model
Détails

Medication

32 Formulaires

StudyEvent: eurILDreg

Name

Type

Description | Question | Decode (Coded Value)

Type de données

Alias

Medication

Item Group

treat_typeofmeds

Item

Type of medication

text

treat_typeofmeds

Code List

Type of medication

CL Item

ILD specific medication (ildmed)

CL Item

Other medication (othermed)

Medication

Item Group

treat_specificmeds

Item

Please specify

text

treat_specificmeds

Code List

Please specify

CL Item

Anti-fibrotic medication (antifibrotic)

CL Item

Steroids and/or immunosuppresants (steroidimmouno)

CL Item

Immunoglobulins (immunoglobulins)

CL Item

Other (other)

treat_othermedication

Item

Please specify the medication

text

treat_startdate

Item

Start date

date

treat_enddate

Item

End date

date

treat_typeofdose

Item

Type of dose

text

treat_typeofdose

Code List

Type of dose

CL Item

Daily dose (daily)

CL Item

Weekly dose (weekly)

CL Item

Monthly dose (monthly)

CL Item

Half-year dose (halfyear)

CL Item

Cumulative dose (cumulative)

treat_dose

Item

Dose

text

treat_unit

Item

Unit

text

treat_unit

Code List

Unit

CL Item

mg (mg)

CL Item

µg (ug)

CL Item

ng (ng)

CL Item

U (U)

treat_application

Item

Route of administration

text

treat_application

Code List

Route of administration

CL Item

oral (oral)

CL Item

subcutan (sc)

CL Item

inhalative (inhal)

CL Item

intravenous (iv)

CL Item

transcutaneous (tc)

treat_sideffect

Item

Side effects

integer

treat_sideffect

Code List

Side effects

CL Item

Yes (1)

CL Item

No (0)

treat_sideffectcatal

Item

If yes, please specify in side effects catalogue

text

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