Prior Crohn's Disease Medication Class- Biologics
Prior Crohn's Disease Medication Class- Biologics 1
* What is the category for the medication?
* For what indication was the medication taken?
* What is the subcategory for the medication?
* What was the medication identifier?
* What was the name of the biologic drug taken for Crohn's disease?
What was the start date of this biologic?	01 Jan 2000
What was the end date of this biologic?	01 Jan 2000
How many months did the subject take this biologic?
* What was the maximum dose amount of this biologic?
* What was the unit of the maximum dose amount of this biologic?
* What was the frequency of the maximum dose amount of this biologic?
* What was the final dose amount of this biologic?
* What was the final dose amount unit of this biologic?
* What was the frequency of the final dose amount of this biologic?
* What was the route of administration of this biologic?
* What was the primary reason for discontinuation of this biologic?	Choose Primary non-responder Secondary non-responder Intolerance Completed induction phase Treatment complete Loss of insurance Cost Treatment no longer indicated Other Unknown
If primary non-responder, what were the signs and symptoms leading to discontinuation of treatment?	Choose Lack of improvement or worsening of stool frequency Lack of improvement or worsening of abdominal pain Lack of improvement or worsening of Crohn's disease related fever Lack of improvement or worsening of draining fistula or development of new fistula Lack of improvement or worsening of rectal bleeding Initiation or increased dosage of antidiarrheal medication Lack of improvement or worsening in the endoscopic appearance of the colonic mucosa Other
If "Other", specify.
If secondary non-responder, what were the signs and symptoms leading to treatment discontinuation?	Choose Worsening of stool frequency Worsening of abdominal pain Occurrence or worsening of Crohn's disease related fever Worsening of draining fistula or development of new fistula Worsening of rectal bleeding Antidiarrheal medication required Worsening in the endoscopic appearance of the colonic mucosa Other
If "Other", specify.
Prior Crohn's Disease Medication Class- Biologics 2
* What was the category of the medical history?
* When did the medical history event start relative to the study reference period?
* What was the relationship to the non-study medication?
* If treatment was discontinued due to intolerance, what was the condition indicating intolerance?	Choose Serious infection Hepatotoxicity Hypersensitivity Demyelinating disease Lupus-like syndrome Significant injection site reactions Significant acute administration reactions Significant delayed administration reactions
Prior Crohn's Disease Medication Class- Biologics 3
* What was the subcategory of the medical history?
* What is the observation group identifier?
* If significant injection site reactions, what were the specific signs and symptoms causing treatment intolerance?	Significant bruising  Erythema  Hemorrhage
Prior Crohn's Disease Medication Class- Biologics 4
* What was the subcategory of the medical history?
* What is the observation group identifier?
* If significant acute administration reactions, what were the specific signs and symptoms causing treatment intolerance?	Choose Fever greater than 100 F or 37.8 C Chills or rigors Itching Rash Flushing Urticuria or angioedema Breathing difficulties Clinical hypotension
Prior Crohn's Disease Medication Class- Biologics 5
* What was the subcategory of the medical history?
* What is the observation group identifier?
* If significant delayed administration reactions, what were the signs and symptoms causing treatment intolerance?	Choose Myalgias Arthralgias Malaise Rash Fever Other symptom
If "Other symptom", specify.

* Mandatory field