CRF Tier 2 Withdrawal - isaric4c/wiki GitHub Wiki
Variable / Field Name | Section Header | Field Type | Field Label | Choices or Calculations |
---|---|---|---|---|
crf_tier2_comp_date | text | Date of completion/contact with participant | ||
crf_tier2_withdraw_date | text | Date of withdrawal from study | ||
crf_tier2_data_collect_yn | yesno | Is the participant willing for data to be collected from their Healthcare records for the remainder of the trial? (Tier 1 data) | 1, Yes ; 0, No | |
crf_tier2_main_reason | checkbox | Main reason for Tier 2 consent withdrawal | 1, Work commitments ; 2, Family commitments ; 3, Time constraints ; 4, Moving out of area ; 5, Illness ; 6, Not interested ; 7, Lost to follow up ; 8, Other - give details | |
crf_tier2_other_details | notes | Other - Give details |