976 (UMLS CUI [1,5])
Study code broken?
Item
Was the study code broken at any time?
boolean
C3897431 (UMLS CUI [1])
Specification of study code broken
Item
If yes, specify
text
C1521902 (UMLS CUI [1,1])
C3897431 (UMLS CUI [1,2])
Item Group
Investigator's Signature
C2346576 (UMLS CUI-1)
Investigator's Signature
Item
Investigator's Signature
text
C2346576 (UMLS CUI [1])
Investigator's signature date
Item
Date
date
C2346576 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
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