ID

23887

Beschreibung

Study part: General Medical History/ Physical Examination Visit 1. A phase 2 study to assess safety, reactogenicity and immunogenicity of a booster dose of an investigational vaccination regimen and GSK Biologicals Hib-MenC vaccine (co-administered with Infanrix penta) compared to a booster dose of Menjugate (co-administered with Infanrix hexa).Patient Level Data: Study Listed on ClinicalStudyDataRequest.com. Study ID: 100381, Clinical Study ID: 100381

Stichworte

Versionen (1)
  1. 16.07.17 16.07.17 -
Rechteinhaber

GlaxoSmithKline

Hochgeladen am

16. Juli 2017

DOI

Für eine Beantragung loggen Sie sich ein.

Lizenz

Creative Commons BY-NC 3.0
Modell Kommentare :

Hier können Sie das Modell kommentieren. Über die Sprechblasen an den Itemgruppen und Items können Sie diese spezifisch kommentieren.

Zurück zu Modell Kommentaren
Itemgroup Kommentare für :

Item Kommentare für :

Um Formulare herunterzuladen müssen Sie angemeldet sein. Bitte loggen Sie sich ein oder registrieren Sie sich kostenlos.

General Medical History/ Physical Examination Visit 1 Hib-MenCY-TT-004 BST 003 Neisseria Meningitidis-Haemophilus influenzae type b Vaccine 100381

Englisch

General Medical History/ Physical Examination Visit 1

1 Formulare  
GENERAL MEDICAL HISTORY / PHYSICAL EXAMINATION
Beschreibung

GENERAL MEDICAL HISTORY / PHYSICAL EXAMINATION

Alias
UMLS CUI-1
C0031809
Are you aware of any pre-existing conditions or signs and/or symptoms present in the subject since the end of the primary study ?
Beschreibung

medical history

Datentyp

boolean

Alias
UMLS CUI [1]
C0262926
Diagnosis of cutaneous symptoms
Beschreibung

Diagnosis Cutaneous

Datentyp

text

Alias
UMLS CUI [1,1]
C0011900
UMLS CUI [1,2]
C0221912
Diagnosis of cutaneous symptoms
Beschreibung

Diagnosis Cutaneous

Datentyp

text

Alias
UMLS CUI [1,1]
C0011900
UMLS CUI [1,2]
C0221912
Diagnosis of eye symptoms
Beschreibung

Diagnosis Eyes

Datentyp

text

Alias
UMLS CUI [1,1]
C0011900
UMLS CUI [1,2]
C0015392
Diagnosis of eye symptoms
Beschreibung

Diagnosis Eyes

Datentyp

text

Alias
UMLS CUI [1,1]
C0011900
UMLS CUI [1,2]
C0015392
Diagnosis of ears-nose-throat symptoms
Beschreibung

Ears-nose-throat diagnosis

Datentyp

text

Alias
UMLS CUI [1,1]
C0395797
UMLS CUI [1,2]
C0011900
Diagnosis of ears-nose-throat symptoms
Beschreibung

Ears-nose-throat diagnosis

Datentyp

text

Alias
UMLS CUI [1,1]
C0395797
UMLS CUI [1,2]
C0011900
Diagnosis of cardiovascular symptoms
Beschreibung

Diagnosis Cardiovascular

Datentyp

text

Alias
UMLS CUI [1,1]
C0011900
UMLS CUI [1,2]
C3887460
Diagnosis of cardiovascular symptoms
Beschreibung

Diagnosis Cardiovascular

Datentyp

text

Alias
UMLS CUI [1,1]
C0011900
UMLS CUI [1,2]
C3887460
Diagnosis of respiratory symptoms
Beschreibung

Diagnosis Respiratory

Datentyp

text

Alias
UMLS CUI [1,1]
C0011900
UMLS CUI [1,2]
C0035237
Diagnosis of respiratory symptoms
Beschreibung

Diagnosis Respiratory

Datentyp

text

Alias
UMLS CUI [1,1]
C0011900
UMLS CUI [1,2]
C0035237
Diagnosis of gastrointestinal symptoms
Beschreibung

Diagnosis Gastrointestinal

Datentyp

text

Alias
UMLS CUI [1,1]
C0011900
UMLS CUI [1,2]
C0521362
Diagnosis of gastrointestinal symptoms
Beschreibung

Diagnosis Gastrointestinal

Datentyp

text

Alias
UMLS CUI [1,1]
C0011900
UMLS CUI [1,2]
C0521362
Diagnosis of muskuloskeletal symptoms
Beschreibung

Diagnosis Muskuloskeletal

Datentyp

text

Alias
UMLS CUI [1,1]
C0011900
UMLS CUI [1,2]
C0026860
Diagnosis of muskuloskeletal symptoms
Beschreibung

Diagnosis Muskuloskeletal

Datentyp

text

Alias
UMLS CUI [1,1]
C0011900
UMLS CUI [1,2]
C0026860
Diagnosis of neurological symptoms
Beschreibung

Diagnosis Neurological

Datentyp

text

Alias
UMLS CUI [1,1]
C0011900
UMLS CUI [1,2]
C0027765
Diagnosis of neurological symptoms
Beschreibung

Diagnosis Neurological

Datentyp

text

Alias
UMLS CUI [1,1]
C0011900
UMLS CUI [1,2]
C0027765
Diagnosis of genitourinary symptoms
Beschreibung

Diagnosis Genitourinary

Datentyp

text

Alias
UMLS CUI [1,1]
C0011900
UMLS CUI [1,2]
C0042066
Diagnosis of genitourinary symptoms
Beschreibung

Diagnosis Genitourinary

Datentyp

text

Alias
UMLS CUI [1,1]
C0011900
UMLS CUI [1,2]
C0042066
Diagnosis of haematology symptoms
Beschreibung

Diagnosis Haematology

Datentyp

text

Alias
UMLS CUI [1,1]
C0011900
UMLS CUI [1,2]
C0474523
Diagnosis of haematology symptoms
Beschreibung

Diagnosis Haematology

Datentyp

text

Alias
UMLS CUI [1,1]
C0011900
UMLS CUI [1,2]
C0474523
Diagnosis of allergies
Beschreibung

Diagnosis Allergies

Datentyp

text

Alias
UMLS CUI [1,1]
C0011900
UMLS CUI [1,2]
C0020517
Diagnosis of allergies
Beschreibung

Diagnosis Allergies

Datentyp

text

Alias
UMLS CUI [1,1]
C0011900
UMLS CUI [1,2]
C0020517
Diagnosis of endocrine symptoms
Beschreibung

Endocrine diagnosis

Datentyp

text

Alias
UMLS CUI [1,1]
C0014130
UMLS CUI [1,2]
C0011900
Diagnosis of endocrine symptoms
Beschreibung

Endocrine diagnosis

Datentyp

text

Alias
UMLS CUI [1,1]
C0014130
UMLS CUI [1,2]
C0011900
Diagnosis of other symptoms (specify)
Beschreibung

Diagnosis Other

Datentyp

text

Alias
UMLS CUI [1,1]
C0011900
UMLS CUI [1,2]
C0205394
Diagnosis of other
Beschreibung

Diagnosis Other

Datentyp

text

Alias
UMLS CUI [1,1]
C0011900
UMLS CUI [1,2]
C0205394
Zum Seitenanfang zurückkehren

Ähnliche Modelle

General Medical History/ Physical Examination Visit 1

1 Formulare
Name
Typ
Description | Question | Decode (Coded Value)
Datentyp
Alias
Item Group
GENERAL MEDICAL HISTORY / PHYSICAL EXAMINATION
C0031809 (UMLS CUI-1)
medical history
Item
Are you aware of any pre-existing conditions or signs and/or symptoms present in the subject since the end of the primary study ?
boolean
C0262926 (UMLS CUI [1])
Diagnosis Cutaneous
Item
Diagnosis of cutaneous symptoms
text
C0011900 (UMLS CUI [1,1])
C0221912 (UMLS CUI [1,2])
Item
Diagnosis of cutaneous symptoms
text
C0011900 (UMLS CUI [1,1])
C0221912 (UMLS CUI [1,2])
Diagnosis Cutaneous
Code List
Diagnosis of cutaneous symptoms
CL Item
Past (Past)
CL Item
Current (Current)
Diagnosis Eyes
Item
Diagnosis of eye symptoms
text
C0011900 (UMLS CUI [1,1])
C0015392 (UMLS CUI [1,2])
Item
Diagnosis of eye symptoms
text
C0011900 (UMLS CUI [1,1])
C0015392 (UMLS CUI [1,2])
Diagnosis Cutaneous
Code List
Diagnosis of eye symptoms
CL Item
Past (Past)
CL Item
Current (Current)
Ears-nose-throat diagnosis
Item
Diagnosis of ears-nose-throat symptoms
text
C0395797 (UMLS CUI [1,1])
C0011900 (UMLS CUI [1,2])
Item
Diagnosis of ears-nose-throat symptoms
text
C0395797 (UMLS CUI [1,1])
C0011900 (UMLS CUI [1,2])
Diagnosis Cutaneous
Code List
Diagnosis of ears-nose-throat symptoms
CL Item
Past (Past)
CL Item
Current (Current)
Diagnosis Cardiovascular
Item
Diagnosis of cardiovascular symptoms
text
C0011900 (UMLS CUI [1,1])
C3887460 (UMLS CUI [1,2])
Item
Diagnosis of cardiovascular symptoms
text
C0011900 (UMLS CUI [1,1])
C3887460 (UMLS CUI [1,2])
Diagnosis Cutaneous
Code List
Diagnosis of cardiovascular symptoms
CL Item
Past (Past)
CL Item
Current (Current)
Diagnosis Respiratory
Item
Diagnosis of respiratory symptoms
text
C0011900 (UMLS CUI [1,1])
C0035237 (UMLS CUI [1,2])
Item
Diagnosis of respiratory symptoms
text
C0011900 (UMLS CUI [1,1])
C0035237 (UMLS CUI [1,2])
Diagnosis Cutaneous
Code List
Diagnosis of respiratory symptoms
CL Item
Past (Past)
CL Item
Current (Current)
Diagnosis Gastrointestinal
Item
Diagnosis of gastrointestinal symptoms
text
C0011900 (UMLS CUI [1,1])
C0521362 (UMLS CUI [1,2])
Item
Diagnosis of gastrointestinal symptoms
text
C0011900 (UMLS CUI [1,1])
C0521362 (UMLS CUI [1,2])
Diagnosis Cutaneous
Code List
Diagnosis of gastrointestinal symptoms
CL Item
Past (Past)
CL Item
Current (Current)
Diagnosis Muskuloskeletal
Item
Diagnosis of muskuloskeletal symptoms
text
C0011900 (UMLS CUI [1,1])
C0026860 (UMLS CUI [1,2])
Item
Diagnosis of muskuloskeletal symptoms
text
C0011900 (UMLS CUI [1,1])
C0026860 (UMLS CUI [1,2])
Diagnosis Cutaneous
Code List
Diagnosis of muskuloskeletal symptoms
CL Item
Past (Past)
CL Item
Current (Current)
Diagnosis Neurological
Item
Diagnosis of neurological symptoms
text
C0011900 (UMLS CUI [1,1])
C0027765 (UMLS CUI [1,2])
Item
Diagnosis of neurological symptoms
text
C0011900 (UMLS CUI [1,1])
C0027765 (UMLS CUI [1,2])
Diagnosis Cutaneous
Code List
Diagnosis of neurological symptoms
CL Item
Past (Past)
CL Item
Current (Current)
Diagnosis Genitourinary
Item
Diagnosis of genitourinary symptoms
text
C0011900 (UMLS CUI [1,1])
C0042066 (UMLS CUI [1,2])
Item
Diagnosis of genitourinary symptoms
text
C0011900 (UMLS CUI [1,1])
C0042066 (UMLS CUI [1,2])
Diagnosis Cutaneous
Code List
Diagnosis of genitourinary symptoms
CL Item
Past (Past)
CL Item
Current (Current)
Diagnosis Haematology
Item
Diagnosis of haematology symptoms
text
C0011900 (UMLS CUI [1,1])
C0474523 (UMLS CUI [1,2])
Item
Diagnosis of haematology symptoms
text
C0011900 (UMLS CUI [1,1])
C0474523 (UMLS CUI [1,2])
Diagnosis Cutaneous
Code List
Diagnosis of haematology symptoms
CL Item
Past (Past)
CL Item
Current (Current)
Diagnosis Allergies
Item
Diagnosis of allergies
text
C0011900 (UMLS CUI [1,1])
C0020517 (UMLS CUI [1,2])
Item
Diagnosis of allergies
text
C0011900 (UMLS CUI [1,1])
C0020517 (UMLS CUI [1,2])
Diagnosis Cutaneous
Code List
Diagnosis of allergies
CL Item
Past (Past)
CL Item
Current (Current)
Endocrine diagnosis
Item
Diagnosis of endocrine symptoms
text
C0014130 (UMLS CUI [1,1])
C0011900 (UMLS CUI [1,2])
Item
Diagnosis of endocrine symptoms
text
C0014130 (UMLS CUI [1,1])
C0011900 (UMLS CUI [1,2])
Diagnosis Cutaneous
Code List
Diagnosis of endocrine symptoms
CL Item
Past (Past)
CL Item
Current (Current)
Diagnosis Other
Item
Diagnosis of other symptoms (specify)
text
C0011900 (UMLS CUI [1,1])
C0205394 (UMLS CUI [1,2])
Item
Diagnosis of other
text
C0011900 (UMLS CUI [1,1])
C0205394 (UMLS CUI [1,2])
Diagnosis Cutaneous
Code List
Diagnosis of other
CL Item
Past (Past)
CL Item
Current (Current)
Zum Seitenanfang zurückkehren 

Kontakt

Benutzen Sie dieses Formular für Rückmeldungen, Fragen und Verbesserungsvorschläge.

Mit * gekennzeichnete Felder sind notwendig.

Hilfe

Benötigen Sie Hilfe bei der Suche? Um mehr Details zu erfahren und die Suche effektiver nutzen zu können schauen Sie sich doch das entsprechende Video auf unserer Tutorial Seite an.

Zum Video