Anglais

Visit 1: Consent Form

1 Formulaires  
  1. StudyEvent: ODM
    1. Visit 1: Consent Form
Administrative data
Description

Administrative data

Protocol Number
Description

Protocol Number

Type de données

integer

Subject Number
Description

Subject Number

Type de données

integer

Date of Visit
Description

Date of Visit

Type de données

date

Visit
Description

Visit

Type de données

text

Informed Consent
Description

Informed Consent

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

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

Type de données

date

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Similar models

Visit 1: Consent Form

1 Formulaires
  1. StudyEvent: ODM
    1. Visit 1: Consent Form
Name
Type
Description | Question | Decode (Coded Value)
Type de données
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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