As you know, the XX Study will be describing all medications its participants are using, both prescription and over-the-counter. These include pills, liquid medications; skin patches, eye drops, creams, salves, inhalers and injections, as well as cold or allergy medications, vitamins, herbal remedies and other supplements. The letter you received about this appointment included a plastic medications bag for all your current medications and asked you to bring them to the clinic. Have you brought this bag with you? Are these all the medications that you have taken in the past two weeks?
General Details:
Name:
As you know, the XX Study will be describing all medications its participants are using, both prescription and over-the-counter. These include pills, liquid medications; skin patches, eye drops, creams, salves, inhalers and injections, as well as cold or allergy medications, vitamins, herbal remedies and other supplements. The letter you received about this appointment included a plastic medications bag for all your current medications and asked you to bring them to the clinic. Have you brought this bag with you? Are these all the medications that you have taken in the past two weeks?
Steward:
NHLBI
Definition:
Indicator of whether medications taken during the past 2 weeks were received
Registration Status:
Qualified
Permissible Values:
Data Type:
Value List
Unit of Measure:
Ids:
Value
Code Name
Code
Code System
Code Description
Yes
Yes
No
No
Refused
Refused
Took no medicines
Took no medicines
Designations:
Designation:
As you know, the XX Study will be describing all medications its participants are using, both prescription and over-the-counter. These include pills, liquid medications; skin patches, eye drops, creams, salves, inhalers and injections, as well as cold or allergy medications, vitamins, herbal remedies and other supplements. The letter you received about this appointment included a plastic medications bag for all your current medications and asked you to bring them to the clinic. Have you brought this bag with you? Are these all the medications that you have taken in the past two weeks?
Tags:
Designation:
Medication past 2 week received indicator
Tags:
Preferred Question Text
Designations:
Definition:
Indicator of whether medications taken during the past 2 weeks were received
SCKLCELL:
Copy the name of the medicine, the strength (include units), and the total number of doses prescribed per day/week/month. Include all pills, skin patches, eye drops, creams, salves, and injections.
Key:
Notes
Value:
SCKLCELL:
Yes -> 'May I see them?' Continue; No -> Make arrangements to obtain; Refused -> Record reason for refusal in Comments Section; Took No MEDICINES -> Go to end of form