Englisch

Visit 1 Run-In Medical History NCT01117584

1 Formulare  
Elements of Medical History
Beschreibung

Elements of Medical History

Respiratory
Beschreibung

Respiratory

Datentyp

text

Cardiovascular
Beschreibung

Cardiovascular

Datentyp

text

Gastrointestinal
Beschreibung

Gastrointestinal

Datentyp

text

Musculoskeletal
Beschreibung

Musculoskeletal

Datentyp

text

Neurological
Beschreibung

Neurological

Datentyp

text

Endocrine/metabolic
Beschreibung

Endocrine/metabolic

Datentyp

text

Lymphatic/Hematologic
Beschreibung

Lymphatic/Hematologic

Datentyp

text

Dermatological
Beschreibung

Dermatological

Datentyp

text

Psychological
Beschreibung

Psychological

Datentyp

text

Genitourinary
Beschreibung

Genitourinary

Datentyp

text

Allergies
Beschreibung

Allergies

Datentyp

text

General Information
Beschreibung

General Information

Is there any past or present Medical Condition?
Beschreibung

Medical Condition

Datentyp

boolean

If yes, please provide details.
Beschreibung

Specification of Medical Condition

Datentyp

text

Reported Term for Medical Condition
Beschreibung

Reported Term for Medical Condition

Datentyp

text

Onset Date
Beschreibung

Onset Date

Datentyp

date

Is Medical Condition ongoing?
Beschreibung

Ongoing Medical Condition

Datentyp

text

Recovered Date
Beschreibung

If no, please provide "Recovered Date"

Datentyp

date

Current Treatment with medication?
Beschreibung

Current Treatment

Datentyp

text

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Ähnliche Modelle

Visit 1 Run-In Medical History NCT01117584

1 Formulare
Name
Typ
Description | Question | Decode (Coded Value)
Datentyp
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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