| Question | Response |
|---|---|
| Treatment Name |
CM.CMTRT |
| Taken prior to the study? |
SUPPCM.CMPRIOR Yes No |
| Indication |
CM.CMINDC |
| Start Date |
CM.CMSTDTC |
| Ongoing? |
CM.CMENRTPT Yes No |
| End Date |
CM.CMENDTC |
| Dose |
CM.CMDOSE |
| Dose Unit |
CM.CMDOSU mg ug mL g IU |
| Frequency |
CM.CMDOSFRQ BID TID QID QOD QM PRN UNKNOWN |
| Route |
CM.CMROUTE ORAL TOPICAL SUBCUTANEOUS TRANSDERMAL INTRAOCULAR INTRAMUSCULAR RESPIRATORY (INHALATION) INTRAPERITONIAL NASAL RECTAL |