Visit 1 Run-ln Urinary Tract Infection History NCT01117584

General Information
Description

General Information

Diagnosis
Description

Diagnosis

Data type

text

Does the subject have a history of Urinary Tract Infections?
Description

History of Urinary Tract Infections

Data type

boolean

If Yes, how many UTIs did the subject have in the past year?
Description

Number of UTI

Data type

integer

If one or more, please provide the details of the most recent historical infection.
Description

Details of one or more Infections

Data type

text

Side of infection
Description

Side of infection

Data type

text

Organism
Description

Organism

Data type

text

Confirmed by Lab?
Description

Confirmation by lab

Data type

boolean

Onset Date
Description

Onset Date

Data type

date

Is Medical Condition ongoing?
Description

Ongoing medical condition

Data type

boolean

Recovered Date
Description

Recovered Date

Data type

date

Was the infection symptomatic?
Description

Symptomatic infection

Data type

text

Was the infection treated?
Description

Treatment

Data type

text

Similar models

Visit 1 Run-ln Urinary Tract Infection History NCT01117584

Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
General Information
Diagnosis
Item
Diagnosis
text
History of Urinary Tract Infections
Item
Does the subject have a history of Urinary Tract Infections?
boolean
Number of UTI
Item
If Yes, how many UTIs did the subject have in the past year?
integer
Details of one or more Infections
Item
If one or more, please provide the details of the most recent historical infection.
text
Item
Side of infection
text
Code List
Side of infection
CL Item
Upper (1)
CL Item
Lower (2)
CL Item
Upper and Lower (3)
CL Item
Unknown (4)
Item
Organism
text
Code List
Organism
CL Item
Bacterial (1)
CL Item
Viral (2)
CL Item
Fungal (3)
CL Item
Unknown (4)
Confirmation by lab
Item
Confirmed by Lab?
boolean
Onset Date
Item
Onset Date
date
Ongoing medical condition
Item
Is Medical Condition ongoing?
boolean
Recovered Date
Item
Recovered Date
date
Item
Was the infection symptomatic?
text
Code List
Was the infection symptomatic?
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
Item
Was the infection treated?
text
Code List
Was the infection treated?
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)