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Diary Card 2: Medical Problems - Visit 1-12

1 forms  
Administrative data
Description

Administrative data

Alias
UMLS CUI-1
C1320722
Subject Identifier
Description

Subject Identifier

Data type

integer

Alias
UMLS CUI [1]
C2348585
Medical problem
Description

Medical problem

Alias
UMLS CUI-1
C1254481
Medical Problem
Description

Record all medical problem(s) you have experienced AND record all medication(s) you took on that date to treat the problem(s). Do NOT include study-related medications

Data type

text

Alias
UMLS CUI [1]
C1254481
Date Medical Problem Started
Description

Date Medical Problem Started

Data type

date

Alias
UMLS CUI [1,1]
C1254481
UMLS CUI [1,2]
C0808070
Date Medical Problem Stopped
Description

Date Medical Problem Stopped

Data type

date

Alias
UMLS CUI [1,1]
C1254481
UMLS CUI [1,2]
C0806020
Medications Taken for Medical Problem
Description

Medications Taken for Medical Problem

Data type

text

Alias
UMLS CUI [1,1]
C1254481
UMLS CUI [1,2]
C0013227
Date Medication Started
Description

Date Medication Started

Data type

date

Alias
UMLS CUI [1]
C3173309
Date Medication Stopped
Description

Date Medication Stopped

Data type

date

Alias
UMLS CUI [1]
C1531784
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Similar models

Diary Card 2: Medical Problems - Visit 1-12

1 forms
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Administrative data
C1320722 (UMLS CUI-1)
Subject Identifier
Item
Subject Identifier
integer
C2348585 (UMLS CUI [1])
Item Group
Medical problem
C1254481 (UMLS CUI-1)
Item
Medical Problem
text
C1254481 (UMLS CUI [1])
Medical Problem
Code List
Medical Problem
CL Item
Problem 1 (1)
CL Item
Problem 2 (2)
CL Item
Problem 3 (3)
CL Item
Problem 4 (4)
CL Item
Problem 5 (5)
CL Item
Problem 6 (6)
CL Item
Problem 7 (7)
CL Item
Problem 8 (8)
CL Item
Problem 9 (9)
CL Item
Problem 10 (10)
CL Item
Problem 11 (11)
CL Item
Problem 12 (12)
CL Item
Problem 13 (13)
CL Item
Problem 14 (14)
CL Item
Problem 15 (15)
CL Item
Problem 16 (16)
CL Item
Problem 17 (17)
CL Item
Problem 18 (18)
CL Item
Problem 19 (19)
CL Item
Problem 20 (20)
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])
Medications Taken for Medical Problem
Item
Medications 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])
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