ID

28310

Descripción

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)

Palabras clave

Versiones (5)
  1. 4/10/17 4/10/17 -
  2. 16/10/17 16/10/17 -
  3. 23/10/17 23/10/17 -
  4. 1/1/18 1/1/18 -
  5. 3/1/18 3/1/18 -
Titular de derechos de autor

GlaxoSmithKline

Subido en

3 de enero de 2018

DOI

Para solicitar uno, por favor iniciar sesión.

Licencia

Creative Commons BY-NC 3.0
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Hypersensitivity Reaction Record GSK study Chronic Coronary Heart Disease NCT00799903

Inglés

Hypersensitivity Reaction Record GSK study Chronic Coronary Heart Disease NCT00799903

1 formularios  
1. Event number
Descripción

1. Event number

Event number
Descripción

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

Tipo de datos

text

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

Past medical conditions: 2. Food allergies

Anaphylactic reaction to food
Descripción

Anaphylactic reaction to food

Tipo de datos

integer

Alias
UMLS CUI [1]
C0340865
Angioedema
Descripción

Angioedema food

Tipo de datos

integer

Alias
UMLS CUI [1]
C0002994
Urticaria
Descripción

Urticaria food

Tipo de datos

integer

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

Past medical conditions: 3. Hymenoptera sting allergy

Anaphylaxis
Descripción

Anaphylaxis Hymenoptera sting allergy

Tipo de datos

integer

Alias
UMLS CUI [1]
C0002792
Angioedema
Descripción

Angioedema Hymenoptera sting allergy

Tipo de datos

integer

Alias
UMLS CUI [1]
C0002994
Urticaria
Descripción

Urticaria Hymenoptera sting allergy

Tipo de datos

integer

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

Past medical conditions: 4. Latex allergy

Anaphylaxis
Descripción

Anaphylaxis Latex

Tipo de datos

integer

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

Angioedema latex

Tipo de datos

integer

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

Urticaria latex

Tipo de datos

integer

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

Past medical conditions: 5. Penicillin allergy

Anaphylactic reaction to drug
Descripción

Anaphylactic reaction penicillin

Tipo de datos

integer

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

Angioedema penicillin

Tipo de datos

integer

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

Drug induced urticaria penicillin

Tipo de datos

integer

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

Past medical conditions: 6. Cephalosporin allergy

Anaphylactic reaction to drug
Descripción

Anaphylactic reaction to Cephalosporin

Tipo de datos

integer

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

Angioedema Cephalosporin

Tipo de datos

integer

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

Drug induced urticaria Cephalosporin

Tipo de datos

integer

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

Past medical conditions: 7. Aspirin allergy

Anaphylactic reaction to drug
Descripción

Anaphylactic reaction to aspirin

Tipo de datos

integer

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

Angioedema aspirin

Tipo de datos

integer

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

Drug induced urticaria aspirin

Tipo de datos

integer

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

Past medical conditions: 8. NSAID allergy

Anaphylactic reaction to drug
Descripción

Anaphylactic reaction to NSAID

Tipo de datos

integer

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

Angioedema NSAID

Tipo de datos

integer

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

Drug induced urticaria NSAID

Tipo de datos

integer

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

Past medical conditions: 9. ACE inhibitor allergy

Anaphylactic reaction to drug
Descripción

Anaphylactic reaction to ACE inhibitor

Tipo de datos

integer

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

Angioedema ACE inhibitor

Tipo de datos

integer

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

Drug induced urticaria ACE inhibitor

Tipo de datos

integer

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

Other allergies

10.a Specific Condition
Descripción

Specific Condition Other allergies

Tipo de datos

text

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

This item is optional

Tipo de datos

integer

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

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

Symptoms
Descripción

Symptoms Stevens-Johnson syndrome

Tipo de datos

text

Alias
UMLS CUI [1]
C0038325
Blisters
Descripción

Blisters Stevens-Johnson syndrome

Tipo de datos

boolean

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

Biopsy confirmed Stevens-Johnson syndrome

Tipo de datos

boolean

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

Mucous membrane involvement Stevens-Johnson syndrome

Tipo de datos

boolean

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

Stevens-Johnson syndrome Symptom start date

Tipo de datos

date

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

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

Symptoms
Descripción

Symptoms Toxic epidermal necrolysis

Tipo de datos

text

Alias
UMLS CUI [1]
C0014518
Blisters
Descripción

Blisters Toxic epidermal necrolysis

Tipo de datos

boolean

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

Biopsy confirmed Toxic epidermal necrolysis

Tipo de datos

boolean

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

Mucous membrane involvement Toxic epidermal necrolysis

Tipo de datos

boolean

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

Symptom start date Toxic epidermal necrolysis

Tipo de datos

date

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

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

Symptoms
Descripción

Symptoms Urticaria (hives)

Tipo de datos

text

Generalised
Descripción

Generalised Urticaria (hives)

Tipo de datos

boolean

Localised
Descripción

Localised Urticaria (hives)

Tipo de datos

boolean

Photosensitivity
Descripción

Photosensitivity Urticaria (hives)

Tipo de datos

boolean

Other
Descripción

Other symptoms Urticaria (hives)

Tipo de datos

boolean

Other, specify
Descripción

Other symptoms Urticaria (hives) specification

Tipo de datos

text

Symptom start date
Descripción

Symptom start date Urticaria (hives)

Tipo de datos

date

Symptoms associated with this hypersensitivity reaction: 14. Angioedema
Descripción

Symptoms associated with this hypersensitivity reaction: 14. Angioedema

Symptoms
Descripción

Symptoms Angioedema

Tipo de datos

text

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

Angioedema Face

Tipo de datos

boolean

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

Angioedema Throat

Tipo de datos

boolean

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

Angioedema Laryngeal

Tipo de datos

boolean

Alias
UMLS CUI [1]
C0023052
Dyspnoea
Descripción

Angioedema Dyspnoea

Tipo de datos

boolean

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

Angioedema Dysphagia

Tipo de datos

boolean

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

Angioedema Required intubation

Tipo de datos

boolean

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

Angioedema Other symptoms

Tipo de datos

boolean

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

Angioedema Other symptoms specification

Tipo de datos

text

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

Symptom start date Angioedema

Tipo de datos

date

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

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

Symptoms
Descripción

Anaphylactic/Anaphylactoid reaction symptoms

Tipo de datos

text

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

Dyspnoea Anaphylactic/Anaphylactoid reaction

Tipo de datos

boolean

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

Bronchospasm Anaphylactic/Anaphylactoid reaction

Tipo de datos

boolean

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

Hypotension Anaphylactic/Anaphylactoid reaction

Tipo de datos

boolean

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

Loss of consciousness Anaphylactic/Anaphylactoid reaction

Tipo de datos

boolean

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

Persistent gastrointestinal symptoms Anaphylactic/Anaphylactoid reaction

Tipo de datos

boolean

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

Other symptoms Anaphylactic/Anaphylactoid reaction

Tipo de datos

boolean

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

Other symptoms specidication Anaphylactic/Anaphylactoid reaction

Tipo de datos

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
Descripción

Symptom start date Anaphylactic/Anaphylactoid reaction

Tipo de datos

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
Descripción

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

Symptoms
Descripción

Symptoms Other symptoms of hypersensitivity reaction

Tipo de datos

text

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

Other symptoms of hypersensitivity reaction Rash

Tipo de datos

boolean

Alias
UMLS CUI [1]
C0015230
Photosensitivity
Descripción

Other symptoms of hypersensitivity reaction Photosensitivity

Tipo de datos

boolean

Alias
UMLS CUI [1]
C0349506
Other
Descripción

Other symptoms of hypersensitivity reaction

Tipo de datos

boolean

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

Other symptoms of hypersensitivity reaction specification

Tipo de datos

text

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

Start date Other symptoms of hypersensitivity reaction

Tipo de datos

date

Alias
UMLS CUI [1,1]
C1457887
UMLS CUI [1,2]
C0808070
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Similar models

Hypersensitivity Reaction Record GSK study Chronic Coronary Heart Disease NCT00799903

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