CDE Detailed Report

Disease: Unruptured Cerebral Aneurysms and Subarachnoid Hemorrhage
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CRF: Concomitant Medications

Displaying 1 - 50 of 50
CDE ID CDE Name Variable Name Definition Short Description Additional Notes (Question Text) Permissible Values Description Data Type Disease Specific Instructions Disease Specific Reference Population Classification (e.g., Core) Version Number Version Date CRF Name (CRF Module / Guideline) Sub Domain Name Domain Name Size Input Restrictions Min Value Max Value Measurement Type External Id Loinc External Id Snomed External Id caDSR External Id CDISC
C54993 Cocaine exposure age end value CocainExposureAgEndVal Age in years at which the subject/participant's exposure to cocaine ended Age in years at which the subject/participant's exposure to cocaine ended Cocaine: Exposure to cocaine within one year of clinical presentation: Age when use ended (years) Numeric Values Adult;Pediatric Supplemental 1.00 2017-04-13 14:32:36.0 Concomitant Medications [php] [php_1]

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Years
C54961 Medication antiplatelet current former take age start value MdctnAntplatletCrFmrTkAgSttVal Age in years at which the subject/participant began taking the selected former or current antiplatelet medication Age in years at which the subject/participant began taking the selected former or current antiplatelet medication Type of antiplatelets received: Age at Start (years) Numeric Values Adult;Pediatric Supplemental 1.00 2017-04-13 14:32:36.0 Concomitant Medications [php] [php_1]

Free-Form Entry

Years
C54972 Non-steroidal anti-inflammatory drug current former type NSAIDCurrFrmrTyp Type of non-steroidal anti-inflammatory drug (NSAID) formerly or currently taken by the subject/participant Type of non-steroidal anti-inflammatory drug (NSAID) formerly or currently taken by the subject/participant Type of current or former non-steroidal anti-inflammatory drugs (NSAIDs) used: Alphanumeric Adult;Pediatric Exploratory 1.00 2017-04-13 13:56:57.0 Concomitant Medications [php] [php_1] 255

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C54983 Medication anticoagulant current former take age start value MdctnAntcoglntCurFmrTkAgSttVal Age in years at which the subject/participant began taking the selected former or current anticoagulant medication Age in years at which the subject/participant began taking the selected former or current anticoagulant medication Type(s) of anticoagulants received: Age at Start (years) Numeric Values Adult;Pediatric Supplemental 1.00 2017-04-13 14:32:36.0 Concomitant Medications [php] [php_1]

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Years
C54994 Potency enhancing drug current former use type PotncyEnhanceDrugCurrFrmrUsTyp Type of potency-enhancing drug formerly or currently taken by the subject/participant Type of potency-enhancing drug formerly or currently taken by the subject/participant Type of potency-enhancing drug used: Alphanumeric Adult;Pediatric Exploratory 1.00 2017-04-13 13:56:57.0 Concomitant Medications [php] [php_1] 255

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C54962 Medication antiplatelet former take age end value MedctnAntiplatletFmrTkAgEndVal Age in years at which the subject/participant stopped taking the selected former antiplatelet medication Age in years at which the subject/participant stopped taking the selected former antiplatelet medication Type of antiplatelets received: Age at End (years) Numeric Values Adult;Pediatric Supplemental 1.00 2017-04-13 14:32:36.0 Concomitant Medications [php] [php_1]

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Years
C54973 Non-steroidal anti-inflammatory drug current former take duration NSAIDCurrFrmrTakeDur Duration in months for which the subject/participant took or has taken the specified non-steroidal anti-inflammatory drug (NSAID) Duration in months for which the subject/participant took or has taken the specified former or current non-steroidal anti-inflammatory drug (NSAID) Type of current or former non-steroidal anti-inflammatory drugs (NSAIDs) used: Duration of Use (months) Numeric Values Adult;Pediatric Exploratory 1.00 2017-04-13 14:32:36.0 Concomitant Medications [php] [php_1]

Free-Form Entry

Months
C54984 Medication anticoagulant former take age end value MedctnAnticoaglntFmrTkAgEndVal Age in years at which the subject/participant stopped taking the selected former anticoagulant medication Age in years at which the subject/participant stopped taking the selected former anticoagulant medication Type(s) of anticoagulants received: Age at End (years) Numeric Values Adult;Pediatric Supplemental 1.00 2017-04-13 14:32:36.0 Concomitant Medications [php] [php_1]

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Years
C54995 Potency enhancing drug current former use duration PotencyEnhncngCurrFrmrUseDur Duration in months for which the subject/participant took or has taken the specified potency-enhancing drug Duration in months for which the subject/participant took or has taken the specified potency-enhancing drug Type of potency-enhancing drug used:: Duration of Use (months) Numeric Values Adult;Pediatric Exploratory 1.00 2017-04-13 14:32:36.0 Concomitant Medications [php] [php_1]

Free-Form Entry

Months
C54963 Medication statin current former type MedctnStatinCurrFrmrTyp Type of statin medication formerly or currently taken by the subject/participant Type of statin medication formerly or currently taken by the subject/participant Type of current or former statin used: Alphanumeric Adult;Pediatric Exploratory 1.00 2017-04-13 13:56:57.0 Concomitant Medications [php] [php_1] 255

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C54974 Non-steroidal anti-inflammatory drug current former take age start value NSAIDCurFmrTakAgStrtVal Age in years at which the subject/participant began taking the specified former or current non-steroidal anti-inflammatory drug (NSAID) Age in years at which the subject/participant began taking the specified former or current non-steroidal anti-inflammatory drug (NSAID) Type of current or former non-steroidal anti-inflammatory drugs (NSAIDs) used: Age when use started (years) Numeric Values Adult;Pediatric Exploratory 1.00 2017-04-13 14:32:36.0 Concomitant Medications [php] [php_1]

Free-Form Entry

Years
C54953 Medication antihypertensive current former type MedctnAntihyprtnsvCurrFrmrTyp Type of antihypertensive medication formerly or currently taken by the subject/participant Type of antihypertensive medication formerly or currently taken by the subject/participant Type of current or former antihypertensive medication: Medication type Thiazide diuretics;Calcium channel blockers;ACE inhibitors;Angiotensin II receptor blockers;Beta blockers;Alpha blockers;Other, specify Thiazide diuretics;Calcium channel blockers;ACE inhibitors;Angiotensin II receptor blockers;Beta blockers;Alpha blockers;Other, specify Alphanumeric Adult;Pediatric Supplemental 1.00 2017-04-13 13:56:57.0 Concomitant Medications [php] [php_1]

Single Pre-Defined Value Selected

C54985 Stimulant current former use type StimulantCurrFrmrUseTyp Type of stimulant formerly or currently taken by the subject/participant Type of stimulant formerly or currently taken by the subject/participant Type of current or former stimulants: Substance Type Amphetamine derivatives;Caffeine;Theobromin;Theophyllin;Others, specify Amphetamine derivatives;Caffeine (Xanthine derivative);Theobromin (Xanthine derivative);Theophyllin (Xanthine derivative);Others, specify Alphanumeric Adult;Pediatric Supplemental 1.00 2017-04-13 13:56:57.0 Concomitant Medications [php] [php_1]

Single Pre-Defined Value Selected

C54996 Potency enhancing drug current former use age start value PtncyEnhcgDrgCurFmrUsAgStrtVal Age in years at which the subject/participant began taking the specified former or current potency-enhancing drug Age in years at which the subject/participant began taking the specified former or current potency-enhancing drug Type of potency-enhancing drug used:: Age when use started (years) Numeric Values Adult;Pediatric Exploratory 1.00 2017-04-13 14:32:36.0 Concomitant Medications [php] [php_1]

Free-Form Entry

Years
C54964 Medication statin current former take duration MedctnStatinCurrFrmrTakDur Duration in months for which the subject/participant took or has taken the specified former or current statin medication Duration in months for which the subject/participant took or has taken the specified former or current statin medication Type of current or former statin used: Duration of Use (months) Numeric Values Adult;Pediatric Exploratory 1.00 2017-04-13 14:32:36.0 Concomitant Medications [php] [php_1]

Free-Form Entry

Months
C54975 Non-steroidal anti-inflammatory drug former take age end value NSAIDFmrTakeAgeEndVal Age in years at which the subject/participant stopped taking the specified former non-steroidal anti-inflammatory drug (NSAID) Age in years at which the subject/participant stopped taking the specified former non-steroidal anti-inflammatory drug (NSAID) Type of current or former non-steroidal anti-inflammatory drugs (NSAIDs) used: Age when use ended (years) Numeric Values Adult;Pediatric Exploratory 1.00 2017-04-13 14:32:36.0 Concomitant Medications [php] [php_1]

Free-Form Entry

Years
C54954 Medication antihypertensive current former other text MedctnAntihyptsvCurrFrmrOTH The free-text field related to 'Medication antihypertensive current former type' specifying other text The free-text field related to 'Medication antihypertensive current former type' specifying other text Medication Type: Other, specify Alphanumeric Adult;Pediatric Supplemental 1.00 2017-04-13 14:30:43.0 Concomitant Medications [php] [php_1] 50

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C54986 Stimulant current former use other text StimulantCurrFrmrUseOTH The free-text field related to 'Stimulant current former use type' specifying other text The free-text field related to 'Stimulant current former use type' specifying other text Substance Type: Others, specify Alphanumeric Adult;Pediatric Supplemental 1.00 2017-04-13 14:30:43.0 Concomitant Medications [php] [php_1] 50

Free-Form Entry

C54997 Potency enhancing drug former use age end value PotncyEnhancgDrugFmrUsAgEndVal Age in years at which the subject/participant stopped taking the specified potency-enhancing drug Age in years at which the subject/participant stopped taking the specified potency-enhancing drug Type of potency-enhancing drug used:: Age when use ended (years) Numeric Values Adult;Pediatric Exploratory 1.00 2017-04-13 14:32:36.0 Concomitant Medications [php] [php_1]

Free-Form Entry

Years
C54965 Medication statin current former take age start value MedctnStatinCurFmrTkAgStrtVal Age in years at which the subject/participant began taking the specified former or current statin medication Age in years at which the subject/participant began taking the specified former or current statin medication Type of current or former statin used: Age when use started (years) Numeric Values Adult;Pediatric Exploratory 1.00 2017-04-13 14:32:36.0 Concomitant Medications [php] [php_1]

Free-Form Entry

Years
C54976 Hormone therapy current former type HormonTherpyCurrFrmrTyp Type of hormone therapy formerly or currently taken by the subject/participant Type of hormone therapy formerly or currently taken by the subject/participant Type of current or former hormone therapy used: Alphanumeric Adult;Pediatric Exploratory 1.00 2017-04-13 13:56:57.0 Concomitant Medications [php] [php_1] 255

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C54955 Medication antihypertensive current former take duration MedctnAntihyptsvCurrFrmrTakDur Duration in months for which the subject/participant took or has taken the selected former or current antihypertensive medication Duration in months for which the subject/participant took or has taken the selected former or current antihypertensive medication Type of current or former antihypertensive medication: Duration of Use (months) Numeric Values Adult;Pediatric Supplemental 1.00 2017-04-13 14:32:36.0 Concomitant Medications [php] [php_1]

Free-Form Entry

Months
C54987 Stimulant current former use duration SimulantCurFrmrUseDur Duration in months for which the subject/participant took or has taken the selected former or current stimulant Duration in months for which the subject/participant took or has taken the selected former or current stimulant Type of current or former stimulants: Duration of Use (months) Numeric Values Adult;Pediatric Supplemental 1.00 2017-04-13 14:32:36.0 Concomitant Medications [php] [php_1]

Free-Form Entry

Months
C54998 Medication immunosuppressant current former type MedctnImnosprsntCurrFrmrTyp Type of immunosuppressant medicaton formerly or currently taken by the subject/participant Type of immunosuppressant medicaton formerly or currently taken by the subject/participant Type of immunosuppressant used: Immunosuppresant Corticosteroids local;Corticosteroids systemic;Other, specify: Corticosteroids local;Corticosteroids systemic;Other, specify: Alphanumeric Adult;Pediatric Exploratory 1.00 2017-04-13 13:56:57.0 Concomitant Medications [php] [php_1]

Single Pre-Defined Value Selected

C54966 Medication statin former take age end value MedctnStatinFmrTkAgEndVal Age in years at which the subject/participant stopped taking the specified former statin medication Age in years at which the subject/participant stopped taking the specified former statin medication Type of current or former statin used: Age when use ended (years) Numeric Values Adult;Pediatric Exploratory 1.00 2017-04-13 14:32:36.0 Concomitant Medications [php] [php_1]

Free-Form Entry

Years
C54977 Hormone therapy current former receive duration HormonTherpyCurrFrmrRcvDur Duration in months for which the subject/participant took or has taken the specified hormone therapy Duration in months for which the subject/participant took or has taken the specified hormone therapy Type of current or former hormone therapy used: Duration of Use (months) Numeric Values Adult;Pediatric Exploratory 1.00 2017-04-13 14:32:36.0 Concomitant Medications [php] [php_1]

Free-Form Entry

Months
C54956 Medication antihypertensive current former take age start value MdctnAntihytsvCrFmrTkAgStrtVal Age in years at which the subject/participant began taking the selected former or current antihypertensive medication Age in years at which the subject/participant began taking the selected former or current antihypertensive medication Type of current or former antihypertensive medication: Age at Start (years) Numeric Values Adult;Pediatric Supplemental 1.00 2017-04-13 14:32:36.0 Concomitant Medications [php] [php_1]

Free-Form Entry

Years
C54988 Stimulant current former use age start value StimulantCurFmrUsAgSttVal Age in years at which the subject/participant began taking the selected former or current stimulant Age in years at which the subject/participant began taking the selected former or current stimulant Type of current or former stimulants: Age at Start (years) Numeric Values Adult;Pediatric Supplemental 1.00 2017-04-13 14:32:36.0 Concomitant Medications [php] [php_1]

Free-Form Entry

Years
C54999 Medication immunosuppressant current former take other text MedctnImnosprsntCurrFrmrTkOTH The free-text field related to 'Medication immunosuppressant current former type' specifying other text The free-text field related to 'Medication immunosuppressant current former type' specifying other text Immunosuppressant: Other, specify Alphanumeric Adult;Pediatric Exploratory 1.00 2017-04-13 14:30:43.0 Concomitant Medications [php] [php_1] 50

Free-Form Entry

C54967 Birth control method current former use type BrthCtrlMethdCurrFrmrUsTyp Type of method of birth control formerly or currently used by the subject/participant Type of method of birth control formerly or currently used by the subject/participant Birth control method(s): Method Used Abstinence;Oral contraceptives – combined pill;Oral contraceptives – progestin-only pill;Transdermal patch;Shot/injection;Hormonal (e.g., oral, implanted, injected);None of these;Other, specify Abstinence;Oral contraceptives – combined pill;Oral contraceptives – progestin-only pill;Transdermal patch;Shot/injection;Hormonal (e.g., oral, implanted, injected);None of these;Other, specify Alphanumeric Adult;Pediatric Exploratory 1.00 2017-04-13 15:01:03.0 Concomitant Medications [php] [php_1]

Single Pre-Defined Value Selected

C54978 Hormone therapy current former receive age start value HormonTherpyCurFmrRcvAgStrtVal Age in years at which the subject/participant began taking the specified former or current hormone therapy Age in years at which the subject/participant began taking the specified former or current hormone therapy Type of current or former hormone therapy used: Age when use started (years) Numeric Values Adult;Pediatric Exploratory 1.00 2017-04-13 14:32:36.0 Concomitant Medications [php] [php_1]

Free-Form Entry

Years
C54989 Stimulant former use age end value StimulantFmrUseAgEndVal Age in years at which the subject/participant stopped taking the selected former stimulant Age in years at which the subject/participant stopped taking the selected former stimulant Type of current or former stimulants: Age at End (years) Numeric Values Adult;Pediatric Supplemental 1.00 2017-04-13 14:32:36.0 Concomitant Medications [php] [php_1]

Free-Form Entry

Years
C54957 Medication antihypertensive former take age end value MedctnAntihytsvFmrTkAgEndVal Age in years at which the subject/participant stopped taking the selected former antihypertensive medication Age in years at which the subject/participant stopped taking the selected former antihypertensive medication Type of current or former antihypertensive medication: Age at End (years) Numeric Values Adult;Pediatric Supplemental 1.00 2017-04-13 14:32:36.0 Concomitant Medications [php] [php_1]

Free-Form Entry

Years
C55000 Medication immunosuppressant current former take duration MedctnImnosprsntCurFrmrTakDur Duration in months for which the subject/participant took or has taken the selected former or current immunosuppressant medication Duration in months for which the subject/participant took or has taken the selected former or current immunosuppressant medication Type of immunosuppressant used: Duration of Use (months) Numeric Values Adult;Pediatric Exploratory 1.00 2017-04-13 14:32:36.0 Concomitant Medications [php] [php_1]

Free-Form Entry

Months
C54968 Birth control method current former use other text BrthCtrlMthdCurrFrmrUseOTH The free-text field related to 'Birth control method current former use type' specifying other text The free-text field related to 'Birth control current former use type' specifying other text Method Used: Other, specify Alphanumeric Adult;Pediatric Exploratory 1.00 2017-04-13 15:01:03.0 Concomitant Medications [php] [php_1] 255

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C54979 Hormone therapy former receive age end value HormoneTherapyFmrRcvAgEndVal Age in years at which the subject/participant stopped taking the specified former hormone therapy Age in years at which the subject/participant stopped taking the specified former hormone therapy Type of current or former hormone therapy used: Age when use ended (years) Numeric Values Adult;Pediatric Exploratory 1.00 2017-04-13 14:32:36.0 Concomitant Medications [php] [php_1]

Free-Form Entry

Years
C54990 Cocaine expose year prior unruptured intracranial aneurysm presentation indicator CokeExposeYearPriorUIAPrsntInd Indicator of whether the subject/participant was exposed to cocaine in the year prior to clinical presentation of unruptured intracranial aneurysm (UIA) Indicator of whether the subject/participant was exposed to cocaine in the year prior to clinical presentation of unruptured intracranial aneurysm (UIA) Cocaine: Exposure to cocaine within one year of clinical presentation No;Yes No;Yes Alphanumeric Adult;Pediatric Supplemental 1.00 2017-04-13 15:52:12.0 Concomitant Medications [php] [php_1]

Single Pre-Defined Value Selected

C54958 Medication antiplatelet current former type MedctnAntiplatltCurrFrmrTyp Type of antiplatelet medicaton formerly or currently taken by the subject/participant Type of antiplatelet medication formerly or currently taken by the subject/participant Type of antiplatelets received: Antiplatelet Type Aspirin;Clopidogrel;Ticlopidine (Ticlid);Other, specify;Aspirin/Dipyridamole (in separate formulations or as Aggrenox) Aspirin;Clopidogrel;Ticlopidine (Ticlid);Other, specify;Aspirin/Dipyridamole (in separate formulations or as Aggrenox) Alphanumeric Adult;Pediatric Supplemental 1.00 2017-04-13 13:56:57.0 Concomitant Medications [php] [php_1]

Single Pre-Defined Value Selected

C55001 Medication immunosuppressant current former take age start value MdctnImnosprsntCrFmrTkAgSttVal Age in years at which the subject/participant began taking the selected former or current immunosuppressant medication Age in years at which the subject/participant began taking the selected former or current immunosuppressant medication Type of immunosuppressant used: Age at Start (years) Numeric Values Adult;Pediatric Exploratory 1.00 2017-04-13 14:32:36.0 Concomitant Medications [php] [php_1]

Free-Form Entry

Years
C54969 Birth control method current former use duration BrthCtrlMthdCurrFrmrUseDur Duration in months for which the subject/participant used the selected current or former birth control method Duration in months for which the subject/participant used the selected current or former birth control method Birth control method(s): Duration of Use (months) Numeric Values Adult;Pediatric Exploratory 1.00 2017-04-13 15:01:03.0 Concomitant Medications [php] [php_1]

Free-Form Entry

Months
C54980 Medication anticoagulant current former type MedctnAnticoaglntCurrFrmrTyp Type of anticoagulant medicaton formerly or currently taken by the subject/participant Type of anticoagulant medicaton formerly or currently taken by the subject/participant Type(s) of anticoagulants received: Anticoagulant Type Unfractionated heparin IV;Full dose LMW heparin (Enoxaparin , Others);Phenprocoumon;Acenocumarol;Dabigatran;Fondaparinux;Apixaban;Edoxaban;Rivaroxaban;Other, specify;Warfarin Unfractionated heparin IV;Full dose LMW heparin (Enoxaparin , Others);Phenprocoumon;Acenocumarol;Dabigatran;Fondaparinux;Apixaban;Edoxaban;Rivaroxaban;Other, specify;Warfarin Alphanumeric Adult;Pediatric Supplemental 1.00 2017-04-13 13:56:57.0 Concomitant Medications [php] [php_1]

Single Pre-Defined Value Selected

C54991 Cocaine use duration CocaineUseDur Duration in months for which the subject/participant took or has taken cocaine Duration in months for which the subject/participant took or has taken cocaine Cocaine: Exposure to cocaine within one year of clinical presentation: Duration of Use (months) Numeric Values Adult;Pediatric Supplemental 1.00 2017-04-13 14:32:36.0 Concomitant Medications [php] [php_1]

Free-Form Entry

Months
C54959 Medication antiplatelet current former other text MedctnAntiplatltCurrFrmrOTH The free-text field related to 'Medication antiplatelet current former type' specifying other text The free-text field related to 'Medication antiplatelet current former type' specifying other text Antiplatelet Type: Other, specify Alphanumeric Adult;Pediatric Supplemental 1.00 2017-04-13 14:30:43.0 Concomitant Medications [php] [php_1] 50

Free-Form Entry

C55002 Medication immunosuppressant former take age end value MedctnImnosprsntFmrTkAgEndVal Age in years at which the subject/participant stopped taking the selected former immunosuppressant medication Age in years at which the subject/participant stopped taking the selected former immunosuppressant medication Type of immunosuppressant used: Age at End (years) Numeric Values Adult;Pediatric Exploratory 1.00 2017-04-13 14:32:36.0 Concomitant Medications [php] [php_1]

Free-Form Entry

Years
C54970 Birth control method current former use age start value BrthCtrlMthdCurFmrUsAgeStrtVal Value in years of the age at which the subject/participant began to use the selected current or former birth control method Value in years of the age at which the subject/participant began to use the selected current or former birth control method Birth control method(s): Age at Start (years) Numeric Values Adult;Pediatric Exploratory 1.00 2017-04-13 15:01:03.0 Concomitant Medications [php] [php_1]

Free-Form Entry

Years
C54981 Medication anticoagulant current former take other text MedctnAnticoaglntCurrFrmrTkOTH The free-text field related to 'Medication anticoagulant current former type' specifying other text The free-text field related to 'Medication anticoagulant current former type' specifying other text Anticoagulant Type: Other, specify Alphanumeric Adult;Pediatric Supplemental 1.00 2017-04-13 14:30:43.0 Concomitant Medications [php] [php_1] 50

Free-Form Entry

C54992 Cocaine exposure age start value CocaineExposureAgeStartVal Age in years at which the subject/participant began exposure to cocaine Age in years at which the subject/participant began exposure to cocaine Cocaine: Exposure to cocaine within one year of clinical presentation: Age when use started (years) Numeric Values Adult;Pediatric Supplemental 1.00 2017-04-13 14:32:36.0 Concomitant Medications [php] [php_1]

Free-Form Entry

Years
C54960 Medication antiplatelet current former take duration MedctnAntiplatletCurFrmrTakDur Duration in months for which the subject/participant took or has taken the selected former or current antiplatelet medication Duration in months for which the subject/participant took or has taken the selected former or current antiplatelet medication Type of antiplatelets received: Duration of Use (months) Numeric Values Adult;Pediatric Supplemental 1.00 2017-04-13 14:32:36.0 Concomitant Medications [php] [php_1]

Free-Form Entry

Months
C54971 Birth control method former use age end value BrthCtrlMthdFrmrUseAgeStartVal Value in years of the age at which the subject/participant ended use of the selected former birth control method Value in years of the age at which the subject/participant ended use of the selected former birth control method Birth control method(s): Age at End (years) Numeric Values Adult;Pediatric Exploratory 1.00 2017-04-13 15:01:03.0 Concomitant Medications [php] [php_1]

Free-Form Entry

Years
C54982 Medication anticoagulant current former take duration MedctnAnticoaglntCurFrmrTakDur Duration in months for which the subject/participant took or has taken the selected former or current anticoagulant medication Duration in months for which the subject/participant took or has taken the selected former or current anticoagulant medication Type(s) of anticoagulants received: Duration of Use (months) Numeric Values Adult;Pediatric Supplemental 1.00 2017-04-13 14:32:36.0 Concomitant Medications [php] [php_1]

Free-Form Entry

Months
CSV