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Logs and Repeats: Adverse Event and Concomitant Medication Questions

1 formularios  
Administrative data
Descripción

Administrative data

Site
Descripción

Site

Tipo de datos

text

Patient
Descripción

Patient

Tipo de datos

text

Patient Number
Descripción

Patient Number

Tipo de datos

integer

Date of Visit/Assessment
Descripción

Date of Visit/Assessment

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

Date below is the start of the study for this subject

Tipo de datos

date

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

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

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

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

Tipo de datos

boolean

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

Did the subject experience any adverse events during the study?

Tipo de datos

boolean

Were any repeat ECGs performed?
Descripción

Were any repeat ECGs performed?

Tipo de datos

boolean

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

Did the subject have any abnormal ECGs during the study?

Tipo de datos

boolean

Were any repeat vital signs recorded?
Descripción

Were any repeat vital signs recorded?

Tipo de datos

boolean

Were any repeat PK taken?
Descripción

Were any repeat PK taken?

Tipo de datos

boolean

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Similar models

Logs and Repeats: Adverse Event and Concomitant Medication Questions

1 formularios
Name
Tipo
Description | Question | Decode (Coded Value)
Tipo de datos
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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