CDASH Ryze Example.Informed Consent

This is an example CRF used to collect informed consent.

Order	Question Text	Prompt	Case Report Form Completion Instructions	Type	Collection Variable	Tabulation Target	Mapping Instructions	Controlled Terminology CodeList Name	Permissible Values	Pre-Populated Value
1	What was the category of the disposition?	Disposition Category	If collected on the CRF, the applicant provides instructions to ensure the data is entered as intended.	Text	DSCAT	DSCAT	DSCAT="PROTOCOL MILESTONE" where DSDECOD and DSTERM="INFORMED CONSENT OBTAINED"	(DSCAT)		PROTOCOL MILESTONE
2	What was the informed consent date?	Informed Consent Date	Record the date of informed consent as defined in the protocol and/or CRF completion instructions using this format.	Date	DSSTDAT	DSSTDTC

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