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Liver Event Form:Drug-Related Disease 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

Drug Related Liver Disease Conditions
Description

Drug Related Liver Disease Conditions

Specific Condition
Description

Record only one per line for each condition

Data type

text

Response for the Condition
Description

Response for the Condition

Data type

text

Other Medical Conditions
Description

Other Medical Conditions

Drug Allergies
Description

Drug Allergies

Data type

text

Rheumatoid Arthritis
Description

Rheumatoid Arthritis

Data type

text

Psoriasis
Description

Psoriasis

Data type

text

Thyroid Disease
Description

Thyroid Disease

Data type

text

Inflammatory Bowl Disease
Description

Inflammatory Bowl Disease

Data type

text

Lupus
Description

Lupus

Data type

text

Sjoren's Syndrome
Description

Sjoren's Syndrome

Data type

text

Vitiligo
Description

Vitiligo

Data type

text

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Similar models

Liver Event Form:Drug-Related Disease 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
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)
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