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Medical History CRFs Multiple Sclerosis Tysabri NCT00027300

1 Formulaires  
Does the subject have a medical or surgical history, current or resolved, of any of the following categories?
Description

Does the subject have a medical or surgical history, current or resolved, of any of the following categories?

Alias
UMLS CUI-1
C0262926
1. Immunological (including allergies)
Description

Immune system disease

Type de données

boolean

Alias
UMLS CUI [1]
C0021053
2. HEENT
Description

HEENT

Type de données

boolean

Alias
UMLS CUI [1]
C1512338
3. Respiratory
Description

respiratory

Type de données

boolean

Alias
UMLS CUI [1]
C0035237
4. Cardiovascular
Description

Cardiovascular

Type de données

boolean

Alias
UMLS CUI [1]
C0007226
5. Gastrointestinal
Description

Gastrointestinal

Type de données

boolean

Alias
UMLS CUI [1]
C0012240
6. Genitourinary
Description

Genitourinary System

Type de données

boolean

Alias
UMLS CUI [1]
C0042066
7. Hematological
Description

Hematological

Type de données

boolean

Alias
UMLS CUI [1]
C0279810
8. Neurological
Description

Neurological

Type de données

boolean

Alias
UMLS CUI [1]
C0027763
9. Endocrine
Description

Endocrine

Type de données

boolean

Alias
UMLS CUI [1]
C0014136
10. Musculoskeletal
Description

Musculoskeletal

Type de données

boolean

Alias
UMLS CUI [1]
C0026860
11. Dermatological
Description

Dermatological

Type de données

boolean

Alias
UMLS CUI [1]
C0037274
12. Psychosocial/ psychiatric
Description

Mental

Type de données

boolean

Alias
UMLS CUI [1]
C0004936
If 'Yes' record each detail below. If a category has multiple details, record each on a separate line. Mark if resolved or current.
Description

If 'Yes' record each detail below. If a category has multiple details, record each on a separate line. Mark if resolved or current.

Line number
Description

Line

Type de données

integer

Alias
UMLS CUI [1]
C0750480
Category Number
Description

Category Number

Type de données

text

Alias
UMLS CUI [1]
C0683312
resolved or current
Description

resolved or current

Type de données

integer

Pertinent Details
Description

details

Type de données

text

Alias
UMLS CUI [1]
C1522508
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Similar models

Medical History CRFs Multiple Sclerosis Tysabri NCT00027300

1 Formulaires
Name
Type
Description | Question | Decode (Coded Value)
Type de données
Alias
Item Group
Does the subject have a medical or surgical history, current or resolved, of any of the following categories?
C0262926 (UMLS CUI-1)
Immune system disease
Item
1. Immunological (including allergies)
boolean
C0021053 (UMLS CUI [1])
HEENT
Item
2. HEENT
boolean
C1512338 (UMLS CUI [1])
respiratory
Item
3. Respiratory
boolean
C0035237 (UMLS CUI [1])
Cardiovascular
Item
4. Cardiovascular
boolean
C0007226 (UMLS CUI [1])
Gastrointestinal
Item
5. Gastrointestinal
boolean
C0012240 (UMLS CUI [1])
Genitourinary System
Item
6. Genitourinary
boolean
C0042066 (UMLS CUI [1])
Hematological
Item
7. Hematological
boolean
C0279810 (UMLS CUI [1])
Neurological
Item
8. Neurological
boolean
C0027763 (UMLS CUI [1])
Endocrine
Item
9. Endocrine
boolean
C0014136 (UMLS CUI [1])
Musculoskeletal
Item
10. Musculoskeletal
boolean
C0026860 (UMLS CUI [1])
Dermatological
Item
11. Dermatological
boolean
C0037274 (UMLS CUI [1])
Mental
Item
12. Psychosocial/ psychiatric
boolean
C0004936 (UMLS CUI [1])
Item Group
If 'Yes' record each detail below. If a category has multiple details, record each on a separate line. Mark if resolved or current.
Item
Line number
integer
C0750480 (UMLS CUI [1])
Line
Code List
Line number
Category Number
Item
Category Number
text
C0683312 (UMLS CUI [1])
Item
resolved or current
integer
resolved or current
Code List
resolved or current
CL Item
resolved (1)
CL Item
current (2)
Item
Pertinent Details
text
C1522508 (UMLS CUI [1])
Line
Code List
Pertinent Details
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