Diagnosis
Item
Diagnosis
text
History of Genital Infections
Item
Does the subject have a history of Genital Infection(s)?
boolean
Number of Genital Infections
Item
If yes, how many genital infections did the subject have in the past year?
integer
Details of most recent infection
Item
If one or more, please provide the details of the most recent historical infection.
text
Item
Site of infection
text
Code List
Site of infection
CL Item
Uterus/Fallopian tubes/Ovaries (3)
CL Item
Foreskin/Glands (6)
CL Item
Testicles/Epididymis (7)
Specification of other site of Infection
Item
If Other, please specify
text
Item
Confirmed by Lab?
text
Code List
Confirmed by Lab?
Onset Date
Item
Onset Date
date
Item
Is Medical Condition ongoing?
text
Code List
Is Medical Condition ongoing?
Recovered Date
Item
Recovered Date
date
Item
Was the infection symptomatic?
text
Code List
Was the infection symptomatic?
Item
Was the infection treated?
text
Code List
Was the infection treated?
LLT Code
Item
LLT Code
text
LLT Term
Item
LLT Term
text
PT Code
Item
PT Code
text
PT Term
Item
PT Term
text
HLT Code
Item
HLT Code
text
HLT Term
Item
HLT Term
text
HLGT Code
Item
HLGT Code
text
HLGT Term
Item
HLGT Term
text
SOC Code
Item
SOC Code
text
SOC Term
Item
SOC Code
text