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Logs and Repeats: Adverse Event and Concomitant Medication Questions

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Administrative data
Beschrijving

Administrative data

Site
Beschrijving

Site

Datatype

text

Patient
Beschrijving

Patient

Datatype

text

Patient Number
Beschrijving

Patient Number

Datatype

integer

Date of Visit/Assessment
Beschrijving

Date of Visit/Assessment

Date below is the start of the study for this subject
Beschrijving

Date below is the start of the study for this subject

Datatype

date

Adverse Event/Concomitant Medications/Repeat Assessment (Check Questions)
Beschrijving

Adverse Event/Concomitant Medications/Repeat Assessment (Check Questions)

Were any concomitant medications taken by the subject during the study?
Beschrijving

Were any concomitant medications taken by the subject during the study?

Datatype

boolean

Did the subject experience any adverse events during the study?
Beschrijving

Did the subject experience any adverse events during the study?

Datatype

boolean

Were any repeat ECGs performed?
Beschrijving

Were any repeat ECGs performed?

Datatype

boolean

Did the subject have any abnormal ECGs during the study?
Beschrijving

Did the subject have any abnormal ECGs during the study?

Datatype

boolean

Were any repeat vital signs recorded?
Beschrijving

Were any repeat vital signs recorded?

Datatype

boolean

Were any repeat PK taken?
Beschrijving

Were any repeat PK taken?

Datatype

boolean

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Logs and Repeats: Adverse Event and Concomitant Medication Questions

1 Formulieren
Name
Type
Description | Question | Decode (Coded Value)
Datatype
Alias
Item Group
Administrative data
Site
Item
Site
text
Patient
Item
Patient
text
Patient Number
Item
Patient Number
integer
Item Group
Date of Visit/Assessment
Date below is the start of the study for this subject
Item
Date below is the start of the study for this subject
date
Item Group
Adverse Event/Concomitant Medications/Repeat Assessment (Check Questions)
Were any concomitant medications taken by the subject during the study?
Item
Were any concomitant medications taken by the subject during the study?
boolean
Did the subject experience any adverse events during the study?
Item
Did the subject experience any adverse events during the study?
boolean
Were any repeat ECGs performed?
Item
Were any repeat ECGs performed?
boolean
Did the subject have any abnormal ECGs during the study?
Item
Did the subject have any abnormal ECGs during the study?
boolean
Were any repeat vital signs recorded?
Item
Were any repeat vital signs recorded?
boolean
Were any repeat PK taken?
Item
Were any repeat PK taken?
boolean
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