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Screen Failure

1 forms  
  1. StudyEvent: ODM
    1. Screen Failure
Administrative Data
Description

Administrative Data

Alias
UMLS CUI-1
C1320722
Date of visit/assessment
Description

Date of visit/assessment

Data type

date

Alias
UMLS CUI [1]
C1320303
UMLS CUI [2]
C2985720
Subject identification number
Description

Subject identification number

Data type

text

Alias
UMLS CUI [1]
C2348585
Screen failure
Description

Screen failure

Alias
UMLS CUI-1
C1710476
Was this subject a screen failure?
Description

Was this subject a screen failure?

Data type

text

Alias
UMLS CUI [1]
C1710476
If yes, check primary reason
Description

Screen failure primary reason

Data type

text

Alias
UMLS CUI [1,1]
C1710476
UMLS CUI [1,2]
C0566251
If the primary reason for screen failure is Investigator discretion, please specify
Description

Primary reason for screen failure: Investigator discretion

Data type

text

Alias
UMLS CUI [1,1]
C1710476
UMLS CUI [1,2]
C0566251
UMLS CUI [1,3]
C0008961
UMLS CUI [1,4]
C0022423
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Similar models

Screen Failure

1 forms
  1. StudyEvent: ODM
    1. Screen Failure
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Administrative Data
C1320722 (UMLS CUI-1)
Date of visit/assessment
Item
Date of visit/assessment
date
C1320303 (UMLS CUI [1])
C2985720 (UMLS CUI [2])
Subject identification number
Item
Subject identification number
text
C2348585 (UMLS CUI [1])
Item Group
Screen failure
C1710476 (UMLS CUI-1)
Item
Was this subject a screen failure?
text
C1710476 (UMLS CUI [1])
Was this subject a screen failure?
Code List
Was this subject a screen failure?
CL Item
No (N)
CL Item
Yes (Y)
Item
If yes, check primary reason
text
C1710476 (UMLS CUI [1,1])
C0566251 (UMLS CUI [1,2])
Screen failure primary reason
Code List
If yes, check primary reason
CL Item
Did not meet the inclusion/exclusion criteria (F01)
CL Item
Adverse Event (unspecified) (F02)
CL Item
Protocol deviation (unspecified) (F04)
CL Item
Study closed/terminated (unspecified) (F06)
CL Item
Lost to follow up (unspecified) (F07)
CL Item
Investigator discretion, specify (F08)
CL Item
Withdrew consent (unspecified) (F09)
Primary reason for screen failure: Investigator discretion
Item
If the primary reason for screen failure is Investigator discretion, please specify
text
C1710476 (UMLS CUI [1,1])
C0566251 (UMLS CUI [1,2])
C0008961 (UMLS CUI [1,3])
C0022423 (UMLS CUI [1,4])
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