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Unscheduled Visit: Urine Drug, Alcohol, and Cotinine Screen

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Administrative data
Beschrijving

Administrative data

Subject Identifier
Beschrijving

Subject Identifier

Datatype

integer

Urine Drug, Alcohol and Cotinine Screen
Beschrijving

Urine Drug, Alcohol and Cotinine Screen

Date of sample taken
Beschrijving

Date of sample taken

Datatype

date

Time of sample taken
Beschrijving

Time of sample taken

Datatype

time

Mark appropriate box(es)
Beschrijving

Mark appropriate box(es)

Cocaine
Beschrijving

Cocaine

Datatype

text

Amphetamines
Beschrijving

Amphetamines

Datatype

text

Benzodiazepines
Beschrijving

Benzodiazepines

Datatype

text

Cannabinoids
Beschrijving

Cannabinoids

Datatype

text

Opiates
Beschrijving

Opiates

Datatype

text

Barbiturates
Beschrijving

Barbiturates

Datatype

text

Alcohol
Beschrijving

Alcohol

Datatype

text

Cotinine
Beschrijving

Cotinine

Datatype

float

If any of the above are positive, exclude subject from the study.
Beschrijving

If any of the above are positive, exclude subject from the study.

Datatype

text

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Similar models

Unscheduled Visit: Urine Drug, Alcohol, and Cotinine Screen

1 Formulieren
Name
Type
Description | Question | Decode (Coded Value)
Datatype
Alias
Item Group
Administrative data
Subject Identifier
Item
Subject Identifier
integer
Item Group
Urine Drug, Alcohol and Cotinine Screen
Date of sample taken
Item
Date of sample taken
date
Time of sample taken
Item
Time of sample taken
time
Item Group
Mark appropriate box(es)
Item
Cocaine
text
Cocaine
Code List
Cocaine
CL Item
Positive (1)
CL Item
Negative (2)
Item
Amphetamines
text
Amphetamines
Code List
Amphetamines
CL Item
Positive (1)
CL Item
Negative (2)
Item
Benzodiazepines
text
Benzodiazepines
Code List
Benzodiazepines
CL Item
Positive (1)
CL Item
Negative (2)
Item
Cannabinoids
text
Cannabinoids
Code List
Cannabinoids
CL Item
Positive (1)
CL Item
Negative (2)
Item
Opiates
text
Opiates
Code List
Opiates
CL Item
Positive (1)
CL Item
Negative (2)
Item
Barbiturates
text
Barbiturates
Code List
Barbiturates
CL Item
Positive (1)
CL Item
Negative (2)
Item
Alcohol
text
Alcohol
Code List
Alcohol
CL Item
Positive (1)
CL Item
Negative (2)
Cotinine
Item
Cotinine
float
If any of the above are positive, exclude subject from the study.
Item
If any of the above are positive, exclude subject from the study.
text
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