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Common CRF : Drug Dispensing/Return Information

1 forms  
Administrative Data
Description

Administrative Data

Alias
UMLS CUI-1
C1320722
Site
Description

Study Site

Data type

text

Alias
UMLS CUI [1]
C2825164
Patient
Description

Patient name

Data type

text

Alias
UMLS CUI [1]
C1299487
Patient No
Description

Patients, Identification number

Data type

integer

Alias
UMLS CUI [1,1]
C0030705
UMLS CUI [1,2]
C1300638
Drug Dispensing/Return Information
Description

Drug Dispensing/Return Information

Alias
UMLS CUI-1
C0304229
UMLS CUI-2
C0947323
UMLS CUI-3
C0332156
Container dispensed at
Description

Experimental drug, Dispensing medication, Containers

Data type

text

Alias
UMLS CUI [1,1]
C0304229
UMLS CUI [1,2]
C0947323
UMLS CUI [1,3]
C0180098
Date dispensed
Description

Experimental drug, Dispensing medication, Date in time

Data type

date

Alias
UMLS CUI [1,1]
C0304229
UMLS CUI [1,2]
C0947323
UMLS CUI [1,3]
C0011008
Investigational product container number
Description

Experimental drug, Containers, Numbers

Data type

integer

Alias
UMLS CUI [1,1]
C0304229
UMLS CUI [1,2]
C0180098
UMLS CUI [1,3]
C0237753
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Similar models

Common CRF : Drug Dispensing/Return Information

1 forms
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Administrative Data
C1320722 (UMLS CUI-1)
Study Site
Item
Site
text
C2825164 (UMLS CUI [1])
Patient name
Item
Patient
text
C1299487 (UMLS CUI [1])
Patients, Identification number
Item
Patient No
integer
C0030705 (UMLS CUI [1,1])
C1300638 (UMLS CUI [1,2])
Item Group
Drug Dispensing/Return Information
C0304229 (UMLS CUI-1)
C0947323 (UMLS CUI-2)
C0332156 (UMLS CUI-3)
Experimental drug, Dispensing medication, Containers
Item
Container dispensed at
text
C0304229 (UMLS CUI [1,1])
C0947323 (UMLS CUI [1,2])
C0180098 (UMLS CUI [1,3])
Experimental drug, Dispensing medication, Date in time
Item
Date dispensed
date
C0304229 (UMLS CUI [1,1])
C0947323 (UMLS CUI [1,2])
C0011008 (UMLS CUI [1,3])
Experimental drug, Containers, Numbers
Item
Investigational product container number
integer
C0304229 (UMLS CUI [1,1])
C0180098 (UMLS CUI [1,2])
C0237753 (UMLS CUI [1,3])
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