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Investigational Product Compliance Data

1 forms  
Investigational Product Compliance Data
Description

Investigational Product Compliance Data

Alias
UMLS CUI-1
C0304229
UMLS CUI-2
C1321605
1. Investigational product container number
Description

1. Investigational product container number

Data type

text

Alias
UMLS CUI [1,1]
C0304229
UMLS CUI [1,2]
C0180098
UMLS CUI [1,3]
C0600091
2. Visit Investigational Product Dispensed
Description

2. Visit Investigational Product Dispensed

Data type

text

Alias
UMLS CUI [1,1]
C0304229
UMLS CUI [1,2]
C0947323
UMLS CUI [1,3]
C0545082
3. Date Investigational Product Dispensed
Description

3. Date Investigational Product Dispensed

Data type

date

Alias
UMLS CUI [1,1]
C0304229
UMLS CUI [1,2]
C0947323
UMLS CUI [1,3]
C0011008
4. Dose Counter Start
Description

4. Dose Counter Start

Data type

integer

Alias
UMLS CUI [1,1]
C0678766
UMLS CUI [1,2]
C0808070
5. Visit Investigational Product Returned
Description

5. Visit Investigational Product Returned

Data type

text

Alias
UMLS CUI [1,1]
C0304229
UMLS CUI [1,2]
C0332156
UMLS CUI [1,3]
C0545082
6. Date Investigational Product Returned
Description

6. Date Investigational Product Returned

Data type

date

Alias
UMLS CUI [1,1]
C0013230
UMLS CUI [1,2]
C2826249
7. Dose Counter Stop
Description

7. Dose Counter Stop

Data type

integer

Alias
UMLS CUI [1,1]
C0678766
UMLS CUI [1,2]
C0806020
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Similar models

Investigational Product Compliance Data

1 forms
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Investigational Product Compliance Data
C0304229 (UMLS CUI-1)
C1321605 (UMLS CUI-2)
1. Investigational product container number
Item
1. Investigational product container number
text
C0304229 (UMLS CUI [1,1])
C0180098 (UMLS CUI [1,2])
C0600091 (UMLS CUI [1,3])
Item
2. Visit Investigational Product Dispensed
text
C0304229 (UMLS CUI [1,1])
C0947323 (UMLS CUI [1,2])
C0545082 (UMLS CUI [1,3])
2. Visit Investigational Product Dispensed
Code List
2. Visit Investigational Product Dispensed
CL Item
Visit 2 (1)
CL Item
Visit 3 (2)
CL Item
Visit 4 (3)
CL Item
Visit 5 (4)
CL Item
Visit 6 (5)
CL Item
Visit 7 (6)
CL Item
Visit 8 (7)
CL Item
Visit 9 (8)
CL Item
Visit 10 (9)
CL Item
Visit 11 (10)
CL Item
Visit 12 (11)
CL Item
Unscheduled (12)
3. Date Investigational Product Dispensed
Item
3. Date Investigational Product Dispensed
date
C0304229 (UMLS CUI [1,1])
C0947323 (UMLS CUI [1,2])
C0011008 (UMLS CUI [1,3])
4. Dose Counter Start
Item
4. Dose Counter Start
integer
C0678766 (UMLS CUI [1,1])
C0808070 (UMLS CUI [1,2])
Item
5. Visit Investigational Product Returned
text
C0304229 (UMLS CUI [1,1])
C0332156 (UMLS CUI [1,2])
C0545082 (UMLS CUI [1,3])
5. Visit Investigational Product Returned
Code List
5. Visit Investigational Product Returned
CL Item
Visit 3 (1)
CL Item
Visit 4 (2)
CL Item
Visit 6 (3)
CL Item
Visit 7 (4)
CL Item
Visit 8 (5)
CL Item
Visit 9 (6)
CL Item
Visit 10 (7)
CL Item
Visit 11 (8)
CL Item
Visit 12 (9)
CL Item
Visit 13 (10)
CL Item
Early withdrawal (11)
CL Item
Unscheduled (12)
6. Date Investigational Product Returned
Item
6. Date Investigational Product Returned
date
C0013230 (UMLS CUI [1,1])
C2826249 (UMLS CUI [1,2])
7. Dose Counter Stop
Item
7. Dose Counter Stop
integer
C0678766 (UMLS CUI [1,1])
C0806020 (UMLS CUI [1,2])
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