AVCNSNT

Table Description: Early Imaging Documentation of Informed Consent

Detailed notes for this table are included below.

View Source CRFs

2.0 CRFs: Click on any PAG_NAME link below to be taken to a screenshot of how this eCRF is currently implemented in the PPMI 2.0 Study.

2.0 Data Dictionary

Table Constraints: PATNO, VISIT_ID

ITM_NAME

DSCR

ITM_TYPE

AVCNSTDISC

Informed consent was discussed with participant and/or legally authorized representative for the PPMI 2.0 Early Imaging study.

BOOLEAN

CNSTFORM

Consent form was provided to the participant and/or legally authorized representative for review.

BOOLEAN

CNSTTIME

Participant and/or legally authorized representative were given adequate time to read the consent form and discuss the study with study staff and/or person of participant’s choice.

BOOLEAN

SIGNCNST

Participant and/or legally authorized representative signed and dated the informed consent.

BOOLEAN

CNSTCOPY

Copy of the consent form was provided to the participant and/or legally authorized representative upon conclusion of the consent process.

BOOLEAN

CNSTPRIR

Consent has been signed prior to any study procedures being performed.

BOOLEAN

CNSTAUTH

Informed consent obtained by person authorized on site delegation log.

BOOLEAN

CNSTQA

During the informed consent process, the participant and/or authorized representative had the opportunity to ask questions and receive answers by study personnel.

BOOLEAN

2.0 Code Book

ITM_NAME

CODE

DECODE_2.0

AVCNSTDISC

0

No

AVCNSTDISC

1

Yes

CNSTAUTH

0

No

CNSTAUTH

1

Yes

CNSTCOPY

0

No

CNSTCOPY

1

Yes

CNSTFORM

0

No

CNSTFORM

1

Yes

CNSTPRIR

0

No

CNSTPRIR

1

Yes

CNSTQA

0

No

CNSTQA

1

Yes

CNSTTIME

0

No

CNSTTIME

1

Yes

SIGNCNST

0

No

SIGNCNST

1

Yes

Details

The AVCNSNT CRF captures consent information obtained through the Early Imaging Documentation of Informed Consent. This consent CRF is specific for the Early Imaging Sub-Study. Both 1.0 Early Imaging transition participants and new 2.0 Early Imaging participants fill out this form. For transition participants, it is filled out at a transition activity (the transition activity is the first 2.0 visit for a 1.0 participant that is transitioning into the 2.0 study). For new 2.0 Early Imaging participants, this form (along with the standard CONSENT CRF) is filled out at the Screening visit.