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GSK Study Randomisation Visit CLINIC VISIT ASSESSMENT NCT00079911

1 forms  
Study administration
Description

Study administration

Subject Identifier
Description

Subject Identifier

Data type

integer

Alias
UMLS CUI [1]
C2348585
Clinic Visit Assessment
Description

Clinic Visit Assessment

Alias
UMLS CUI-1
C0220825
UMLS CUI-2
C0008952
UMLS CUI-3
C0019348
Date of assessment
Description

Visit Date

Data type

date

Alias
UMLS CUI [1,1]
C0011008
UMLS CUI [1,2]
C0008952
Has the subject had a recurrence(s) of genital herpes since the last visit?
Description

If Yes, complete the Genital Herpes Recurrences page

Data type

text

Alias
UMLS CUI [1,1]
C0019342
UMLS CUI [1,2]
C0034897
Has the subject had a recurrence(s) of oral/other non-genital herpes since the last visit?
Description

If Yes, complete the Oral/Other Non-Genital Herpes Recurrences page.

Data type

text

Alias
UMLS CUI [1,1]
C0341012
UMLS CUI [1,2]
C0008952
UMLS CUI [2,1]
C0019348
UMLS CUI [2,2]
C0008952
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Similar models

GSK Study Randomisation Visit CLINIC VISIT ASSESSMENT NCT00079911

1 forms
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Study administration
Subject Identifier
Item
Subject Identifier
integer
C2348585 (UMLS CUI [1])
Item Group
Clinic Visit Assessment
C0220825 (UMLS CUI-1)
C0008952 (UMLS CUI-2)
C0019348 (UMLS CUI-3)
Visit Date
Item
Date of assessment
date
C0011008 (UMLS CUI [1,1])
C0008952 (UMLS CUI [1,2])
Item
Has the subject had a recurrence(s) of genital herpes since the last visit?
text
C0019342 (UMLS CUI [1,1])
C0034897 (UMLS CUI [1,2])
recurrence(s) of genital herpes
Code List
Has the subject had a recurrence(s) of genital herpes since the last visit?
CL Item
Yes (Y)
CL Item
No (N)
Item
Has the subject had a recurrence(s) of oral/other non-genital herpes since the last visit?
text
C0341012 (UMLS CUI [1,1])
C0008952 (UMLS CUI [1,2])
C0019348 (UMLS CUI [2,1])
C0008952 (UMLS CUI [2,2])
recurrence(s) of genital herpes
Code List
Has the subject had a recurrence(s) of oral/other non-genital herpes since the last visit?
CL Item
Yes (Y)
CL Item
No (N)
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