GSK Concomitant Medication NCT00428090

Patient Information
Description

Patient Information

Alias
UMLS CUI-1
C1955348
Subject Identifier
Description

Patient Study ID

Data type

text

Alias
UMLS CUI [1]
C2348585
Concomitant Medication
Description

Concomitant Medication

Alias
UMLS CUI-1
C2347852
Where any concomitant medications taken by the subject during the study?
Description

Concomitant Medications

Data type

boolean

Alias
UMLS CUI [1]
C2347852
Drug Name (Trade Name preferred) (e.g. Aspirin) If "YES", record each medication on a seperate line using Trade Names where possible. If the medication is related to an Adverse Event or Serious Adverse Event, details should be expressed using the same terminology.
Description

Drug Name

Data type

text

Alias
UMLS CUI [1]
C0013227
Total Daily Dose (e.g. 400) If "YES", record each medication on a seperate line using Trade Names where possible. If the medication is related to an Adverse Event or Serious Adverse Event, details should be expressed using the same terminology.
Description

Total Daily Dose

Data type

text

Alias
UMLS CUI [1]
C2348070
Units (e.g. mg) If "YES", record each medication on a seperate line using Trade Names where possible. If the medication is related to an Adverse Event or Serious Adverse Event, details should be expressed using the same terminology.
Description

Units

Data type

text

Alias
UMLS CUI [1]
C1519795
Route (e.g. PO) If "YES", record each medication on a seperate line using Trade Names where possible. If the medication is related to an Adverse Event or Serious Adverse Event, details should be expressed using the same terminology.
Description

Route

Data type

text

Alias
UMLS CUI [1]
C0013153
Reason for Medication (e.g. Headache) If "YES", record each medication on a seperate line using Trade Names where possible. If the medication is related to an Adverse Event or Serious Adverse Event, details should be expressed using the same terminology.
Description

Reason for Medication

Data type

text

Alias
UMLS CUI [1,1]
C0392360
UMLS CUI [1,2]
C0013227
Start Date (Day Month Year) (e.g. 31 MAY 02) If "YES", record each medication on a seperate line using Trade Names where possible. If the medication is related to an Adverse Event or Serious Adverse Event, details should be expressed using the same terminology.
Description

Start date

Data type

date

Measurement units
  • dd/MMM/yy
Alias
UMLS CUI [1]
C0013227
dd/MMM/yy
Stop Date (Day Month Year) (e.g. 31 MAY 02) If "YES", record each medication on a seperate line using Trade Names where possible. If the medication is related to an Adverse Event or Serious Adverse Event, details should be expressed using the same terminology.
Description

Stop Date

Data type

date

Alias
UMLS CUI [1]
C0806020
Ongoing Medication (Yes - No) If "YES", record each medication on a seperate line using Trade Names where possible. If the medication is related to an Adverse Event or Serious Adverse Event, details should be expressed using the same terminology.
Description

Ongoing Medication

Data type

boolean

Alias
UMLS CUI [1]
C2826666

Similar models

GSK Concomitant Medication NCT00428090

Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Patient Information
C1955348 (UMLS CUI-1)
Patient Study ID
Item
Subject Identifier
text
C2348585 (UMLS CUI [1])
Item Group
Concomitant Medication
C2347852 (UMLS CUI-1)
Concomitant Medications
Item
Where any concomitant medications taken by the subject during the study?
boolean
C2347852 (UMLS CUI [1])
Drug Name
Item
Drug Name (Trade Name preferred) (e.g. Aspirin) If "YES", record each medication on a seperate line using Trade Names where possible. If the medication is related to an Adverse Event or Serious Adverse Event, details should be expressed using the same terminology.
text
C0013227 (UMLS CUI [1])
Total Daily Dose
Item
Total Daily Dose (e.g. 400) If "YES", record each medication on a seperate line using Trade Names where possible. If the medication is related to an Adverse Event or Serious Adverse Event, details should be expressed using the same terminology.
text
C2348070 (UMLS CUI [1])
Units
Item
Units (e.g. mg) If "YES", record each medication on a seperate line using Trade Names where possible. If the medication is related to an Adverse Event or Serious Adverse Event, details should be expressed using the same terminology.
text
C1519795 (UMLS CUI [1])
Route
Item
Route (e.g. PO) If "YES", record each medication on a seperate line using Trade Names where possible. If the medication is related to an Adverse Event or Serious Adverse Event, details should be expressed using the same terminology.
text
C0013153 (UMLS CUI [1])
Reason for Medication
Item
Reason for Medication (e.g. Headache) If "YES", record each medication on a seperate line using Trade Names where possible. If the medication is related to an Adverse Event or Serious Adverse Event, details should be expressed using the same terminology.
text
C0392360 (UMLS CUI [1,1])
C0013227 (UMLS CUI [1,2])
Start date
Item
Start Date (Day Month Year) (e.g. 31 MAY 02) If "YES", record each medication on a seperate line using Trade Names where possible. If the medication is related to an Adverse Event or Serious Adverse Event, details should be expressed using the same terminology.
date
C0013227 (UMLS CUI [1])
Stop Date
Item
Stop Date (Day Month Year) (e.g. 31 MAY 02) If "YES", record each medication on a seperate line using Trade Names where possible. If the medication is related to an Adverse Event or Serious Adverse Event, details should be expressed using the same terminology.
date
C0806020 (UMLS CUI [1])
Ongoing Medication
Item
Ongoing Medication (Yes - No) If "YES", record each medication on a seperate line using Trade Names where possible. If the medication is related to an Adverse Event or Serious Adverse Event, details should be expressed using the same terminology.
boolean
C2826666 (UMLS CUI [1])