ID

24461

Description

Visit 2 General Medical History - Physical Examination Findings form Study ID: 208127/125 Clinical Study ID: 208127/125 (Ext-HAB-038 Month 90) Study Title: A double-blind, randomized study to evaluate the immunogenicity and reactogenicity of two different lots of GlaxoSmithKline Biologicals' combined hepatitis A / hepatitis B vaccine in healthy children between 6 and 15 years of age. Patient Level Data: Study Listed on ClinicalStudyDataRequest.com Clinicaltrials.gov Identifier: N/A Sponsor:GlaxoSmithKline Collaborators: N/A Phase: Phase 3 Study Recruitment Status: Completed Generic Name: Hepatitis A (Inactivated), Hepatitis B (Recombinant) Vaccine Trade Name: Twinrix Study Indication: Hepatitis A; Hepatitis B

Mots-clés

Versions (1)
  1. 01/08/2017 01/08/2017 -
Détendeur de droits

GlaxoSmithKline

Téléchargé le

1 août 2017

DOI

Pour une demande vous connecter.

Licence

Creative Commons BY-NC 3.0
Modèle Commentaires :

Ici, vous pouvez faire des commentaires sur le modèle. À partir des bulles de texte, vous pouvez laisser des commentaires spécifiques sur les groupes Item et les Item.

Retour au modèle Commentaires
Groupe Item commentaires pour :

Item commentaires pour :

Vous devez être connecté pour pouvoir télécharger des formulaires. Veuillez vous connecter ou s’inscrire gratuitement.

Visit 2 General Medical History Biologicals HepA/HepB vaccine 208127/125

Anglais

Visit 2 General Medical History Biologicals HepA/HepB vaccine 208127/125

1 Formulaires  
Header
Description

Header

Alias
UMLS CUI-1
C1320722
Protocol
Description

Protocol

Type de données

text

Alias
UMLS CUI [1]
C1507394
Activity
Description

Activity

Type de données

text

Alias
UMLS CUI [1]
C1512346
Subject number
Description

Subject number

Type de données

text

Alias
UMLS CUI [1]
C2348585
General Medical History
Description

General Medical History

Alias
UMLS CUI-1
C0262926
Has the subject taken any medication in the past 4 weeks ?
Description

if Yes, please complete the medication section

Type de données

boolean

Alias
UMLS CUI [1]
C0013216
Is the subject suffering from or has he/she ever suffered from any SIGNIFICANT medical condition or undergone surgery ?
Description

If Yes, provide one diagnosis per line. In case of unclear diagnosis provide the significant signs or symptoms on separate lines.

Type de données

boolean

Alias
UMLS CUI [1]
C0973444
UMLS CUI [2]
C0543467
DIAGNOSIS / SIGNS AND SYMPTOMS
Description

DIAGNOSIS / SIGNS AND SYMPTOMS

Alias
UMLS CUI-1
C0011900
UMLS CUI-3
C0037088
PAST
Description

past

Type de données

boolean

Alias
UMLS CUI [1]
C0455458
CURRENT/ACTIVE
Description

current/active

Type de données

boolean

Alias
UMLS CUI [1]
C2707252
Retour au début de la page

Similar models

Visit 2 General Medical History Biologicals HepA/HepB vaccine 208127/125

1 Formulaires
Name
Type
Description | Question | Decode (Coded Value)
Type de données
Alias
Item Group
Header
C1320722 (UMLS CUI-1)
Protocol
Item
Protocol
text
C1507394 (UMLS CUI [1])
Activity
Item
Activity
text
C1512346 (UMLS CUI [1])
Subject number
Item
Subject number
text
C2348585 (UMLS CUI [1])
Item Group
General Medical History
C0262926 (UMLS CUI-1)
Medication in the past 4 weeks
Item
Has the subject taken any medication in the past 4 weeks ?
boolean
C0013216 (UMLS CUI [1])
Significant disease or undergone surgery
Item
Is the subject suffering from or has he/she ever suffered from any SIGNIFICANT medical condition or undergone surgery ?
boolean
C0973444 (UMLS CUI [1])
C0543467 (UMLS CUI [2])
Item Group
DIAGNOSIS / SIGNS AND SYMPTOMS
C0011900 (UMLS CUI-1)
C0037088 (UMLS CUI-3)
past
Item
PAST
boolean
C0455458 (UMLS CUI [1])
current/active
Item
CURRENT/ACTIVE
boolean
C2707252 (UMLS CUI [1])
Retour au début de la page 

Contact

Utilisez ce formulaire pour les retours, les questions et les améliorations suggérées.

Les champs marqués d’un * sont obligatoires.

Aide

Do you need help on how to use the search function? Please watch the corresponding tutorial video for more details and learn how to use the search function most efficiently.

Watch Tutorial