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Ciclosporin Psoriasis MIPSO EudraCT 2014-003022-40

1 forms  
Cyclosporine
Description

Cyclosporine

Patient ID
Description

Patient ID

Data type

text

Page number
Description

Page number

Data type

integer

Signature date
Description

Signature date

Data type

date

Comments Cyclosporine
Description

Comments Cyclosporine

Data type

text

Cyclosporine medication
Description

Cyclosporine medication

Start date
Description

Start date

Data type

date

End date
Description

End date

Data type

date

Cyclosporine dose
Description

Cyclosporine dose

Data type

integer

Measurement units
  • mg
mg
Cyclosporine intervall
Description

Cyclosporine intervall

Data type

integer

Cyclosporine intervall
Description

Cyclosporine intervall

Data type

integer

Measurement units
  • day
day
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Similar models

Ciclosporin Psoriasis MIPSO EudraCT 2014-003022-40

1 forms
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Cyclosporine
Patient ID
Item
Patient ID
text
Page number
Item
integer
Signature date
Item
date
Comments Cyclosporine
Item
text
Item Group
Cyclosporine medication
Start date
Item
date
End date
Item
date
Cyclosporine dose
Item
Cyclosporine dose
integer
Cyclosporine intervall
Code List
Cyclosporine intervall
CL Item
daily (1)
CL Item
every x day (2)
Cyclosporine intervall
Item
integer
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