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Follow-Up: Pregnancy Information

1 moduli  
Administrative data
Descrizione

Administrative data

Site
Descrizione

Site

Tipo di dati

text

Patient
Descrizione

Patient

Tipo di dati

text

Patient Number
Descrizione

Patient Number

Tipo di dati

integer

Pregnancy Information
Descrizione

Pregnancy Information

Did the subject become pregnant during the study?
Descrizione

For each study session Pregnancy test should be done at Predose

Tipo di dati

boolean

If YES, complete the paper Pregnancy Notification form
Descrizione

If YES, complete the paper Pregnancy Notification form

Tipo di dati

text

Pregnancy Information Part 2
Descrizione

Pregnancy Information Part 2

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

If YES, complete the paper Pregnancy Notification form

Tipo di dati

text

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Similar models

Follow-Up: Pregnancy Information

1 moduli
Name
genere
Description | Question | Decode (Coded Value)
Tipo di dati
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)
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