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Prior or Concomitant Medications (ACRO)

11 forms  
Common
Description

Common

Alias
TEST
Common ItemGroup Alias
Site Number
Description

Site Number

Data type

integer

Alias
SDTM
SITEID
Subject ID
Description

Subject ID

Data type

text

Alias
SDTM
USUBJID
Visit Date
Description

Visit Date

Data type

date

Visit Time
Description

Visit Time

Data type

time

Non-study Medications Taken
Description

Non-study Medications Taken

Non-study Medications taken
Description

Non-study Medications taken

Data type

integer

Prior or Concomitant Medications
Description

Prior or Concomitant Medications

Medication Number
Description

Medication Number

Data type

integer

Medication Name
Description

Medication Name

Data type

text

Medication Dose
Description

Medication Dose

Data type

text

Medication Dose Units
Description

Medication Dose Units

Data type

text

Medication Dose Frequency
Description

Medication Dose Frequency

Data type

integer

Medication Start Date
Description

Medication Start Date

Data type

date

Medication Continues
Description

Medication Continues

Data type

integer

Medication Stop Date
Description

Medication Stop Date

Data type

date

Pre-exisitng Illness
Description

Pre-exisitng Illness

Data type

integer

Adverse Event
Description

Adverse Event

Data type

integer

Prophylaxis
Description

Prophylaxis

Data type

integer

Prophylaxis Description
Description

Prophylaxis Description

Data type

text

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Similar models

Prior or Concomitant Medications (ACRO)

11 forms
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Common ItemGroup Alias (TEST)
Site Number
Item
integer
SITEID (SDTM)
Subject ID
Item
text
USUBJID (SDTM)
Visit Date
Item
date
Visit Time
Item
time
No Yes
Code List
Non-study Medications taken
CL Item
 (0)
CL Item
 (1)
Medication Number
Item
integer
Medication Name
Item
text
Medication Dose
Item
text
Medication Dose Units
Item
text
Medications Frequency
Code List
Medication Dose Frequency
CL Item
 (1)
CL Item
 (2)
CL Item
 (3)
CL Item
 (4)
CL Item
 (5)
CL Item
 (99)
Medication Start Date
Item
date
No Yes
Code List
Medication Continues
CL Item
 (0)
CL Item
 (1)
Medication Stop Date
Item
date
Pre-exisitng Illness
Item
integer
Adverse Event
Item
integer
Item
integer
No Yes
Code List
Prophylaxis
CL Item
 (0)
CL Item
 (1)
Prophylaxis Description
Item
text
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