Englisch

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

1 Formulare  
Administrative data
Beschreibung

Administrative data

Subject Identifier
Beschreibung

Subject Identifier

Datentyp

integer

Medical problem
Beschreibung

Medical problem

Medical Problem
Beschreibung

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

Datentyp

text

Date Medical Problem Started
Beschreibung

Date Medical Problem Started

Datentyp

date

Date Medical Problem Stopped
Beschreibung

Date Medical Problem Stopped

Datentyp

date

Medications Taken for Medical Problem
Beschreibung

Medications Taken for Medical Problem

Datentyp

text

Date Medication Started
Beschreibung

Date Medication Started

Datentyp

date

Date Medication Stopped
Beschreibung

Date Medication Stopped

Datentyp

date

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Ähnliche Modelle

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

1 Formulare
Name
Typ
Description | Question | Decode (Coded Value)
Datentyp
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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