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Visit 1: Consent Form

1 Formulários  
  1. StudyEvent: ODM
    1. Visit 1: Consent Form
Administrative data
Descrição

Administrative data

Protocol Number
Descrição

Protocol Number

Tipo de dados

integer

Subject Number
Descrição

Subject Number

Tipo de dados

integer

Date of Visit
Descrição

Date of Visit

Tipo de dados

date

Visit
Descrição

Visit

Tipo de dados

text

Informed Consent
Descrição

Informed Consent

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

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

Tipo de dados

date

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Similar models

Visit 1: Consent Form

1 Formulários
  1. StudyEvent: ODM
    1. Visit 1: Consent Form
Name
Tipo
Description | Question | Decode (Coded Value)
Tipo de dados
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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