Englisch

Visit 1: Consent Form

1 Formulare  
  1. StudyEvent: ODM
    1. Visit 1: Consent Form
Administrative data
Beschreibung

Administrative data

Protocol Number
Beschreibung

Protocol Number

Datentyp

integer

Subject Number
Beschreibung

Subject Number

Datentyp

integer

Date of Visit
Beschreibung

Date of Visit

Datentyp

date

Visit
Beschreibung

Visit

Datentyp

text

Informed Consent
Beschreibung

Informed Consent

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

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

Datentyp

date

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Ähnliche Modelle

Visit 1: Consent Form

1 Formulare
  1. StudyEvent: ODM
    1. Visit 1: Consent Form
Name
Typ
Description | Question | Decode (Coded Value)
Datentyp
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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