Engelsk

Liver Event Form:Drug-Related Disease Conditions

1 Formulär  
Administrative data
Beskrivning

Administrative data

Study Name
Beskrivning

Study Name

Datatyp

text

Site
Beskrivning

Site

Datatyp

text

Subject
Beskrivning

Subject

Datatyp

text

Visit Name
Beskrivning

Visit Name

Datatyp

text

DCI Name/Shortname
Beskrivning

DCI Name/Shortname

Datatyp

text

Status
Beskrivning

Status

Datatyp

text

Doc#
Beskrivning

Doc#

Datatyp

integer

Visit #
Beskrivning

Visit #

Datatyp

float

Drug Related Liver Disease Conditions
Beskrivning

Drug Related Liver Disease Conditions

Specific Condition
Beskrivning

Record only one per line for each condition

Datatyp

text

Response for the Condition
Beskrivning

Response for the Condition

Datatyp

text

Other Medical Conditions
Beskrivning

Other Medical Conditions

Drug Allergies
Beskrivning

Drug Allergies

Datatyp

text

Rheumatoid Arthritis
Beskrivning

Rheumatoid Arthritis

Datatyp

text

Psoriasis
Beskrivning

Psoriasis

Datatyp

text

Thyroid Disease
Beskrivning

Thyroid Disease

Datatyp

text

Inflammatory Bowl Disease
Beskrivning

Inflammatory Bowl Disease

Datatyp

text

Lupus
Beskrivning

Lupus

Datatyp

text

Sjoren's Syndrome
Beskrivning

Sjoren's Syndrome

Datatyp

text

Vitiligo
Beskrivning

Vitiligo

Datatyp

text

Tillbaka till toppen

Similar models

Liver Event Form:Drug-Related Disease Conditions

1 Formulär
Name
Typ
Description | Question | Decode (Coded Value)
Datatyp
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
Drug Related Liver Disease Conditions
Specific Condition
Item
Specific Condition
text
Item
Response for the Condition
text
Response for the Condition
Code List
Response for the Condition
CL Item
Current (1)
CL Item
Past (2)
Item Group
Other Medical Conditions
Item
Drug Allergies
text
Drug Allergies
Code List
Drug Allergies
CL Item
Current (1)
CL Item
Past (2)
CL Item
No medical condition (3)
Item
Rheumatoid Arthritis
text
Rheumatoid Arthritis
Code List
Rheumatoid Arthritis
CL Item
Current (1)
CL Item
Past (2)
CL Item
No medical condition (3)
Item
Psoriasis
text
Psoriasis
Code List
Psoriasis
CL Item
Current (1)
CL Item
Past (2)
CL Item
No medical condition (3)
Item
Thyroid Disease
text
Thyroid Disease
Code List
Thyroid Disease
CL Item
Current (1)
CL Item
Past (2)
CL Item
No medical condition (3)
Item
Inflammatory Bowl Disease
text
Inflammatory Bowl Disease
Code List
Inflammatory Bowl Disease
CL Item
Current (1)
CL Item
Past (2)
CL Item
No medical condition (3)
Item
Lupus
text
Lupus
Code List
Lupus
CL Item
Current (1)
CL Item
Past (2)
CL Item
No medical condition (3)
Item
Sjoren's Syndrome
text
Sjoren's Syndrome
Code List
Sjoren's Syndrome
CL Item
Current (1)
CL Item
Past (2)
CL Item
No medical condition (3)
Item
Vitiligo
text
Vitiligo
Code List
Vitiligo
CL Item
Current (1)
CL Item
Past (2)
CL Item
No medical condition (3)
Tillbaka till toppen