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Administrative Data and Pharmacokinetics and Laboratory - Visit 15

1 forms  
Administrative Data
Description

Administrative Data

Alias
UMLS CUI-1
C1320722
Subject identifier
Description

Subject identifier

Data type

text

Alias
UMLS CUI [1]
C2348585
Visit Date
Description

Visit Date

Data type

date

Alias
UMLS CUI [1]
C1320303
Investigational Product, Pharmacokinetics
Description

Investigational Product, Pharmacokinetics

Alias
UMLS CUI-1
C0304229
UMLS CUI-2
C0031327
Record the date of the subjects last dose of investigational product (prior to Pharmacokinetic sample).
Description

Date of last dose of Investigational Product

Data type

date

Alias
UMLS CUI [1,1]
C0304229
UMLS CUI [1,2]
C1762893
Record the time of the subjects last dose of investigational product (prior to pharmacokinetic sample).
Description

Time of last dose of Investigational Product

Data type

time

Alias
UMLS CUI [1,1]
C0304229
UMLS CUI [1,2]
C0946444
Date Pharmacokinetics blood sample taken
Description

If sample is missed or lost, write "NA" in the Date Sample Taken column.

Data type

date

Alias
UMLS CUI [1,1]
C0201734
UMLS CUI [1,2]
C0178913
UMLS CUI [1,3]
C1302413
Actual Time Pharmacokinetics blood sample taken
Description

Planned Relative Time: 30-60 minutes post-dose

Data type

time

Alias
UMLS CUI [1,1]
C0201734
UMLS CUI [1,2]
C1277698
UMLS CUI [1,3]
C0040223
Attach sample identifier label here.
Description

Sample Identifier Label

Data type

text

Alias
UMLS CUI [1,1]
C0439568
UMLS CUI [1,2]
C0178913
UMLS CUI [1,3]
C0600091
Central Laboratory
Description

Central Laboratory

Alias
UMLS CUI-1
C1880016
Date of Blood Collection
Description

Date of Blood Collection

Data type

date

Alias
UMLS CUI [1,1]
C0005834
UMLS CUI [1,2]
C0011008
Date of urine Collection for Urinalysis
Description

Date of Urine Collection for Urinalysis

Data type

date

Alias
UMLS CUI [1,1]
C0200354
UMLS CUI [1,2]
C1317250
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Similar models

Administrative Data and Pharmacokinetics and Laboratory - Visit 15

1 forms
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Administrative Data
C1320722 (UMLS CUI-1)
Subject identifier
Item
Subject identifier
text
C2348585 (UMLS CUI [1])
Visit Date
Item
Visit Date
date
C1320303 (UMLS CUI [1])
Item Group
Investigational Product, Pharmacokinetics
C0304229 (UMLS CUI-1)
C0031327 (UMLS CUI-2)
Date of last dose of Investigational Product
Item
Record the date of the subjects last dose of investigational product (prior to Pharmacokinetic sample).
date
C0304229 (UMLS CUI [1,1])
C1762893 (UMLS CUI [1,2])
Time of last dose of Investigational Product
Item
Record the time of the subjects last dose of investigational product (prior to pharmacokinetic sample).
time
C0304229 (UMLS CUI [1,1])
C0946444 (UMLS CUI [1,2])
Date Pharmacokinetics blood sample taken
Item
Date Pharmacokinetics blood sample taken
date
C0201734 (UMLS CUI [1,1])
C0178913 (UMLS CUI [1,2])
C1302413 (UMLS CUI [1,3])
Actual Time Pharmacokinetics blood sample taken
Item
Actual Time Pharmacokinetics blood sample taken
time
C0201734 (UMLS CUI [1,1])
C1277698 (UMLS CUI [1,2])
C0040223 (UMLS CUI [1,3])
Sample Identifier Label
Item
Attach sample identifier label here.
text
C0439568 (UMLS CUI [1,1])
C0178913 (UMLS CUI [1,2])
C0600091 (UMLS CUI [1,3])
Item Group
Central Laboratory
C1880016 (UMLS CUI-1)
Date of Blood Collection
Item
Date of Blood Collection
date
C0005834 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
Date of Urine Collection for Urinalysis
Item
Date of urine Collection for Urinalysis
date
C0200354 (UMLS CUI [1,1])
C1317250 (UMLS CUI [1,2])
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