Inglés

Medication - Interim Analysis

1 formularios  
Administrative data
Descripción

Administrative data

Protocol Number
Descripción

Protocol Number

Tipo de datos

integer

Subject Number
Descripción

Subject Number

Tipo de datos

integer

Period
Descripción

Period

Tipo de datos

text

Medication
Descripción

Medication

Have any medications/treatments been administered during study period?
Descripción

Have any medications/treatments been administered during study period?

Tipo de datos

boolean

Medication details
Descripción

Medication details

Trade/Generic Name
Descripción

Trade/Generic Name

Tipo de datos

text

Medical Indication
Descripción

Medical Indication

Tipo de datos

text

Prophylactic?
Descripción

Prophylactic?

Tipo de datos

boolean

Total daily dose
Descripción

Total daily dose

Tipo de datos

text

Route
Descripción

Route

Tipo de datos

integer

Start date
Descripción

Start date

Tipo de datos

date

End date
Descripción

End date

Tipo de datos

date

Ongoing?
Descripción

Ongoing?

Tipo de datos

boolean

Volver a la parte superior de la página

Similar models

Medication - Interim Analysis

1 formularios
Name
Tipo
Description | Question | Decode (Coded Value)
Tipo de datos
Alias
Item Group
Administrative data
Protocol Number
Item
Protocol Number
integer
Subject Number
Item
Subject Number
integer
Item
Period
text
Period
Code List
Period
CL Item
12 months after visit 1 (1)
Item Group
Medication
Have any medications/treatments been administered during study period?
Item
Have any medications/treatments been administered during study period?
boolean
Item Group
Medication details
Trade/Generic Name
Item
Trade/Generic Name
text
Medical Indication
Item
Medical Indication
text
Prophylactic?
Item
Prophylactic?
boolean
Total daily dose
Item
Total daily dose
text
Item
Route
integer
Route
Code List
Route
CL Item
External (1)
CL Item
Intradermal (2)
CL Item
Inhalation (3)
CL Item
Intramuscular (4)
CL Item
Intraarticular (5)
CL Item
Intrathecal (6)
CL Item
Intravenous (7)
CL Item
Intranasal (8)
CL Item
Parenteral (9)
CL Item
Oral (10)
CL Item
Rectal (11)
CL Item
Subcutaneus (12)
CL Item
Sublingual (13)
CL Item
Transdermal (14)
CL Item
Topical (15)
CL Item
Unknown (16)
CL Item
Vaginal (17)
CL Item
Other (18)
Start date
Item
Start date
date
End date
Item
End date
date
Ongoing?
Item
Ongoing?
boolean
Volver a la parte superior de la página