Inglês

Follow-Up: Pregnancy Information

1 Formulários  
Administrative data
Descrição

Administrative data

Site
Descrição

Site

Tipo de dados

text

Patient
Descrição

Patient

Tipo de dados

text

Patient Number
Descrição

Patient Number

Tipo de dados

integer

Pregnancy Information
Descrição

Pregnancy Information

Did the subject become pregnant during the study?
Descrição

For each study session Pregnancy test should be done at Predose

Tipo de dados

boolean

If YES, complete the paper Pregnancy Notification form
Descrição

If YES, complete the paper Pregnancy Notification form

Tipo de dados

text

Pregnancy Information Part 2
Descrição

Pregnancy Information Part 2

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

If YES, complete the paper Pregnancy Notification form

Tipo de dados

text

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Similar models

Follow-Up: Pregnancy Information

1 Formulários
Name
Tipo
Description | Question | Decode (Coded Value)
Tipo de dados
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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