[ { "field_name": "info_part_code_6", "form_name": "plano_terapeutico_oral", "section_header": "", "field_type": "descriptive", "field_label": "

CÓDIGO DO PARTICIPANTE: [participant_code_estudo]

", "select_choices_or_calculations": "", "field_note": "", "text_validation_type_or_show_slider_number": "", "text_validation_min": "", "text_validation_max": "", "identifier": "", "branching_logic": "", "required_field": "", "custom_alignment": "", "question_number": "", "matrix_group_name": "", "matrix_ranking": "", "field_annotation": "@fhir:MedicationStatement.subject.reference" }, { "field_name": "resp_preench_6", "form_name": "plano_terapeutico_oral", "section_header": "", "field_type": "text", "field_label": "Responsável pelo preenchimento no REDCap", "select_choices_or_calculations": "", "field_note": "", "text_validation_type_or_show_slider_number": "", "text_validation_min": "", "text_validation_max": "", "identifier": "", "branching_logic": "", "required_field": "", "custom_alignment": "", "question_number": "", "matrix_group_name": "", "matrix_ranking": "", "field_annotation": "@USERNAME @READONLY" }, { "field_name": "data_preench_6", "form_name": "plano_terapeutico_oral", "section_header": "", "field_type": "text", "field_label": "Data do preenchimento no REDCap", "select_choices_or_calculations": "", "field_note": "", "text_validation_type_or_show_slider_number": "datetime_dmy", "text_validation_min": "", "text_validation_max": "", "identifier": "", "branching_logic": "", "required_field": "", "custom_alignment": "", "question_number": "", "matrix_group_name": "", "matrix_ranking": "", "field_annotation": "@NOW-SERVER @READONLY @fhir:MedicationStatement.dateAsserted" }, { "field_name": "crf6_description", "form_name": "plano_terapeutico_oral", "section_header": "", "field_type": "descriptive", "field_label": "

 

Instruções:

A responder em relação aos participantes do Grupo A e do Grupo B pelos próprios, pelos cuidadores em seu nome ou com base na informação existente nos registos da instituição.
", "select_choices_or_calculations": "", "field_note": "", "text_validation_type_or_show_slider_number": "", "text_validation_min": "", "text_validation_max": "", "identifier": "", "branching_logic": "", "required_field": "", "custom_alignment": "", "question_number": "", "matrix_group_name": "", "matrix_ranking": "", "field_annotation": "" }, { "field_name": "questionnaire_date_6", "form_name": "plano_terapeutico_oral", "section_header": "", "field_type": "text", "field_label": "Data de aplicação do questionário", "select_choices_or_calculations": "", "field_note": "", "text_validation_type_or_show_slider_number": "date_dmy", "text_validation_min": "", "text_validation_max": "", "identifier": "", "branching_logic": "", "required_field": "", "custom_alignment": "", "question_number": "", "matrix_group_name": "", "matrix_ranking": "", "field_annotation": "@fhir:MedicationStatement.effectiveDateTime" }, { "field_name": "medication_name_other", "form_name": "plano_terapeutico_oral", "section_header": "", "field_type": "text", "field_label": "Nome comercial ou princípio ativo", "select_choices_or_calculations": "", "field_note": "", "text_validation_type_or_show_slider_number": "", "text_validation_min": "", "text_validation_max": "", "identifier": "", "branching_logic": "", "required_field": "", "custom_alignment": "", "question_number": "", "matrix_group_name": "", "matrix_ranking": "", "field_annotation": "@fhir:MedicationStatement.medicationCodeableConcept.text" }, { "field_name": "presentation_type", "form_name": "plano_terapeutico_oral", "section_header": "", "field_type": "radio", "field_label": "Apresentação", "select_choices_or_calculations": "1, Comprimido ou cápsula | 2, Spray | 3, Injetável | 4, Gotas oftalmológicas | 5, Ampola | 6, Chá | 7, Caneta de Insulina | 8, Saquetas | 9, Inalação | 10, Gotas | 99, Outro", "field_note": "", "text_validation_type_or_show_slider_number": "", "text_validation_min": "", "text_validation_max": "", "identifier": "", "branching_logic": "", "required_field": "", "custom_alignment": "", "question_number": "", "matrix_group_name": "", "matrix_ranking": "", "field_annotation": "@fhir:MedicationStatement.dosage[0].method.text" }, { "field_name": "dose_em_jejum", "form_name": "plano_terapeutico_oral", "section_header": "", "field_type": "text", "field_label": "Posologia - Em jejum", "select_choices_or_calculations": "", "field_note": "", "text_validation_type_or_show_slider_number": "", "text_validation_min": "", "text_validation_max": "", "identifier": "", "branching_logic": "", "required_field": "", "custom_alignment": "", "question_number": "", "matrix_group_name": "", "matrix_ranking": "", "field_annotation": "@fhir:MedicationStatement.dosage[0].text" }, { "field_name": "horario_em_jejum", "form_name": "plano_terapeutico_oral", "section_header": "", "field_type": "text", "field_label": "Horário aproximado - Em jejum", "select_choices_or_calculations": "", "field_note": "", "text_validation_type_or_show_slider_number": "time", "text_validation_min": "", "text_validation_max": "", "identifier": "", "branching_logic": "", "required_field": "", "custom_alignment": "", "question_number": "", "matrix_group_name": "", "matrix_ranking": "", "field_annotation": "@fhir:MedicationStatement.dosage[0].timing.code.text" }, { "field_name": "dose_pequeno_almoco", "form_name": "plano_terapeutico_oral", "section_header": "", "field_type": "text", "field_label": "Posologia - Pequeno almoço", "select_choices_or_calculations": "", "field_note": "", "text_validation_type_or_show_slider_number": "", "text_validation_min": "", "text_validation_max": "", "identifier": "", "branching_logic": "", "required_field": "", "custom_alignment": "", "question_number": "", "matrix_group_name": "", "matrix_ranking": "", "field_annotation": "@fhir:MedicationStatement.dosage[1].text" }, { "field_name": "horario_pequeno_almoco", "form_name": "plano_terapeutico_oral", "section_header": "", "field_type": "text", "field_label": "Horário aproximado - Pequeno almoço", "select_choices_or_calculations": "", "field_note": "", "text_validation_type_or_show_slider_number": "time", "text_validation_min": "", "text_validation_max": "", "identifier": "", "branching_logic": "", "required_field": "", "custom_alignment": "", "question_number": "", "matrix_group_name": "", "matrix_ranking": "", "field_annotation": "@fhir:MedicationStatement.dosage[1].timing.code.text" }, { "field_name": "dose_almoco", "form_name": "plano_terapeutico_oral", "section_header": "", "field_type": "text", "field_label": "Posologia - Almoço", "select_choices_or_calculations": "", "field_note": "", "text_validation_type_or_show_slider_number": "", "text_validation_min": "", "text_validation_max": "", "identifier": "", "branching_logic": "", "required_field": "", "custom_alignment": "", "question_number": "", "matrix_group_name": "", "matrix_ranking": "", "field_annotation": "@fhir:MedicationStatement.dosage[2].text" }, { "field_name": "horario_almoco", "form_name": "plano_terapeutico_oral", "section_header": "", "field_type": "text", "field_label": "Horário aproximado - Almoço", "select_choices_or_calculations": "", "field_note": "", "text_validation_type_or_show_slider_number": "time", "text_validation_min": "", "text_validation_max": "", "identifier": "", "branching_logic": "", "required_field": "", "custom_alignment": "", "question_number": "", "matrix_group_name": "", "matrix_ranking": "", "field_annotation": "@fhir:MedicationStatement.dosage[2].timing.code.text" }, { "field_name": "dose_lanche", "form_name": "plano_terapeutico_oral", "section_header": "", "field_type": "text", "field_label": "Posologia - Lanche", "select_choices_or_calculations": "", "field_note": "", "text_validation_type_or_show_slider_number": "", "text_validation_min": "", "text_validation_max": "", "identifier": "", "branching_logic": "", "required_field": "", "custom_alignment": "", "question_number": "", "matrix_group_name": "", "matrix_ranking": "", "field_annotation": "@fhir:MedicationStatement.dosage[3].text" }, { "field_name": "horario_lanche", "form_name": "plano_terapeutico_oral", "section_header": "", "field_type": "text", "field_label": "Horário aproximado - Lanche", "select_choices_or_calculations": "", "field_note": "", "text_validation_type_or_show_slider_number": "time", "text_validation_min": "", "text_validation_max": "", "identifier": "", "branching_logic": "", "required_field": "", "custom_alignment": "", "question_number": "", "matrix_group_name": "", "matrix_ranking": "", "field_annotation": "@fhir:MedicationStatement.dosage[3].timing.code.text" }, { "field_name": "dose_jantar", "form_name": "plano_terapeutico_oral", "section_header": "", "field_type": "text", "field_label": "Posologia - Jantar", "select_choices_or_calculations": "", "field_note": "", "text_validation_type_or_show_slider_number": "", "text_validation_min": "", "text_validation_max": "", "identifier": "", "branching_logic": "", "required_field": "", "custom_alignment": "", "question_number": "", "matrix_group_name": "", "matrix_ranking": "", "field_annotation": "@fhir:MedicationStatement.dosage[4].text" }, { "field_name": "horario_jantar", "form_name": "plano_terapeutico_oral", "section_header": "", "field_type": "text", "field_label": "Horário aproximado - Jantar", "select_choices_or_calculations": "", "field_note": "", "text_validation_type_or_show_slider_number": "time", "text_validation_min": "", "text_validation_max": "", "identifier": "", "branching_logic": "", "required_field": "", "custom_alignment": "", "question_number": "", "matrix_group_name": "", "matrix_ranking": "", "field_annotation": "@fhir:MedicationStatement.dosage[4].timing.code.text" }, { "field_name": "dose_ceia", "form_name": "plano_terapeutico_oral", "section_header": "", "field_type": "text", "field_label": "Posologia - Ceia", "select_choices_or_calculations": "", "field_note": "", "text_validation_type_or_show_slider_number": "", "text_validation_min": "", "text_validation_max": "", "identifier": "", "branching_logic": "", "required_field": "", "custom_alignment": "", "question_number": "", "matrix_group_name": "", "matrix_ranking": "", "field_annotation": "@fhir:MedicationStatement.dosage[5].text" }, { "field_name": "horario_ceia", "form_name": "plano_terapeutico_oral", "section_header": "", "field_type": "text", "field_label": "Horário aproximado - Ceia", "select_choices_or_calculations": "", "field_note": "", "text_validation_type_or_show_slider_number": "time", "text_validation_min": "", "text_validation_max": "", "identifier": "", "branching_logic": "", "required_field": "", "custom_alignment": "", "question_number": "", "matrix_group_name": "", "matrix_ranking": "", "field_annotation": "@fhir:MedicationStatement.dosage[5].timing.code.text" }, { "field_name": "dose_antes_dormir", "form_name": "plano_terapeutico_oral", "section_header": "", "field_type": "text", "field_label": "Posologia - Antes de dormir", "select_choices_or_calculations": "", "field_note": "", "text_validation_type_or_show_slider_number": "", "text_validation_min": "", "text_validation_max": "", "identifier": "", "branching_logic": "", "required_field": "", "custom_alignment": "", "question_number": "", "matrix_group_name": "", "matrix_ranking": "", "field_annotation": "@fhir:MedicationStatement.dosage[6].text" }, { "field_name": "horario_antes_dormir", "form_name": "plano_terapeutico_oral", "section_header": "", "field_type": "text", "field_label": "Horário aproximado - Antes de dormir", "select_choices_or_calculations": "", "field_note": "", "text_validation_type_or_show_slider_number": "time", "text_validation_min": "", "text_validation_max": "", "identifier": "", "branching_logic": "", "required_field": "", "custom_alignment": "", "question_number": "", "matrix_group_name": "", "matrix_ranking": "", "field_annotation": "@fhir:MedicationStatement.dosage[6].timing.code.text" }, { "field_name": "comments_6", "form_name": "plano_terapeutico_oral", "section_header": "", "field_type": "notes", "field_label": "Comentários", "select_choices_or_calculations": "", "field_note": "", "text_validation_type_or_show_slider_number": "", "text_validation_min": "", "text_validation_max": "", "identifier": "", "branching_logic": "", "required_field": "", "custom_alignment": "LH", "question_number": "", "matrix_group_name": "", "matrix_ranking": "", "field_annotation": "@fhir:MedicationStatement.note[0].text" } ]