Descripción

Check that either 'Yes' or 'No' box at the top of the page has been completed. Ensure that the spelling of the Drug Name(s) is correct (use of Trade Names is preferred). Check that either medication start date is completed or 'Taken Prior to Study?' is 'Yes'. It is acceptable for start date to be missing if 'Taken Prior to Study?' is 'Yes'. It is acceptable if 'Taken Prior to Study?' is 'Yes' and a start date is present, as long as the start date is prior to the date of the subject's initial visit Check that either medication stop date is completed or 'Ongoing Medication?' is 'Yes'. It is acceptable for stop date to be missing if 'Ongoing Medication?' is 'Yes'. Ensure that the 'Reason for Medication' is recorded on one of the following pages using the same terms: Current Medical Conditions Non-Serious Adverse Events Serious Adverse Events Form

Tipo de datos

text

Alias

UMLS CUI [1]

C1519941

Descripción

If Yes, record each medication on a separate line using Trade Names where possible. If the medication is related to a Non-Serious Adverse Event or Serious Adverse Event, details should be expressed using the same terminology.

Tipo de datos

boolean

Alias

UMLS CUI [1]

C2347852

Descripción

(Trade Name preferred

Tipo de datos

text

Alias

UMLS CUI [1]

C0013227

Descripción

Total Daily Dose

Tipo de datos

text

Alias

UMLS CUI [1]

C2348070

Descripción

units

Tipo de datos

text

Alias

UMLS CUI [1]

C1519795

Descripción

Reason for Medication

Tipo de datos

text

Alias

UMLS CUI [1,1]

C0392360

UMLS CUI [1,2]

C0013227

Descripción

Start Date

Tipo de datos

text

Alias

UMLS CUI [1]

C0808070

Descripción

Taken Prior to study?

Tipo de datos

boolean

Alias

UMLS CUI [1]

C2826667

Descripción

Stop date

Tipo de datos

date

Descripción

Ongoing Medication?

Tipo de datos

text

Alias

UMLS CUI [1]

C2826666