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Medical History "Safety and Immunogenicity Study of a Booster Dose of GSK Biologicals' 10-valent Pneumococcal Conjugate Vaccine" NCT00370396

1 Formulários  
Identification
Descrição

Identification

Alias
UMLS CUI-1
C1300638
Center number
Descrição

Center number

Tipo de dados

integer

Alias
UMLS CUI [1,1]
C1301943
UMLS CUI [1,2]
C0805701
Subject ID
Descrição

Subject ID

Tipo de dados

text

Alias
UMLS CUI [1]
C2348585
Treatment Number
Descrição

Treatment Number

Tipo de dados

text

Alias
UMLS CUI [1]
C1522541
GENERAL MEDICAL HISTORY I PHYSICAL EXAMINATION
Descrição

GENERAL MEDICAL HISTORY I PHYSICAL EXAMINATION

Are you aware of any pre-existing conditions, signs or symptoms present prior to the start of the study?
Descrição

Are you aware of any pre-existing conditions, signs or symptoms present prior to the start of the study?

Tipo de dados

boolean

Alias
UMLS CUI [1]
C0521987
Medical History List
Descrição

Medical History List

MedDRA System Organ Class
Descrição

MedDRA System Organ Class

Tipo de dados

integer

Alias
UMLS CUI [1]
C2347091
Diagnosis
Descrição

Diagnosis

Tipo de dados

text

Alias
UMLS CUI [1]
C0011900
Past or current
Descrição

Past or current

Tipo de dados

integer

Alias
UMLS CUI [1]
C0521116
Laboratory Tests
Descrição

Laboratory Tests

Has a bloodsample been taken?
Descrição

Bloodsample

Tipo de dados

boolean

Alias
UMLS CUI [1]
C0005834
Date of Bloodsample
Descrição

answer if yes

Tipo de dados

date

Alias
UMLS CUI [1,1]
C0011008
UMLS CUI [1,2]
C0005834
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Similar models

Medical History "Safety and Immunogenicity Study of a Booster Dose of GSK Biologicals' 10-valent Pneumococcal Conjugate Vaccine" NCT00370396

1 Formulários
Name
Tipo
Description | Question | Decode (Coded Value)
Tipo de dados
Alias
Item Group
Identification
C1300638 (UMLS CUI-1)
Center number
Item
Center number
integer
C1301943 (UMLS CUI [1,1])
C0805701 (UMLS CUI [1,2])
Subject ID
Item
Subject ID
text
C2348585 (UMLS CUI [1])
Treatment Number
Item
Treatment Number
text
C1522541 (UMLS CUI [1])
Item Group
GENERAL MEDICAL HISTORY I PHYSICAL EXAMINATION
Are you aware of any pre-existing conditions, signs or symptoms present prior to the start of the study?
Item
Are you aware of any pre-existing conditions, signs or symptoms present prior to the start of the study?
boolean
C0521987 (UMLS CUI [1])
Item Group
Medical History List
Item
MedDRA System Organ Class
integer
C2347091 (UMLS CUI [1])
MedDRA System Organ Class
Code List
MedDRA System Organ Class
CL Item
Skin and subcutaneous tissue (1)
CL Item
Musculoskeletal and connective tissue (2)
CL Item
Cardiac (3)
CL Item
Vascular (4)
CL Item
Respiratory, thoracic and mediastinal (5)
CL Item
Gastrointestinal (6)
CL Item
Hepatobiliary (7)
CL Item
Renal and urinary (8)
CL Item
Nervous system (9)
CL Item
Eye (10)
CL Item
Ear and labyrinth (11)
CL Item
Endocrine (12)
CL Item
Metabolism and nutrition (13)
CL Item
Blood and lymphatic system (14)
CL Item
Immune system (incl allergies, autoimmune disorders) (15)
CL Item
Infections and infestations (16)
CL Item
Neoplasms benign, malignantand unspecified (incl cysts. polyps) (17)
CL Item
Surgical and medicalprocedures (18)
CL Item
Other (99)
Diagnosis
Item
Diagnosis
text
C0011900 (UMLS CUI [1])
Item
Past or current
integer
C0521116 (UMLS CUI [1])
Past or current
Code List
Past or current
CL Item
current  (1)
CL Item
past (2)
Bloodsample
Item
Has a bloodsample been taken?
boolean
C0005834 (UMLS CUI [1])
Date of Bloodsample
Item
Date of Bloodsample
date
C0011008 (UMLS CUI [1,1])
C0005834 (UMLS CUI [1,2])
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