End of Study
Patient ID (derived)
text
Date of End of Study/Discontinuation
date
Date of End of Study/Discontinuation Status
End of Study: regular/early
Reason for Disc. (Patient s request)
Reason for Disc. (Medical, cognitive,...)
Reason for Disc. (Screening failure)
Reason for Disc. (Other reason)
End of Study: Reason for Discontinuation Text
End of Study: Date of Signature
End of Study: Date of Signature Status
End of Study: Signature yes/no
Comment End of Study