Status of treatment blind Follow-up 5

Status of treatment blind
Descrizione

Status of treatment blind

Alias
UMLS CUI-1
C0749659
UMLS CUI-2
C2347038
Was the treatment blind broken during the study?
Descrizione

If yes, complete the Adverse Event form and/or Investigational Product form as appropriate. Time blind broken is optional.

Tipo di dati

integer

Alias
UMLS CUI [1,1]
C3897431
UMLS CUI [1,2]
C0087111
Date blind broken
Descrizione

Date blind broken

Tipo di dati

date

Alias
UMLS CUI [1,1]
C3897431
UMLS CUI [1,2]
C0011008
Time blind broken
Descrizione

Optional

Tipo di dati

time

Alias
UMLS CUI [1,1]
C3897431
UMLS CUI [1,2]
C0040223
Reason blind broken
Descrizione

Reason blind broken

Tipo di dati

integer

Alias
UMLS CUI [1,1]
C3897431
UMLS CUI [1,2]
C0392360
Reason blind broken other, specify:
Descrizione

Reason blind broken other

Tipo di dati

text

Alias
UMLS CUI [1,1]
C3897431
UMLS CUI [1,2]
C0392360
UMLS CUI [1,3]
C0205394
UMLS CUI [1,4]
C1521902

Similar models

Status of treatment blind Follow-up 5

Name
genere
Description | Question | Decode (Coded Value)
Tipo di dati
Alias
Item Group
Status of treatment blind
C0749659 (UMLS CUI-1)
C2347038 (UMLS CUI-2)
Item
Was the treatment blind broken during the study?
integer
C3897431 (UMLS CUI [1,1])
C0087111 (UMLS CUI [1,2])
Code List
Was the treatment blind broken during the study?
CL Item
No (1)
CL Item
Yes, complete the following: (2)
Date blind broken
Item
Date blind broken
date
C3897431 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
Time blind broken
Item
Time blind broken
time
C3897431 (UMLS CUI [1,1])
C0040223 (UMLS CUI [1,2])
Item
Reason blind broken
integer
C3897431 (UMLS CUI [1,1])
C0392360 (UMLS CUI [1,2])
Code List
Reason blind broken
CL Item
Medical emergency requiring identification of investigational product for further treatment (1)
CL Item
Other, specify: (2)
Reason blind broken other
Item
Reason blind broken other, specify:
text
C3897431 (UMLS CUI [1,1])
C0392360 (UMLS CUI [1,2])
C0205394 (UMLS CUI [1,3])
C1521902 (UMLS CUI [1,4])