Englisch

Follow-Up: Pregnancy Information

1 Formulare  
Administrative data
Beschreibung

Administrative data

Site
Beschreibung

Site

Datentyp

text

Patient
Beschreibung

Patient

Datentyp

text

Patient Number
Beschreibung

Patient Number

Datentyp

integer

Pregnancy Information
Beschreibung

Pregnancy Information

Did the subject become pregnant during the study?
Beschreibung

For each study session Pregnancy test should be done at Predose

Datentyp

boolean

If YES, complete the paper Pregnancy Notification form
Beschreibung

If YES, complete the paper Pregnancy Notification form

Datentyp

text

Pregnancy Information Part 2
Beschreibung

Pregnancy Information Part 2

Did a female partner of the male subject become pregnant during the study?
Beschreibung

If YES, complete the paper Pregnancy Notification form

Datentyp

text

Zum Seitenanfang zurückkehren

Ähnliche Modelle

Follow-Up: Pregnancy Information

1 Formulare
Name
Typ
Description | Question | Decode (Coded Value)
Datentyp
Alias
Item Group
Administrative data
Site
Item
Site
text
Patient
Item
Patient
text
Patient Number
Item
Patient Number
integer
Item Group
Pregnancy Information
Did the subject become pregnant during the study?
Item
Did the subject become pregnant during the study?
boolean
If YES, complete the paper Pregnancy Notification form
Item
If YES, complete the paper Pregnancy Notification form
text
Item Group
Pregnancy Information Part 2
Item
Did a female partner of the male subject become pregnant during the study?
text
Did a female partner of the male subject become pregnant during the study?
Code List
Did a female partner of the male subject become pregnant during the study?
CL Item
No (1)
CL Item
Yes (2)
CL Item
Not Applicable (Check Not Applicable if female partner not of childbearing or no female partner) (3)
Zum Seitenanfang zurückkehren