| # | Question | Response |
|---|---|---|
|
1
|
Start Date
field_001
|
|
|
2
|
Start Time
field_002
|
|
|
3
|
Stop Date
field_003
|
|
|
4
|
Stop Time
field_004
|
|
|
5
|
Was the entire infusion administered?
field_005
|
|
|
6
|
If No, provide Reason for Stopping Current Infusion
field_006
|
|
|
7
|
If 'Other', specify
field_007
|
|
|
8
|
Total Volume Prepared
field_008
|
|
|
9
|
Total Volume Prepared Unit
field_009
|
|
|
10
|
Actual Volume Infused
field_010
|
|
|
11
|
Actual Volume Infused Unit
field_011
|
| # | Question | Response |
|---|---|---|
|
1
|
Dosing Date
ipadmin.IPSTDT_RAW
|
|
|
2
|
Dosing Time
ipadmin.IPSTTM_RAW
|
|
|
3
|
Quantity Administered
ipadmin.IPQTY_RAW
|
|
|
4
|
Quantity Units
ipadmin.IPQTY_U
|
|
|
5
|
Concentration of preparation
ipadmin.IPCONC
|
|
|
6
|
Reason for dose adjustment
ipadmin.IPADJ
|