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Liver Event Form: Medical Conditions

1 forms  
Administrative data
Description

Administrative data

Study Name
Description

Study Name

Data type

text

Site
Description

Site

Data type

text

Subject
Description

Subject

Data type

text

Visit Name
Description

Visit Name

Data type

text

DCI Name/Shortname
Description

DCI Name/Shortname

Data type

text

Status
Description

Status

Data type

text

Doc#
Description

Doc#

Data type

integer

Visit #
Description

Visit #

Data type

float

Liver Disease Medical Conditions
Description

Liver Disease Medical Conditions

Acute Viral Hepatitis A
Description

Check one

Data type

text

Chronic Hepatitis B
Description

Chronic Hepatitis B

Data type

text

Chronic Hepatitis C
Description

Chronic Hepatitis C

Data type

text

Cytomegalovirus Hepatitis
Description

Cytomegalovirus Hepatitis

Data type

text

Epstein Barr Virus Infectious Mononucleosis
Description

Epstein Barr Virus Infectious Mononucleosis

Data type

text

Herpes Simplex Hepatitis
Description

Herpes Simplex Hepatitis

Data type

text

Alcoholic Liver Disease
Description

Alcoholic Liver Disease

Data type

text

Non-Alcoholic Steatohepatitis
Description

Non-Alcoholic Steatohepatitis

Data type

text

Fatty Liver
Description

Fatty Liver

Data type

text

Hepatic Cirrhosis
Description

Hepatic Cirrhosis

Data type

text

Hemochromatosis
Description

Hemochromatosis

Data type

text

Autoimmune Hepatitis
Description

Autoimmune Hepatitis

Data type

text

Gallibladder Disease or Biliary Disease
Description

Gallibladder Disease or Biliary Disease

Data type

text

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Similar models

Liver Event Form: Medical Conditions

1 forms
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Administrative data
Study Name
Item
Study Name
text
Site
Item
Site
text
Subject
Item
Subject
text
Visit Name
Item
Visit Name
text
DCI Name/Shortname
Item
DCI Name/Shortname
text
Status
Item
Status
text
Doc#
Item
Doc#
integer
Visit #
Item
Visit #
float
Item Group
Liver Disease Medical Conditions
Item
Acute Viral Hepatitis A
text
Acute Viral Hepatitis A
Code List
Acute Viral Hepatitis A
CL Item
Current (1)
CL Item
Past (2)
CL Item
No medical condition (3)
Item
Chronic Hepatitis B
text
Chronic Hepatitis B
Code List
Chronic Hepatitis B
CL Item
Current (1)
CL Item
Past (2)
CL Item
No medical condition (3)
Item
Chronic Hepatitis C
text
Chronic Hepatitis C
Code List
Chronic Hepatitis C
CL Item
Current (1)
CL Item
Past (2)
CL Item
No medical condition (3)
Item
Cytomegalovirus Hepatitis
text
Cytomegalovirus Hepatitis
Code List
Cytomegalovirus Hepatitis
CL Item
Current (1)
CL Item
Past (2)
CL Item
No medical condition (3)
Item
Epstein Barr Virus Infectious Mononucleosis
text
Epstein Barr Virus Infectious Mononucleosis
Code List
Epstein Barr Virus Infectious Mononucleosis
CL Item
Current (1)
CL Item
Past (2)
CL Item
No medical condition (3)
Item
Herpes Simplex Hepatitis
text
Herpes Simplex Hepatitis
Code List
Herpes Simplex Hepatitis
CL Item
Current (1)
CL Item
Past (2)
CL Item
No medical condition (3)
Item
Alcoholic Liver Disease
text
Alcoholic Liver Disease
Code List
Alcoholic Liver Disease
CL Item
Current (1)
CL Item
Past (2)
CL Item
No medical condition (3)
Item
Non-Alcoholic Steatohepatitis
text
Non-Alcoholic Steatohepatitis
Code List
Non-Alcoholic Steatohepatitis
CL Item
Current (1)
CL Item
Past (2)
CL Item
No medical condition (3)
Item
Fatty Liver
text
Fatty Liver
Code List
Fatty Liver
CL Item
Current (1)
CL Item
Past (2)
CL Item
No medical condition (3)
Item
Hepatic Cirrhosis
text
Hepatic Cirrhosis
Code List
Hepatic Cirrhosis
CL Item
Current (1)
CL Item
Past (2)
CL Item
No medical condition (3)
Item
Hemochromatosis
text
Hemochromatosis
Code List
Hemochromatosis
CL Item
Current (1)
CL Item
Past (2)
CL Item
No medical condition (3)
Item
Autoimmune Hepatitis
text
Autoimmune Hepatitis
Code List
Autoimmune Hepatitis
CL Item
Current (1)
CL Item
Past (2)
CL Item
No medical condition (3)
Item
Gallibladder Disease or Biliary Disease
text
Gallibladder Disease or Biliary Disease
Code List
Gallibladder Disease or Biliary Disease
CL Item
Current (1)
CL Item
Past (2)
CL Item
No medical condition (3)
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