| # | Question | Response / annotation |
|---|---|---|
|
1
|
Subject Identifier
PT
|
USUBJID |
|
2
|
Visit Folder
FOLDER
|
VISIT EPOCH |
|
3
|
Concentration
IPCONC
|
[NOT SUBMITTED] |
|
4
|
Start Date
IPSTDT_RAW
|
EXSTDTC |
|
5
|
Start Time
IPSTTM_RAW
|
EXSTDTC |
|
6
|
End Date
IPENDT_RAW
|
EXENDTC |
|
7
|
Quantity Dispensed
IPQTY_RAW
|
[NOT SUBMITTED] |
|
8
|
Quantity Unit
IPQTYU
|
EXDOSFRM |
|
9
|
Reason for Dose Change/Withheld
IPADJ
|
[NOT SUBMITTED] |
|
10
|
Kit / Box Identifier
IPBOXID
|
EXTRT |