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End of Study Multiple Sclerosis ALAIN01 NCT02419378

1 forms  
End of Study
Description

End of Study

Alias
UMLS CUI-1
C0444496
Patient ID (derived)
Description

Patient ID (derived)

Data type

text

Alias
UMLS CUI [1]
C2348585
Date of End of Study/Discontinuation
Description

Date of End of Study/Discontinuation

Data type

date

Alias
UMLS CUI [1]
C2983670
End of Study: regular/early
Description

End of Study: regular/early

Data type

text

Alias
UMLS CUI [1]
C2718058
Reason for Disc. (Patient s request)
Description

Reason for Disc. (Patient s request)

Data type

text

Alias
UMLS CUI [1,1]
C0457454
UMLS CUI [1,2]
C3166257
Reason for Disc. (Medical, cognitive,...)
Description

Reason for Disc. (Medical, cognitive,...)

Data type

text

Alias
UMLS CUI [1,1]
C0457454
UMLS CUI [1,2]
C3166257
Reason for Disc. (Screening failure)
Description

Reason for Disc. (Screening failure)

Data type

text

Alias
UMLS CUI [1,1]
C0457454
UMLS CUI [1,2]
C3166257
Reason for Disc. (Other reason)
Description

Reason for Disc. (Other reason)

Data type

text

Alias
UMLS CUI [1,1]
C0457454
UMLS CUI [1,2]
C3166257
End of Study: Reason for Discontinuation Text
Description

End of Study: Reason for Discontinuation Text

Data type

text

Alias
UMLS CUI [1,1]
C0457454
UMLS CUI [1,2]
C0566251
End of Study: Date of Signature
Description

End of Study: Date of Signature

Data type

date

Alias
UMLS CUI [1,1]
C1519316
UMLS CUI [1,2]
C0011008
End of Study: Signature yes/no
Description

End of Study: Signature yes/no

Data type

text

Alias
UMLS CUI [1,1]
C1519316
UMLS CUI [1,2]
C1705848
Comment End of Study
Description

Comment End of Study

Data type

text

Alias
UMLS CUI [1,1]
C0444496
UMLS CUI [1,2]
C0947611
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Similar models

End of Study Multiple Sclerosis ALAIN01 NCT02419378

1 forms
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
End of Study
C0444496 (UMLS CUI-1)
Patient ID (derived)
Item
Patient ID (derived)
text
C2348585 (UMLS CUI [1])
End of Study date
Item
Date of End of Study/Discontinuation
date
C2983670 (UMLS CUI [1])
Item
End of Study: regular/early
text
C2718058 (UMLS CUI [1])
End of Study: regular/early
Code List
End of Study: regular/early
CL Item
Regular end of study (1)
CL Item
Early discontinuation (2)
Item
Reason for Disc. (Patient s request)
text
C0457454 (UMLS CUI [1,1])
C3166257 (UMLS CUI [1,2])
Reason for Disc. (Patient s request)
Code List
Reason for Disc. (Patient s request)
CL Item
Patient s request (1)
Item
Reason for Disc. (Medical, cognitive,...)
text
C0457454 (UMLS CUI [1,1])
C3166257 (UMLS CUI [1,2])
Reason for Disc. (Medical, cognitive,...)
Code List
Reason for Disc. (Medical, cognitive,...)
CL Item
Medical, cognitive, or other conditions... (1)
Item
Reason for Disc. (Screening failure)
text
C0457454 (UMLS CUI [1,1])
C3166257 (UMLS CUI [1,2])
Reason for Disc. (Screening failure)
Code List
Reason for Disc. (Screening failure)
CL Item
Screening failure (1)
Item
Reason for Disc. (Other reason)
text
C0457454 (UMLS CUI [1,1])
C3166257 (UMLS CUI [1,2])
Reason for Disc. (Other reason)
Code List
Reason for Disc. (Other reason)
CL Item
Other reason (9)
Discontinuation Reason
Item
End of Study: Reason for Discontinuation Text
text
C0457454 (UMLS CUI [1,1])
C0566251 (UMLS CUI [1,2])
End of Study: Date of Signature
Item
End of Study: Date of Signature
date
C1519316 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
Item
End of Study: Signature yes/no
text
C1519316 (UMLS CUI [1,1])
C1705848 (UMLS CUI [1,2])
End of Study: Signature yes/no
Code List
End of Study: Signature yes/no
CL Item
yes (1)
CL Item
no (0)
Comment End of Study
Item
Comment End of Study
text
C0444496 (UMLS CUI [1,1])
C0947611 (UMLS CUI [1,2])
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