| # | Question | Response |
|---|---|---|
|
1
|
Adverse Event Verbatim
AE_TERM
|
|
|
2
|
Event Category
AE_CAT
|
|
|
3
|
Start Date
AE_START
|
| # | Question | Response |
|---|---|---|
|
1
|
Collection Date
cm801_1.CMDAT
|
|
|
2
|
Did the subject take any anti-hyperglycemic agent in the last 10 years?
cm801_1.CMOCCUR
|
|
|
3
|
If yes, List the Treatments received
field_003
|
|
|
4
|
Treatment Name
cm801_1.CMTRT
|
|
|
5
|
Start Date
cm801_1.CMSTDAT
|
|
|
6
|
Ongoing?
cm801_1.CMONGO
|
|
|
7
|
End Date
cm801_1.CMENDAT
|
|
|
8
|
Dose
cm801_1.CMDOSE
|
|
|
9
|
Dose Unit
cm801_1.CMDOSU
|
|
|
10
|
Frequency
cm801_1.CMDOSFRQ
|
|
|
11
|
Route
cm801_1.CMROUTE
|
|
|
12
|
field_012
|
| # | Question | Response |
|---|---|---|
|
1
|
Treatment Name
cm801_2.CMTRT
|
|
|
2
|
Taken prior to the study?
cm801_2.CMPRIOR
|
|
|
3
|
Indication
cm801_2.CMINDC
|
|
|
4
|
Start Date
cm801_2.CMSTDAT
|
|
|
5
|
Ongoing?
cm801_2.CMONGO
|
|
|
6
|
End Date
cm801_2.CMENDAT
|
|
|
7
|
Dose
cm801_2.CMDOSE
|
|
|
8
|
Dose Unit
cm801_2.CMDOSU
|
|
|
9
|
Frequency
cm801_2.CMDOSFRQ
|
|
|
10
|
Route
cm801_2.CMROUTE
|
| # | Question | Response |
|---|---|---|
|
1
|
Category for Medication
CMCAT
|
|
|
2
|
Type of Therapy
CMSCAT
|
|
|
3
|
Therapy Setting
TRTSTT
|
|
|
4
|
Regimen Number
CMGRPID
|
|
|
5
|
Best Overall Response
RSORRES_BESTRESP
|
|
|
6
|
Date of Best Overall Response
RSDAT
|
|
|
7
|
Date of Progressive Disease
RSDAT_PD
|
|
|
8
|
Line Number
CMSPID
|
|
|
9
|
Agent (one agent or therapy per line)
CMTRT
|
|
|
10
|
Start Date
CMSTDAT
|
|
|
11
|
End Date
CMENDAT
|
|
|
12
|
Dose
CMDOSE
|
|
|
13
|
Dose (text)
CMDOSTXT
|
|
|
14
|
Dose Unit
CMDOSU
|
|
|
15
|
If Other, specify
CMDOSU_OTH
|
|
|
16
|
Frequency
CMDOSFRQ
|
|
|
17
|
If Other, specify
CMDOSFRQ_OTH
|
|
|
18
|
Number of Cycles
CMNCYC
|
| # | Question | Response |
|---|---|---|
|
1
|
Medication category
conmeds.CMCAT
|
|
|
2
|
Medication
conmeds.CMVT
|
|
|
3
|
Taken prior to study?
field_003
|
|
|
4
|
Date First Taken
conmeds.CMSTDT_RAW
|
|
|
5
|
Date Last Taken
conmeds.CMENDT_RAW
|
|
|
6
|
Indication
conmeds.CMINDC
|
|
|
7
|
Dose
conmeds.CMDOSE_RAW
|
|
|
8
|
Unit
conmeds.CMDOSEU_RAW
|
|
|
9
|
Frequency
conmeds.CMDOSFRQ
|
|
|
10
|
Route
conmeds.ROUTE
|