Nerventra Study Medication log

Demographic Information
Description

Demographic Information

Protocol Number
Description

Protocol Number

Data type

text

Alias
UMLS CUI [1,1]
C0008971
UMLS CUI [1,2]
C0600091
Visit Type
Description

i.e "Screening"

Data type

text

Alias
UMLS CUI [1]
C0545082
Date of visit
Description

Visit date

Data type

date

Alias
UMLS CUI [1]
C1320303
Study site number
Description

Study site

Data type

integer

Alias
UMLS CUI [1]
C2825164
Subject number:
Description

Subject number

Data type

integer

Alias
UMLS CUI [1]
C1709561
No data to report
Description

Blank

Data type

boolean

Alias
UMLS CUI [1]
C0750479
Medication log
Description

Medication log

Date of automatic update
Description

Date of automatic update

Data type

date

Alias
UMLS CUI [1,1]
C0011008
UMLS CUI [1,2]
C0205554
UMLS CUI [1,3]
C1519814
Date of manual update
Description

Date of manual update

Data type

date

Alias
UMLS CUI [1,1]
C0011008
UMLS CUI [1,2]
C0175674
UMLS CUI [1,3]
C1519814
Medication name,ongoing
Description

Medication name

Data type

text

Alias
UMLS CUI [1,1]
C2360065
UMLS CUI [1,2]
C0549178
Visit Type
Description

Visit

Data type

text

Alias
UMLS CUI [1]
C0545082
Concomitant medications log
Description

Concomitant medications log

Medication name
Description

Medication name

Data type

text

Alias
UMLS CUI [1]
C2360065
Start date
Description

Concomitant Medication Start Date

Data type

date

Alias
UMLS CUI [1]
C2826734
End Date
Description

Concomitant Medication End Date

Data type

date

Alias
UMLS CUI [1]
C2826744
Ongoing
Description

Concomitant Medication Ongoing

Data type

boolean

Alias
UMLS CUI [1]
C2826666
Concomitant medication use indication
Description

Indication

Data type

text

Alias
UMLS CUI [1]
C2826696
Total daily dose
Description

Total daily dose

Data type

text

Alias
UMLS CUI [1]
C2348070
Unit of dosage
Description

Unit

Data type

text

Alias
UMLS CUI [1]
C2348328
Medication frequency
Description

Medication frequency

Data type

text

Alias
UMLS CUI [1]
C3476109
Route of administration
Description

Route of administration

Data type

text

Alias
UMLS CUI [1]
C0013153

Similar models

Nerventra Study Medication log

Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Demographic Information
Protocol Number
Item
Protocol Number
text
C0008971 (UMLS CUI [1,1])
C0600091 (UMLS CUI [1,2])
Visit
Item
Visit Type
text
C0545082 (UMLS CUI [1])
Visit date
Item
Date of visit
date
C1320303 (UMLS CUI [1])
Study site
Item
Study site number
integer
C2825164 (UMLS CUI [1])
Subject number
Item
Subject number:
integer
C1709561 (UMLS CUI [1])
Blank
Item
No data to report
boolean
C0750479 (UMLS CUI [1])
Item Group
Medication log
Date of automatic update
Item
Date of automatic update
date
C0011008 (UMLS CUI [1,1])
C0205554 (UMLS CUI [1,2])
C1519814 (UMLS CUI [1,3])
Date of manual update
Item
Date of manual update
date
C0011008 (UMLS CUI [1,1])
C0175674 (UMLS CUI [1,2])
C1519814 (UMLS CUI [1,3])
Medication name
Item
Medication name,ongoing
text
C2360065 (UMLS CUI [1,1])
C0549178 (UMLS CUI [1,2])
Visit
Item
Visit Type
text
C0545082 (UMLS CUI [1])
Item Group
Concomitant medications log
Medication name
Item
Medication name
text
C2360065 (UMLS CUI [1])
Concomitant Medication Start Date
Item
Start date
date
C2826734 (UMLS CUI [1])
Concomitant Medication End Date
Item
End Date
date
C2826744 (UMLS CUI [1])
Concomitant Medication Ongoing
Item
Ongoing
boolean
C2826666 (UMLS CUI [1])
Indication
Item
Concomitant medication use indication
text
C2826696 (UMLS CUI [1])
Total daily dose
Item
Total daily dose
text
C2348070 (UMLS CUI [1])
Unit
Item
Unit of dosage
text
C2348328 (UMLS CUI [1])
Medication frequency
Item
Medication frequency
text
C3476109 (UMLS CUI [1])
Route of administration
Item
Route of administration
text
C0013153 (UMLS CUI [1])