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Visit 3: Consent Form

1 forms  
  1. StudyEvent: ODM
    1. Visit 3: Consent Form
Administrative data
Description

Administrative data

Date of Visit
Description

Date of Visit

Data type

date

Subject Number
Description

Subject Number

Data type

integer

Protocol Number
Description

Protocol Number

Data type

integer

Informed Consent
Description

Informed Consent

I certify that Informed Consent has been obtained prior to any study procedure on
Description

Record date below

Data type

date

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Similar models

Visit 3: Consent Form

1 forms
  1. StudyEvent: ODM
    1. Visit 3: Consent Form
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Administrative data
Date of Visit
Item
Date of Visit
date
Subject Number
Item
Subject Number
integer
Protocol Number
Item
Protocol Number
integer
Item Group
Informed Consent
I certify that Informed Consent has been obtained prior to any study procedure on
Item
I certify that Informed Consent has been obtained prior to any study procedure on
date
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