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Absences from Study Area

1 forms  
Administrative Documentation
Description

Administrative Documentation

Alias
UMLS CUI-1
C1320722
Please specify the study phase for which the form is filled in.
Description

Study phase

Data type

text

Alias
UMLS CUI [1,1]
C0205390
UMLS CUI [1,2]
C2603343
Subject number
Description

Subject number

Data type

integer

Alias
UMLS CUI [1]
C2348585
Record absences for ≥ 1 weeks
Description

Record absences for ≥ 1 weeks

Alias
UMLS CUI-1
C0332197
UMLS CUI-2
C0681784
UMLS CUI-3
C0008976
UMLS CUI-4
C0449238
Has the subject been absent for more than 1 weeks?
Description

If yes, complete the following item group for every period of absence.

Data type

boolean

Alias
UMLS CUI [1,1]
C0332197
UMLS CUI [1,2]
C0681784
UMLS CUI [1,3]
C0347984
UMLS CUI [1,4]
C0008976
Record absences for ≥ 1 weeks
Description

Record absences for ≥ 1 weeks

Alias
UMLS CUI-1
C0332197
UMLS CUI-2
C0681784
UMLS CUI-3
C0008976
UMLS CUI-4
C0449238
Approximate date subject left study area
Description

Start date absent clinical trial area

Data type

date

Alias
UMLS CUI [1,1]
C0808070
UMLS CUI [1,2]
C0332197
UMLS CUI [1,3]
C0681784
UMLS CUI [1,4]
C0008976
Approximate date subject returned to study area
Description

End date absent clinical trial area

Data type

date

Alias
UMLS CUI [1,1]
C0806020
UMLS CUI [1,2]
C0332197
UMLS CUI [1,3]
C0681784
UMLS CUI [1,4]
C0008976
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Similar models

Absences from Study Area

1 forms
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Administrative Documentation
C1320722 (UMLS CUI-1)
Item
Please specify the study phase for which the form is filled in.
text
C0205390 (UMLS CUI [1,1])
C2603343 (UMLS CUI [1,2])
Visit number
Code List
Please specify the study phase for which the form is filled in.
CL Item
double-blind phase ([D])
CL Item
single-blind phase ([S])
Subject number
Item
Subject number
integer
C2348585 (UMLS CUI [1])
Item Group
Record absences for ≥ 1 weeks
C0332197 (UMLS CUI-1)
C0681784 (UMLS CUI-2)
C0008976 (UMLS CUI-3)
C0449238 (UMLS CUI-4)
Absent geographical area during clinical trial
Item
Has the subject been absent for more than 1 weeks?
boolean
C0332197 (UMLS CUI [1,1])
C0681784 (UMLS CUI [1,2])
C0347984 (UMLS CUI [1,3])
C0008976 (UMLS CUI [1,4])
Item Group
Record absences for ≥ 1 weeks
C0332197 (UMLS CUI-1)
C0681784 (UMLS CUI-2)
C0008976 (UMLS CUI-3)
C0449238 (UMLS CUI-4)
Start date absent clinical trial area
Item
Approximate date subject left study area
date
C0808070 (UMLS CUI [1,1])
C0332197 (UMLS CUI [1,2])
C0681784 (UMLS CUI [1,3])
C0008976 (UMLS CUI [1,4])
End date absent clinical trial area
Item
Approximate date subject returned to study area
date
C0806020 (UMLS CUI [1,1])
C0332197 (UMLS CUI [1,2])
C0681784 (UMLS CUI [1,3])
C0008976 (UMLS CUI [1,4])
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