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Page Properties
hiddentrue

Initial Build

Status
colourGreen
titledone
SE 9/16/2021

Staff Review

Status
colourBlueGreen
titledoneready
Suzanne Wood

Approval Status

Status
colourGreen
titleapproved
9/28/2022

Description

The actual route of administration if the event involved an incorrect route of administrationDosage form actually prepared for the patient.

On-Screen Instructions

Includes attempted and completedThe actual dosage form is what the patient received.

Field Type

Include Page
PDD:Dropdown excerptPDD:
Dropdown excerpt

Responses

...

Cutaneous, topical application, including ointment, spray, patch

...

Subcutaneous

...

Ophthalmic

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Oral, including sublingual or buccal

...

Otic

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Nasal

...

Inhalation

...

Intramuscular

...

Rectal

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Vaginal

...

  • Aerosol

  • Capsule

  • Chewable

  • Cream, gel, or lotion

  • Ear drops

  • Enteric-coated

  • Extended- or sustained-release

  • Eye drops

  • Immediate-release

  • Inhaler

  • Long-acting

  • Nasal spray

  • Nebulizer

  • Ointment

  • Paste

  • Pill or tablet

  • Powder

  • Skin patch

  • Solution or suspension

  • Suppository

  • Vaginal ring

  • Vaporizer

  • Other (please describe below)

Guide for Use

Include Page
PDD:Other selection text excerptPDD:
Other selection text excerpt

...

Start Date

2013

End Date

n/a

Change History

n/a

Field Name

med_form_actual