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Follow-Up: Pregnancy Information

1 forms  
Administrative data
Description

Administrative data

Site
Description

Site

Data type

text

Patient
Description

Patient

Data type

text

Patient Number
Description

Patient Number

Data type

integer

Pregnancy Information
Description

Pregnancy Information

Did the subject become pregnant during the study?
Description

For each study session Pregnancy test should be done at Predose

Data type

boolean

If YES, complete the paper Pregnancy Notification form
Description

If YES, complete the paper Pregnancy Notification form

Data type

text

Pregnancy Information Part 2
Description

Pregnancy Information Part 2

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

If YES, complete the paper Pregnancy Notification form

Data type

text

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Similar models

Follow-Up: Pregnancy Information

1 forms
Name
Type
Description | Question | Decode (Coded Value)
Data type
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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