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Diary Card 1: Medical Problems - Screening/Run-In Visit 1

1 Formulários  
Administrative data
Descrição

Administrative data

Subject Identifier
Descrição

Subject Identifier

Tipo de dados

integer

Medical problem
Descrição

Medical problem

Medical Problem
Descrição

Record all medical problem(s) you have experienced AND record all medication(s) you took on that date to treat the problem(s). Do NOT include study-related medications

Tipo de dados

text

Date Medical Problem Started
Descrição

Date Medical Problem Started

Tipo de dados

date

Date Medical Problem Stopped
Descrição

Date Medical Problem Stopped

Tipo de dados

date

Medications Taken for Medical Problem
Descrição

Medications Taken for Medical Problem

Tipo de dados

text

Date Medication Started
Descrição

Date Medication Started

Tipo de dados

date

Date Medication Stopped
Descrição

Date Medication Stopped

Tipo de dados

date

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Similar models

Diary Card 1: Medical Problems - Screening/Run-In Visit 1

1 Formulários
Name
Tipo
Description | Question | Decode (Coded Value)
Tipo de dados
Alias
Item Group
Administrative data
Subject Identifier
Item
Subject Identifier
integer
Item Group
Medical problem
Item
Medical Problem
text
Medical Problem
Code List
Medical Problem
CL Item
Problem 1 (1)
CL Item
Problem 2 (2)
CL Item
Problem 3 (3)
CL Item
Problem 4 (4)
CL Item
Problem 5 (5)
CL Item
Problem 6 (6)
CL Item
Problem 7 (7)
CL Item
Problem 8 (8)
CL Item
Problem 9 (9)
CL Item
Problem 10 (10)
CL Item
Problem 11 (11)
CL Item
Problem 12 (12)
CL Item
Problem 13 (13)
CL Item
Problem 14 (14)
CL Item
Problem 15 (15)
CL Item
Problem 16 (16)
CL Item
Problem 17 (17)
CL Item
Problem 18 (18)
CL Item
Problem 19 (19)
CL Item
Problem 20 (20)
Date Medical Problem Started
Item
Date Medical Problem Started
date
Date Medical Problem Stopped
Item
Date Medical Problem Stopped
date
Medications Taken for Medical Problem
Item
Medications Taken for Medical Problem
text
Date Medication Started
Item
Date Medication Started
date
Date Medication Stopped
Item
Date Medication Stopped
date
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