Inglés

No Instruction available.

1 formularios  
  1. StudyEvent: Concomitant Medications Excluding Antiretroviral Therapy - RF09
    1. No Instruction available.
Ccrr Module For Concomitant Medications Excluding Antiretroviral Therapy - Rf09
Descripción

Ccrr Module For Concomitant Medications Excluding Antiretroviral Therapy - Rf09

Patient Initials
Descripción

PatientInitials

Tipo de datos

text

Study#
Descripción

Study#

Tipo de datos

text

Site#
Descripción

Site#

Tipo de datos

text

ID#
Descripción

ID#

Tipo de datos

text

Cycle #
Descripción

Cycle#

Tipo de datos

text

First day of cycle
Descripción

Firstdayofcycle

Tipo de datos

text

During this cycle, has the subject started or stopped any medications?
Descripción

Duringthiscycle,hasthesubjectstartedorstoppedanymedications?

Tipo de datos

text

Medication (Generic Name Only)
Descripción

Medication(GenericNameOnly)

Tipo de datos

text

ACTG Drug Code
Descripción

ACTGDrugCode

Tipo de datos

text

Amount
Descripción

Amount

Tipo de datos

text

Units
Descripción

Units

Tipo de datos

text

Frequency (per day)
Descripción

Frequency(perday)

Tipo de datos

text

Started prior to study?
Descripción

Startedpriortostudy?

Tipo de datos

text

Date Started
Descripción

DateStarted

Tipo de datos

text

Stopped?
Descripción

Stopped?

Tipo de datos

text

Date Stopped
Descripción

DateStopped

Tipo de datos

text

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Similar models

No Instruction available.

1 formularios
  1. StudyEvent: Concomitant Medications Excluding Antiretroviral Therapy - RF09
    1. No Instruction available.
Name
Tipo
Description | Question | Decode (Coded Value)
Tipo de datos
Alias
Item Group
Ccrr Module For Concomitant Medications Excluding Antiretroviral Therapy - Rf09
PatientInitials
Item
Patient Initials
text
Study#
Item
Study#
text
Site#
Item
Site#
text
ID#
Item
ID#
text
Cycle#
Item
Cycle #
text
Firstdayofcycle
Item
First day of cycle
text
Item
During this cycle, has the subject started or stopped any medications?
text
CL.1
Code List
During this cycle, has the subject started or stopped any medications?
CL Item
Yes (Yes)
CL Item
No (No)
Medication(GenericNameOnly)
Item
Medication (Generic Name Only)
text
ACTGDrugCode
Item
ACTG Drug Code
text
Amount
Item
Amount
text
Units
Item
Units
text
Frequency(perday)
Item
Frequency (per day)
text
Item
Started prior to study?
text
CL.2
Code List
Started prior to study?
CL Item
Yes (Yes)
CL Item
No (No)
DateStarted
Item
Date Started
text
Item
Stopped?
text
CL.3
Code List
Stopped?
CL Item
Yes (Yes)
CL Item
No (No)
DateStopped
Item
Date Stopped
text
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