ID

28310

Beschreibung

Study ID: 100601 Clinical Study ID: LPL100601 Study Title: LPL100601, A Clinical Outcomes Study of Darapladib versus Placebo in Subjects with Chronic Coronary Heart Disease to Compare the Incidence of Major Adverse Cardiovascular Events (MACE) Patient Level Data: Study Listed on ClinicalStudyDataRequest.com Clinicaltrials.gov Identifier: NCT00799903 Sponsor: GlaxoSmithKline Collaborators: N/A Phase: phase 3 Study Recruitment Status: Completed Generic Name: darapladib Trade Name: darapladib Study Indication: Atherosclerosis Study part: Hypersensitivity Reaction Record - Repeating form (Scheduled visits)

Stichworte

Versionen (5)
  1. 04.10.17 04.10.17 -
  2. 16.10.17 16.10.17 -
  3. 23.10.17 23.10.17 -
  4. 01.01.18 01.01.18 -
  5. 03.01.18 03.01.18 -
Rechteinhaber

GlaxoSmithKline

Hochgeladen am

3. Januar 2018

DOI

Für eine Beantragung loggen Sie sich ein.

Lizenz

Creative Commons BY-NC 3.0
Modell Kommentare :

Hier können Sie das Modell kommentieren. Über die Sprechblasen an den Itemgruppen und Items können Sie diese spezifisch kommentieren.

Zurück zu Modell Kommentaren
Itemgroup Kommentare für :

Item Kommentare für :

Um Formulare herunterzuladen müssen Sie angemeldet sein. Bitte loggen Sie sich ein oder registrieren Sie sich kostenlos.

Hypersensitivity Reaction Record GSK study Chronic Coronary Heart Disease NCT00799903

Englisch

Hypersensitivity Reaction Record GSK study Chronic Coronary Heart Disease NCT00799903

1 Formulare  
1. Event number
Beschreibung

1. Event number

Event number
Beschreibung

Enter the Event Number from item 1 on the Anaphylaxis Diagnosis (ANA) form

Datentyp

text

Alias
UMLS CUI [1]
C2826275
Past medical conditions: 2. Food allergies
Beschreibung

Past medical conditions: 2. Food allergies

Anaphylactic reaction to food
Beschreibung

Anaphylactic reaction to food

Datentyp

integer

Alias
UMLS CUI [1]
C0340865
Angioedema
Beschreibung

Angioedema food

Datentyp

integer

Alias
UMLS CUI [1]
C0002994
Urticaria
Beschreibung

Urticaria food

Datentyp

integer

Alias
UMLS CUI [1]
C0042109
Past medical conditions: 3. Hymenoptera sting allergy
Beschreibung

Past medical conditions: 3. Hymenoptera sting allergy

Anaphylaxis
Beschreibung

Anaphylaxis Hymenoptera sting allergy

Datentyp

integer

Alias
UMLS CUI [1]
C0002792
Angioedema
Beschreibung

Angioedema Hymenoptera sting allergy

Datentyp

integer

Alias
UMLS CUI [1]
C0002994
Urticaria
Beschreibung

Urticaria Hymenoptera sting allergy

Datentyp

integer

Alias
UMLS CUI [1]
C0042109
Past medical conditions: 4. Latex allergy
Beschreibung

Past medical conditions: 4. Latex allergy

Anaphylaxis
Beschreibung

Anaphylaxis Latex

Datentyp

integer

Alias
UMLS CUI [1,1]
C0023115
UMLS CUI [1,2]
C0002792
Angioedema
Beschreibung

Angioedema latex

Datentyp

integer

Alias
UMLS CUI [1,1]
C0002994
UMLS CUI [1,2]
C0023115
Urticaria
Beschreibung

Urticaria latex

Datentyp

integer

Alias
UMLS CUI [1,1]
C0042109
UMLS CUI [1,2]
C0023115
Past medical conditions: 5. Penicillin allergy
Beschreibung

Past medical conditions: 5. Penicillin allergy

Anaphylactic reaction to drug
Beschreibung

Anaphylactic reaction penicillin

Datentyp

integer

Alias
UMLS CUI [1,1]
C0002792
UMLS CUI [1,2]
C0030827
Angioedema
Beschreibung

Angioedema penicillin

Datentyp

integer

Alias
UMLS CUI [1,1]
C0002994
UMLS CUI [1,2]
C0030827
Drug induced urticaria
Beschreibung

Drug induced urticaria penicillin

Datentyp

integer

Alias
UMLS CUI [1,1]
C0600688
UMLS CUI [1,2]
C0042109
UMLS CUI [1,3]
C0030840
Past medical conditions: 6. Cephalosporin allergy
Beschreibung

Past medical conditions: 6. Cephalosporin allergy

Anaphylactic reaction to drug
Beschreibung

Anaphylactic reaction to Cephalosporin

Datentyp

integer

Alias
UMLS CUI [1,1]
C0571444
UMLS CUI [1,2]
C0600688
UMLS CUI [1,3]
C0002792
Angioedema
Beschreibung

Angioedema Cephalosporin

Datentyp

integer

Alias
UMLS CUI [1,1]
C3536856
UMLS CUI [1,2]
C0002994
Drug induced urticaria
Beschreibung

Drug induced urticaria Cephalosporin

Datentyp

integer

Alias
UMLS CUI [1,1]
C0002994
UMLS CUI [1,2]
C0042109
UMLS CUI [1,3]
C0600688
Past medical conditions: 7. Aspirin allergy
Beschreibung

Past medical conditions: 7. Aspirin allergy

Anaphylactic reaction to drug
Beschreibung

Anaphylactic reaction to aspirin

Datentyp

integer

Alias
UMLS CUI [1,1]
C0600688
UMLS CUI [1,2]
C0002792
UMLS CUI [1,3]
C0004057
Angioedema
Beschreibung

Angioedema aspirin

Datentyp

integer

Alias
UMLS CUI [1,1]
C0004057
UMLS CUI [1,2]
C0002994
Drug induced urticaria
Beschreibung

Drug induced urticaria aspirin

Datentyp

integer

Alias
UMLS CUI [1,1]
C0004057
UMLS CUI [1,2]
C0042109
UMLS CUI [1,3]
C0600688
Past medical conditions: 8. NSAID allergy
Beschreibung

Past medical conditions: 8. NSAID allergy

Anaphylactic reaction to drug
Beschreibung

Anaphylactic reaction to NSAID

Datentyp

integer

Alias
UMLS CUI [1,1]
C0600688
UMLS CUI [1,2]
C0002792
Angioedema
Beschreibung

Angioedema NSAID

Datentyp

integer

Alias
UMLS CUI [1,1]
C0002994
UMLS CUI [1,2]
C0003211
Drug induced urticaria
Beschreibung

Drug induced urticaria NSAID

Datentyp

integer

Alias
UMLS CUI [1,1]
C0003211
UMLS CUI [1,2]
C0042109
UMLS CUI [1,3]
C0600688
Past medical conditions: 9. ACE inhibitor allergy
Beschreibung

Past medical conditions: 9. ACE inhibitor allergy

Anaphylactic reaction to drug
Beschreibung

Anaphylactic reaction to ACE inhibitor

Datentyp

integer

Alias
UMLS CUI [1,1]
C0600688
UMLS CUI [1,2]
C0002792
Angioedema
Beschreibung

Angioedema ACE inhibitor

Datentyp

integer

Alias
UMLS CUI [1,1]
C0003015
UMLS CUI [1,2]
C0002994
Drug induced urticaria
Beschreibung

Drug induced urticaria ACE inhibitor

Datentyp

integer

Alias
UMLS CUI [1,1]
C0042109
UMLS CUI [1,2]
C0600688
UMLS CUI [1,3]
C0003015
Other allergies
Beschreibung

Other allergies

10.a Specific Condition
Beschreibung

Specific Condition Other allergies

Datentyp

text

Alias
UMLS CUI [1,1]
C0012634
UMLS CUI [1,2]
C2348235
10.b Status
Beschreibung

This item is optional

Datentyp

integer

Alias
UMLS CUI [1]
C0020517
Symptoms associated with this hypersensitivity reaction: 11. Stevens-Johnson syndrome
Beschreibung

Symptoms associated with this hypersensitivity reaction: 11. Stevens-Johnson syndrome

Symptoms
Beschreibung

Symptoms Stevens-Johnson syndrome

Datentyp

text

Alias
UMLS CUI [1]
C0038325
Blisters
Beschreibung

Blisters Stevens-Johnson syndrome

Datentyp

boolean

Alias
UMLS CUI [1,1]
C0005758
UMLS CUI [1,2]
C0038325
Biopsy confirmed
Beschreibung

Biopsy confirmed Stevens-Johnson syndrome

Datentyp

boolean

Alias
UMLS CUI [1,1]
C0038325
UMLS CUI [1,2]
C0005558
Mucous membrane involvement
Beschreibung

Mucous membrane involvement Stevens-Johnson syndrome

Datentyp

boolean

Alias
UMLS CUI [1,1]
C0038325
UMLS CUI [1,2]
C0026724
Symptom start date
Beschreibung

Stevens-Johnson syndrome Symptom start date

Datentyp

date

Alias
UMLS CUI [1,1]
C0038325
UMLS CUI [1,2]
C0808070
Symptoms associated with this hypersensitivity reaction: 12. Toxic epidermal necrolysis
Beschreibung

Symptoms associated with this hypersensitivity reaction: 12. Toxic epidermal necrolysis

Symptoms
Beschreibung

Symptoms Toxic epidermal necrolysis

Datentyp

text

Alias
UMLS CUI [1]
C0014518
Blisters
Beschreibung

Blisters Toxic epidermal necrolysis

Datentyp

boolean

Alias
UMLS CUI [1,1]
C0014518
UMLS CUI [1,2]
C0005758
Biopsy confirmed
Beschreibung

Biopsy confirmed Toxic epidermal necrolysis

Datentyp

boolean

Alias
UMLS CUI [1,1]
C0014518
UMLS CUI [1,2]
C0005558
Mucous membrane involvement
Beschreibung

Mucous membrane involvement Toxic epidermal necrolysis

Datentyp

boolean

Alias
UMLS CUI [1,1]
C0005558
UMLS CUI [1,2]
C0026724
Symptom start date
Beschreibung

Symptom start date Toxic epidermal necrolysis

Datentyp

date

Alias
UMLS CUI [1,1]
C0026724
UMLS CUI [1,2]
C0808070
Symptoms associated with this hypersensitivity reaction: 13. Urticaria (hives)
Beschreibung

Symptoms associated with this hypersensitivity reaction: 13. Urticaria (hives)

Symptoms
Beschreibung

Symptoms Urticaria (hives)

Datentyp

text

Generalised
Beschreibung

Generalised Urticaria (hives)

Datentyp

boolean

Localised
Beschreibung

Localised Urticaria (hives)

Datentyp

boolean

Photosensitivity
Beschreibung

Photosensitivity Urticaria (hives)

Datentyp

boolean

Other
Beschreibung

Other symptoms Urticaria (hives)

Datentyp

boolean

Other, specify
Beschreibung

Other symptoms Urticaria (hives) specification

Datentyp

text

Symptom start date
Beschreibung

Symptom start date Urticaria (hives)

Datentyp

date

Symptoms associated with this hypersensitivity reaction: 14. Angioedema
Beschreibung

Symptoms associated with this hypersensitivity reaction: 14. Angioedema

Symptoms
Beschreibung

Symptoms Angioedema

Datentyp

text

Alias
UMLS CUI [1]
C0002994
Face (including eyes, lips)
Beschreibung

Angioedema Face

Datentyp

boolean

Alias
UMLS CUI [1,1]
C0002994
UMLS CUI [1,2]
C0015450
Throat (including tongue, larynx)
Beschreibung

Angioedema Throat

Datentyp

boolean

Alias
UMLS CUI [1,1]
C0002994
UMLS CUI [1,2]
C0031354
Laryngeal
Beschreibung

Angioedema Laryngeal

Datentyp

boolean

Alias
UMLS CUI [1]
C0023052
Dyspnoea
Beschreibung

Angioedema Dyspnoea

Datentyp

boolean

Alias
UMLS CUI [1,1]
C0002994
UMLS CUI [1,2]
C0013404
Dysphagia
Beschreibung

Angioedema Dysphagia

Datentyp

boolean

Alias
UMLS CUI [1,1]
C0002994
UMLS CUI [1,2]
C0011168
Required intubation
Beschreibung

Angioedema Required intubation

Datentyp

boolean

Alias
UMLS CUI [1,1]
C0002994
UMLS CUI [1,2]
C0021925
Other
Beschreibung

Angioedema Other symptoms

Datentyp

boolean

Alias
UMLS CUI [1,1]
C0002994
UMLS CUI [1,2]
C3257980
Other, specify
Beschreibung

Angioedema Other symptoms specification

Datentyp

text

Alias
UMLS CUI [1,1]
C3257980
UMLS CUI [1,2]
C3257980
Symptom start date
Beschreibung

Symptom start date Angioedema

Datentyp

date

Alias
UMLS CUI [1,1]
C0808070
UMLS CUI [1,2]
C0002994
Symptoms associated with this hypersensitivity reaction: 15. Anaphylactic/Anaphylactoid reaction
Beschreibung

Symptoms associated with this hypersensitivity reaction: 15. Anaphylactic/Anaphylactoid reaction

Symptoms
Beschreibung

Anaphylactic/Anaphylactoid reaction symptoms

Datentyp

text

Alias
UMLS CUI [1,1]
C0340865
UMLS CUI [1,2]
C0002792
Dyspnoea
Beschreibung

Dyspnoea Anaphylactic/Anaphylactoid reaction

Datentyp

boolean

Alias
UMLS CUI [1,1]
C0340865
UMLS CUI [1,2]
C0002792
UMLS CUI [1,3]
C0013404
Bronchospasm
Beschreibung

Bronchospasm Anaphylactic/Anaphylactoid reaction

Datentyp

boolean

Alias
UMLS CUI [1,1]
C0340865
UMLS CUI [1,2]
C0002792
UMLS CUI [1,3]
C0006266
Hypotension
Beschreibung

Hypotension Anaphylactic/Anaphylactoid reaction

Datentyp

boolean

Alias
UMLS CUI [1,1]
C0340865
UMLS CUI [1,2]
C0002792
UMLS CUI [1,3]
C0020649
Loss of consciousness
Beschreibung

Loss of consciousness Anaphylactic/Anaphylactoid reaction

Datentyp

boolean

Alias
UMLS CUI [1,1]
C0340865
UMLS CUI [1,2]
C0002792
UMLS CUI [1,3]
C0041657
Persistent gastrointestinal symptoms (crampy abdominal pain, vomiting)
Beschreibung

Persistent gastrointestinal symptoms Anaphylactic/Anaphylactoid reaction

Datentyp

boolean

Alias
UMLS CUI [1,1]
C0340865
UMLS CUI [1,2]
C0002792
UMLS CUI [1,3]
C0426576
Other
Beschreibung

Other symptoms Anaphylactic/Anaphylactoid reaction

Datentyp

boolean

Alias
UMLS CUI [1,1]
C0340865
UMLS CUI [1,2]
C0002792
UMLS CUI [1,3]
C0205394
Other, specify
Beschreibung

Other symptoms specidication Anaphylactic/Anaphylactoid reaction

Datentyp

text

Alias
UMLS CUI [1,1]
C0340865
UMLS CUI [1,2]
C0002792
UMLS CUI [1,3]
C0205394
UMLS CUI [1,4]
C3845569
Symptom start date
Beschreibung

Symptom start date Anaphylactic/Anaphylactoid reaction

Datentyp

date

Alias
UMLS CUI [1,1]
C0340865
UMLS CUI [1,2]
C0002792
UMLS CUI [1,3]
C0808070
Symptoms associated with this hypersensitivity reaction: 16. Other symptoms of hypersensitivity reaction
Beschreibung

Symptoms associated with this hypersensitivity reaction: 16. Other symptoms of hypersensitivity reaction

Symptoms
Beschreibung

Symptoms Other symptoms of hypersensitivity reaction

Datentyp

text

Alias
UMLS CUI [1,1]
C1457887
UMLS CUI [1,2]
C0020517
Rash
Beschreibung

Other symptoms of hypersensitivity reaction Rash

Datentyp

boolean

Alias
UMLS CUI [1]
C0015230
Photosensitivity
Beschreibung

Other symptoms of hypersensitivity reaction Photosensitivity

Datentyp

boolean

Alias
UMLS CUI [1]
C0349506
Other
Beschreibung

Other symptoms of hypersensitivity reaction

Datentyp

boolean

Alias
UMLS CUI [1,1]
C1457887
UMLS CUI [1,2]
C0020517
Other, specify
Beschreibung

Other symptoms of hypersensitivity reaction specification

Datentyp

text

Alias
UMLS CUI [1,1]
C1457887
UMLS CUI [1,2]
C0020517
UMLS CUI [1,3]
C3845569
Symptom start date
Beschreibung

Start date Other symptoms of hypersensitivity reaction

Datentyp

date

Alias
UMLS CUI [1,1]
C1457887
UMLS CUI [1,2]
C0808070
Zum Seitenanfang zurückkehren

Ähnliche Modelle

Hypersensitivity Reaction Record GSK study Chronic Coronary Heart Disease NCT00799903

1 Formulare
Name
Typ
Description | Question | Decode (Coded Value)
Datentyp
Alias
Item Group
1. Event number
Event number
Item
Event number
text
C2826275 (UMLS CUI [1])
Item Group
Past medical conditions: 2. Food allergies
Item
Anaphylactic reaction to food
integer
C0340865 (UMLS CUI [1])
Anaphylactic reaction to food
Code List
Anaphylactic reaction to food
CL Item
Past (2)
CL Item
No medical history (3)
Item
Angioedema
integer
C0002994 (UMLS CUI [1])
Anaphylactic reaction to food
Code List
Angioedema
CL Item
Past (2)
CL Item
No medical history (3)
Item
Urticaria
integer
C0042109 (UMLS CUI [1])
Anaphylactic reaction to food
Code List
Urticaria
CL Item
Past (2)
CL Item
No medical history (3)
Item Group
Past medical conditions: 3. Hymenoptera sting allergy
Item
Anaphylaxis
integer
C0002792 (UMLS CUI [1])
Anaphylactic reaction to food
Code List
Anaphylaxis
CL Item
Past (2)
CL Item
No medical history (3)
Item
Angioedema
integer
C0002994 (UMLS CUI [1])
Anaphylactic reaction to food
Code List
Angioedema
CL Item
Past (2)
CL Item
No medical history (3)
Item
Urticaria
integer
C0042109 (UMLS CUI [1])
Anaphylactic reaction to food
Code List
Urticaria
CL Item
Past (2)
CL Item
No medical history (3)
Item Group
Past medical conditions: 4. Latex allergy
Item
Anaphylaxis
integer
C0023115 (UMLS CUI [1,1])
C0002792 (UMLS CUI [1,2])
Anaphylactic reaction to food
Code List
Anaphylaxis
CL Item
Past (2)
CL Item
No medical history (3)
Item
Angioedema
integer
C0002994 (UMLS CUI [1,1])
C0023115 (UMLS CUI [1,2])
Anaphylactic reaction to food
Code List
Angioedema
CL Item
Past (2)
CL Item
No medical history (3)
Item
Urticaria
integer
C0042109 (UMLS CUI [1,1])
C0023115 (UMLS CUI [1,2])
Anaphylactic reaction to food
Code List
Urticaria
CL Item
Past (2)
CL Item
No medical history (3)
Item Group
Past medical conditions: 5. Penicillin allergy
Item
Anaphylactic reaction to drug
integer
C0002792 (UMLS CUI [1,1])
C0030827 (UMLS CUI [1,2])
Anaphylactic reaction to food
Code List
Anaphylactic reaction to drug
CL Item
Past (2)
CL Item
No medical history (3)
Item
Angioedema
integer
C0002994 (UMLS CUI [1,1])
C0030827 (UMLS CUI [1,2])
Anaphylactic reaction to food
Code List
Angioedema
CL Item
Past (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])
Anaphylactic reaction to food
Code List
Drug induced urticaria
CL Item
Past (2)
CL Item
No medical history (3)
Item Group
Past medical conditions: 6. Cephalosporin allergy
Item
Anaphylactic reaction to drug
integer
C0571444 (UMLS CUI [1,1])
C0600688 (UMLS CUI [1,2])
C0002792 (UMLS CUI [1,3])
Anaphylactic reaction to food
Code List
Anaphylactic reaction to drug
CL Item
Past (2)
CL Item
No medical history (3)
Item
Angioedema
integer
C3536856 (UMLS CUI [1,1])
C0002994 (UMLS CUI [1,2])
Anaphylactic reaction to food
Code List
Angioedema
CL Item
Past (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])
Anaphylactic reaction to food
Code List
Drug induced urticaria
CL Item
Past (2)
CL Item
No medical history (3)
Item Group
Past medical conditions: 7. Aspirin allergy
Item
Anaphylactic reaction to drug
integer
C0600688 (UMLS CUI [1,1])
C0002792 (UMLS CUI [1,2])
C0004057 (UMLS CUI [1,3])
Anaphylactic reaction to food
Code List
Anaphylactic reaction to drug
CL Item
Past (2)
CL Item
No medical history (3)
Item
Angioedema
integer
C0004057 (UMLS CUI [1,1])
C0002994 (UMLS CUI [1,2])
Anaphylactic reaction to food
Code List
Angioedema
CL Item
Past (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])
Anaphylactic reaction to food
Code List
Drug induced urticaria
CL Item
Past (2)
CL Item
No medical history (3)
Item Group
Past medical conditions: 8. NSAID allergy
Item
Anaphylactic reaction to drug
integer
C0600688 (UMLS CUI [1,1])
C0002792 (UMLS CUI [1,2])
Anaphylactic reaction to food
Code List
Anaphylactic reaction to drug
CL Item
Past (2)
CL Item
No medical history (3)
Item
Angioedema
integer
C0002994 (UMLS CUI [1,1])
C0003211 (UMLS CUI [1,2])
Anaphylactic reaction to food
Code List
Angioedema
CL Item
Past (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])
Anaphylactic reaction to food
Code List
Drug induced urticaria
CL Item
Past (2)
CL Item
No medical history (3)
Item Group
Past medical conditions: 9. ACE inhibitor allergy
Item
Anaphylactic reaction to drug
integer
C0600688 (UMLS CUI [1,1])
C0002792 (UMLS CUI [1,2])
Anaphylactic reaction to food
Code List
Anaphylactic reaction to drug
CL Item
Past (2)
CL Item
No medical history (3)
Item
Angioedema
integer
C0003015 (UMLS CUI [1,1])
C0002994 (UMLS CUI [1,2])
Anaphylactic reaction to food
Code List
Angioedema
CL Item
Past (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])
Anaphylactic reaction to food
Code List
Drug induced urticaria
CL Item
Past (2)
CL Item
No medical history (3)
Item Group
Other allergies
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])
Other allergies Status
Code List
10.b Status
CL Item
Past (2)
Item Group
Symptoms associated with this hypersensitivity reaction: 11. Stevens-Johnson syndrome
Item
Symptoms
text
C0038325 (UMLS CUI [1])
Symptoms Stevens-Johnson syndrome
Code List
Symptoms
CL Item
None (None)
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 Group
Symptoms associated with this hypersensitivity reaction: 12. Toxic epidermal necrolysis
Item
Symptoms
text
C0014518 (UMLS CUI [1])
Symptoms Stevens-Johnson syndrome
Code List
Symptoms
CL Item
None (None)
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])
Item Group
Symptoms associated with this hypersensitivity reaction: 13. Urticaria (hives)
Item
Symptoms
text
Symptoms Stevens-Johnson syndrome
Code List
Symptoms
CL Item
None (None)
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 Group
Symptoms associated with this hypersensitivity reaction: 14. Angioedema
Item
Symptoms
text
C0002994 (UMLS CUI [1])
Symptoms Stevens-Johnson syndrome
Code List
Symptoms
CL Item
None (None)
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
C0002994 (UMLS CUI [1,1])
C0013404 (UMLS CUI [1,2])
Angioedema Dysphagia
Item
Dysphagia
boolean
C0002994 (UMLS CUI [1,1])
C0011168 (UMLS CUI [1,2])
Angioedema Required intubation
Item
Required intubation
boolean
C0002994 (UMLS CUI [1,1])
C0021925 (UMLS CUI [1,2])
Angioedema Other symptoms
Item
Other
boolean
C0002994 (UMLS CUI [1,1])
C3257980 (UMLS CUI [1,2])
Angioedema Other symptoms specification
Item
Other, specify
text
C3257980 (UMLS CUI [1,1])
C3257980 (UMLS CUI [1,2])
Symptom start date Angioedema
Item
Symptom start date
date
C0808070 (UMLS CUI [1,1])
C0002994 (UMLS CUI [1,2])
Item Group
Symptoms associated with this hypersensitivity reaction: 15. Anaphylactic/Anaphylactoid reaction
Item
Symptoms
text
C0340865 (UMLS CUI [1,1])
C0002792 (UMLS CUI [1,2])
Symptoms Stevens-Johnson syndrome
Code List
Symptoms
CL Item
None (None)
CL Item
Check all that apply (Check all that apply)
Dyspnoea Anaphylactic/Anaphylactoid reaction
Item
Dyspnoea
boolean
C0340865 (UMLS CUI [1,1])
C0002792 (UMLS CUI [1,2])
C0013404 (UMLS CUI [1,3])
Bronchospasm Anaphylactic/Anaphylactoid reaction
Item
Bronchospasm
boolean
C0340865 (UMLS CUI [1,1])
C0002792 (UMLS CUI [1,2])
C0006266 (UMLS CUI [1,3])
Hypotension Anaphylactic/Anaphylactoid reaction
Item
Hypotension
boolean
C0340865 (UMLS CUI [1,1])
C0002792 (UMLS CUI [1,2])
C0020649 (UMLS CUI [1,3])
Loss of consciousness Anaphylactic/Anaphylactoid reaction
Item
Loss of consciousness
boolean
C0340865 (UMLS CUI [1,1])
C0002792 (UMLS CUI [1,2])
C0041657 (UMLS CUI [1,3])
Persistent gastrointestinal symptoms Anaphylactic/Anaphylactoid reaction
Item
Persistent gastrointestinal symptoms (crampy abdominal pain, vomiting)
boolean
C0340865 (UMLS CUI [1,1])
C0002792 (UMLS CUI [1,2])
C0426576 (UMLS CUI [1,3])
Other symptoms Anaphylactic/Anaphylactoid reaction
Item
Other
boolean
C0340865 (UMLS CUI [1,1])
C0002792 (UMLS CUI [1,2])
C0205394 (UMLS CUI [1,3])
Other symptoms specidication Anaphylactic/Anaphylactoid reaction
Item
Other, specify
text
C0340865 (UMLS CUI [1,1])
C0002792 (UMLS CUI [1,2])
C0205394 (UMLS CUI [1,3])
C3845569 (UMLS CUI [1,4])
Symptom start date Anaphylactic/Anaphylactoid reaction
Item
Symptom start date
date
C0340865 (UMLS CUI [1,1])
C0002792 (UMLS CUI [1,2])
C0808070 (UMLS CUI [1,3])
Item Group
Symptoms associated with this hypersensitivity reaction: 16. Other symptoms of hypersensitivity reaction
Item
Symptoms
text
C1457887 (UMLS CUI [1,1])
C0020517 (UMLS CUI [1,2])
Symptoms Stevens-Johnson syndrome
Code List
Symptoms
CL Item
None (None)
CL Item
Check all that apply (Check all that apply)
Other symptoms of hypersensitivity reaction Rash
Item
Rash
boolean
C0015230 (UMLS CUI [1])
Other symptoms of hypersensitivity reaction Photosensitivity
Item
Photosensitivity
boolean
C0349506 (UMLS CUI [1])
Other symptoms of hypersensitivity reaction
Item
Other
boolean
C1457887 (UMLS CUI [1,1])
C0020517 (UMLS CUI [1,2])
Other symptoms of hypersensitivity reaction specification
Item
Other, specify
text
C1457887 (UMLS CUI [1,1])
C0020517 (UMLS CUI [1,2])
C3845569 (UMLS CUI [1,3])
Start date Other symptoms of hypersensitivity reaction
Item
Symptom start date
date
C1457887 (UMLS CUI [1,1])
C0808070 (UMLS CUI [1,2])
Zum Seitenanfang zurückkehren 

Kontakt

Benutzen Sie dieses Formular für Rückmeldungen, Fragen und Verbesserungsvorschläge.

Mit * gekennzeichnete Felder sind notwendig.

Hilfe

Benötigen Sie Hilfe bei der Suche? Um mehr Details zu erfahren und die Suche effektiver nutzen zu können schauen Sie sich doch das entsprechende Video auf unserer Tutorial Seite an.

Zum Video