Inglés

Medical History CRFs Multiple Sclerosis Tysabri NCT00027300

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

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)
Descripción

Immune system disease

Tipo de datos

boolean

Alias
UMLS CUI [1]
C0021053
2. HEENT
Descripción

HEENT

Tipo de datos

boolean

Alias
UMLS CUI [1]
C1512338
3. Respiratory
Descripción

respiratory

Tipo de datos

boolean

Alias
UMLS CUI [1]
C0035237
4. Cardiovascular
Descripción

Cardiovascular

Tipo de datos

boolean

Alias
UMLS CUI [1]
C0007226
5. Gastrointestinal
Descripción

Gastrointestinal

Tipo de datos

boolean

Alias
UMLS CUI [1]
C0012240
6. Genitourinary
Descripción

Genitourinary System

Tipo de datos

boolean

Alias
UMLS CUI [1]
C0042066
7. Hematological
Descripción

Hematological

Tipo de datos

boolean

Alias
UMLS CUI [1]
C0279810
8. Neurological
Descripción

Neurological

Tipo de datos

boolean

Alias
UMLS CUI [1]
C0027763
9. Endocrine
Descripción

Endocrine

Tipo de datos

boolean

Alias
UMLS CUI [1]
C0014136
10. Musculoskeletal
Descripción

Musculoskeletal

Tipo de datos

boolean

Alias
UMLS CUI [1]
C0026860
11. Dermatological
Descripción

Dermatological

Tipo de datos

boolean

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

Mental

Tipo de datos

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.
Descripción

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
Descripción

Line

Tipo de datos

integer

Alias
UMLS CUI [1]
C0750480
Category Number
Descripción

Category Number

Tipo de datos

text

Alias
UMLS CUI [1]
C0683312
resolved or current
Descripción

resolved or current

Tipo de datos

integer

Pertinent Details
Descripción

details

Tipo de datos

text

Alias
UMLS CUI [1]
C1522508
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Similar models

Medical History CRFs Multiple Sclerosis Tysabri NCT00027300

1 formularios
Name
Tipo
Description | Question | Decode (Coded Value)
Tipo de datos
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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