DATCNSNT¶
Table Description: Documentation of Screening DaTscan Imaging 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 |
---|---|---|
DATCNSTDISC |
Informed consent was discussed with participant and/or legally authorized representative for the screening DaTscan imaging scan for PPMI 2.0 Clinical study. |
BOOLEAN |
DATCNSTFORM |
Consent form was provided to the participant and/or legally authorized representative for review. |
BOOLEAN |
DATCNSTTIME |
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 |
DATSIGNCNST |
Participant and/or legally authorized representative signed and dated the informed consent. |
BOOLEAN |
DATCNSTCOPY |
Copy of the consent form was provided to the participant and/or legally authorized representative upon conclusion of the consent process. |
BOOLEAN |
DATCNSTPRIR |
Consent has been signed prior to any study procedures being performed. |
BOOLEAN |
DATCNSTAUTH |
Informed consent obtained by person authorized on site delegation log. |
BOOLEAN |
DATCNSTQA |
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 |
---|---|---|
DATCNSTAUTH |
0 |
No |
DATCNSTAUTH |
1 |
Yes |
DATCNSTCOPY |
0 |
No |
DATCNSTCOPY |
1 |
Yes |
DATCNSTDISC |
0 |
No |
DATCNSTDISC |
1 |
Yes |
DATCNSTFORM |
0 |
No |
DATCNSTFORM |
1 |
Yes |
DATCNSTPRIR |
0 |
No |
DATCNSTPRIR |
1 |
Yes |
DATCNSTQA |
0 |
No |
DATCNSTQA |
1 |
Yes |
DATCNSTTIME |
0 |
No |
DATCNSTTIME |
1 |
Yes |
DATSIGNCNST |
0 |
No |
DATSIGNCNST |
1 |
Yes |
Details¶
The DATCNSNT table collects information captured through the Documentation of Screening DaTscan Consent form. This form is specific to consent for the screening DaTscan imagining scan. This form is only given to participants in the Prodromal Cohort, and occurs at their Screening visit. Participants in the Prodromal cohort fill out the CONSENT CRF at their Baseline visit.