Visit 1: General Medical History

Administrative data
Beschreibung

Administrative data

Subject Number
Beschreibung

Subject Number

Datentyp

integer

Physical Examination
Beschreibung

Physical Examination

Are you aware of any pre-existing conditions or signs and/or symptoms present in the subject prior to the start of the study?
Beschreibung

Are you aware of any pre-existing conditions or signs and/or symptoms present in the subject prior to the start of the study?

Datentyp

text

Cutaneous
Beschreibung

Cutaneous

Diagnosis
Beschreibung

Diagnosis

Datentyp

text

Status
Beschreibung

Status

Datentyp

text

Eyes
Beschreibung

Eyes

Diagnosis
Beschreibung

Diagnosis

Datentyp

text

Status
Beschreibung

Status

Datentyp

text

Ears-Nose-Throat
Beschreibung

Ears-Nose-Throat

Diagnosis
Beschreibung

Diagnosis

Datentyp

text

Status
Beschreibung

Status

Datentyp

text

Cardiovascular
Beschreibung

Cardiovascular

Diagnosis
Beschreibung

Diagnosis

Datentyp

text

Status
Beschreibung

Status

Datentyp

text

Respiratory
Beschreibung

Respiratory

Diagnosis
Beschreibung

Diagnosis

Datentyp

text

Status
Beschreibung

Status

Datentyp

text

Gastrointestinal
Beschreibung

Gastrointestinal

Diagnosis
Beschreibung

Diagnosis

Datentyp

text

Status
Beschreibung

Status

Datentyp

text

Muskuloskeletal
Beschreibung

Muskuloskeletal

Diagnosis
Beschreibung

Diagnosis

Datentyp

text

Status
Beschreibung

Status

Datentyp

text

Neurological
Beschreibung

Neurological

Diagnosis
Beschreibung

Diagnosis

Datentyp

text

Status
Beschreibung

Status

Datentyp

text

Genitourinary
Beschreibung

Genitourinary

Diagnosis
Beschreibung

Diagnosis

Datentyp

text

Status
Beschreibung

Status

Datentyp

text

Haematology
Beschreibung

Haematology

Diagnosis
Beschreibung

Diagnosis

Datentyp

text

Status
Beschreibung

Status

Datentyp

text

Allergies
Beschreibung

Allergies

Diagnosis
Beschreibung

Diagnosis

Datentyp

text

Status
Beschreibung

Status

Datentyp

text

Endocrine
Beschreibung

Endocrine

Diagnosis
Beschreibung

Diagnosis

Datentyp

text

Status
Beschreibung

Status

Datentyp

text

Persistent crying
Beschreibung

Persistent crying

Diagnosis
Beschreibung

crying continuous (i.e., not episodic, not interrupted within the time period of 3 hours by e.g. naps) and unaltered for >=3 hours

Datentyp

text

Status
Beschreibung

Status

Datentyp

text

Other, specify
Beschreibung

Other, specify

Diagnosis
Beschreibung

Diagnosis

Datentyp

text

Status
Beschreibung

Status

Datentyp

text

Ähnliche Modelle

Visit 1: General Medical History

Name
Typ
Description | Question | Decode (Coded Value)
Datentyp
Alias
Item Group
Administrative data
Subject Number
Item
Subject Number
integer
Item Group
Physical Examination
Item
Are you aware of any pre-existing conditions or signs and/or symptoms present in the subject prior to the start of the study?
text
Code List
Are you aware of any pre-existing conditions or signs and/or symptoms present in the subject prior to the start of the study?
CL Item
Yes (please tick appropriate box(es) and give diagnosis (1)
CL Item
No (2)
Item Group
Cutaneous
Diagnosis
Item
Diagnosis
text
Item
Status
text
Code List
Status
CL Item
Past (1)
CL Item
Current (2)
Item Group
Eyes
Diagnosis
Item
Diagnosis
text
Item
Status
text
Code List
Status
CL Item
Past (1)
CL Item
Current (2)
Item Group
Ears-Nose-Throat
Diagnosis
Item
Diagnosis
text
Item
Status
text
Code List
Status
CL Item
Past (1)
CL Item
Current (2)
Item Group
Cardiovascular
Diagnosis
Item
Diagnosis
text
Item
Status
text
Code List
Status
CL Item
Past (1)
CL Item
Current (2)
Item Group
Respiratory
Diagnosis
Item
Diagnosis
text
Item
Status
text
Code List
Status
CL Item
Past (1)
CL Item
Current (2)
Item Group
Gastrointestinal
Diagnosis
Item
Diagnosis
text
Item
Status
text
Code List
Status
CL Item
Past (1)
CL Item
Current (2)
Item Group
Muskuloskeletal
Diagnosis
Item
Diagnosis
text
Item
Status
text
Code List
Status
CL Item
Past (1)
CL Item
Current (2)
Item Group
Neurological
Diagnosis
Item
Diagnosis
text
Item
Status
text
Code List
Status
CL Item
Past (1)
CL Item
Current (2)
Item Group
Genitourinary
Diagnosis
Item
Diagnosis
text
Item
Status
text
Code List
Status
CL Item
Past (1)
CL Item
Current (2)
Item Group
Haematology
Diagnosis
Item
Diagnosis
text
Item
Status
text
Code List
Status
CL Item
Past (1)
CL Item
Current (2)
Item Group
Allergies
Diagnosis
Item
Diagnosis
text
Item
Status
text
Code List
Status
CL Item
Past (1)
CL Item
Current (2)
Item Group
Endocrine
Diagnosis
Item
Diagnosis
text
Item
Status
text
Code List
Status
CL Item
Past (1)
CL Item
Current (2)
Item Group
Persistent crying
Diagnosis
Item
Diagnosis
text
Item
Status
text
Code List
Status
CL Item
Past (1)
CL Item
Current (2)
Item Group
Other, specify
Diagnosis
Item
Diagnosis
text
Item
Status
text
Code List
Status
CL Item
Past (1)
CL Item
Current (2)