English

Baseline Concomitant Diseases Form

1 forms  
Default Itemgroup
Description

Default Itemgroup

Alias
UMLS CUI-1
C0243087
Disease nr
Description

Disease nr

Data type

integer

Alias
UMLS CUI [1]
C0237753
System Organ Class
Description

System Organ Class

Data type

integer

Alias
UMLS CUI [1,1]
C2347091
UMLS CUI [1,2]
C1140263
UMLS CUI [1,3]
C1705313
UMLS CUI [1,4]
C0027365
Adverse Event Term (please use CTCAE Short Name plus Select term if applicable)
Description

Adverse Event Term

Data type

text

Alias
UMLS CUI [1]
C2826934
Active at baseline
Description

Active at baseline

Data type

boolean

Alias
UMLS CUI [1,1]
C0243087
UMLS CUI [1,2]
C0205177
UMLS CUI [1,3]
C1442488
CTCAE grade
Description

CTCAE grade

Data type

float

Alias
UMLS CUI [1,1]
C1516728
UMLS CUI [1,2]
C0441800
Back to the top of the page

Similar models

Baseline Concomitant Diseases Form

1 forms
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Default Itemgroup
C0243087 (UMLS CUI-1)
Disease nr
Item
integer
C0237753 (UMLS CUI [1])
Item
System Organ Class
integer
C2347091 (UMLS CUI [1,1])
C1140263 (UMLS CUI [1,2])
C1705313 (UMLS CUI [1,3])
C0027365 (UMLS CUI [1,4])
System Organ Class
Code List
System Organ Class
CL Item
Blood and lymphatic system disorders  (1)
CL Item
Cardiac disorders  (2)
CL Item
Congenital, familial and genetic disorders  (3)
CL Item
Ear and labyrinth disorders  (4)
CL Item
Endocrine disorders  (5)
CL Item
Eye disorders  (6)
CL Item
Gastrointestinal disorders  (7)
CL Item
General disorders and administration site conditions  (8)
CL Item
Hepatobiliary disorders  (9)
CL Item
Immune system disorders  (10)
CL Item
Infections and infestations  (11)
CL Item
Injury, poisoning and procedural complications  (12)
CL Item
Investigations  (13)
CL Item
Metabolism and nutrition disorders  (14)
CL Item
Musculoskeletal and connective tissue disorders  (15)
CL Item
Neoplasms benign, malignant and unspecified (incl cysts and polyps)  (16)
CL Item
Nervous system disorders  (17)
CL Item
Pregnancy, puerperium and perinatal conditions  (18)
CL Item
Psychiatric disorders  (19)
CL Item
Renal and urinary disorders  (20)
CL Item
Reproductive system and breast disorders  (21)
CL Item
Respiratory, thoracic and mediastinal disorders  (22)
CL Item
Skin and subcutaneous tissue disorders  (23)
CL Item
Social circumstances  (24)
CL Item
Surgical and medical procedures  (25)
CL Item
Vascular disorders (26)
Adverse Event Term
Item
Adverse Event Term (please use CTCAE Short Name plus Select term if applicable)
text
C2826934 (UMLS CUI [1])
Active at baseline
Item
boolean
C0243087 (UMLS CUI [1,1])
C0205177 (UMLS CUI [1,2])
C1442488 (UMLS CUI [1,3])
CTCAE grade
Item
CTCAE grade
float
C1516728 (UMLS CUI [1,1])
C0441800 (UMLS CUI [1,2])
Back to the top of the page