Concomitant Medication V0001 Initial Data Entry   

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CRF Header Info

Title: Concomitant Medication
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Are or have been any medication taken during the treatment? Discrepancy Note
ID Medication/Therapy Name Start Date Ongoing? End date Dose Unit If Unit is Other,
please specify 		Frequency If Frequency is Other,
please specify 		Route If Route is other,
please specify 		Is it related with any AE? AE ID Other indication
Discrepancy Note Discrepancy Note Show Calendar Discrepancy Note Discrepancy Note Show Calendar Discrepancy Note Discrepancy Note Discrepancy Note Discrepancy Note Discrepancy Note Discrepancy Note Discrepancy Note Discrepancy Note Discrepancy Note Discrepancy Note Discrepancy Note
Discrepancy Note Discrepancy Note Show Calendar Discrepancy Note Discrepancy Note Show Calendar Discrepancy Note Discrepancy Note Discrepancy Note Discrepancy Note Discrepancy Note Discrepancy Note Discrepancy Note Discrepancy Note Discrepancy Note Discrepancy Note Discrepancy Note
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