Parent File | Name | Number | Package |
---|---|---|---|
ADVERSE REACTION REPORTING(#120.85) | SUSPECTED AGENT | 120.8503 | Adverse Reaction Tracking |
Field # | Name | Loc | Type | Details |
---|---|---|---|---|
.01 | SUSPECTED AGENT | 0;1 | FREE TEXT |
|
1 | DAILY DOSE | 0;2 | FREE TEXT |
|
1.5 | SIG | 1;5 | FREE TEXT |
|
2 | ROUTE OF ADMINISTRATION | 0;3 | FREE TEXT |
|
3 | INDICATIONS FOR USE | 0;4 | FREE TEXT |
|
4 | START DATE OF ADMINISTRATION | 1;1 | DATE |
|
5 | STOP DATE OF ADMINISTRATION | 1;2 | DATE |
|
6 | DURATION OF ADMINISTRATION | COMPUTED |
|
|
7 | MANUFACTURER | 0;7 | FREE TEXT |
|
8 | LOT # | 0;8 | FREE TEXT |
|
9 | NUMBER OF PREVIOUS DOSES | 0;9 | NUMBER |
|
10 | LAST FILL DT | 0;10 | DATE |
|
10.1 | EXPIRATION DATE | 1;3 | DATE |
|
10.2 | NDC # | 1;4 | FREE TEXT |
|
11 | LIKE QUESTION #1 | LIKE;1 | SET |
|
12 | LIKE QUESTION #2 | LIKE;2 | SET |
|
13 | LIKE QUESTION #3 | LIKE;3 | SET |
|
14 | LIKE QUESTION #4 | LIKE;4 | SET |
|
15 | LIKE QUESTION #5 | LIKE;5 | SET |
|
16 | LIKE QUESTION #6 | LIKE;6 | SET |
|
17 | LIKELIHOOD | LIKE;7 | SET |
|