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Subject Diary

1 forms  
  1. StudyEvent: ODM
    1. Subject Diary
Administrative data
Description

Administrative data

Alias
UMLS CUI-1
C1320722
Subject Number
Description

Subject Number

Data type

text

Alias
UMLS CUI [1]
C2348585
Center Number
Description

Center Number

Data type

text

Alias
UMLS CUI [1,1]
C1301943
UMLS CUI [1,2]
C0600091
Age group
Description

Age group

Data type

integer

Alias
UMLS CUI [1]
C0001779
Subject diary instruction
Description

Subject diary instruction

Alias
UMLS CUI-1
C3890583
UMLS CUI-2
C1442085
Contact person
Description

Should you have any questions about the study medication prior to your next appointment, please contact your study coordinator (see below).

Data type

text

Alias
UMLS CUI [1]
C0337611
Contact details
Description

Contact details

Data type

text

Alias
UMLS CUI [1]
C1522508
Medication
Description

Medication

Alias
UMLS CUI-1
C0013227
Study medication
Description

Study medication

Data type

integer

Alias
UMLS CUI [1]
C0013227
Day of medication
Description

For oral medication please fill in on all days. For topical medication fill in only on day 1 - day 6.

Data type

integer

Alias
UMLS CUI [1,1]
C0013227
UMLS CUI [1,2]
C0439228
Date of medication
Description

day month year

Data type

date

Alias
UMLS CUI [1,1]
C0013227
UMLS CUI [1,2]
C0011008
Time of Morning Dose
Description

24-hr clock

Data type

time

Alias
UMLS CUI [1,1]
C0013227
UMLS CUI [1,2]
C0040223
UMLS CUI [1,3]
C0332170
Time of Evening Dose
Description

24-hr clock

Data type

time

Alias
UMLS CUI [1,1]
C0013227
UMLS CUI [1,2]
C0040223
UMLS CUI [1,3]
C0587117
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Similar models

Subject Diary

1 forms
  1. StudyEvent: ODM
    1. Subject Diary
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Administrative data
C1320722 (UMLS CUI-1)
Subject Number
Item
Subject Number
text
C2348585 (UMLS CUI [1])
Center Number
Item
Center Number
text
C1301943 (UMLS CUI [1,1])
C0600091 (UMLS CUI [1,2])
Item
Age group
integer
C0001779 (UMLS CUI [1])
Age group
Code List
Age group
CL Item
5-11 years of age  (1)
CL Item
<5 years of age (2)
CL Item
>=12 years of age (3)
Item Group
Subject diary instruction
C3890583 (UMLS CUI-1)
C1442085 (UMLS CUI-2)
Contact person
Item
Contact person
text
C0337611 (UMLS CUI [1])
Contact details
Item
Contact details
text
C1522508 (UMLS CUI [1])
Item Group
Medication
C0013227 (UMLS CUI-1)
Item
Study medication
integer
C0013227 (UMLS CUI [1])
Study medication
Code List
Study medication
CL Item
Topical Medication (1)
CL Item
Oral suspension Medication (2)
Item
Day of medication
integer
C0013227 (UMLS CUI [1,1])
C0439228 (UMLS CUI [1,2])
Day of medication
Code List
Day of medication
CL Item
Day 1 (1)
CL Item
Day 2 (2)
CL Item
Day 3 (3)
CL Item
Day 4  (4)
CL Item
Day 5 (5)
CL Item
Day 6 (6)
CL Item
Day 7 (7)
CL Item
Day 8 (8)
CL Item
Day 9 (9)
CL Item
Day 10 (10)
CL Item
Day 11 (11)
Date of medication
Item
Date of medication
date
C0013227 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
Time of Morning Dose
Item
Time of Morning Dose
time
C0013227 (UMLS CUI [1,1])
C0040223 (UMLS CUI [1,2])
C0332170 (UMLS CUI [1,3])
Time of Evening Dose
Item
Time of Evening Dose
time
C0013227 (UMLS CUI [1,1])
C0040223 (UMLS CUI [1,2])
C0587117 (UMLS CUI [1,3])
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