Concomitant Medication GOAL Trial B-cell Lymphoma NCT02499003

Admininstrative data
Beschrijving

Admininstrative data

Subject ID
Beschrijving

Subject ID

Datatype

text

Alias
UMLS CUI [1]
C2348585
Are there any relevant concomitant medications (incl. all transfusion packs)?
Beschrijving

relevant concomitant medications

Datatype

boolean

Concomitant Medication
Beschrijving

Concomitant Medication

No.
Beschrijving

medication number

Datatype

integer

Medication
Beschrijving

Medication

Datatype

text

Indication
Beschrijving

Indication

Datatype

text

Dose Unit [e .g. 10, as needed]
Beschrijving

Dose Unit

Datatype

text

Dose form
Beschrijving

Dose form

Datatype

integer

Start date
Beschrijving

Start date

Datatype

date

Stop date
Beschrijving

Stop date

Datatype

date

Ongoing at End of Treatment?
Beschrijving

Ongoing medication at End of Treatment

Datatype

boolean

Similar models

Concomitant Medication GOAL Trial B-cell Lymphoma NCT02499003

Name
Type
Description | Question | Decode (Coded Value)
Datatype
Alias
Item Group
Admininstrative data
Subject ID
Item
Subject ID
text
C2348585 (UMLS CUI [1])
relevant concomitant medications
Item
Are there any relevant concomitant medications (incl. all transfusion packs)?
boolean
Item Group
Concomitant Medication
medication number
Item
No.
integer
Medication
Item
Medication
text
Indication
Item
Indication
text
Dose Unit
Item
Dose Unit [e .g. 10, as needed]
text
Item
Dose form
integer
Code List
Dose form
CL Item
Tablet (0)
CL Item
Film-coated tablet (1)
CL Item
Chewable tablet (2)
CL Item
Throat lozenge (3)
CL Item
Capsule (4)
CL Item
Dragee (5)
CL Item
Powder (6)
CL Item
Granulate (7)
CL Item
Salve (8)
CL Item
Cream (9)
CL Item
Drop (10)
CL Item
Spray (11)
CL Item
Solution (12)
CL Item
Injection (13)
CL Item
Infusion (14)
CL Item
Adhesive Bandage (15)
CL Item
Juice (16)
CL Item
Sachets (17)
CL Item
Gel (18)
CL Item
Suppository (19)
CL Item
Carbon tablets (20)
CL Item
Inhalant (21)
Start date
Item
Start date
date
Stop date
Item
Stop date
date
Ongoing medication at End of Treatment
Item
Ongoing at End of Treatment?
boolean