Engels

Visit 3: Consent Form

1 Formulieren  
  1. StudyEvent: ODM
    1. Visit 3: Consent Form
Administrative data
Beschrijving

Administrative data

Date of Visit
Beschrijving

Date of Visit

Datatype

date

Subject Number
Beschrijving

Subject Number

Datatype

integer

Protocol Number
Beschrijving

Protocol Number

Datatype

integer

Informed Consent
Beschrijving

Informed Consent

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

Record date below

Datatype

date

Terug naar het begin van de pagina

Similar models

Visit 3: Consent Form

1 Formulieren
  1. StudyEvent: ODM
    1. Visit 3: Consent Form
Name
Type
Description | Question | Decode (Coded Value)
Datatype
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
Terug naar het begin van de pagina