Inglés

Concomitant Medication Multiple Sclerosis ALAIN01 NCT02419378

1 formularios  
Con. Med.
Descripción

Con. Med.

Alias
UMLS CUI-1
C2347852
Patient ID (derived)
Descripción

Patient ID (derived)

Tipo de datos

text

Alias
UMLS CUI [1]
C2348585
Concomitant Medication: Sheet No
Descripción

Concomitant Medication: Sheet No

Tipo de datos

integer

Concomitant Med.: Date of Signature
Descripción

Concomitant Med.: Date of Signature

Tipo de datos

date

Concomitant Med.: Date of Signature Status
Descripción

Concomitant Med.: Date of Signature Status

Tipo de datos

text

Concomitant Med.: Signature yes/no
Descripción

Concomitant Med.: Signature yes/no

Tipo de datos

text

Concomitant Medication: New eForm
Descripción

Concomitant Medication: New eForm

Tipo de datos

text

Comment Con. Med.
Descripción

Comment Con. Med.

Tipo de datos

text

Concomitant Medication RQG
Descripción

Concomitant Medication RQG

Alias
UMLS CUI-1
C2347852
Concomitant Medication: Generic Name/Trade Name
Descripción

Concomitant Medication: Generic Name/Trade Name

Tipo de datos

text

Alias
UMLS CUI [1]
C2347852
Concomitant Medication: Indication
Descripción

Concomitant Medication: Indication

Tipo de datos

text

Alias
UMLS CUI [1]
C2826696
Concomitant Medication: Dose Morning
Descripción

Concomitant Medication: Dose Morning

Tipo de datos

text

Alias
UMLS CUI [1,1]
C2826811
Concomitant Medication: Dose Noon
Descripción

Concomitant Medication: Dose Noon

Tipo de datos

text

Alias
UMLS CUI [1]
C2826811
Concomitant Medication: Dose Evening
Descripción

Concomitant Medication: Dose Evening

Tipo de datos

text

Alias
UMLS CUI [1]
C2826811
Concomitant Medication: Dose Bed
Descripción

Concomitant Medication: Dose Bed

Tipo de datos

text

Alias
UMLS CUI [1]
C2826811
Concomitant Medication: Start Date
Descripción

Concomitant Medication: Start Date

Tipo de datos

date

Alias
UMLS CUI [1]
C2826734
Concomitant Medication: Start Date Status
Descripción

Concomitant Medication: Start Date Status

Tipo de datos

text

Concomitant Medication: End Date
Descripción

Concomitant Medication: End Date

Tipo de datos

date

Alias
UMLS CUI [1]
C2826744
Concomitant Medication: End Date Status
Descripción

Concomitant Medication: End Date Status

Tipo de datos

text

Concomitant Medication: ongoing
Descripción

Concomitant Medication: ongoing

Tipo de datos

text

Alias
UMLS CUI [1]
C2826666
Volver a la parte superior de la página

Similar models

Concomitant Medication Multiple Sclerosis ALAIN01 NCT02419378

1 formularios
Name
Tipo
Description | Question | Decode (Coded Value)
Tipo de datos
Alias
Item Group
Con. Med.
C2347852 (UMLS CUI-1)
Patient ID (derived)
Item
Patient ID (derived)
text
C2348585 (UMLS CUI [1])
Concomitant Medication: Sheet No
Item
integer
Concomitant Med.: Date of Signature
Item
date
Concomitant Med.: Date of Signature Status
Code List
Concomitant Med.: Date of Signature Status
CL Item
T (1)
CL Item
TM (2)
CL Item
M (3)
Concomitant Med.: Signature yes/no
Code List
Concomitant Med.: Signature yes/no
CL Item
yes (1)
CL Item
no (0)
Concomitant Medication: New eForm
Code List
Concomitant Medication: New eForm
CL Item
yes (1)
Comment Con. Med.
Item
text
Item Group
Concomitant Medication RQG
C2347852 (UMLS CUI-1)
Concomitant Medication
Item
Concomitant Medication: Generic Name/Trade Name
text
C2347852 (UMLS CUI [1])
Concomitant Medication Use Indication
Item
Concomitant Medication: Indication
text
C2826696 (UMLS CUI [1])
Concomitant Medication Dose Morning
Item
Concomitant Medication: Dose Morning
text
C2826811 (UMLS CUI [1,1])
Concomitant Medication Dose Noon
Item
Concomitant Medication: Dose Noon
text
C2826811 (UMLS CUI [1])
Concomitant Medication Dose Evening
Item
Concomitant Medication: Dose Evening
text
C2826811 (UMLS CUI [1])
Concomitant Medication Dose Bed
Item
Concomitant Medication: Dose Bed
text
C2826811 (UMLS CUI [1])
Concomitant Medication Start Date
Item
Concomitant Medication: Start Date
date
C2826734 (UMLS CUI [1])
Concomitant Medication: Start Date Status
Code List
Concomitant Medication: Start Date Status
CL Item
T (1)
CL Item
TM (2)
CL Item
M (3)
Concomitant Medication End Date
Item
Concomitant Medication: End Date
date
C2826744 (UMLS CUI [1])
Concomitant Medication: End Date Status
Code List
Concomitant Medication: End Date Status
CL Item
T (1)
CL Item
TM (2)
CL Item
M (3)
Item
Concomitant Medication: ongoing
text
C2826666 (UMLS CUI [1])
Concomitant Medication: ongoing
Code List
Concomitant Medication: ongoing
CL Item
ongoing (1)
Volver a la parte superior de la página