Item
Anaphylactic reaction to food
integer
C0340865 (UMLS CUI [1])
Code List
Anaphylactic reaction to food
CL Item
No medical history (3)
Item
Angioedema
integer
C0002994 (UMLS CUI [1])
CL Item
No medical history (3)
Item
Urticaria
integer
C0042109 (UMLS CUI [1])
CL Item
No medical history (3)
Item
Anaphylaxis
integer
C0023115 (UMLS CUI [1,1])
C0002792 (UMLS CUI [1,2])
CL Item
No medical history (3)
Item
Angioedema
integer
C0002994 (UMLS CUI [1,1])
C0023115 (UMLS CUI [1,2])
CL Item
No medical history (3)
Item
Urticaria
integer
C0042109 (UMLS CUI [1,1])
C0023115 (UMLS CUI [1,2])
CL Item
No medical history (3)
Item
Anaphylactic reaction to drug
integer
C0002792 (UMLS CUI [1,1])
C0030827 (UMLS CUI [1,2])
Code List
Anaphylactic reaction to drug
CL Item
No medical history (3)
Item
Angioedema
integer
C0002994 (UMLS CUI [1,1])
C0030827 (UMLS CUI [1,2])
CL Item
No medical history (3)
Item
Drug induced urticaria
integer
C0600688 (UMLS CUI [1,1])
C0042109 (UMLS CUI [1,2])
C0030840 (UMLS CUI [1,3])
Code List
Drug induced urticaria
CL Item
No medical history (3)
Item
Anaphylactic reaction to drug
integer
C0571444 (UMLS CUI [1,1])
C0600688 (UMLS CUI [1,2])
C0002792 (UMLS CUI [1,3])
Code List
Anaphylactic reaction to drug
CL Item
No medical history (3)
Item
Angioedema
integer
C3536856 (UMLS CUI [1,1])
C0002994 (UMLS CUI [1,2])
CL Item
No medical history (3)
Item
Drug induced urticaria
integer
C0002994 (UMLS CUI [1,1])
C0042109 (UMLS CUI [1,2])
C0600688 (UMLS CUI [1,3])
Code List
Drug induced urticaria
CL Item
No medical history (3)
Item
Anaphylactic reaction to drug
integer
C0600688 (UMLS CUI [1,1])
C0002792 (UMLS CUI [1,2])
C0004057 (UMLS CUI [1,3])
Code List
Anaphylactic reaction to drug
CL Item
No medical history (3)
Item
Angioedema
integer
C0004057 (UMLS CUI [1,1])
C0002994 (UMLS CUI [1,2])
CL Item
No medical history (3)
Item
Drug induced urticaria
integer
C0004057 (UMLS CUI [1,1])
C0042109 (UMLS CUI [1,2])
C0600688 (UMLS CUI [1,3])
Code List
Drug induced urticaria
CL Item
No medical history (3)
Item
Anaphylactic reaction to drug
integer
C0600688 (UMLS CUI [1,1])
C0002792 (UMLS CUI [1,2])
Code List
Anaphylactic reaction to drug
CL Item
No medical history (3)
Item
Angioedema
integer
C0002994 (UMLS CUI [1,1])
C0003211 (UMLS CUI [1,2])
CL Item
No medical history (3)
Item
Drug induced urticaria
integer
C0003211 (UMLS CUI [1,1])
C0042109 (UMLS CUI [1,2])
C0600688 (UMLS CUI [1,3])
Code List
Drug induced urticaria
CL Item
No medical history (3)
Item
Anaphylactic reaction to drug
integer
C0600688 (UMLS CUI [1,1])
C0002792 (UMLS CUI [1,2])
Code List
Anaphylactic reaction to drug
CL Item
No medical history (3)
Item
Angioedema
integer
C0003015 (UMLS CUI [1,1])
C0002994 (UMLS CUI [1,2])
CL Item
No medical history (3)
Item
Drug induced urticaria
integer
C0042109 (UMLS CUI [1,1])
C0600688 (UMLS CUI [1,2])
C0003015 (UMLS CUI [1,3])
Code List
Drug induced urticaria
CL Item
No medical history (3)
Specific Condition Other allergies
Item
10.a Specific Condition
text
C0012634 (UMLS CUI [1,1])
C2348235 (UMLS CUI [1,2])
Item
10.b Status
integer
C0020517 (UMLS CUI [1])
Item
Symptoms
text
C0038325 (UMLS CUI [1])
CL Item
Check all that apply (Check all that apply)
Blisters Stevens-Johnson syndrome
Item
Blisters
boolean
C0005758 (UMLS CUI [1,1])
C0038325 (UMLS CUI [1,2])
Biopsy confirmed Stevens-Johnson syndrome
Item
Biopsy confirmed
boolean
C0038325 (UMLS CUI [1,1])
C0005558 (UMLS CUI [1,2])
Mucous membrane involvement Stevens-Johnson syndrome
Item
Mucous membrane involvement
boolean
C0038325 (UMLS CUI [1,1])
C0026724 (UMLS CUI [1,2])
Stevens-Johnson syndrome Symptom start date
Item
Symptom start date
date
C0038325 (UMLS CUI [1,1])
C0808070 (UMLS CUI [1,2])
Item
Symptoms
text
C0014518 (UMLS CUI [1])
CL Item
Check all that apply (Check all that apply)
Blisters Toxic epidermal necrolysis
Item
Blisters
boolean
C0014518 (UMLS CUI [1,1])
C0005758 (UMLS CUI [1,2])
Biopsy confirmed Toxic epidermal necrolysis
Item
Biopsy confirmed
boolean
C0014518 (UMLS CUI [1,1])
C0005558 (UMLS CUI [1,2])
Mucous membrane involvement Toxic epidermal necrolysis
Item
Mucous membrane involvement
boolean
C0005558 (UMLS CUI [1,1])
C0026724 (UMLS CUI [1,2])
Symptom start date Toxic epidermal necrolysis
Item
Symptom start date
date
C0026724 (UMLS CUI [1,1])
C0808070 (UMLS CUI [1,2])
CL Item
Check all that apply (Check all that apply)
Generalised Urticaria (hives)
Item
Generalised
boolean
Localised Urticaria (hives)
Item
Localised
boolean
Photosensitivity Urticaria (hives)
Item
Photosensitivity
boolean
Other symptoms Urticaria (hives)
Item
Other
boolean
Other symptoms Urticaria (hives) specification
Item
Other, specify
text
Symptom start date Urticaria (hives)
Item
Symptom start date
date
Item
Symptoms
text
C0002994 (UMLS CUI [1])
CL Item
Check all that apply (Check all that apply)
Angioedema Face
Item
Face (including eyes, lips)
boolean
C0002994 (UMLS CUI [1,1])
C0015450 (UMLS CUI [1,2])
Angioedema Throat
Item
Throat (including tongue, larynx)
boolean
C0002994 (UMLS CUI [1,1])
C0031354 (UMLS CUI [1,2])
Angioedema Laryngeal
Item
Laryngeal
boolean
C0023052 (UMLS CUI [1])
Angioedema Dyspnoea
Item
Dyspnoea
boolean
Angioedema Dysphagia
Item
Dysphagia
boolean
Angioedema Required intubation
Item
Required intubation
boolean
Angioedema Other symptoms
Item
Other
boolean
Angioedema Other symptoms specification
Item
Other, specify
text
Symptom start date Angioedema
Item
Symptom start date
date
CL Item
Check all that apply (Check all that apply)
Dyspnoea Anaphylactic/Anaphylactoid reaction
Item
Dyspnoea
boolean
Bronchospasm Anaphylactic/Anaphylactoid reaction
Item
Bronchospasm
boolean
Hypotension Anaphylactic/Anaphylactoid reaction
Item
Hypotension
boolean
Loss of consciousness Anaphylactic/Anaphylactoid reaction
Item
Loss of consciousness
boolean
Persistent gastrointestinal symptoms Anaphylactic/Anaphylactoid reaction
Item
Persistent gastrointestinal symptoms (crampy abdominal pain, vomiting)
boolean
Other symptoms Anaphylactic/Anaphylactoid reaction
Item
Other
boolean
Other symptoms specidication Anaphylactic/Anaphylactoid reaction
Item
Other, specify
text
Symptom start date Anaphylactic/Anaphylactoid reaction
Item
Symptom start date
date
CL Item
Check all that apply (Check all that apply)
Other symptoms of hypersensitivity reaction Rash
Item
Rash
boolean
Other symptoms of hypersensitivity reaction Photosensitivity
Item
Photosensitivity
boolean
Other symptoms of hypersensitivity reaction
Item
Other
boolean
Other symptoms of hypersensitivity reaction specification
Item
Other, specify
text
Start date Other symptoms of hypersensitivity reaction
Item
Symptom start date
date