Logs and Repeats: Concomitant Medications

Administrative data
Beschrijving

Administrative data

Site
Beschrijving

Site

Datatype

text

Patient
Beschrijving

Patient

Datatype

text

Patient Number
Beschrijving

Patient Number

Datatype

integer

Concomitant Medications
Beschrijving

Concomitant Medications

Sequence Number
Beschrijving

Sequence Number

Datatype

integer

Drug name
Beschrijving

Trade name preferred

Datatype

text

Modified reported term
Beschrijving

Modified reported term

Datatype

text

Unit dose
Beschrijving

Unit dose

Datatype

float

Units
Beschrijving

Units

Datatype

text

Frequency
Beschrijving

Frequency

Datatype

integer

Route
Beschrijving

Route

Datatype

text

Reason for medication
Beschrijving

Reason for medication

Datatype

text

Start Date
Beschrijving

Start Date

Datatype

date

Start Time
Beschrijving

Start Time

Datatype

time

Taken prior to study?
Beschrijving

Taken prior to study?

Datatype

boolean

Ongoing?
Beschrijving

Ongoing?

Datatype

boolean

If NO, record End Date
Beschrijving

If NO, record End Date

Datatype

date

If NO, record End Time
Beschrijving

If NO, record End Time

Datatype

time

Similar models

Logs and Repeats: Concomitant Medications

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
Concomitant Medications
Sequence Number
Item
Sequence Number
integer
Drug name
Item
Drug name
text
Modified reported term
Item
Modified reported term
text
Unit dose
Item
Unit dose
float
Units
Item
Units
text
Frequency
Item
Frequency
integer
Route
Item
Route
text
Reason for medication
Item
Reason for medication
text
Start Date
Item
Start Date
date
Start Time
Item
Start Time
time
Taken prior to study?
Item
Taken prior to study?
boolean
Ongoing?
Item
Ongoing?
boolean
If NO, record End Date
Item
If NO, record End Date
date
If NO, record End Time
Item
If NO, record End Time
time