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Medical History, Physical Examination

1 forms  
Administrative data
Description

Administrative data

Alias
UMLS CUI-1
C1320722
Subject Identifier
Description

Clinical Trial Subject Unique Identifier

Data type

integer

Alias
UMLS CUI [1]
C2348585
Cohort
Description

Cohort

Data type

integer

Alias
UMLS CUI [1]
C0599755
Date of Visit
Description

Date of Visit

Data type

date

Alias
UMLS CUI [1]
C1320303
General Medical History / Physical Examination
Description

General Medical History / Physical Examination

Alias
UMLS CUI-1
C0262926
UMLS CUI-2
C0031809
Are you aware of any pre-existing conditions or signs and/or symptoms present in the subject prior to the start of the study?
Description

If yes, please give diagnosis in the repeating item group and select appropriate Past/Current box(es)

Data type

boolean

Alias
UMLS CUI [1]
C0521987
UMLS CUI [2,1]
C0037088
UMLS CUI [2,2]
C2347804
UMLS CUI [2,3]
C0332152
Diagnosis
Description

Diagnosis

Alias
UMLS CUI-1
C0011900
MedDRA System Organ class
Description

MedDRA System Organ class

Data type

integer

Alias
UMLS CUI [1]
C2347091
Diagnosis
Description

Diagnosis

Data type

text

Alias
UMLS CUI [1]
C0011900
Past medical condition
Description

Selection of both "past" and "current" condition possible.

Data type

boolean

Alias
UMLS CUI [1,1]
C0012634
UMLS CUI [1,2]
C0332119
Current medical condition
Description

Selection of both "past" and "current" condition possible.

Data type

boolean

Alias
UMLS CUI [1,1]
C0521116
UMLS CUI [1,2]
C0012634
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Similar models

Medical History, Physical Examination

1 forms
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Administrative data
C1320722 (UMLS CUI-1)
Clinical Trial Subject Unique Identifier
Item
Subject Identifier
integer
C2348585 (UMLS CUI [1])
Item
Cohort
integer
C0599755 (UMLS CUI [1])
Cohort
Code List
Cohort
CL Item
HIV-pos. (1)
CL Item
HIV-neg. exposed (2)
CL Item
HIV-neg. unexposed, 3+1 schedule (3)
CL Item
HIV-neg. unexposed, 3+0 schedule (4)
CL Item
HIV-neg. unexposed, 2+1 schedule (5)
Date of Visit
Item
Date of Visit
date
C1320303 (UMLS CUI [1])
Item Group
General Medical History / Physical Examination
C0262926 (UMLS CUI-1)
C0031809 (UMLS CUI-2)
Are you aware of any pre-existing conditions or signs and/or symptoms prior to the start of the study?
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?
boolean
C0521987 (UMLS CUI [1])
C0037088 (UMLS CUI [2,1])
C2347804 (UMLS CUI [2,2])
C0332152 (UMLS CUI [2,3])
Item Group
Diagnosis
C0011900 (UMLS CUI-1)
Item
MedDRA System Organ class
integer
C2347091 (UMLS CUI [1])
Location/ System
Code List
MedDRA System Organ class
CL Item
Eye (10)
CL Item
Respiratory, thoracic and mediastinal (5)
CL Item
Gastrointestinal (6)
CL Item
Musculoskeletal and connective tissue (2)
CL Item
Cardiac (3)
CL Item
Skin and subcutaneous tissue (1)
CL Item
Hepatobiliary (7)
CL Item
Renal and urinary (8)
CL Item
Endocrine (12)
CL Item
Ear and labyrinth (11)
CL Item
Vascular (4)
CL Item
Nervous system (9)
CL Item
Metabolism and nutrition (13)
CL Item
Blood and lymphatic system (14)
CL Item
Immune system (incl allergies, autoimmune disorders) (15)
CL Item
Infections and infestations (16)
CL Item
Neoplasms benign, malignant and unspecified (incl cysts, polyps) (17)
CL Item
Surgical and medical procedure (18)
CL Item
Other (99)
Diagnosis
Item
Diagnosis
text
C0011900 (UMLS CUI [1])
Past medical condition
Item
Past medical condition
boolean
C0012634 (UMLS CUI [1,1])
C0332119 (UMLS CUI [1,2])
Current medical condition
Item
Current medical condition
boolean
C0521116 (UMLS CUI [1,1])
C0012634 (UMLS CUI [1,2])
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