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Throughout: Concomitant Medication 2A [CM_2A] NCT01117584

1 forms  
General Information
Description

General Information

Is there any previous medication and/or concomitant medication to record?
Description

Any Previous or Concomitant Medication

Data type

boolean

Alias
UMLS CUI [1]
C2347852
Medication
Description

Medication

Data type

text

Alias
UMLS CUI [1,1]
C0013227
UMLS CUI [1,2]
C2347852
Route
Description

Route

Data type

text

Alias
UMLS CUI [1,1]
C2347852
UMLS CUI [1,2]
C0013153
Start Date
Description

Start Date

Data type

date

Alias
UMLS CUI [1,1]
C2347852
UMLS CUI [1,2]
C0808070
Stop Date
Description

Stop Date

Data type

date

Alias
UMLS CUI [1,1]
C2347852
UMLS CUI [1,2]
C0806020
Ongoing
Description

Ongoing

Data type

boolean

Alias
UMLS CUI [1,1]
C2347852
UMLS CUI [1,2]
C0549178
Dose
Description

Dose

Data type

text

Alias
UMLS CUI [1,1]
C2347852
UMLS CUI [1,2]
C0178602
Dose Units
Description

Dose Units

Data type

text

Alias
UMLS CUI [1,1]
C2347852
UMLS CUI [1,2]
C0178602
UMLS CUI [1,3]
C1519795
Frequency
Description

Frequency

Data type

text

Alias
UMLS CUI [1,1]
C2347852
UMLS CUI [1,2]
C3476109
Indication
Description

Indication

Data type

text

Alias
UMLS CUI [1,1]
C2347852
UMLS CUI [1,2]
C3146298
Reason for Use: For Primary Diagnosis
Description

Reason for Use: For Primary Diagnosis

Data type

boolean

Alias
UMLS CUI [1,1]
C2347852
UMLS CUI [1,2]
C0392360
UMLS CUI [1,3]
C0332137
Reason for Use: For Medical History
Description

Reason for Use: For Medical History

Data type

boolean

Alias
UMLS CUI [1,1]
C2347852
UMLS CUI [1,2]
C0392360
UMLS CUI [1,3]
C0262926
Reason for Use: For AE
Description

Reason for Use: For AE

Data type

boolean

Alias
UMLS CUI [1,1]
C2347852
UMLS CUI [1,2]
C0392360
UMLS CUI [1,3]
C0877248
Reason for Use: Prophylaxis
Description

Reason for Use: Prophylaxis

Data type

boolean

Alias
UMLS CUI [1,1]
C2347852
UMLS CUI [1,2]
C0392360
UMLS CUI [1,3]
C0033107
Reason for Use: Other
Description

Reason for Use: Other

Data type

boolean

Alias
UMLS CUI [1,1]
C2347852
UMLS CUI [1,2]
C0392360
WHO Code
Description

WHO Code

Data type

text

Alias
UMLS CUI [1,1]
C2347852
UMLS CUI [1,2]
C1547174
ATC Code
Description

ATC Code

Data type

text

Alias
UMLS CUI [1,1]
C2347852
UMLS CUI [1,2]
C1547174
Level 1 ATC
Description

Level 1 ATC

Data type

text

Alias
UMLS CUI [1,1]
C2347852
UMLS CUI [1,2]
C1547174
Level 2 ATC
Description

Level 2 ATC

Data type

text

Alias
UMLS CUI [1,1]
C2347852
UMLS CUI [1,2]
C1547174
Level 3 ATC
Description

Level 3 ATC

Data type

text

Alias
UMLS CUI [1,1]
C2347852
UMLS CUI [1,2]
C1547174
Level 4 ATC
Description

Level 4 ATC

Data type

text

Alias
UMLS CUI [1,1]
C2347852
UMLS CUI [1,2]
C1547174
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Similar models

Throughout: Concomitant Medication 2A [CM_2A] NCT01117584

1 forms
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
General Information
Any Previous or Concomitant Medication
Item
Is there any previous medication and/or concomitant medication to record?
boolean
C2347852 (UMLS CUI [1])
Medication
Item
Medication
text
C0013227 (UMLS CUI [1,1])
C2347852 (UMLS CUI [1,2])
Item
Route
text
C2347852 (UMLS CUI [1,1])
C0013153 (UMLS CUI [1,2])
Route
Code List
Route
CL Item
Oral  (1)
CL Item
Intravenous (2)
CL Item
Topical  (3)
CL Item
Nasogastric  (4)
CL Item
Subcutaneous (5)
CL Item
Intramuscular (6)
CL Item
Ear/Auricular (7)
CL Item
Ophthalmic (8)
CL Item
Sublingual (9)
CL Item
Inhaled (10)
CL Item
Continuous Inhalation (11)
CL Item
Swish & Split / Swallow (12)
CL Item
Intranasal  (13)
CL Item
Transdermal  (14)
CL Item
Vaginal  (15)
CL Item
Rectal  (16)
CL Item
Epidural  (17)
CL Item
Intrathecal  (18)
CL Item
Intra-articular (19)
CL Item
Peri-articular (20)
CL Item
Intraperitoneal  (21)
CL Item
Intradermal  (22)
CL Item
Intra-arterial  (23)
CL Item
Intra-urethral  (24)
CL Item
Unknown (25)
CL Item
Other (26)
Start Date
Item
Start Date
date
C2347852 (UMLS CUI [1,1])
C0808070 (UMLS CUI [1,2])
Stop Date
Item
Stop Date
date
C2347852 (UMLS CUI [1,1])
C0806020 (UMLS CUI [1,2])
Ongoing
Item
Ongoing
boolean
C2347852 (UMLS CUI [1,1])
C0549178 (UMLS CUI [1,2])
Dose
Item
Dose
text
C2347852 (UMLS CUI [1,1])
C0178602 (UMLS CUI [1,2])
Dose Units
Item
Dose Units
text
C2347852 (UMLS CUI [1,1])
C0178602 (UMLS CUI [1,2])
C1519795 (UMLS CUI [1,3])
Frequency
Item
Frequency
text
C2347852 (UMLS CUI [1,1])
C3476109 (UMLS CUI [1,2])
Indication
Item
Indication
text
C2347852 (UMLS CUI [1,1])
C3146298 (UMLS CUI [1,2])
Reason for Use: For Primary Diagnosis
Item
Reason for Use: For Primary Diagnosis
boolean
C2347852 (UMLS CUI [1,1])
C0392360 (UMLS CUI [1,2])
C0332137 (UMLS CUI [1,3])
Reason for Use: For Medical History
Item
Reason for Use: For Medical History
boolean
C2347852 (UMLS CUI [1,1])
C0392360 (UMLS CUI [1,2])
C0262926 (UMLS CUI [1,3])
Reason for Use: For AE
Item
Reason for Use: For AE
boolean
C2347852 (UMLS CUI [1,1])
C0392360 (UMLS CUI [1,2])
C0877248 (UMLS CUI [1,3])
Reason for Use: Prophylaxis
Item
Reason for Use: Prophylaxis
boolean
C2347852 (UMLS CUI [1,1])
C0392360 (UMLS CUI [1,2])
C0033107 (UMLS CUI [1,3])
Reason for Use: Other
Item
Reason for Use: Other
boolean
C2347852 (UMLS CUI [1,1])
C0392360 (UMLS CUI [1,2])
WHO Code
Item
WHO Code
text
C2347852 (UMLS CUI [1,1])
C1547174 (UMLS CUI [1,2])
ATC Code
Item
ATC Code
text
C2347852 (UMLS CUI [1,1])
C1547174 (UMLS CUI [1,2])
Level 1 ATC
Item
Level 1 ATC
text
C2347852 (UMLS CUI [1,1])
C1547174 (UMLS CUI [1,2])
Level 2 ATC
Item
Level 2 ATC
text
C2347852 (UMLS CUI [1,1])
C1547174 (UMLS CUI [1,2])
Level 3 ATC
Item
Level 3 ATC
text
C2347852 (UMLS CUI [1,1])
C1547174 (UMLS CUI [1,2])
Level 4 ATC
Item
Level 4 ATC
text
C2347852 (UMLS CUI [1,1])
C1547174 (UMLS CUI [1,2])
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