| Question | Response |
|---|---|
| Medication category |
CM.CMCAT |
| Medication |
CM.CMTRT |
| Taken prior to study? | No Yes |
| Date First Taken |
CM.CMSTDTC |
| Date Last Taken |
CM.CMENDTC |
| Indication |
CM.CMINDC |
| Dose |
CM.CMDOSE |
| Unit |
CM.CMDOSU |
| Frequency |
CM.CMDOSFRQ |
| Route |
CM.CMROUTE |