GSK Hepatitis A Vaccine Month 186 VISIT 22 LABORATORY TESTS NCT00291876

Study administration
Beskrivning

Study administration

Center
Beskrivning

Center

Datatyp

text

Alias
UMLS CUI [1,1]
C1301943
UMLS CUI [1,2]
C0600091
Date of Visit
Beskrivning

Date of Visit

Datatyp

date

Alias
UMLS CUI [1]
C1320303
Subject Number
Beskrivning

Subject Identifier

Datatyp

integer

Alias
UMLS CUI [1]
C2348585
LABORATORY TESTS
Beskrivning

LABORATORY TESTS

Has a blood sample been taken for serology?
Beskrivning

blood sample

Datatyp

boolean

Alias
UMLS CUI [1]
C0005834
VACCINE HISTORY
Beskrivning

VACCINE HISTORY

Has the subject received a dose of Hepatitis A immunoglobulins within 6 months prior to bleeding ?
Beskrivning

Hepatitis A immunoglobulins

Datatyp

boolean

Alias
UMLS CUI [1,1]
C3652495
UMLS CUI [1,2]
C0019080
Has the subject received a dose of monovalent or combined Hepatitis A vaccine since last visit?
Beskrivning

monovalent or combined Hepatitis A vaccine

Datatyp

integer

Alias
UMLS CUI [1]
C3652495
DISEASE HISTORY
Beskrivning

DISEASE HISTORY

Did the subject suffer from Hepatitis A since last visit?
Beskrivning

Hepatitis A

Datatyp

boolean

Alias
UMLS CUI [1]
C0019159
AGREEMENT FOR BOOSTER VACCINATION
Beskrivning

AGREEMENT FOR BOOSTER VACCINATION

If the subject fulfills criteria for booster administration, does he agree to receive an additional vaccination?
Beskrivning

If Yes, the subject will receive Havrix™. Please complete the entire CRF. If No, please complete the SAE section and the study conclusion section only.

Datatyp

boolean

Alias
UMLS CUI [1,1]
C0042196
UMLS CUI [1,2]
C0940824
UMLS CUI [1,3]
C1511481

Similar models

GSK Hepatitis A Vaccine Month 186 VISIT 22 LABORATORY TESTS NCT00291876

Name
Typ
Description | Question | Decode (Coded Value)
Datatyp
Alias
Item Group
Study administration
Center
Item
Center
text
C1301943 (UMLS CUI [1,1])
C0600091 (UMLS CUI [1,2])
Date of Visit
Item
Date of Visit
date
C1320303 (UMLS CUI [1])
Subject Identifier
Item
Subject Number
integer
C2348585 (UMLS CUI [1])
Item Group
LABORATORY TESTS
blood sample
Item
Has a blood sample been taken for serology?
boolean
C0005834 (UMLS CUI [1])
Item Group
VACCINE HISTORY
Hepatitis A immunoglobulins
Item
Has the subject received a dose of Hepatitis A immunoglobulins within 6 months prior to bleeding ?
boolean
C3652495 (UMLS CUI [1,1])
C0019080 (UMLS CUI [1,2])
Item
Has the subject received a dose of monovalent or combined Hepatitis A vaccine since last visit?
integer
C3652495 (UMLS CUI [1])
Code List
Has the subject received a dose of monovalent or combined Hepatitis A vaccine since last visit?
CL Item
Yes Hepatitis A vaccine (1)
CL Item
Yes Combined Hepatitis A containing vaccine (2)
CL Item
No (3)
Item Group
DISEASE HISTORY
Hepatitis A
Item
Did the subject suffer from Hepatitis A since last visit?
boolean
C0019159 (UMLS CUI [1])
Item Group
AGREEMENT FOR BOOSTER VACCINATION
additional vaccination agreement
Item
If the subject fulfills criteria for booster administration, does he agree to receive an additional vaccination?
boolean
C0042196 (UMLS CUI [1,1])
C0940824 (UMLS CUI [1,2])
C1511481 (UMLS CUI [1,3])