Updated informed consent GSK study Chronic Coronary Heart Disease NCT00799903

Updated informed consent
Beschrijving

Updated informed consent

1. Subject study status at the time of review of updated Informed Consent
Beschrijving

(*if not able to contact please complete section below)

Datatype

integer

If subject currently on IP: Date updated safety text reviewed with subject
Beschrijving

Reminder: the deadline for updating subjects currently on IP is 3 months after the date of ethics approval

Datatype

date

If subject currently on IP: Has the subject confirmed they are continuing on IP?
Beschrijving

If subject decides to permanently discontinue IP after review of the updated Informed Consent, complete the EOT/EW IP visit. For the IP Discontinuation reason, record the details in the 'Decision by subject or proxy' text box.l

Datatype

boolean

If subject currently on IP: Did the subject sign the updated Informed Consent form?
Beschrijving

If subject withdraws consent to participate in study after review of the updated Informed Consent, complete the EOS visit. For the Study Conclusion form Primary reason for withdrawal, record the details in the 'Withdrew Consent' text box. If pending [3]: Reminder - please update the eCRF to enter either "yes" or "no" after the subject attends their next clinic visit

Datatype

text

If subject signed the updated Informed Consent form: date subject signed the updated Informed Consent form
Beschrijving

date subject signed the updated Informed Consent form

Datatype

date

If Subject who previously permanently stopped IP but remains in post-IP follow-up: Date subject informed of findings
Beschrijving

Date subject informed of findings

Datatype

date

Similar models

Updated informed consent GSK study Chronic Coronary Heart Disease NCT00799903

Name
Type
Description | Question | Decode (Coded Value)
Datatype
Alias
Item Group
Updated informed consent
Item
1. Subject study status at the time of review of updated Informed Consent
integer
Code List
1. Subject study status at the time of review of updated Informed Consent
CL Item
Subject currently on IP (23)
CL Item
Not applicable - subject no longer ongoing in study at time of reconsent (study withdrawal, lost to follow-up, died, *unable to contact subject in third party follow-up) (25)
CL Item
Subject who previously permanently stopped IP but remains in post-IP follow-up (including third party follow-up*) (24)
Date updated safety text reviewed with subject
Item
If subject currently on IP: Date updated safety text reviewed with subject
date
continuation IP confirmation
Item
If subject currently on IP: Has the subject confirmed they are continuing on IP?
boolean
Item
If subject currently on IP: Did the subject sign the updated Informed Consent form?
text
Code List
If subject currently on IP: Did the subject sign the updated Informed Consent form?
CL Item
Pending - waiting for subject to visit the clinic to sign the form (3)
CL Item
Yes, date subject signed the updated Informed Consent form (Y)
CL Item
No - subject confirmed that they will not sign. Subject must be withdrawn from IP if refuses to sign. Complete the EOT/EW IP visit. (N)
date subject signed the updated Informed Consent form
Item
If subject signed the updated Informed Consent form: date subject signed the updated Informed Consent form
date
Date subject informed of findings
Item
If Subject who previously permanently stopped IP but remains in post-IP follow-up: Date subject informed of findings
date