Trial Medication
Patient ID (derived)
text
Visit Info
Trial Medication: Deferral Comment
Trial Medication: Pregnancy Test
Trial MedicationI: Pregnancy Test, Kind of test
Trial Medication Pregnancy Test: Date
date
Trial Medication Pregnancy Test: Date Status
Trial MedicationI Pregnancy Test: Result
Trial Medication Pregnancy Test: Reason
Trial Medication Pregnancy Test: Reason, Text
Trial Medication: Date of Signature
Trial Medication: Date of Signature Status
Trial Medication: Signature yes/no
Comment Trial Medication
Trial Medication RQG
Trial Medication: Date of Administration
Trial Medication: Date of Administration Status
Trial Medication: Dose administered
float
Trial Medication: Batch No
Trial Medication: Expiry Date
Trial Medication: Expiry Date Status
Trial Medication: Reason if less than 12 mg