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Additional Forms - Investigational Product

1 forms  
Investigational Product
Description

Investigational Product

Alias
UMLS CUI-1
C0304229
Center
Description

Center

Data type

text

Alias
UMLS CUI [1,1]
C1301943
UMLS CUI [1,2]
C0600091
Subject ID
Description

Subject ID

Data type

text

Alias
UMLS CUI [1]
C2348585
Initials
Description

Initials

Data type

text

Alias
UMLS CUI [1]
C2986440
Visit Date
Description

Visit Date

Data type

date

Alias
UMLS CUI [1]
C1320303
Investigational Product Container Number
Description

Investigational Product Container Number

Data type

text

Alias
UMLS CUI [1,1]
C0304229
UMLS CUI [1,2]
C0180098
UMLS CUI [1,3]
C0600091
Investigational Product Type
Description

Investigational Product

Data type

integer

Alias
UMLS CUI [1,1]
C0304229
UMLS CUI [1,2]
C0332307
Blinded Dose Level
Description

Blinded Dose Level

Data type

integer

Alias
UMLS CUI [1,1]
C3174092
UMLS CUI [1,2]
C0304229
UMLS CUI [1,3]
C0013072
Start Date Investigational Product
Description

Start Date Investigational Product

Data type

date

Alias
UMLS CUI [1,1]
C0304229
UMLS CUI [1,2]
C0808070
Stop Date Investigational Product
Description

Stop Date Investigational Product

Data type

date

Alias
UMLS CUI [1,1]
C0304229
UMLS CUI [1,2]
C0806020
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Similar models

Additional Forms - Investigational Product

1 forms
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Investigational Product
C0304229 (UMLS CUI-1)
Center
Item
Center
text
C1301943 (UMLS CUI [1,1])
C0600091 (UMLS CUI [1,2])
Subject ID
Item
Subject ID
text
C2348585 (UMLS CUI [1])
Initials
Item
Initials
text
C2986440 (UMLS CUI [1])
Visit Date
Item
Visit Date
date
C1320303 (UMLS CUI [1])
Investigational Product Container Number
Item
Investigational Product Container Number
text
C0304229 (UMLS CUI [1,1])
C0180098 (UMLS CUI [1,2])
C0600091 (UMLS CUI [1,3])
Item
Investigational Product Type
integer
C0304229 (UMLS CUI [1,1])
C0332307 (UMLS CUI [1,2])
Investigational Product
Code List
Investigational Product Type
CL Item
Double-blind tablets (1)
CL Item
Single-blind tablets (2)
Item
Blinded Dose Level
integer
C3174092 (UMLS CUI [1,1])
C0304229 (UMLS CUI [1,2])
C0013072 (UMLS CUI [1,3])
Blinded Dose Level
Code List
Blinded Dose Level
CL Item
Bottle A (1)
CL Item
Bottle B (2)
Start Date Investigational Product
Item
Start Date Investigational Product
date
C0304229 (UMLS CUI [1,1])
C0808070 (UMLS CUI [1,2])
Stop Date Investigational Product
Item
Stop Date Investigational Product
date
C0304229 (UMLS CUI [1,1])
C0806020 (UMLS CUI [1,2])
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