Inglés

PATIENT INSTRUCTIONS: Use this calendar as a reminder to take your medication. Be sure to mark an "x" in each box for each day that you take your pills, record the time you took them, and circle AM or PM.

1 formularios  
Header
Descripción

Header

CALGB Form
Descripción

CALGBForm

Tipo de datos

text

CALGB Study No
Descripción

CALGBStudyNo

Tipo de datos

text

CALGB Patient ID
Descripción

CALGBPatientID

Tipo de datos

text

Amended data?
Descripción

Amended data?

Tipo de datos

boolean

Patient's Name
Descripción

Patient'sName

Tipo de datos

text

Cycle number
Descripción

CycleNumber

Tipo de datos

text

Day 1 of cycle (M)
Descripción

Day1ofcycle

Tipo de datos

date

Alias
NCI Thesaurus ValueDomain
C25164
UMLS 2011AA ValueDomain
C0011008
Completed By (Print or Type Name)
Descripción

CompletedBy

Tipo de datos

text

Date Completed (M)
Descripción

DateCompleted

Tipo de datos

date

Medication calendar
Descripción

Medication calendar

DAY OF WEEK
Descripción

DAYOFWEEK

Tipo de datos

text

Day of cycle
Descripción

Dayofcycle

Tipo de datos

text

TOOK PILLS
Descripción

TOOKPILLS

Tipo de datos

text

Took pills time
Descripción

Tookpillstime

Tipo de datos

text

AM or PM (CRA use only)
Descripción

AMorPM

Tipo de datos

text

TOTAL NUMBER OF DAYS PILLS TAKEN THIS CYCLE
Descripción

TOTAL NUMBER OF DAYS PILLS TAKEN THIS CYCLE

Tipo de datos

integer

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Similar models

PATIENT INSTRUCTIONS: Use this calendar as a reminder to take your medication. Be sure to mark an "x" in each box for each day that you take your pills, record the time you took them, and circle AM or PM.

1 formularios
Name
Tipo
Description | Question | Decode (Coded Value)
Tipo de datos
Alias
Item Group
CALGBForm
Item
CALGB Form
text
CALGBStudyNo
Item
CALGB Study No
text
CALGBPatientID
Item
CALGB Patient ID
text
Amended data
Item
Amended data?
boolean
Patient'sName
Item
Patient's Name
text
CycleNumber
Item
Cycle number
text
Day1ofcycle
Item
Day 1 of cycle (M)
date
C25164 (NCI Thesaurus ValueDomain)
C0011008 (UMLS 2011AA ValueDomain)
CompletedBy
Item
Completed By (Print or Type Name)
text
DateCompleted
Item
Date Completed (M)
date
DAYOFWEEK
Item
DAY OF WEEK
text
Item
Day of cycle
text
CL.2
Code List
Day of cycle
CL Item
1 (1)
CL Item
2 (2)
C66833 (NCI Thesaurus)
C0205448 (UMLS 2011AA)
CL Item
3 (3)
CL Item
4 (4)
CL Item
5 (5)
CL Item
6 (6)
CL Item
7 (7)
CL Item
8 (8)
CL Item
9 (9)
CL Item
10 (10)
CL Item
11 (11)
CL Item
12 (12)
CL Item
13 (13)
CL Item
14 (14)
TOOKPILLS
Item
TOOK PILLS
text
Tookpillstime
Item
Took pills time
text
Item
AM or PM (CRA use only)
text
CL.3
Code List
AM or PM (CRA use only)
CL Item
Am (AM)
CL Item
Pm (PM)
total number of pills
Item
TOTAL NUMBER OF DAYS PILLS TAKEN THIS CYCLE
integer
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