Inglés

Visit 1 Run-In Medical History NCT01117584

1 formularios  
Elements of Medical History
Descripción

Elements of Medical History

Respiratory
Descripción

Respiratory

Tipo de datos

text

Cardiovascular
Descripción

Cardiovascular

Tipo de datos

text

Gastrointestinal
Descripción

Gastrointestinal

Tipo de datos

text

Musculoskeletal
Descripción

Musculoskeletal

Tipo de datos

text

Neurological
Descripción

Neurological

Tipo de datos

text

Endocrine/metabolic
Descripción

Endocrine/metabolic

Tipo de datos

text

Lymphatic/Hematologic
Descripción

Lymphatic/Hematologic

Tipo de datos

text

Dermatological
Descripción

Dermatological

Tipo de datos

text

Psychological
Descripción

Psychological

Tipo de datos

text

Genitourinary
Descripción

Genitourinary

Tipo de datos

text

Allergies
Descripción

Allergies

Tipo de datos

text

General Information
Descripción

General Information

Is there any past or present Medical Condition?
Descripción

Medical Condition

Tipo de datos

boolean

If yes, please provide details.
Descripción

Specification of Medical Condition

Tipo de datos

text

Reported Term for Medical Condition
Descripción

Reported Term for Medical Condition

Tipo de datos

text

Onset Date
Descripción

Onset Date

Tipo de datos

date

Is Medical Condition ongoing?
Descripción

Ongoing Medical Condition

Tipo de datos

text

Recovered Date
Descripción

If no, please provide "Recovered Date"

Tipo de datos

date

Current Treatment with medication?
Descripción

Current Treatment

Tipo de datos

text

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Similar models

Visit 1 Run-In Medical History NCT01117584

1 formularios
Name
Tipo
Description | Question | Decode (Coded Value)
Tipo de datos
Alias
Item Group
Elements of Medical History
Respiratory
Item
Respiratory
text
Cardiovascular
Item
Cardiovascular
text
Gastrointestinal
Item
Gastrointestinal
text
Musculoskeletal
Item
Musculoskeletal
text
Neurological
Item
Neurological
text
Endocrine/metabolic
Item
Endocrine/metabolic
text
Lymphatic/Hematologic
Item
Lymphatic/Hematologic
text
Dermatological
Item
Dermatological
text
Psychological
Item
Psychological
text
Genitourinary
Item
Genitourinary
text
Allergies
Item
Allergies
text
Item Group
General Information
Medical Condition
Item
Is there any past or present Medical Condition?
boolean
Specification of Medical Condition
Item
If yes, please provide details.
text
Reported Term for Medical Condition
Item
Reported Term for Medical Condition
text
Onset Date
Item
Onset Date
date
Item
Is Medical Condition ongoing?
text
Ongoing Medical Condition
Code List
Is Medical Condition ongoing?
CL Item
No (1)
CL Item
Yes (2)
Recovered Date
Item
Recovered Date
date
Item
Current Treatment with medication?
text
Current Treatment
Code List
Current Treatment with medication?
CL Item
No (1)
CL Item
Yes (2)
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