ID
18733
Beskrivning
ODM Form derived from: https://ictr.wisc.edu/CaseReptTempt. Template Name: Concomitant Medication Log. Case Report Form (CRF)/Source Document templates were created for University of Wisconsin-Madison researchers. These templates are consistent with the FDA's CDASH (Clinical Data Acquisition Standards Harmonization) standards. The CDASH standards identify those elements that should be captured on a Case Report Form (CRF). The forms serve only as templates, and must be edited to meet the study data collection needs as described in the protocol.
Länk
https://ictr.wisc.edu/CaseReptTempt
Nyckelord
Versioner (2)
- 2016-07-23 2016-07-23 -
- 2016-11-17 2016-11-17 -
Uppladdad den
17 november 2016
DOI
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Licens
Creative Commons BY-NC 3.0
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Concomitant Medication Log: CRF Wisconsin Madison
Concomitant Medication Log: CRF Wisconsin Madison
- StudyEvent: ODM
Beskrivning
Concomitant Medication Log
Beskrivning
#
Datatyp
integer
Beskrivning
Medication/ Non-drug Therapy
Datatyp
text
Alias
- UMLS CUI [1]
- C0013227
- UMLS CUI [2]
- C0087111
Beskrivning
Indication
Datatyp
text
Alias
- UMLS CUI [1]
- C3146298
Beskrivning
Medication Dose
Datatyp
float
Alias
- UMLS CUI [1]
- C3174092
Beskrivning
1= g 2= mg 3= ug 4= L 5= mL 6= IU 7= Other
Datatyp
text
Alias
- UMLS CUI [1,1]
- C0178602
- UMLS CUI [1,2]
- C1519795
Beskrivning
1= QD (once a day) 2= BID (twice a day) 3= TID (three times a day) 4= QID (four times a day) 5= QOD (every other day) 6= QM (every month) 7= QOM (every other month) 8= QH (every hour) 9= AC (before meals) 10= PC (after meals) 11= PRN (as needed) 12= Other
Datatyp
text
Alias
- UMLS CUI [1]
- C0013154
- UMLS CUI [2]
- C0439603
Beskrivning
1= Tablet 2= Capsule 3= Ointment 4=Suppository 5=Aerosol 6=Spray 7=Suspension 8= Patch 9=Gas 10=Gel 11=Cream 12=Powder
Datatyp
text
Alias
- UMLS CUI [1]
- C0013058
Beskrivning
1= Oral 2= Topical 3= Subcutaneous 4= Intradermal 5= Transdermal 6= Intraocular 7= Intramuscular 8= Inhalation 9= Intravenous 10= Intraperitoneal 11= Nasal 12= Vaginal 13= Rectal 14= Other
Datatyp
text
Alias
- UMLS CUI [1]
- C3469597
Beskrivning
Start Date
Datatyp
date
Alias
- UMLS CUI [1]
- C0808070
Beskrivning
End Date
Datatyp
date
Alias
- UMLS CUI [1]
- C0806020
Beskrivning
Baseline Med
Datatyp
boolean
Alias
- UMLS CUI [1,1]
- C0013227
- UMLS CUI [1,2]
- C1442488
Beskrivning
Continuing at end of study
Datatyp
boolean
Alias
- UMLS CUI [1]
- C1553904
Similar models
Concomitant Medication Log: CRF Wisconsin Madison
- StudyEvent: ODM
C1521895 (UMLS CUI [1,2])
C1705824 (UMLS CUI [1,2])
C0449788 (UMLS CUI [1,2])
C0449788 (UMLS CUI [1,2])
C0087111 (UMLS CUI [2])
C1519795 (UMLS CUI [1,2])
C0439603 (UMLS CUI [2])
C1442488 (UMLS CUI [1,2])
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