Inglese

Visit 1: Consent Form

1 moduli  
  1. StudyEvent: ODM
    1. Visit 1: Consent Form
Administrative data
Descrizione

Administrative data

Protocol Number
Descrizione

Protocol Number

Tipo di dati

integer

Subject Number
Descrizione

Subject Number

Tipo di dati

integer

Date of Visit
Descrizione

Date of Visit

Tipo di dati

date

Visit
Descrizione

Visit

Tipo di dati

text

Informed Consent
Descrizione

Informed Consent

I certify that written/thumb-printed Informed Consent has been obtained prior to any study procedure on the date below
Descrizione

I certify that written/thumb-printed Informed Consent has been obtained prior to any study procedure on the date below

Tipo di dati

date

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Visit 1: Consent Form

1 moduli
  1. StudyEvent: ODM
    1. Visit 1: Consent Form
Name
genere
Description | Question | Decode (Coded Value)
Tipo di dati
Alias
Item Group
Administrative data
Protocol Number
Item
Protocol Number
integer
Subject Number
Item
Subject Number
integer
Date of Visit
Item
Date of Visit
date
Item
Visit
text
Visit
Code List
Visit
CL Item
Visit 1, Study month 21 (21 months post dose 1 in Malaria-026) (1)
Item Group
Informed Consent
I certify that written/thumb-printed Informed Consent has been obtained prior to any study procedure on the date below
Item
I certify that written/thumb-printed Informed Consent has been obtained prior to any study procedure on the date below
date
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