Centre
Item
Centre
integer
C0600091 (UMLS CUI [1,1])
C0019994 (UMLS CUI [1,2])
Visit
Item
Visit
date
C1320303 (UMLS CUI [1])
Subject number
Item
Subject number
integer
C2348585 (UMLS CUI [1])
Informed Consent date
Item
Informed Consent date:
date
C2985782 (UMLS CUI [1])
Subject initials - First name
Item
Subject initials - First name
text
C1997894 (UMLS CUI [1,1])
C2986440 (UMLS CUI [1,2])
C1443235 (UMLS CUI [2])
Subject initials - Family Name
Item
Subject initials - Family Name
text
C1997894 (UMLS CUI [1,1])
C2986440 (UMLS CUI [1,2])
C1301584 (UMLS CUI [2])
Date of birth
Item
Date of birth
date
C0421451 (UMLS CUI [1])
Item
Race
text
C0034510 (UMLS CUI [1])
CL Item
OT (please specify) (Other)
If other race, please specify
Item
If other race, please specify
text
C0034510 (UMLS CUI [1,1])
C0205394 (UMLS CUI [1,2])
C2348235 (UMLS CUI [1,3])
Height
Item
Height
integer
C0005890 (UMLS CUI [1])
Weight
Item
Weight
float
C0005910 (UMLS CUI [1])
Is the subject eligible for the study, according to the criteria listed hereby
Item
Is the subject eligible for the study, according to the criteria listed hereby?
boolean
C0013893 (UMLS CUI [1])
Corresponding criterion number(s)
Item
Corresponding criterion number(s)
text
C1516637 (UMLS CUI [1,1])
C0237753 (UMLS CUI [1,2])
Investigator Signature
Item
Investigator Signature:
text
C2346576 (UMLS CUI [1])
Are you aware of any relevant medical history/medical condition
Item
Are you aware of any relevant medical history/medical condition?
boolean
C0262926 (UMLS CUI [1,1])
C0012634 (UMLS CUI [1,2])
Has a blood sample been taken
Item
Has a blood sample been taken?
boolean
C0005834 (UMLS CUI [1])
Temperature
Item
Temperature:
float
C0005903 (UMLS CUI [1])
Item
Route
integer
C0005903 (UMLS CUI [1,1])
C1515974 (UMLS CUI [1,2])
CL Item
Oral (applicable for all ages) (2)
CL Item
Rectal (applicable to 1 to 5 years old) (3)
Does the subject experience any of the following general solicited signs or symptoms just before injection
Item
Does the subject experience any of the following general solicited signs or symptoms just before injection?
boolean
C0159028 (UMLS CUI [1,1])
C1533685 (UMLS CUI [1,2])
C0332152 (UMLS CUI [1,3])