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Concomitant Medications GSK Rosiglitazone Alzheimer's disease 100468

1 forms  
Patient Information
Description

Patient Information

Alias
UMLS CUI-1
C1955348
Subject Identifier
Description

Subject Identifier

Data type

text

Alias
UMLS CUI [1]
C2348585
Concomitant Medications
Description

Concomitant Medications

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

If YES, record each medication on a seperate line using Trade Names where possible. If the medication is realted to an Adverse Event or Serious Adverse Event, details should be expressed using the same terminology.

Data type

boolean

Drug Name (Trade name preferred) e.g. Aspirin
Description

Drug Name

Data type

text

Alias
UMLS CUI [1]
C0013227
Total Daily Dose e.g. 400
Description

Total Daily Dose

Data type

float

Alias
UMLS CUI [1]
C2348070
Unit (for Units and Route see facing page for examples of acceptable abbreviations) e.g. mg
Description

Unit

Data type

text

Alias
UMLS CUI [1]
C1519795
Route (For Units and Route see facing page for examples of acceptable abbreviations) e.g. PO
Description

Administration Route

Data type

text

Reason for Medication e.g. Headache
Description

Reason for Medication

Data type

text

Alias
UMLS CUI [1,1]
C0392360
UMLS CUI [1,2]
C0013227
Start Date e.g. 31 MAY 02
Description

Start Date

Data type

date

Measurement units
  • dd-mmm-yy
dd-mmm-yy
Stop Date e.g. 31 MAY 02
Description

Stop Date

Data type

date

Measurement units
  • dd-mmm-yy
dd-mmm-yy
Ongoing Medication? e.g. N
Description

Ongoing

Data type

text

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Similar models

Concomitant Medications GSK Rosiglitazone Alzheimer's disease 100468

1 forms
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Patient Information
C1955348 (UMLS CUI-1)
Subject Identifier
Item
Subject Identifier
text
C2348585 (UMLS CUI [1])
Item Group
Concomitant Medications
C2347852 (UMLS CUI-1)
Concomitant Medications
Item
Were any concomitant medications taken by the subject during the study?
boolean
Drug Name
Item
Drug Name (Trade name preferred) e.g. Aspirin
text
C0013227 (UMLS CUI [1])
Total Daily Dose
Item
Total Daily Dose e.g. 400
float
C2348070 (UMLS CUI [1])
Unit
Item
Unit (for Units and Route see facing page for examples of acceptable abbreviations) e.g. mg
text
C1519795 (UMLS CUI [1])
Administration Route
Item
Route (For Units and Route see facing page for examples of acceptable abbreviations) e.g. PO
text
Reason for Medication
Item
Reason for Medication e.g. Headache
text
C0392360 (UMLS CUI [1,1])
C0013227 (UMLS CUI [1,2])
Start Date
Item
Start Date e.g. 31 MAY 02
date
Stop Date
Item
Stop Date e.g. 31 MAY 02
date
Item
Ongoing Medication? e.g. N
text
Ongoing
Code List
Ongoing Medication? e.g. N
CL Item
Yes (Y)
CL Item
No (N)
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