Inglés

End of Study: Vital Signs BG00012 Monotherapy Safety and Efficacy Extension Study in Multiple Sclerosis (MS) (ENDORSE) NCT00835770

1 formularios  
Subject Identification
Descripción

Subject Identification

Number of Facility
Descripción

Site number

Tipo de datos

integer

Alias
UMLS CUI [1,1]
C0018704
UMLS CUI [1,2]
C0600091
Subject number
Descripción

Subject number

Tipo de datos

integer

Alias
UMLS CUI [1]
C2348585
Subject Initials
Descripción

Subject Initials

Tipo de datos

text

Alias
UMLS CUI [1]
C2986440
Vital Signs
Descripción

Vital Signs

Date of examination
Descripción

Date of examination

Tipo de datos

date

Alias
UMLS CUI [1]
C2826643
Blood Pressure
Descripción

Blood Pressure

Tipo de datos

text

Alias
UMLS CUI [1]
C0005823
Pulse
Descripción

Pulse

Tipo de datos

integer

Unidades de medida
  • bpm
Alias
UMLS CUI [1]
C0232117
bpm
Temperature
Descripción

Temperature

Tipo de datos

float

Unidades de medida
  • °C
Alias
UMLS CUI [1]
C0005903
°C
End of Study Survey
Descripción

End of Study Survey

Date of last dose
Descripción

Last Dose Date

Tipo de datos

date

Alias
UMLS CUI [1]
C1762893
End of Study Date
Descripción

End of Study Date

Tipo de datos

date

Alias
UMLS CUI [1]
C2983670
Did the subject complete the study?
Descripción

If no, please specify below

Tipo de datos

boolean

Alias
UMLS CUI [1]
C2348577
Primary reason for not completing treatment (mark one)
Descripción

if other than MS, please describe below if Adverse Event, complete Adverse Events Form If Death, please complete Record of death form

Tipo de datos

integer

Alias
UMLS CUI [1]
C1709849
Primary reason for not completing treatment, description
Descripción

Reason for non-completion, Description

Tipo de datos

text

Alias
UMLS CUI [1]
C1709849
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Similar models

End of Study: Vital Signs BG00012 Monotherapy Safety and Efficacy Extension Study in Multiple Sclerosis (MS) (ENDORSE) NCT00835770

1 formularios
Name
Tipo
Description | Question | Decode (Coded Value)
Tipo de datos
Alias
Item Group
Subject Identification
Site number
Item
Number of Facility
integer
C0018704 (UMLS CUI [1,1])
C0600091 (UMLS CUI [1,2])
Subject number
Item
Subject number
integer
C2348585 (UMLS CUI [1])
Subject Initials
Item
Subject Initials
text
C2986440 (UMLS CUI [1])
Item Group
Vital Signs
Date of examination
Item
Date of examination
date
C2826643 (UMLS CUI [1])
Blood Pressure
Item
Blood Pressure
text
C0005823 (UMLS CUI [1])
Pulse
Item
Pulse
integer
C0232117 (UMLS CUI [1])
Temperature
Item
Temperature
float
C0005903 (UMLS CUI [1])
Item Group
End of Study Survey
Last Dose Date
Item
Date of last dose
date
C1762893 (UMLS CUI [1])
End of Study Date
Item
End of Study Date
date
C2983670 (UMLS CUI [1])
Study completed
Item
Did the subject complete the study?
boolean
C2348577 (UMLS CUI [1])
Item
Primary reason for not completing treatment (mark one)
integer
C1709849 (UMLS CUI [1])
Reason for non-completion
Code List
Primary reason for not completing treatment (mark one)
CL Item
MS Relapse (1)
C0856120 (UMLS CUI-1)
(Comment:en)
CL Item
MS Progression (2)
C1536149 (UMLS CUI-1)
(Comment:en)
CL Item
Adverse Event (3)
C0877248 (UMLS CUI-1)
(Comment:en)
CL Item
Lost to follow up (4)
C1302313 (UMLS CUI-1)
(Comment:en)
CL Item
Consent withdrawn (5)
C1707492 (UMLS CUI-1)
(Comment:en)
CL Item
Investigator decision (6)
C1709536 (UMLS CUI-1)
(Comment:en)
CL Item
Subject non-compliance (7)
C0376405 (UMLS CUI-1)
(Comment:en)
CL Item
Death (8)
C0011065 (UMLS CUI-1)
(Comment:en)
CL Item
Other (9)
C3840932 (UMLS CUI-1)
(Comment:en)
Reason for non-completion, Description
Item
Primary reason for not completing treatment, description
text
C1709849 (UMLS CUI [1])
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