ID

33036

Beskrivning

Study ID: 106827 Clinical Study ID: HZA106827 Study Title: HZA106827:A randomised, double-blind, placebo-controlled (with rescue medication), parallel group multicentre study of Fluticasone Furoate/GW642444 Inhalation Powder and Fluticasone Furoate Inhalation Powder alone in the treatment of persistent asthma in adults and adolescents Patient Level Data: Study Listed on ClinicalStudyDataRequest.com Clinicaltrials.gov Identifier: NCT01165138 Sponsor: GlaxoSmithKline Collaborators: N/A Phase: Phase 3 Study Recruitment Status: Completed Generic Name: fluticasone furoate/vilanterol Trade Name: Allermist,Veramyst,Avamys; Relvar Study Indication: Asthma

Nyckelord

  1. 2018-11-24 2018-11-24 -
Rättsinnehavare

GlaxoSmithKline

Uppladdad den

24 november 2018

DOI

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Fluticasone Furoate GW642444 Inhalation Powder and Fluticasone Furoate Inhalation Powder alone in the treatment of persistent asthma NCT01165138

Liver Event Details; Global Assessment of Change (Asthma Symptoms And Rescue Medication Use), Medical Problems/ Medications taken diary, Medications taken diary, Unscheduled Asthma Healthcare Contacts

Liver events
Beskrivning

Liver events

Alias
UMLS CUI-1
C0023884
UMLS CUI-2
C0877248
Is this liver event a serious adverse event?
Beskrivning

If yes, please complete liver event froms and serious adverse event form immediately.

Datatyp

boolean

Alias
UMLS CUI [1,1]
C0023884
UMLS CUI [1,2]
C0877248
UMLS CUI [2]
C1519255
Which liver chemistry result reached or exceeded protocol- defined investigational product stopping/ interruption criteria?
Beskrivning

Check all that apply.

Datatyp

integer

Alias
UMLS CUI [1,1]
C0232741
UMLS CUI [1,2]
C0008000
UMLS CUI [1,3]
C0587081
UMLS CUI [2,1]
C0304229
UMLS CUI [2,2]
C2133636
Is the subject age 55 or older?
Beskrivning

Is the subject age 55 or older?

Datatyp

boolean

Alias
UMLS CUI [1]
C0001779
If female, is the subject pregnant?
Beskrivning

If yes, ensure Pregnancy Notification Form has been completed.

Datatyp

text

Alias
UMLS CUI [1]
C0032961
Were any diagnostic imaging tests of the liver or hepatobiliary system performed (such as liver ultrasound, computerised tomography or CAT scan, magnetic resonance imaging or MRI, or endoscopic retrograde cholangiopancreatography, or other)?
Beskrivning

Were any diagnostic imaging tests of the liver or hepatobiliary system performed ?

Datatyp

boolean

Alias
UMLS CUI [1,1]
C0011923
UMLS CUI [1,2]
C0023884
UMLS CUI [2,1]
C0023884
UMLS CUI [2,2]
C1456803
UMLS CUI [3,1]
C0040405
UMLS CUI [3,2]
C0436480
UMLS CUI [4]
C0024485
UMLS CUI [5]
C0008310
If any diagnostic imaging tests of the liver or hepatobiliary system were performed, were the results normal?
Beskrivning

If No, record the details on the Imaging form. Please ensure that overall diagnosis indicated by imaging is captured on the Non- serious Adverse Event form or Serious Adverse Event form.

Datatyp

boolean

Were any liver biopsies performed?
Beskrivning

If yes, complete Liver Biopsy form.

Datatyp

boolean

Alias
UMLS CUI [1]
C0193388
Does the subject use herbals, complementary or alternative medicines, food supplements (vitamins) or ilicit drugs?
Beskrivning

If Yes, record on the appropriate Concomitant Medication form.

Datatyp

boolean

Alias
UMLS CUI [1,1]
C0949854
UMLS CUI [1,2]
C0002346
UMLS CUI [1,3]
C0242295
UMLS CUI [1,4]
C0281875
Did the subject fast or undergo significant dietary change in the past week?
Beskrivning

Did the subject fast or undergo significant dietary change in the past week?

Datatyp

boolean

Alias
UMLS CUI [1,1]
C3671772
UMLS CUI [1,2]
C0015663
Investigational Product (Liver)
Beskrivning

Investigational Product (Liver)

Alias
UMLS CUI-1
C0304229
When did the liver event occur?
Beskrivning

When did the liver event occur?

Datatyp

text

Alias
UMLS CUI [1,1]
C0023884
UMLS CUI [1,2]
C0877248
UMLS CUI [1,3]
C2745955
Start Date Investigational Product (Liver event during the treatment period)
Beskrivning

Start Date Investigational Product (Liver event during the treatment period)

Datatyp

date

Alias
UMLS CUI [1,1]
C0304229
UMLS CUI [1,2]
C0808070
Stop Date Investigational Product (Liver event during the treatment period)
Beskrivning

Stop Date Investigational Product (Liver event during the treatment period)

Datatyp

date

Alias
UMLS CUI [1,1]
C0304229
UMLS CUI [1,2]
C0806020
Start Date Investigational Product (Liver event after the treatment period)
Beskrivning

Start Date Investigational Product (Liver event after the treatment period)

Datatyp

date

Alias
UMLS CUI [1,1]
C0304229
UMLS CUI [1,2]
C0808070
Stop Date Investigational Product (Liver event after the treatment period)
Beskrivning

Stop Date Investigational Product (Liver event after the treatment period)

Datatyp

date

Alias
UMLS CUI [1,1]
C0304229
UMLS CUI [1,2]
C0806020
Alcohol intake at onset of liver event
Beskrivning

Alcohol intake at onset of liver event

Alias
UMLS CUI-1
C0001948
UMLS CUI-2
C0023884
UMLS CUI-3
C0877248
UMLS CUI-4
C0332162
Does the subject consume alcohol?
Beskrivning

Does the subject consume alcohol?

Datatyp

boolean

Alias
UMLS CUI [1]
C0001948
If subject consumes alcohol, record the average number of units of alcohol consumed per week.
Beskrivning

Average number of units of alcohol consumed per week

Datatyp

float

Alias
UMLS CUI [1,1]
C0001948
UMLS CUI [1,2]
C0560579
Substance Use Type
Beskrivning

Substance Use Type

Datatyp

text

Alias
UMLS CUI [1,1]
C0439861
UMLS CUI [1,2]
C1524063
UMLS CUI [1,3]
C0332307
Medical conditions at onset of liver event
Beskrivning

Medical conditions at onset of liver event

Alias
UMLS CUI-1
C0012634
UMLS CUI-2
C0332162
UMLS CUI-3
C0877248
UMLS CUI-4
C0023884
Acute Viral Hepatitis A
Beskrivning

Acute Viral Hepatitis A

Datatyp

integer

Alias
UMLS CUI [1]
C0276434
Chronic Hepatitis B
Beskrivning

Chronic Hepatitis B

Datatyp

integer

Alias
UMLS CUI [1]
C0524909
Chronic Hepatitis C
Beskrivning

Chronic Hepatitis C

Datatyp

integer

Alias
UMLS CUI [1]
C0524910
Cytomegalovirus Hepatitis
Beskrivning

Cytomegalovirus Hepatitis

Datatyp

integer

Alias
UMLS CUI [1]
C0276252
Epstein Barr Virus Infectious Mononucleosis
Beskrivning

Epstein Barr Virus Infectious Mononucleosis

Datatyp

integer

Alias
UMLS CUI [1,1]
C0021345
UMLS CUI [1,2]
C0014644
Herpes Simplex Hepatitis
Beskrivning

Herpes Simplex Hepatitis

Datatyp

integer

Alias
UMLS CUI [1]
C1963747
Alcoholic Liver Disease
Beskrivning

Alcoholic Liver Disease

Datatyp

integer

Alias
UMLS CUI [1]
C0023896
Non- alcoholic Steatohepatitis + integer
Beskrivning

Non- alcoholic Steatohepatitis

Datatyp

integer

Alias
UMLS CUI [1]
C3241937
Fatty Liver
Beskrivning

Fatty Liver

Datatyp

integer

Alias
UMLS CUI [1]
C0015695
Hepatic Cirrhosis
Beskrivning

Hepatic Cirrhosis

Datatyp

integer

Alias
UMLS CUI [1]
C0023890
Hemochromatosis
Beskrivning

Hemochromatosis

Datatyp

integer

Alias
UMLS CUI [1]
C0018995
Autoimmune Hepatitis
Beskrivning

Autoimmune Hepatitis

Datatyp

integer

Alias
UMLS CUI [1]
C0241910
Gallbladder disease
Beskrivning

Gallbladder disease

Datatyp

integer

Alias
UMLS CUI [1]
C0016977
Drug related liver disease
Beskrivning

Drug related liver disease

Alias
UMLS CUI-1
C0023895
UMLS CUI-2
C0277579
Drug related liver disease
Beskrivning

Drug related liver disease

Datatyp

integer

Alias
UMLS CUI [1,1]
C0023895
UMLS CUI [1,2]
C0277579
Other Liver Disease Conditions
Beskrivning

Other Liver Disease Conditions

Alias
UMLS CUI-1
C0023895
UMLS CUI-2
C0205394
Sequence Number
Beskrivning

Sequence Number

Datatyp

text

Alias
UMLS CUI [1]
C2348184
Specific Condition
Beskrivning

Specific Condition

Datatyp

text

Alias
UMLS CUI [1,1]
C0012634
UMLS CUI [1,2]
C2348235
Status of liver disease condition
Beskrivning

Status of liver disease condition

Datatyp

integer

Alias
UMLS CUI [1,1]
C0023895
UMLS CUI [1,2]
C0449438
Other medical conditions
Beskrivning

Other medical conditions

Alias
UMLS CUI-1
C0012634
UMLS CUI-2
C0205394
Drug Allergies
Beskrivning

Drug Allergies

Datatyp

integer

Alias
UMLS CUI [1,1]
C0020517
UMLS CUI [1,2]
C0013227
Rheumatoid Arthritis
Beskrivning

Rheumatoid Arthritis

Datatyp

integer

Alias
UMLS CUI [1]
C0003873
Psoriasis
Beskrivning

Psoriasis

Datatyp

integer

Alias
UMLS CUI [1]
C0033860
Thyroid Disease
Beskrivning

Thyroid Disease

Datatyp

integer

Alias
UMLS CUI [1]
C0040128
Inflammatory Bowel Disease
Beskrivning

Inflammatory Bowel Disease

Datatyp

integer

Alias
UMLS CUI [1]
C0021390
Lupus
Beskrivning

Lupus

Datatyp

integer

Alias
UMLS CUI [1]
C0409974
Sjogren's Syndrome
Beskrivning

Sjogren's Syndrome

Datatyp

integer

Alias
UMLS CUI [1]
C1527336
Vitiligo
Beskrivning

Vitiligo

Datatyp

integer

Alias
UMLS CUI [1]
C0042900
Pharmacokinetics (Liver)
Beskrivning

Pharmacokinetics (Liver)

Alias
UMLS CUI-1
C0031327
UMLS CUI-2
C0023884
Was a pharmacokinetic blood sample obtained?
Beskrivning

Was a pharmacokinetic blood sample obtained?

Datatyp

boolean

Alias
UMLS CUI [1,1]
C0005834
UMLS CUI [1,2]
C0031328
If a pharmacokinetic blood sample was obtained, record date and time sample taken.
Beskrivning

Date and time sample taken

Datatyp

datetime

Alias
UMLS CUI [1,1]
C0005834
UMLS CUI [1,2]
C0031328
UMLS CUI [1,3]
C1264639
If pharmacokinetic blood sample was obtained, record date and time of last Ketoconazole dose prior to PK sample.
Beskrivning

Date and time of last Ketoconazole dose

Datatyp

datetime

Alias
UMLS CUI [1,1]
C0022625
UMLS CUI [1,2]
C1762893
UMLS CUI [1,3]
C0946444
Liver imaging
Beskrivning

Liver imaging

Alias
UMLS CUI-1
C2711860
Date of hepatic or liver imaging test
Beskrivning

Date of hepatic or liver imaging test

Datatyp

date

Alias
UMLS CUI [1,1]
C2711860
UMLS CUI [1,2]
C0011008
What method was used for this imaging test?
Beskrivning

Method used for this imaging test

Datatyp

integer

Alias
UMLS CUI [1,1]
C2711860
UMLS CUI [1,2]
C1275506
If other method was used for imaging test, specify.
Beskrivning

Other method used for imaging test

Datatyp

text

Alias
UMLS CUI [1,1]
C2711860
UMLS CUI [1,2]
C1275506
UMLS CUI [1,3]
C0205394
UMLS CUI [1,4]
C2348235
Are images technically adequate?
Beskrivning

Are images technically adequate?

Datatyp

integer

Alias
UMLS CUI [1]
C0806487
If other image quality, specify.
Beskrivning

Other image quality

Datatyp

text

Alias
UMLS CUI [1,1]
C0806487
UMLS CUI [1,2]
C0205394
UMLS CUI [1,3]
C2348235
Indicate the liver size
Beskrivning

Indicate the liver size

Datatyp

integer

Alias
UMLS CUI [1]
C0426688
If other liver size, specify.
Beskrivning

Other liver size

Datatyp

text

Alias
UMLS CUI [1,1]
C0426688
UMLS CUI [1,2]
C0205394
UMLS CUI [1,3]
C2348235
Indicate the liver texture.
Beskrivning

Indicate the liver texture.

Datatyp

integer

Alias
UMLS CUI [1,1]
C0679033
UMLS CUI [1,2]
C0023884
If other liver texture, specify.
Beskrivning

Other liver texture

Datatyp

text

Alias
UMLS CUI [1,1]
C0679033
UMLS CUI [1,2]
C0023884
UMLS CUI [1,3]
C2348235
UMLS CUI [1,4]
C0205394
Grade the diffuse and/ or geographic fatty infiltrate of the liver
Beskrivning

Grade the diffuse and/ or geographic fatty infiltrate of the liver

Datatyp

integer

Alias
UMLS CUI [1,1]
C0015695
UMLS CUI [1,2]
C0205219
UMLS CUI [2,1]
C0015695
UMLS CUI [2,2]
C1517526
If other fatty infiltrate of the liver, specify.
Beskrivning

Other fatty infiltrate of the liver

Datatyp

text

Alias
UMLS CUI [1,1]
C0015695
UMLS CUI [1,2]
C0205394
UMLS CUI [1,3]
C2348235
Ascites present
Beskrivning

Ascites present

Datatyp

integer

Alias
UMLS CUI [1]
C0003962
If other ascites, specify.
Beskrivning

Other ascites

Datatyp

text

Alias
UMLS CUI [1,1]
C0003962
UMLS CUI [1,2]
C0205394
UMLS CUI [1,3]
C2348235
Are focal hepatic lesions characterisable?
Beskrivning

Focal hepatic lesions

Datatyp

integer

Alias
UMLS CUI [1,1]
C0577053
UMLS CUI [1,2]
C0205234
If other focal hepatic lesions, specify.
Beskrivning

Other focal hepatic lesions

Datatyp

text

Alias
UMLS CUI [1,1]
C0577053
UMLS CUI [1,2]
C0205234
UMLS CUI [1,3]
C0205394
UMLS CUI [1,4]
C2348235
Gallstones or gallbladder lesions?
Beskrivning

Gallstones or gallbladder lesions?

Datatyp

integer

Alias
UMLS CUI [1,1]
C3842395
UMLS CUI [1,2]
C0221198
If other gallstones or gallbladder lesions, specify.
Beskrivning

Other gallstones or gallbladder lesions

Datatyp

text

Alias
UMLS CUI [1,1]
C3842395
UMLS CUI [1,2]
C0221198
UMLS CUI [1,3]
C0205394
UMLS CUI [1,4]
C2348235
Biliary ductal lesions?
Beskrivning

Biliary ductal lesions?

Datatyp

integer

Alias
UMLS CUI [1,1]
C0005423
UMLS CUI [1,2]
C0221198
If other biliary ductal lesions, specify.
Beskrivning

Other biliary ductal lesions

Datatyp

text

Alias
UMLS CUI [1,1]
C0005423
UMLS CUI [1,2]
C0221198
UMLS CUI [1,3]
C2348235
UMLS CUI [1,4]
C0205394
Portal/ Hepatic vein abnormalities?
Beskrivning

Portal/ Hepatic vein abnormalities?

Datatyp

integer

Alias
UMLS CUI [1,1]
C0019155
UMLS CUI [1,2]
C1704258
UMLS CUI [2,1]
C0032718
UMLS CUI [2,2]
C1704258
If other portal/ hepatic vein abnormalities, specify.
Beskrivning

Other portal/ hepatic vein abnormalities

Datatyp

text

Alias
UMLS CUI [1,1]
C0019155
UMLS CUI [1,2]
C1704258
UMLS CUI [1,3]
C0205394
UMLS CUI [1,4]
C2348235
UMLS CUI [2,1]
C0032718
UMLS CUI [2,2]
C1704258
UMLS CUI [2,3]
C0205394
UMLS CUI [2,4]
C2348235
Liver biopsy
Beskrivning

Liver biopsy

Alias
UMLS CUI-1
C0193388
Date of liver biopsy
Beskrivning

Date of liver biopsy

Datatyp

date

Alias
UMLS CUI [1,1]
C0193388
UMLS CUI [1,2]
C0011008
Approximate size of liver biopsy
Beskrivning

Approximate size of liver biopsy

Datatyp

float

Måttenheter
  • mm
Alias
UMLS CUI [1,1]
C1299482
UMLS CUI [1,2]
C0193388
mm
Final Diagnosis
Beskrivning

Final Diagnosis

Datatyp

integer

Alias
UMLS CUI [1]
C1546485
If other final diagnosis, specify.
Beskrivning

Other final diagnosis

Datatyp

text

Alias
UMLS CUI [1,1]
C1546485
UMLS CUI [1,2]
C0205394
UMLS CUI [1,3]
C2348235
Liver Architecture
Beskrivning

Liver Architecture

Datatyp

integer

Alias
UMLS CUI [1,1]
C0023884
UMLS CUI [1,2]
C0935919
If other liver architecture, specify.
Beskrivning

Other liver architecture.

Datatyp

text

Alias
UMLS CUI [1,1]
C0023884
UMLS CUI [1,2]
C0935919
UMLS CUI [1,3]
C0205394
UMLS CUI [1,4]
C2348235
Description of liver cells or hepatocytes
Beskrivning

Description of liver cells or hepatocytes

Datatyp

integer

Alias
UMLS CUI [1,1]
C0227525
UMLS CUI [1,2]
C0678257
If other description of liver cells or hepatocytes, specify.
Beskrivning

Other description of liver cells or hepatocytes

Datatyp

text

Alias
UMLS CUI [1,1]
C0227525
UMLS CUI [1,2]
C0678257
UMLS CUI [1,3]
C0205394
UMLS CUI [1,4]
C2348235
Liver cell or hepatocyte inclusions or vacuoles
Beskrivning

Liver cell or hepatocyte inclusions or vacuoles

Datatyp

integer

Alias
UMLS CUI [1,1]
C0227525
UMLS CUI [1,2]
C0042219
UMLS CUI [1,3]
C1512693
If other liver cell or hepatocyte inclusions or vacuoles, specify.
Beskrivning

Other liver cell or hepatocyte inclusions or vacuoles

Datatyp

text

Alias
UMLS CUI [1,1]
C0227525
UMLS CUI [1,2]
C0042219
UMLS CUI [1,3]
C1512693
UMLS CUI [1,4]
C0205394
UMLS CUI [1,5]
C2348235
Hepatocyte or liver cell nuclear abnormalities.
Beskrivning

Hepatocyte or liver cell nuclear abnormalities.

Datatyp

integer

Alias
UMLS CUI [1,1]
C0227525
UMLS CUI [1,2]
C1849376
If other hepatocyte or liver cell nuclear abnormalities, specify.
Beskrivning

Other hepatocyte or liver cell nuclear abnormalities

Datatyp

text

Alias
UMLS CUI [1,1]
C0227525
UMLS CUI [1,2]
C1849376
UMLS CUI [1,3]
C0205394
UMLS CUI [1,4]
C2348235
Liver or lobular infiltrates
Beskrivning

Liver or lobular infiltrates

Datatyp

integer

Alias
UMLS CUI [1,1]
C1400896
UMLS CUI [1,2]
C0205417
If other liver or lobular infiltrates, specify.
Beskrivning

Other liver or lobular infiltrates

Datatyp

text

Alias
UMLS CUI [1,1]
C1400896
UMLS CUI [1,2]
C0205417
UMLS CUI [1,3]
C0205394
UMLS CUI [1,4]
C2348235
Portal tract inflammation
Beskrivning

Portal tract inflammation

Datatyp

integer

Alias
UMLS CUI [1]
C3854488
If other portal tract inflammation, specify.
Beskrivning

Other portal tract inflammation

Datatyp

text

Alias
UMLS CUI [1,1]
C3854488
UMLS CUI [1,2]
C0205394
UMLS CUI [1,3]
C2348235
Bile ducts
Beskrivning

Bile ducts

Datatyp

integer

Alias
UMLS CUI [1]
C0005400
If other bile ducts, specify.
Beskrivning

Other bile ducts

Datatyp

text

Alias
UMLS CUI [1,1]
C0005400
UMLS CUI [1,2]
C0205394
UMLS CUI [1,3]
C2348235
Portal veins
Beskrivning

Portal veins

Datatyp

integer

Alias
UMLS CUI [1]
C0032718
If other portal vein structure, specify.
Beskrivning

Other portal vein structure

Datatyp

text

Alias
UMLS CUI [1,1]
C0032718
UMLS CUI [1,2]
C0205394
UMLS CUI [1,3]
C2348235
Liver infections
Beskrivning

Liver infections

Datatyp

integer

Alias
UMLS CUI [1]
C1112211
If other liver infections, specify.
Beskrivning

Other liver infections

Datatyp

text

Alias
UMLS CUI [1,1]
C1112211
UMLS CUI [1,2]
C0205394
UMLS CUI [1,3]
C2348235
Parasites or Ova
Beskrivning

Parasites or Ova

Datatyp

integer

Alias
UMLS CUI [1,1]
C0030498
UMLS CUI [1,2]
C0023884
UMLS CUI [1,3]
C0555117
If other parasites or ova, specify.
Beskrivning

Other parasites or ova

Datatyp

text

Alias
UMLS CUI [1,1]
C0030498
UMLS CUI [1,2]
C0023884
UMLS CUI [1,3]
C0555117
UMLS CUI [1,4]
C0205394
UMLS CUI [1,5]
C2348235
Histologic staining or additional studies obtained
Beskrivning

Histologic staining or additional studies obtained

Datatyp

integer

Alias
UMLS CUI [1,1]
C0487602
UMLS CUI [1,2]
C0205462
UMLS CUI [2,1]
C2603343
UMLS CUI [2,2]
C1524062
If other histologic staining or additional studies obtained,l specify.
Beskrivning

Other histologic staining or additional studies

Datatyp

text

Alias
UMLS CUI [1,1]
C0487602
UMLS CUI [1,2]
C0205462
UMLS CUI [2,1]
C2603343
UMLS CUI [2,2]
C1524062
UMLS CUI [3,1]
C0205394
UMLS CUI [3,2]
C2348235
Global Assessment of Change (Asthma Symptoms And Rescue Medication Use)
Beskrivning

Global Assessment of Change (Asthma Symptoms And Rescue Medication Use)

Alias
UMLS CUI-1
C0281858
UMLS CUI-2
C4319952
UMLS CUI-3
C0004096
UMLS CUI-4
C1457887
UMLS CUI-5
C0013227
UMLS CUI-6
C0884980
Subject identifier
Beskrivning

Subject identifier

Datatyp

text

Alias
UMLS CUI [1]
C2348585
Visit Description
Beskrivning

Check appropriate Visit

Datatyp

integer

Alias
UMLS CUI [1,1]
C0545082
UMLS CUI [1,2]
C0678257
Date of Assessment
Beskrivning

Date of Assessment

Datatyp

date

Alias
UMLS CUI [1]
C2985720
Since you started the study medication, how have your asthma symptoms (chest tightness, shortness of breath, cough and wheeze) changed? My asthma symptoms now are...
Beskrivning

Change of asthma symptoms

Datatyp

integer

Alias
UMLS CUI [1,1]
C0304229
UMLS CUI [1,2]
C0004096
UMLS CUI [1,3]
C1457887
UMLS CUI [1,4]
C0443172
UMLS CUI [2]
C0232292
UMLS CUI [3]
C0013404
UMLS CUI [4]
C0010200
UMLS CUI [5]
C0043144
Since you started the study medication, how has your use of rescue medication changed? I now use my rescue medication.....
Beskrivning

Change of use of rescue medication

Datatyp

integer

Alias
UMLS CUI [1,1]
C0013227
UMLS CUI [1,2]
C0884980
UMLS CUI [1,3]
C0443172
Medical Problems/ Medications taken diary
Beskrivning

Medical Problems/ Medications taken diary

Alias
UMLS CUI-1
C1254481
UMLS CUI-2
C3890583
UMLS CUI-3
C0013227
Subject identifier
Beskrivning

Subject identifier

Datatyp

text

Alias
UMLS CUI [1]
C2348585
Visit Description
Beskrivning

Check appropriate Visit

Datatyp

integer

Alias
UMLS CUI [1,1]
C0545082
UMLS CUI [1,2]
C0678257
Medications taken diary
Beskrivning

Medications taken diary

Alias
UMLS CUI-1
C3890583
UMLS CUI-2
C0013227
Medical Problems
Beskrivning

Medical Problems

Datatyp

text

Alias
UMLS CUI [1]
C1254481
Date Medical problem started
Beskrivning

Date Medical problem started

Datatyp

date

Alias
UMLS CUI [1,1]
C1254481
UMLS CUI [1,2]
C0808070
Date Medical problem stopped
Beskrivning

Date Medical problem stopped

Datatyp

date

Alias
UMLS CUI [1,1]
C1254481
UMLS CUI [1,2]
C0806020
Medication(s) Taken for Medical Problem
Beskrivning

Medication(s) Taken for Medical Problem

Datatyp

text

Alias
UMLS CUI [1,1]
C1254481
UMLS CUI [1,2]
C0013227
Date Medication started
Beskrivning

Date Medication started

Datatyp

date

Alias
UMLS CUI [1]
C3173309
Date Medication stopped
Beskrivning

Date Medication stopped

Datatyp

date

Alias
UMLS CUI [1]
C1531784
Unscheduled Asthma Healthcare Contacts
Beskrivning

Unscheduled Asthma Healthcare Contacts

Alias
UMLS CUI-1
C0086388
UMLS CUI-2
C0004096
UMLS CUI-3
C3854240
UMLS CUI-4
C0332158
Date of Contact
Beskrivning

Date of Contact

Datatyp

date

Alias
UMLS CUI [1]
C4683435
Contact Method/ Treatment Site - Number of Telephone Calls
Beskrivning

If none, enter 0

Datatyp

integer

Alias
UMLS CUI [1,1]
C3812666
UMLS CUI [1,2]
C0025663
UMLS CUI [2]
C0337950
UMLS CUI [3,1]
C0302186
UMLS CUI [3,2]
C0449788
Contact Method/ Treatment Site - Number of Home Visits Day
Beskrivning

If none, enter 0

Datatyp

integer

Alias
UMLS CUI [1,1]
C3812666
UMLS CUI [1,2]
C0025663
UMLS CUI [2]
C0337950
UMLS CUI [3,1]
C0020043
UMLS CUI [3,2]
C0449788
UMLS CUI [3,3]
C0439228
Contact Method/ Treatment Site - Number of Home Visits Night
Beskrivning

If none, enter 0.

Datatyp

integer

Alias
UMLS CUI [1,1]
C3812666
UMLS CUI [1,2]
C0025663
UMLS CUI [2]
C0337950
UMLS CUI [3,1]
C0020043
UMLS CUI [3,2]
C0449788
UMLS CUI [3,3]
C0240526
Contact Method/ Treatment Site - Number of Physician Office/ Practice Visits
Beskrivning

If none, enter 0.

Datatyp

integer

Alias
UMLS CUI [1,1]
C3812666
UMLS CUI [1,2]
C0025663
UMLS CUI [2]
C0337950
UMLS CUI [3,1]
C0545082
UMLS CUI [3,2]
C0031834
UMLS CUI [3,3]
C0449788
Contact Method/ Treatment Site - Number of Urgent Care/ Outpatient Clinic Visits
Beskrivning

If none, enter 0.

Datatyp

integer

Alias
UMLS CUI [1,1]
C3812666
UMLS CUI [1,2]
C0025663
UMLS CUI [2]
C0337950
UMLS CUI [3,1]
C0449788
UMLS CUI [3,2]
C1551285
UMLS CUI [3,3]
C0008952
UMLS CUI [3,4]
C0029921
Contact Method/ Treatment Site - Number of Emergency Room Visits
Beskrivning

If none, enter 0.

Datatyp

integer

Alias
UMLS CUI [1,1]
C3812666
UMLS CUI [1,2]
C0025663
UMLS CUI [2]
C0337950
UMLS CUI [3,1]
C2114437
UMLS CUI [3,2]
C0449788
Contact Method/ Treatment Site - Inpatient Hospitalisation (Number of Days) - ICU
Beskrivning

If none, enter 0.

Datatyp

integer

Alias
UMLS CUI [1,1]
C3812666
UMLS CUI [1,2]
C0025663
UMLS CUI [2]
C0337950
UMLS CUI [3,1]
C0420496
UMLS CUI [3,2]
C0021708
Contact Method/ Treatment Site - Inpatient Hospitalisation (Number of Days) - General Ward
Beskrivning

If none, enter 0.

Datatyp

integer

Alias
UMLS CUI [1,1]
C3812666
UMLS CUI [1,2]
C0025663
UMLS CUI [2]
C0337950
UMLS CUI [3,1]
C0420496
UMLS CUI [3,2]
C0043030
Reason for Contact
Beskrivning

Reason for Contact

Datatyp

text

Alias
UMLS CUI [1]
C1547629
Was this contact due to an asthma exacerbation?
Beskrivning

Was this contact due to an asthma exacerbation?

Datatyp

boolean

Alias
UMLS CUI [1,1]
C3812666
UMLS CUI [1,2]
C0349790
UMLS CUI [1,3]
C0678226

Similar models

Liver Event Details; Global Assessment of Change (Asthma Symptoms And Rescue Medication Use), Medical Problems/ Medications taken diary, Medications taken diary, Unscheduled Asthma Healthcare Contacts

Name
Typ
Description | Question | Decode (Coded Value)
Datatyp
Alias
Item Group
Liver events
C0023884 (UMLS CUI-1)
C0877248 (UMLS CUI-2)
Is this liver event a serious adverse event?
Item
Is this liver event a serious adverse event?
boolean
C0023884 (UMLS CUI [1,1])
C0877248 (UMLS CUI [1,2])
C1519255 (UMLS CUI [2])
Item
Which liver chemistry result reached or exceeded protocol- defined investigational product stopping/ interruption criteria?
integer
C0232741 (UMLS CUI [1,1])
C0008000 (UMLS CUI [1,2])
C0587081 (UMLS CUI [1,3])
C0304229 (UMLS CUI [2,1])
C2133636 (UMLS CUI [2,2])
Code List
Which liver chemistry result reached or exceeded protocol- defined investigational product stopping/ interruption criteria?
CL Item
ALT (1)
CL Item
Total bilirubin (3)
CL Item
Direct Bilirubin (7)
CL Item
INR (8)
CL Item
AST (2)
CL Item
Other (9)
Is the subject age 55 or older?
Item
Is the subject age 55 or older?
boolean
C0001779 (UMLS CUI [1])
Item
If female, is the subject pregnant?
text
C0032961 (UMLS CUI [1])
Code List
If female, is the subject pregnant?
CL Item
Yes (Y)
CL Item
No (N)
CL Item
Not applicable (X)
Were any diagnostic imaging tests of the liver or hepatobiliary system performed ?
Item
Were any diagnostic imaging tests of the liver or hepatobiliary system performed (such as liver ultrasound, computerised tomography or CAT scan, magnetic resonance imaging or MRI, or endoscopic retrograde cholangiopancreatography, or other)?
boolean
C0011923 (UMLS CUI [1,1])
C0023884 (UMLS CUI [1,2])
C0023884 (UMLS CUI [2,1])
C1456803 (UMLS CUI [2,2])
C0040405 (UMLS CUI [3,1])
C0436480 (UMLS CUI [3,2])
C0024485 (UMLS CUI [4])
C0008310 (UMLS CUI [5])
If any diagnostic imaging tests of the liver or hepatobiliary system were performed, were the results normal?
Item
If any diagnostic imaging tests of the liver or hepatobiliary system were performed, were the results normal?
boolean
Were any liver biopsies performed?
Item
Were any liver biopsies performed?
boolean
C0193388 (UMLS CUI [1])
Does the subject use herbals, complementary or alternative medicines, food supplements (vitamins) or ilicit drugs?
Item
Does the subject use herbals, complementary or alternative medicines, food supplements (vitamins) or ilicit drugs?
boolean
C0949854 (UMLS CUI [1,1])
C0002346 (UMLS CUI [1,2])
C0242295 (UMLS CUI [1,3])
C0281875 (UMLS CUI [1,4])
Did the subject fast or undergo significant dietary change in the past week?
Item
Did the subject fast or undergo significant dietary change in the past week?
boolean
C3671772 (UMLS CUI [1,1])
C0015663 (UMLS CUI [1,2])
Item Group
Investigational Product (Liver)
C0304229 (UMLS CUI-1)
Item
When did the liver event occur?
text
C0023884 (UMLS CUI [1,1])
C0877248 (UMLS CUI [1,2])
C2745955 (UMLS CUI [1,3])
Code List
When did the liver event occur?
CL Item
During the treatment period: If the liver event occured during treatment period record start and stop date of investigational product for that treatment period. (D)
CL Item
After the treatment period: If the liver event occured after treatment period record start and stop date of investigational product for the most recent period prior to the liver event. (A)
Start Date Investigational Product (Liver event during the treatment period)
Item
Start Date Investigational Product (Liver event during the treatment period)
date
C0304229 (UMLS CUI [1,1])
C0808070 (UMLS CUI [1,2])
Stop Date Investigational Product (Liver event during the treatment period)
Item
Stop Date Investigational Product (Liver event during the treatment period)
date
C0304229 (UMLS CUI [1,1])
C0806020 (UMLS CUI [1,2])
Start Date Investigational Product (Liver event after the treatment period)
Item
Start Date Investigational Product (Liver event after the treatment period)
date
C0304229 (UMLS CUI [1,1])
C0808070 (UMLS CUI [1,2])
Stop Date Investigational Product (Liver event after the treatment period)
Item
Stop Date Investigational Product (Liver event after the treatment period)
date
C0304229 (UMLS CUI [1,1])
C0806020 (UMLS CUI [1,2])
Item Group
Alcohol intake at onset of liver event
C0001948 (UMLS CUI-1)
C0023884 (UMLS CUI-2)
C0877248 (UMLS CUI-3)
C0332162 (UMLS CUI-4)
Does the subject consume alcohol?
Item
Does the subject consume alcohol?
boolean
C0001948 (UMLS CUI [1])
Average number of units of alcohol consumed per week
Item
If subject consumes alcohol, record the average number of units of alcohol consumed per week.
float
C0001948 (UMLS CUI [1,1])
C0560579 (UMLS CUI [1,2])
Substance Use Type
Item
Substance Use Type
text
C0439861 (UMLS CUI [1,1])
C1524063 (UMLS CUI [1,2])
C0332307 (UMLS CUI [1,3])
Item Group
Medical conditions at onset of liver event
C0012634 (UMLS CUI-1)
C0332162 (UMLS CUI-2)
C0877248 (UMLS CUI-3)
C0023884 (UMLS CUI-4)
Item
Acute Viral Hepatitis A
integer
C0276434 (UMLS CUI [1])
Code List
Acute Viral Hepatitis A
CL Item
Current  (1)
CL Item
Past  (2)
CL Item
No Medical Condition (3)
Item
Chronic Hepatitis B
integer
C0524909 (UMLS CUI [1])
Code List
Chronic Hepatitis B
CL Item
Current  (1)
CL Item
Past  (2)
CL Item
No Medical Condition (3)
Item
Chronic Hepatitis C
integer
C0524910 (UMLS CUI [1])
Code List
Chronic Hepatitis C
CL Item
Current  (1)
CL Item
Past  (2)
CL Item
No Medical Condition (3)
Item
Cytomegalovirus Hepatitis
integer
C0276252 (UMLS CUI [1])
Code List
Cytomegalovirus Hepatitis
CL Item
Current  (1)
CL Item
Past  (2)
CL Item
No Medical Condition (3)
Item
Epstein Barr Virus Infectious Mononucleosis
integer
C0021345 (UMLS CUI [1,1])
C0014644 (UMLS CUI [1,2])
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
integer
C1963747 (UMLS CUI [1])
Code List
Herpes Simplex Hepatitis
CL Item
Current  (1)
CL Item
Past  (2)
CL Item
No Medical Condition (3)
Item
Alcoholic Liver Disease
integer
C0023896 (UMLS CUI [1])
Code List
Alcoholic Liver Disease
CL Item
Current  (1)
CL Item
Past  (2)
CL Item
No Medical Condition (3)
Item
Non- alcoholic Steatohepatitis + integer
integer
C3241937 (UMLS CUI [1])
Code List
Non- alcoholic Steatohepatitis + integer
CL Item
Current  (1)
CL Item
Past  (2)
CL Item
No Medical Condition (3)
Item
Fatty Liver
integer
C0015695 (UMLS CUI [1])
Code List
Fatty Liver
CL Item
Current  (1)
CL Item
Past  (2)
CL Item
No Medical Condition (3)
Item
Hepatic Cirrhosis
integer
C0023890 (UMLS CUI [1])
Code List
Hepatic Cirrhosis
CL Item
Current  (1)
CL Item
Past  (2)
CL Item
No Medical Condition (3)
Item
Hemochromatosis
integer
C0018995 (UMLS CUI [1])
Code List
Hemochromatosis
CL Item
Current  (1)
CL Item
Past  (2)
CL Item
No Medical Condition (3)
Item
Autoimmune Hepatitis
integer
C0241910 (UMLS CUI [1])
Code List
Autoimmune Hepatitis
CL Item
Current  (1)
CL Item
Past  (2)
CL Item
No Medical Condition (3)
Item
Gallbladder disease
integer
C0016977 (UMLS CUI [1])
Code List
Gallbladder disease
CL Item
Current  (1)
CL Item
Past  (2)
CL Item
No Medical Condition (3)
Item Group
Drug related liver disease
C0023895 (UMLS CUI-1)
C0277579 (UMLS CUI-2)
Item
Drug related liver disease
integer
C0023895 (UMLS CUI [1,1])
C0277579 (UMLS CUI [1,2])
Code List
Drug related liver disease
CL Item
Current  (1)
CL Item
Past  (2)
CL Item
No Medical Condition (3)
Item Group
Other Liver Disease Conditions
C0023895 (UMLS CUI-1)
C0205394 (UMLS CUI-2)
Sequence Number
Item
Sequence Number
text
C2348184 (UMLS CUI [1])
Specific Condition
Item
Specific Condition
text
C0012634 (UMLS CUI [1,1])
C2348235 (UMLS CUI [1,2])
Item
Status of liver disease condition
integer
C0023895 (UMLS CUI [1,1])
C0449438 (UMLS CUI [1,2])
Code List
Status of liver disease condition
CL Item
Current  (1)
CL Item
Past (2)
Item Group
Other medical conditions
C0012634 (UMLS CUI-1)
C0205394 (UMLS CUI-2)
Item
Drug Allergies
integer
C0020517 (UMLS CUI [1,1])
C0013227 (UMLS CUI [1,2])
Code List
Drug Allergies
CL Item
Current  (1)
CL Item
Past  (2)
CL Item
No Medical Condition (3)
Item
Rheumatoid Arthritis
integer
C0003873 (UMLS CUI [1])
Code List
Rheumatoid Arthritis
CL Item
Current  (1)
CL Item
Past  (2)
CL Item
No Medical Condition (3)
Item
Psoriasis
integer
C0033860 (UMLS CUI [1])
Code List
Psoriasis
CL Item
Current  (1)
CL Item
Past  (2)
CL Item
No Medical Condition (3)
Item
Thyroid Disease
integer
C0040128 (UMLS CUI [1])
Code List
Thyroid Disease
CL Item
Current  (1)
CL Item
Past  (2)
CL Item
No Medical Condition (3)
Item
Inflammatory Bowel Disease
integer
C0021390 (UMLS CUI [1])
Code List
Inflammatory Bowel Disease
CL Item
Current  (1)
CL Item
Past  (2)
CL Item
No Medical Condition (3)
Item
Lupus
integer
C0409974 (UMLS CUI [1])
Code List
Lupus
CL Item
Current  (1)
CL Item
Past  (2)
CL Item
No Medical Condition (3)
Item
Sjogren's Syndrome
integer
C1527336 (UMLS CUI [1])
Code List
Sjogren's Syndrome
CL Item
Current  (1)
CL Item
Past  (2)
CL Item
No Medical Condition (3)
Item
Vitiligo
integer
C0042900 (UMLS CUI [1])
Code List
Vitiligo
CL Item
Current  (1)
CL Item
Past  (2)
CL Item
No Medical Condition (3)
Item Group
Pharmacokinetics (Liver)
C0031327 (UMLS CUI-1)
C0023884 (UMLS CUI-2)
Was a pharmacokinetic blood sample obtained?
Item
Was a pharmacokinetic blood sample obtained?
boolean
C0005834 (UMLS CUI [1,1])
C0031328 (UMLS CUI [1,2])
Date and time sample taken
Item
If a pharmacokinetic blood sample was obtained, record date and time sample taken.
datetime
C0005834 (UMLS CUI [1,1])
C0031328 (UMLS CUI [1,2])
C1264639 (UMLS CUI [1,3])
Date and time of last Ketoconazole dose
Item
If pharmacokinetic blood sample was obtained, record date and time of last Ketoconazole dose prior to PK sample.
datetime
C0022625 (UMLS CUI [1,1])
C1762893 (UMLS CUI [1,2])
C0946444 (UMLS CUI [1,3])
Item Group
Liver imaging
C2711860 (UMLS CUI-1)
Date of hepatic or liver imaging test
Item
Date of hepatic or liver imaging test
date
C2711860 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
Item
What method was used for this imaging test?
integer
C2711860 (UMLS CUI [1,1])
C1275506 (UMLS CUI [1,2])
Code List
What method was used for this imaging test?
CL Item
Ultrasound - transabdominal (1)
CL Item
Ultrasound - endoscopic (2)
CL Item
Magnetic Resonance Imaging (MRI) (3)
CL Item
Computerised Tomography (CT) (4)
CL Item
Endoscopic Retrograde Cholangiopancreatography (ERCP) (5)
CL Item
Positron Emission Tomography (PET) (6)
CL Item
Positron Emission Tomography/ Computerised Tomography (PET/ CT) (7)
CL Item
Other, specify (8)
Other method used for imaging test
Item
If other method was used for imaging test, specify.
text
C2711860 (UMLS CUI [1,1])
C1275506 (UMLS CUI [1,2])
C0205394 (UMLS CUI [1,3])
C2348235 (UMLS CUI [1,4])
Item
Are images technically adequate?
integer
C0806487 (UMLS CUI [1])
Code List
Are images technically adequate?
CL Item
Optimal  (1)
CL Item
Readable, but not optimal  (2)
CL Item
Not readable  (3)
CL Item
Other, specify (4)
Other image quality
Item
If other image quality, specify.
text
C0806487 (UMLS CUI [1,1])
C0205394 (UMLS CUI [1,2])
C2348235 (UMLS CUI [1,3])
Item
Indicate the liver size
integer
C0426688 (UMLS CUI [1])
Code List
Indicate the liver size
CL Item
Normal size  (1)
CL Item
Hypertrophy (or enlarged)  (2)
CL Item
Atrophy (or smaller than normal)  (3)
CL Item
Segmental hypertrophy  (4)
CL Item
Other, specify (5)
Other liver size
Item
If other liver size, specify.
text
C0426688 (UMLS CUI [1,1])
C0205394 (UMLS CUI [1,2])
C2348235 (UMLS CUI [1,3])
Item
Indicate the liver texture.
integer
C0679033 (UMLS CUI [1,1])
C0023884 (UMLS CUI [1,2])
Code List
Indicate the liver texture.
CL Item
Normal  (1)
CL Item
Heterogeneous  (2)
CL Item
Suggestive of fibrosis  (3)
CL Item
Nodular or suggestive of cirrhosis  (4)
CL Item
Other, specify (5)
Other liver texture
Item
If other liver texture, specify.
text
C0679033 (UMLS CUI [1,1])
C0023884 (UMLS CUI [1,2])
C2348235 (UMLS CUI [1,3])
C0205394 (UMLS CUI [1,4])
Item
Grade the diffuse and/ or geographic fatty infiltrate of the liver
integer
C0015695 (UMLS CUI [1,1])
C0205219 (UMLS CUI [1,2])
C0015695 (UMLS CUI [2,1])
C1517526 (UMLS CUI [2,2])
Code List
Grade the diffuse and/ or geographic fatty infiltrate of the liver
CL Item
Not applicable - no fatty infiltration  (1)
CL Item
Mild (<= 25%)  (2)
CL Item
Moderate (>25% to <75%)  (3)
CL Item
Severe (>= 75%)  (4)
CL Item
Other, specify (5)
Other fatty infiltrate of the liver
Item
If other fatty infiltrate of the liver, specify.
text
C0015695 (UMLS CUI [1,1])
C0205394 (UMLS CUI [1,2])
C2348235 (UMLS CUI [1,3])
Item
Ascites present
integer
C0003962 (UMLS CUI [1])
Code List
Ascites present
CL Item
Non present  (1)
CL Item
Yes - small amount  (2)
CL Item
Yes - moderate or severe amount  (3)
CL Item
Other, specify (99)
Other ascites
Item
If other ascites, specify.
text
C0003962 (UMLS CUI [1,1])
C0205394 (UMLS CUI [1,2])
C2348235 (UMLS CUI [1,3])
Item
Are focal hepatic lesions characterisable?
integer
C0577053 (UMLS CUI [1,1])
C0205234 (UMLS CUI [1,2])
Code List
Are focal hepatic lesions characterisable?
CL Item
Not applicable  (1)
CL Item
Solid  (2)
CL Item
Cystic  (3)
CL Item
Hemangioma  (4)
CL Item
Focal Nodular Hyperplasia  (5)
CL Item
Other, specify (6)
Other focal hepatic lesions
Item
If other focal hepatic lesions, specify.
text
C0577053 (UMLS CUI [1,1])
C0205234 (UMLS CUI [1,2])
C0205394 (UMLS CUI [1,3])
C2348235 (UMLS CUI [1,4])
Item
Gallstones or gallbladder lesions?
integer
C3842395 (UMLS CUI [1,1])
C0221198 (UMLS CUI [1,2])
Code List
Gallstones or gallbladder lesions?
CL Item
None  (1)
CL Item
Gallstones  (2)
CL Item
Gallbladder polyp(s)  (3)
CL Item
Sludge  (4)
CL Item
Gallbladder wall thickening/ oedema  (5)
CL Item
Gallbladder wall gas  (6)
CL Item
Cholecystitis  (7)
CL Item
Gallbladder wall calcification  (8)
CL Item
Gallbladder mass  (9)
CL Item
Other, specify (99)
Other gallstones or gallbladder lesions
Item
If other gallstones or gallbladder lesions, specify.
text
C3842395 (UMLS CUI [1,1])
C0221198 (UMLS CUI [1,2])
C0205394 (UMLS CUI [1,3])
C2348235 (UMLS CUI [1,4])
Item
Biliary ductal lesions?
integer
C0005423 (UMLS CUI [1,1])
C0221198 (UMLS CUI [1,2])
Code List
Biliary ductal lesions?
CL Item
None (1)
CL Item
Intrahepatic ductal dilation (focal involving the right hepatic lobe) (2)
CL Item
Intrahepatic ductal dilation (focal involving the left hepatic lobe) (3)
CL Item
Intrahepatic ductal dilation (involving both right and left hepatic lobes) (4)
CL Item
Extrahepatic ductal dilation (5)
CL Item
Diffuse ductal dilation (involving both intrahepatic and extrahepatic ductus) (6)
CL Item
Acute Cholangitis (7)
CL Item
Primary sclerosing cholangitis (8)
CL Item
Choledocholithiasis (gallstone in duct) (9)
CL Item
Ducta filling defect(s), other than gallstone (10)
CL Item
Ductal wall thickening or oedema (11)
CL Item
Choledochal cyst (12)
CL Item
Ductal mass (13)
CL Item
Extrinsic mass compressing bile duct(s) (14)
CL Item
Other, specify (15)
Other biliary ductal lesions
Item
If other biliary ductal lesions, specify.
text
C0005423 (UMLS CUI [1,1])
C0221198 (UMLS CUI [1,2])
C2348235 (UMLS CUI [1,3])
C0205394 (UMLS CUI [1,4])
Item
Portal/ Hepatic vein abnormalities?
integer
C0019155 (UMLS CUI [1,1])
C1704258 (UMLS CUI [1,2])
C0032718 (UMLS CUI [2,1])
C1704258 (UMLS CUI [2,2])
Code List
Portal/ Hepatic vein abnormalities?
CL Item
None (1)
CL Item
Portal vein enlargement (2)
CL Item
Hepatic vein enlargement (3)
CL Item
Non- occlusive portal vein thrombosis (4)
CL Item
Occlusvie portal vein thrombosis - bland (5)
CL Item
Hepatic vein thrombosis - bland (6)
CL Item
Occlusive portal vein thrombosis - malignant (7)
CL Item
Hepatic vein thrombosis - malignant (8)
CL Item
Involvement of the main portal vein (9)
CL Item
Involvement of the right portal vein (10)
CL Item
involvement of the left portal vein (11)
CL Item
Budd- Chiari syndrome (12)
CL Item
Other, specify (13)
Other portal/ hepatic vein abnormalities
Item
If other portal/ hepatic vein abnormalities, specify.
text
C0019155 (UMLS CUI [1,1])
C1704258 (UMLS CUI [1,2])
C0205394 (UMLS CUI [1,3])
C2348235 (UMLS CUI [1,4])
C0032718 (UMLS CUI [2,1])
C1704258 (UMLS CUI [2,2])
C0205394 (UMLS CUI [2,3])
C2348235 (UMLS CUI [2,4])
Item Group
Liver biopsy
C0193388 (UMLS CUI-1)
Date of liver biopsy
Item
Date of liver biopsy
date
C0193388 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
Approximate size of liver biopsy
Item
Approximate size of liver biopsy
float
C1299482 (UMLS CUI [1,1])
C0193388 (UMLS CUI [1,2])
Item
Final Diagnosis
integer
C1546485 (UMLS CUI [1])
Code List
Final Diagnosis
CL Item
Normal (1)
CL Item
Acute hepatitis (2)
CL Item
Chronic hepatitis (3)
CL Item
Cholestatic hepatitis (4)
CL Item
Drug- induced cholestais (5)
CL Item
Acute viral hepatitis (6)
CL Item
Chronic viral hepatitis (7)
CL Item
Drug- induced hepatitis (8)
CL Item
Autoimmune hepatitis (9)
CL Item
Bridging necrosis (10)
CL Item
Submassive hepatic necrosis (11)
CL Item
Massive hepatic necrosis (12)
CL Item
Steatosis - microvesicular (13)
CL Item
Steatosis - macrovesicular (14)
CL Item
Steatosis - mixed (15)
CL Item
Non- alcoholic steatohepatitis (16)
CL Item
Alcoholic hepatitis (17)
CL Item
Hepatic granulomas (18)
CL Item
Sarcoidosis (19)
CL Item
Fibrosis (20)
CL Item
Cirrhosis (21)
CL Item
Primary biliary cirrhosis (22)
CL Item
Primary sclerosing cholangitis (23)
CL Item
Autoimmune overlap syndrome (24)
CL Item
Hemochromatosis (25)
CL Item
Alpha-1- antitrypsin deficiency (26)
CL Item
Wilson's disease (27)
CL Item
Veno- occlusive disease (28)
CL Item
Budd- Chiari syndrome (29)
CL Item
Neoplasia (30)
CL Item
Other (31)
Other final diagnosis
Item
If other final diagnosis, specify.
text
C1546485 (UMLS CUI [1,1])
C0205394 (UMLS CUI [1,2])
C2348235 (UMLS CUI [1,3])
Item
Liver Architecture
integer
C0023884 (UMLS CUI [1,1])
C0935919 (UMLS CUI [1,2])
Code List
Liver Architecture
CL Item
Normal (1)
CL Item
Bridging fibrosis (2)
CL Item
Diffuse fibrosis (3)
CL Item
Nodular regenerative hyperplasia (4)
CL Item
Congenital hepatic fibrosis (5)
CL Item
Cirrhosis (6)
CL Item
Centrilobular congestion (7)
CL Item
Endophlebitis (8)
CL Item
Veno- occlusive disease (9)
CL Item
Canalicular cholestasis (10)
CL Item
Apoptosis (11)
CL Item
Focal (or spotty or mild) hepatocelular necrosis (12)
CL Item
Interface hepatitis (periportal hepatitis or pieceneal necrosis) (13)
CL Item
Ischaemic necrosis (14)
CL Item
Centrolobular (Zone 3) necrosis (15)
CL Item
Bridging hepatocellular necrosis (16)
CL Item
Massive or panlobular hepatocellular necrosis (17)
CL Item
Dysplasia (18)
CL Item
Neoplasia (19)
CL Item
Other (20)
Other liver architecture.
Item
If other liver architecture, specify.
text
C0023884 (UMLS CUI [1,1])
C0935919 (UMLS CUI [1,2])
C0205394 (UMLS CUI [1,3])
C2348235 (UMLS CUI [1,4])
Item
Description of liver cells or hepatocytes
integer
C0227525 (UMLS CUI [1,1])
C0678257 (UMLS CUI [1,2])
Code List
Description of liver cells or hepatocytes
CL Item
Normal (1)
CL Item
Ballooning (2)
CL Item
Acidophilic (3)
CL Item
Pseudoxanthomatous (4)
CL Item
Multinucleated giant hepatocytes (5)
CL Item
Other, specify (6)
Other description of liver cells or hepatocytes
Item
If other description of liver cells or hepatocytes, specify.
text
C0227525 (UMLS CUI [1,1])
C0678257 (UMLS CUI [1,2])
C0205394 (UMLS CUI [1,3])
C2348235 (UMLS CUI [1,4])
Item
Liver cell or hepatocyte inclusions or vacuoles
integer
C0227525 (UMLS CUI [1,1])
C0042219 (UMLS CUI [1,2])
C1512693 (UMLS CUI [1,3])
Code List
Liver cell or hepatocyte inclusions or vacuoles
CL Item
No inclusions (1)
CL Item
Macrovesicular steatosis (2)
CL Item
Microvesicular steatosis (3)
CL Item
Bile accumulation (4)
CL Item
Diastase- resistant, PAS- positive cytoplasmic inclusions (5)
CL Item
Alpha-1- antitrypsin inclusions (6)
CL Item
Megamitochondria (7)
CL Item
Mallory bodies (8)
CL Item
"Ground Glass" inclusions (9)
CL Item
Lipofuscin pigment (10)
CL Item
Hemosiderin granules (11)
CL Item
Orcein- positive cytoplasmin granules (12)
CL Item
Protoporphyrin crystals (birefringent under polarised light) (13)
CL Item
Uroporphyrin crystals (red fluorescence under ultraviolet light) (14)
CL Item
Other, specify (15)
Other liver cell or hepatocyte inclusions or vacuoles
Item
If other liver cell or hepatocyte inclusions or vacuoles, specify.
text
C0227525 (UMLS CUI [1,1])
C0042219 (UMLS CUI [1,2])
C1512693 (UMLS CUI [1,3])
C0205394 (UMLS CUI [1,4])
C2348235 (UMLS CUI [1,5])
Item
Hepatocyte or liver cell nuclear abnormalities.
integer
C0227525 (UMLS CUI [1,1])
C1849376 (UMLS CUI [1,2])
Code List
Hepatocyte or liver cell nuclear abnormalities.
CL Item
None (1)
CL Item
Hepatocellular mitosis (2)
CL Item
Binucleated or multinucleated hepatocytes (3)
CL Item
CMV inclusion bodies (4)
CL Item
HSV inclusions (5)
CL Item
Varicella inclusions (6)
CL Item
Other, specify (7)
Other hepatocyte or liver cell nuclear abnormalities
Item
If other hepatocyte or liver cell nuclear abnormalities, specify.
text
C0227525 (UMLS CUI [1,1])
C1849376 (UMLS CUI [1,2])
C0205394 (UMLS CUI [1,3])
C2348235 (UMLS CUI [1,4])
Item
Liver or lobular infiltrates
integer
C1400896 (UMLS CUI [1,1])
C0205417 (UMLS CUI [1,2])
Code List
Liver or lobular infiltrates
CL Item
None (1)
CL Item
Eosinophils (2)
CL Item
Lymphocytes (3)
CL Item
Plasma cells (4)
CL Item
Neutrophils (5)
CL Item
Macrophages and proliferating Kupffer cells (6)
CL Item
Granulomas (7)
CL Item
Other, specify (8)
Other liver or lobular infiltrates
Item
If other liver or lobular infiltrates, specify.
text
C1400896 (UMLS CUI [1,1])
C0205417 (UMLS CUI [1,2])
C0205394 (UMLS CUI [1,3])
C2348235 (UMLS CUI [1,4])
Item
Portal tract inflammation
integer
C3854488 (UMLS CUI [1])
Code List
Portal tract inflammation
CL Item
None (1)
CL Item
Eosinophils (2)
CL Item
Lymphoid aggregates and/ or follicles (3)
CL Item
Plasma cells (4)
CL Item
Neutrophils (5)
CL Item
Histocytes and macrophages (6)
CL Item
Other (7)
Other portal tract inflammation
Item
If other portal tract inflammation, specify.
text
C3854488 (UMLS CUI [1,1])
C0205394 (UMLS CUI [1,2])
C2348235 (UMLS CUI [1,3])
Item
Bile ducts
integer
C0005400 (UMLS CUI [1])
Code List
Bile ducts
CL Item
Normal (1)
CL Item
Proliferation of the bile ducts (bile ductular reaction) (2)
CL Item
Dilation, degeneration or disruption of portal bile ducts (3)
CL Item
Paucity of bile ducts (4)
CL Item
Periductal fibrosis (5)
CL Item
Other, specify (6)
Other bile ducts
Item
If other bile ducts, specify.
text
C0005400 (UMLS CUI [1,1])
C0205394 (UMLS CUI [1,2])
C2348235 (UMLS CUI [1,3])
Item
Portal veins
integer
C0032718 (UMLS CUI [1])
Code List
Portal veins
CL Item
Normal (1)
CL Item
Pyelophlebitis (2)
CL Item
Thrombosis, sclerosis or occlusion of portal vein (3)
CL Item
Neoplastic invasion of portal vein (4)
CL Item
Granulomatous compression of portal vein (5)
CL Item
6 Other, specify (6)
Other portal vein structure
Item
If other portal vein structure, specify.
text
C0032718 (UMLS CUI [1,1])
C0205394 (UMLS CUI [1,2])
C2348235 (UMLS CUI [1,3])
Item
Liver infections
integer
C1112211 (UMLS CUI [1])
Code List
Liver infections
CL Item
Normal (1)
CL Item
Leishmaniasis donovani (2)
CL Item
Plasmodium falciparum (3)
CL Item
Toxoplasmosis (4)
CL Item
Cryptococcus neoformans (5)
CL Item
Histoplasma capsulatum (6)
CL Item
Myobacterium tuberculosis (7)
CL Item
Other myobacterial species (8)
CL Item
Other, specify (9)
Other liver infections
Item
If other liver infections, specify.
text
C1112211 (UMLS CUI [1,1])
C0205394 (UMLS CUI [1,2])
C2348235 (UMLS CUI [1,3])
Item
Parasites or Ova
integer
C0030498 (UMLS CUI [1,1])
C0023884 (UMLS CUI [1,2])
C0555117 (UMLS CUI [1,3])
Code List
Parasites or Ova
CL Item
None (1)
CL Item
Schistosome and/ or ova (2)
CL Item
Ascaris and/ or ova (3)
CL Item
Toxocara and/ or ova (4)
CL Item
Echinococcus cysts (5)
CL Item
Hepatic capillariasis worms and/ or ova (6)
CL Item
Other, specify (7)
Other parasites or ova
Item
If other parasites or ova, specify.
text
C0030498 (UMLS CUI [1,1])
C0023884 (UMLS CUI [1,2])
C0555117 (UMLS CUI [1,3])
C0205394 (UMLS CUI [1,4])
C2348235 (UMLS CUI [1,5])
Item
Histologic staining or additional studies obtained
integer
C0487602 (UMLS CUI [1,1])
C0205462 (UMLS CUI [1,2])
C2603343 (UMLS CUI [2,1])
C1524062 (UMLS CUI [2,2])
Code List
Histologic staining or additional studies obtained
CL Item
Haematoxylin and eosin (or H&E) (1)
CL Item
Masson (2)
CL Item
Toluidine blue or Giemsa (3)
CL Item
Prussian blue (4)
CL Item
Periodic Acidic Schiff (PAS), with or without diastase (5)
CL Item
Oil red O (6)
CL Item
Congo red (7)
CL Item
Hall's stain (8)
CL Item
Gridley's stain (9)
CL Item
Rhodanine (copper) (10)
CL Item
Rubeanic acid (copper) (11)
CL Item
Orcein, aldehyde fuchsin or Victoria blue (12)
CL Item
Electron microscopy (13)
CL Item
Hepatitis A immunostains positive (14)
CL Item
Hepatitis B core antigen or hepatitis B surface antibody immunostains positive (15)
CL Item
Hepatitis D immunostains (16)
CL Item
Other immunostains (17)
CL Item
Other, specify (18)
Other histologic staining or additional studies
Item
If other histologic staining or additional studies obtained,l specify.
text
C0487602 (UMLS CUI [1,1])
C0205462 (UMLS CUI [1,2])
C2603343 (UMLS CUI [2,1])
C1524062 (UMLS CUI [2,2])
C0205394 (UMLS CUI [3,1])
C2348235 (UMLS CUI [3,2])
Item Group
Global Assessment of Change (Asthma Symptoms And Rescue Medication Use)
C0281858 (UMLS CUI-1)
C4319952 (UMLS CUI-2)
C0004096 (UMLS CUI-3)
C1457887 (UMLS CUI-4)
C0013227 (UMLS CUI-5)
C0884980 (UMLS CUI-6)
Subject identifier
Item
Subject identifier
text
C2348585 (UMLS CUI [1])
Item
Visit Description
integer
C0545082 (UMLS CUI [1,1])
C0678257 (UMLS CUI [1,2])
Code List
Visit Description
CL Item
Visit 5 (1)
CL Item
Visit 6 (2)
CL Item
Visit 7 (3)
CL Item
Early Withdrawal (4)
Date of Assessment
Item
Date of Assessment
date
C2985720 (UMLS CUI [1])
Item
Since you started the study medication, how have your asthma symptoms (chest tightness, shortness of breath, cough and wheeze) changed? My asthma symptoms now are...
integer
C0304229 (UMLS CUI [1,1])
C0004096 (UMLS CUI [1,2])
C1457887 (UMLS CUI [1,3])
C0443172 (UMLS CUI [1,4])
C0232292 (UMLS CUI [2])
C0013404 (UMLS CUI [3])
C0010200 (UMLS CUI [4])
C0043144 (UMLS CUI [5])
Code List
Since you started the study medication, how have your asthma symptoms (chest tightness, shortness of breath, cough and wheeze) changed? My asthma symptoms now are...
CL Item
Much better (1)
CL Item
Somewhat better (2)
CL Item
A little better (3)
CL Item
The same (4)
CL Item
A little worse (5)
CL Item
Somewhat worse (6)
CL Item
Much worse (7)
Item
Since you started the study medication, how has your use of rescue medication changed? I now use my rescue medication.....
integer
C0013227 (UMLS CUI [1,1])
C0884980 (UMLS CUI [1,2])
C0443172 (UMLS CUI [1,3])
Code List
Since you started the study medication, how has your use of rescue medication changed? I now use my rescue medication.....
CL Item
Much less often (1)
CL Item
Somewhat less often (2)
CL Item
A little less often (3)
CL Item
The same (4)
CL Item
A little more often (5)
CL Item
Somewhat more often (6)
CL Item
Much more often (7)
Item Group
Medical Problems/ Medications taken diary
C1254481 (UMLS CUI-1)
C3890583 (UMLS CUI-2)
C0013227 (UMLS CUI-3)
Subject identifier
Item
Subject identifier
text
C2348585 (UMLS CUI [1])
Item
Visit Description
integer
C0545082 (UMLS CUI [1,1])
C0678257 (UMLS CUI [1,2])
Code List
Visit Description
CL Item
Visit 2 (1)
CL Item
Visit 3 (2)
CL Item
Visit 4 (3)
CL Item
Visit 5 (4)
CL Item
Visit 6 (5)
CL Item
Visit 7 (6)
Item Group
Medications taken diary
C3890583 (UMLS CUI-1)
C0013227 (UMLS CUI-2)
Medical Problems
Item
Medical Problems
text
C1254481 (UMLS CUI [1])
Date Medical problem started
Item
Date Medical problem started
date
C1254481 (UMLS CUI [1,1])
C0808070 (UMLS CUI [1,2])
Date Medical problem stopped
Item
Date Medical problem stopped
date
C1254481 (UMLS CUI [1,1])
C0806020 (UMLS CUI [1,2])
Medication(s) Taken for Medical Problem
Item
Medication(s) Taken for Medical Problem
text
C1254481 (UMLS CUI [1,1])
C0013227 (UMLS CUI [1,2])
Date Medication started
Item
Date Medication started
date
C3173309 (UMLS CUI [1])
Date Medication stopped
Item
Date Medication stopped
date
C1531784 (UMLS CUI [1])
Item Group
Unscheduled Asthma Healthcare Contacts
C0086388 (UMLS CUI-1)
C0004096 (UMLS CUI-2)
C3854240 (UMLS CUI-3)
C0332158 (UMLS CUI-4)
Date of Contact
Item
Date of Contact
date
C4683435 (UMLS CUI [1])
Contact Method/ Treatment Site - Number of Telephone Calls
Item
Contact Method/ Treatment Site - Number of Telephone Calls
integer
C3812666 (UMLS CUI [1,1])
C0025663 (UMLS CUI [1,2])
C0337950 (UMLS CUI [2])
C0302186 (UMLS CUI [3,1])
C0449788 (UMLS CUI [3,2])
Contact Method/ Treatment Site - Number of Home Visits Day
Item
Contact Method/ Treatment Site - Number of Home Visits Day
integer
C3812666 (UMLS CUI [1,1])
C0025663 (UMLS CUI [1,2])
C0337950 (UMLS CUI [2])
C0020043 (UMLS CUI [3,1])
C0449788 (UMLS CUI [3,2])
C0439228 (UMLS CUI [3,3])
Contact Method/ Treatment Site - Number of Home Visits Night
Item
Contact Method/ Treatment Site - Number of Home Visits Night
integer
C3812666 (UMLS CUI [1,1])
C0025663 (UMLS CUI [1,2])
C0337950 (UMLS CUI [2])
C0020043 (UMLS CUI [3,1])
C0449788 (UMLS CUI [3,2])
C0240526 (UMLS CUI [3,3])
Contact Method/ Treatment Site - Number of Physician Office/ Practice Visits
Item
Contact Method/ Treatment Site - Number of Physician Office/ Practice Visits
integer
C3812666 (UMLS CUI [1,1])
C0025663 (UMLS CUI [1,2])
C0337950 (UMLS CUI [2])
C0545082 (UMLS CUI [3,1])
C0031834 (UMLS CUI [3,2])
C0449788 (UMLS CUI [3,3])
Contact Method/ Treatment Site - Number of Urgent Care/ Outpatient Clinic Visits
Item
Contact Method/ Treatment Site - Number of Urgent Care/ Outpatient Clinic Visits
integer
C3812666 (UMLS CUI [1,1])
C0025663 (UMLS CUI [1,2])
C0337950 (UMLS CUI [2])
C0449788 (UMLS CUI [3,1])
C1551285 (UMLS CUI [3,2])
C0008952 (UMLS CUI [3,3])
C0029921 (UMLS CUI [3,4])
Contact Method/ Treatment Site - Number of Emergency Room Visits
Item
Contact Method/ Treatment Site - Number of Emergency Room Visits
integer
C3812666 (UMLS CUI [1,1])
C0025663 (UMLS CUI [1,2])
C0337950 (UMLS CUI [2])
C2114437 (UMLS CUI [3,1])
C0449788 (UMLS CUI [3,2])
Contact Method/ Treatment Site - Inpatient Hospitalisation (Number of Days) - ICU
Item
Contact Method/ Treatment Site - Inpatient Hospitalisation (Number of Days) - ICU
integer
C3812666 (UMLS CUI [1,1])
C0025663 (UMLS CUI [1,2])
C0337950 (UMLS CUI [2])
C0420496 (UMLS CUI [3,1])
C0021708 (UMLS CUI [3,2])
Contact Method/ Treatment Site - Inpatient Hospitalisation (Number of Days) - General Ward
Item
Contact Method/ Treatment Site - Inpatient Hospitalisation (Number of Days) - General Ward
integer
C3812666 (UMLS CUI [1,1])
C0025663 (UMLS CUI [1,2])
C0337950 (UMLS CUI [2])
C0420496 (UMLS CUI [3,1])
C0043030 (UMLS CUI [3,2])
Reason for Contact
Item
Reason for Contact
text
C1547629 (UMLS CUI [1])
Was this contact due to an asthma exacerbation?
Item
Was this contact due to an asthma exacerbation?
boolean
C3812666 (UMLS CUI [1,1])
C0349790 (UMLS CUI [1,2])
C0678226 (UMLS CUI [1,3])

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