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Child-bearing potential GSK study Chronic Coronary Heart Disease NCT00799903

1 forms  
Child-bearing potential
Description

Child-bearing potential

1. Has child-bearing potential changed?
Description

Change of child-bearing potential

Data type

boolean

If child-bearing potential has changed, select one
Description

Change of child-bearing potential reason

Data type

integer

If post-menopausal, date of final menses:
Description

date of final menses

Data type

date

If sterile, date became sterile:
Description

date became sterile

Data type

date

Pregnancy information
Description

Pregnancy information

1. Did the subject become pregnant during the study?
Description

pregnancy during study

Data type

boolean

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Child-bearing potential GSK study Chronic Coronary Heart Disease NCT00799903

1 forms
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Child-bearing potential
Change of child-bearing potential
Item
1. Has child-bearing potential changed?
boolean
Item
If child-bearing potential has changed, select one
integer
Change of child-bearing potential reason
Code List
If child-bearing potential has changed, select one
CL Item
Post-menopausal (2)
CL Item
Sterile (of child-bearing age) (3)
date of final menses
Item
If post-menopausal, date of final menses:
date
date became sterile
Item
If sterile, date became sterile:
date
Item Group
Pregnancy information
pregnancy during study
Item
1. Did the subject become pregnant during the study?
boolean
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