Engelsk

Child-bearing potential GSK study Chronic Coronary Heart Disease NCT00799903

1 Formulär  
Child-bearing potential
Beskrivning

Child-bearing potential

1. Has child-bearing potential changed?
Beskrivning

Change of child-bearing potential

Datatyp

boolean

If child-bearing potential has changed, select one
Beskrivning

Change of child-bearing potential reason

Datatyp

integer

If post-menopausal, date of final menses:
Beskrivning

date of final menses

Datatyp

date

If sterile, date became sterile:
Beskrivning

date became sterile

Datatyp

date

Pregnancy information
Beskrivning

Pregnancy information

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

pregnancy during study

Datatyp

boolean

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Similar models

Child-bearing potential GSK study Chronic Coronary Heart Disease NCT00799903

1 Formulär
Name
Typ
Description | Question | Decode (Coded Value)
Datatyp
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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