Center Number
Item
Center Number
integer
C1301943 (UMLS CUI [1,1])
C0600091 (UMLS CUI [1,2])
Quality Assurance of tests described in the protocol
Item
Quality Assurance of tests described in the protocol
boolean
C0178932 (UMLS CUI [1,1])
C0039593 (UMLS CUI [1,2])
C1507394 (UMLS CUI [1,3])
Vaccine research and research in diseases under study, excludig genetic testing
Item
Further investigation by GSK Biologicals into the ability of the vaccines to protect people if any findings from related studies require it and further research in the diseases under study. These investigations exclude genetics testing.
boolean
C0042210 (UMLS CUI [1,1])
C0035168 (UMLS CUI [1,2])
C1705847 (UMLS CUI [1,3])
C0243064 (UMLS CUI [1,4])
C0012634 (UMLS CUI [2,1])
C0035168 (UMLS CUI [2,2])
C1705847 (UMLS CUI [2,3])
C0243064 (UMLS CUI [2,4])
Vaccine research and research in diseases under study, excluding genetic testing, with ethics review
Item
Further investigation by GSK Biologicals into the ability of the vaccines to protect people if any findings from related studies require it and further research in the diseases under study. These investigations exclude genetic testing. Investigator will always ask in advance the permission of the independent Ethics Committee/Institutional Review Board linked to the institution where this research is performed.
boolean
C0042210 (UMLS CUI [1,1])
C0035168 (UMLS CUI [1,2])
C2346499 (UMLS CUI [1,3])
C0086911 (UMLS CUI [1,4])
C1705847 (UMLS CUI [1,5])
C0243064 (UMLS CUI [1,6])
C0012634 (UMLS CUI [2,1])
C0035168 (UMLS CUI [2,2])
C2346499 (UMLS CUI [2,3])
C0086911 (UMLS CUI [2,4])
C1705847 (UMLS CUI [2,5])
C0243064 (UMLS CUI [2,6])
Anonymous research unrelated to this study, excluding genetic testing
Item
Further research by GSK Biologicals that is NOT RELATED to the vaccines or the diseases under study done on an anonymous basis (meaning that any identification linking the subject to the sample is destroyed). This research excludes genetic testing and does not affect subject participation in the study.
boolean
C0035168 (UMLS CUI [1,1])
C2346787 (UMLS CUI [1,2])
C0445356 (UMLS CUI [1,3])
C0008976 (UMLS CUI [1,4])
C1705847 (UMLS CUI [1,5])
C0243064 (UMLS CUI [1,6])
HIV Testing
Item
HIV Testing
boolean
C1321876 (UMLS CUI [1])
Item
Please tick if a 15 years GSK storage period is covered by the subject's Informed Consent form of your center.
integer
C1698986 (UMLS CUI [1,1])
C0449238 (UMLS CUI [1,2])
C0370003 (UMLS CUI [1,3])
C0021430 (UMLS CUI [1,4])
Code List
Please tick if a 15 years GSK storage period is covered by the subject's Informed Consent form of your center.
CL Item
At least 15 years storage period by GSK Biologicals (1)
Specify other storage period
Item
If other GSK storage period, please specify
text
C1521902 (UMLS CUI [1,1])
C0205394 (UMLS CUI [1,2])
C1698986 (UMLS CUI [1,3])
C0449238 (UMLS CUI [1,4])
C0370003 (UMLS CUI [1,5])
ICF Effective date
Item
ICF Effective date
date
C0011008 (UMLS CUI [1,1])
C0009797 (UMLS CUI [1,2])
Investigator's signature
Item
Investigator's signature
text
C2346576 (UMLS CUI [1])
Printed Investigator's name
Item
Printed Investigator's name
text
C2826892 (UMLS CUI [1])
Date of investigator's signature
Item
Date of investigator's signature
date
C2346576 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])