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