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Concomitant Medication BG00012 Monotherapy Safety and Efficacy Extension Study in Multiple Sclerosis (MS) (ENDORSE) NCT00835770

1 Formulär  
Subject Identification
Beskrivning

Subject Identification

Number of Facility
Beskrivning

Site number

Datatyp

integer

Alias
UMLS CUI [1,1]
C0018704
UMLS CUI [1,2]
C0600091
Subject number
Beskrivning

Subject number

Datatyp

integer

Alias
UMLS CUI [1]
C2348585
Subject Initials
Beskrivning

Subject Initials

Datatyp

text

Alias
UMLS CUI [1]
C2986440
Any new or changed medication
Beskrivning

if yes, please specify below

Datatyp

boolean

Alias
UMLS CUI [1]
C2347852
Concomitant Medication list
Beskrivning

Concomitant Medication list

Medication No.
Beskrivning

Medication Number

Datatyp

integer

Medication name:
Beskrivning

MEDICATION NAME

Datatyp

text

Alias
UMLS CUI [1]
C2360065
Indication
Beskrivning

Indication

Datatyp

text

Alias
UMLS CUI [1]
C3146298
Dose
Beskrivning

Dose

Datatyp

text

Alias
UMLS CUI [1]
C3174092
Units
Beskrivning

Units

Datatyp

text

Alias
UMLS CUI [1]
C1519795
Route
Beskrivning

Route

Datatyp

text

Alias
UMLS CUI [1]
C0013153
Frequency
Beskrivning

Frequency

Datatyp

text

Alias
UMLS CUI [1]
C3476109
Start date
Beskrivning

Concomitant Medication Start Date

Datatyp

date

Alias
UMLS CUI [1]
C2826734
Agent End Date
Beskrivning

Concomitant Medication End Date

Datatyp

date

Alias
UMLS CUI [1]
C2826744
Ongoing
Beskrivning

Concomitant Medication Ongoing

Datatyp

boolean

Alias
UMLS CUI [1]
C2826666
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Similar models

Concomitant Medication BG00012 Monotherapy Safety and Efficacy Extension Study in Multiple Sclerosis (MS) (ENDORSE) NCT00835770

1 Formulär
Name
Typ
Description | Question | Decode (Coded Value)
Datatyp
Alias
Item Group
Subject Identification
Site number
Item
Number of Facility
integer
C0018704 (UMLS CUI [1,1])
C0600091 (UMLS CUI [1,2])
Subject number
Item
Subject number
integer
C2348585 (UMLS CUI [1])
Subject Initials
Item
Subject Initials
text
C2986440 (UMLS CUI [1])
concomitant medication
Item
Any new or changed medication
boolean
C2347852 (UMLS CUI [1])
Item Group
Concomitant Medication list
Medication Number
Item
Medication No.
integer
MEDICATION NAME
Item
Medication name:
text
C2360065 (UMLS CUI [1])
Indication
Item
Indication
text
C3146298 (UMLS CUI [1])
Dose
Item
Dose
text
C3174092 (UMLS CUI [1])
Units
Item
Units
text
C1519795 (UMLS CUI [1])
Route
Item
Route
text
C0013153 (UMLS CUI [1])
Frequency
Item
Frequency
text
C3476109 (UMLS CUI [1])
Concomitant Medication Start Date
Item
Start date
date
C2826734 (UMLS CUI [1])
Concomitant Medication End Date
Item
Agent End Date
date
C2826744 (UMLS CUI [1])
Concomitant Medication Ongoing
Item
Ongoing
boolean
C2826666 (UMLS CUI [1])
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