CRFs

Forms in DA (1)

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Ex 1: da_drug_acct

Drug Accountability

Sources: DB1 | Forms loaded: 1

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DA (Drug Accountability)

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DA

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DA

#	Question	Response / annotation
1	Date Tablets Dispensed field_001	DADTC when DATESTCD = DISPAMT
2	Dispensed Treatment label ID field_002	DAREFID when DATESTCD = DISPAMT
3	Number of Tablets Dispensed field_003	DAORRES when DATESTCD = DISPAMT
4	Date Tablets Returned field_004	DADTC when DATESTCD = RETAMT
5	Returned Treatment label ID field_005	DAREFID when DATESTCD = RETAMT
6	Number of Tablets Returned field_006	DAORRES when DATESTCD = RETAMT
7	Returned Amount Compliance field_007	As expected More returned than expected Less returned than expected RETCOMP in SUPPDA
8	Reason Returned Amount Higher than Expected field_008	Accidental lack of use Intentional lack of use for any reason other than occurrence of an AE Intentional lack of use because of an AE Unknown/Unexplained RETHIRS in SUPPDA
9	Reason Returned Amount Lower than Expected field_009	Loss of study treatment Some study treatment given to another person Accidental overdose by subject Intentional overuse by subject Unknown/Unexplained RETLORS in SUPPDA