Inglés

Previous Clinical Trial Participation Form

1 formularios  
Previous Clinical Trial Participation Data
Descripción

Previous Clinical Trial Participation Data

Did the subject participate in a previous Fluticasone Furoate and/or GW642444 clinical trial?
Descripción

Did the subject participate in a previous Fluticasone Furoate and/or GW642444 clinical trial?

Tipo de datos

boolean

If YES, complete the following
Descripción

If YES, complete the following

Tipo de datos

text

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Similar models

Previous Clinical Trial Participation Form

1 formularios
Name
Tipo
Description | Question | Decode (Coded Value)
Tipo de datos
Alias
Item Group
Previous Clinical Trial Participation Data
Did the subject participate in a previous Fluticasone Furoate and/or GW642444 clinical trial?
Item
Did the subject participate in a previous Fluticasone Furoate and/or GW642444 clinical trial?
boolean
Item
If YES, complete the following
text
If YES, complete the following
Code List
If YES, complete the following
CL Item
FFA10007 - Subject # (1)
CL Item
FFA10022 - Subject # (2)
CL Item
FFA10026 - Subject # (3)
CL Item
FFA10027 - Subject # (4)
CL Item
FFA10028 - Subject # (5)
CL Item
FFA10083 - Subject # (6)
CL Item
FFA10084 - Subject # (7)
CL Item
FFA10085 - Subject # (8)
CL Item
FFA10087 - Subject # (9)
CL Item
FFA112202 - Subject # (10)
CL Item
FFA20001 - Subject # (11)
CL Item
HZA108799 - Subject # (12)
CL Item
B2C101762 - Subject # (13)
CL Item
B2C104604 - Subject # (14)
CL Item
B2C106093 - Subject # (15)
CL Item
B2C109575 - Subject # (16)
CL Item
HZA113310 - Subject # (17)
CL Item
FFA114060 - Subject # (18)
CL Item
FFA112059 - Subject # (19)
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