Concomitant Medication Changes
Item
Are there any concomitant medication CHANGES since the start of the study? If 'YES', please record all medications used below. Where appropriate, medical conditions should be recorded on the Adverse Events Form, utilizing the same terminology. If a medication has had a dosage change it must be recorded with the start and stop date.
boolean
C2347852 (UMLS CUI [1,1])
C0443172 (UMLS CUI [1,2])
Drug Name
Item
Drug Name (Trade Name Preferred)
text
C0013227 (UMLS CUI [1])
Drug Dosage
Item
SINGLE Dose/Unit
text
C0870450 (UMLS CUI [1])
Frequency
Item
Frequency of this Dose (e.g. BID, PRN)
text
C3476109 (UMLS CUI [1])
Administration Route
Item
Route
text
C0013153 (UMLS CUI [1])
Indication
Item
Indication
text
C3146298 (UMLS CUI [1])
Start Date and Time
Item
Start Date / Time
datetime
C3897500 (UMLS CUI [1,1])
C2347852 (UMLS CUI [1,2])
End Date and Time
Item
End Date /Time
datetime
C3899266 (UMLS CUI [1,1])
C2347852 (UMLS CUI [1,2])
Continuing at end of Study
Item
Continuing at end of Study?
boolean
C1553904 (UMLS CUI [1])