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Visit 3: Consent Form

1 Formulär  
  1. StudyEvent: ODM
    1. Visit 3: Consent Form
Administrative data
Beskrivning

Administrative data

Date of Visit
Beskrivning

Date of Visit

Datatyp

date

Subject Number
Beskrivning

Subject Number

Datatyp

integer

Protocol Number
Beskrivning

Protocol Number

Datatyp

integer

Informed Consent
Beskrivning

Informed Consent

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

Record date below

Datatyp

date

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Similar models

Visit 3: Consent Form

1 Formulär
  1. StudyEvent: ODM
    1. Visit 3: Consent Form
Name
Typ
Description | Question | Decode (Coded Value)
Datatyp
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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