ID

41348

Beschrijving

Study ID: 105043/013 Clinical Study ID: 105043/013 Study Title: An Open-Label Study of Argatroban Injection to Evaluate the Safety and Effectiveness in Pediatric Patients Requiring Anticoagulant Alternatives to Heparin (Protocol SKF105043/013) Patient Level Data: Study Listed on ClinicalStudyDataRequest.com Clinicaltrials.gov Identifier: NCT00039858 Sponsor: GlaxoSmithKline Collaborators: Encysive Pharmaceuticals Phase: Phase 4 Study Recruitment Status: Completed Generic Name: Argatroban Trade Name: N/A Study Indication: Thrombosis This Study evaluates the safety and the efficacy of i.v. Argatroban treatment in paediatric patients which require anticoagulants but aren't suitable for Heparin treatment. The study consists of screening visit (pre-treatment examination), treatment period of maximum 14 days after reaching therapeutical dose, post-treatment visit (once the treatment is stopped or after 14 days) and a follow-up visit which follows 30 days (+/- 14 days) after clinical resolution of underlying condition or after the end of the 14-day study period. Treatment can be continued after the 14-day study period if needed but such treatment isn't part of this Study. See https://clinicaltrials.gov/ct2/show/NCT00039858 The Medical History Form has to be filled in at the screening visit. It is used to record details of medical history and prior surgical and other invasive procedures. To be completed within 7 days before treatment initiation.

Link

https://clinicaltrials.gov/ct2/show/NCT00039858

Trefwoorden

Versies (1)
  1. 02-09-20 02-09-20 -
Houder van rechten

GlaxoSmithKline

Geüploaded op

2 september 2020

DOI

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Licentie

Creative Commons BY-NC 4.0
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Safety and Efficacy of Argatroban in Pediatric Patients, NCT00039858

Engels

Medical History

1 Formulieren  
  1. StudyEvent: ODM
    1. Medical History
Administrative Data
Beschrijving

Administrative Data

Alias
UMLS CUI-1
C1320722
Site #
Beschrijving

Study centre number

Datatype

integer

Alias
UMLS CUI [1,1]
C0600091
UMLS CUI [1,2]
C0019994
Patient #
Beschrijving

patient ID

Datatype

integer

Alias
UMLS CUI [1]
C2348585
Visit Date
Beschrijving

visit date

Datatype

date

Alias
UMLS CUI [1]
C1320303
Investigator Name
Beschrijving

Investigator Name

Datatype

text

Alias
UMLS CUI [1]
C2826892
Medical / Surgical / Invasive Procedure History
Beschrijving

Medical / Surgical / Invasive Procedure History

Alias
UMLS CUI-1
C0262926
UMLS CUI-2
C0455610
None, check box if there are no significant conditions.
Beschrijving

No significant medical history

Datatype

boolean

Alias
UMLS CUI [1,1]
C0262926
UMLS CUI [1,2]
C0750502
UMLS CUI [1,3]
C0332197
Ear, nose, and throat
Beschrijving

Medical history: Ear, nose, and throat

Datatype

text

Alias
UMLS CUI [1,1]
C0262926
UMLS CUI [1,2]
C0395797
Ear, nose, and throat: If ‘Yes’, specify condition(s)
Beschrijving

Medical history: Ear, nose, and throat - specify

Datatype

text

Alias
UMLS CUI [1,1]
C0262926
UMLS CUI [1,2]
C0395797
UMLS CUI [1,3]
C1521902
Eyes
Beschrijving

Medical history: Eyes

Datatype

text

Alias
UMLS CUI [1,1]
C0262926
UMLS CUI [1,2]
C0015397
Eyes: If ‘Yes’, specify condition(s)
Beschrijving

Medical history: Eyes - specify

Datatype

text

Alias
UMLS CUI [1,1]
C0262926
UMLS CUI [1,2]
C0015397
UMLS CUI [1,3]
C1521902
Respiratory
Beschrijving

Medical history: Respiratory

Datatype

text

Alias
UMLS CUI [1,1]
C0262926
UMLS CUI [1,2]
C0035204
Respiratory: If ‘Yes’, specify condition(s)
Beschrijving

Medical history: Respiratory - specify

Datatype

text

Alias
UMLS CUI [1,1]
C0262926
UMLS CUI [1,2]
C0035204
UMLS CUI [1,3]
C1521902
Cardiovascular: Congenital Heart Disease
Beschrijving

Medical history: Congenital Heart Disease

Datatype

text

Alias
UMLS CUI [1,1]
C0262926
UMLS CUI [1,2]
C0152021
Cardiovascular: Congenital Heart Disease: If ‘Yes’, specify condition(s)
Beschrijving

Medical history: Congenital Heart Disease - specify

Datatype

text

Alias
UMLS CUI [1,1]
C0262926
UMLS CUI [1,2]
C0152021
UMLS CUI [1,3]
C1521902
Cardiovascular: Cardial Arrhythmia
Beschrijving

Medical history: Cardiac Arrhythmia

Datatype

text

Alias
UMLS CUI [1,1]
C0262926
UMLS CUI [1,2]
C0003811
Cardiovascular: Cardiac Arrhythmia: If ‘Yes’, specify condition(s)
Beschrijving

Medical history: Cardiac Arrhythmia

Datatype

text

Alias
UMLS CUI [1,1]
C0262926
UMLS CUI [1,2]
C0003811
UMLS CUI [1,3]
C1521902
Cardiovascular: Hypertension
Beschrijving

Medical history: Hypertension

Datatype

text

Alias
UMLS CUI [1,1]
C0262926
UMLS CUI [1,2]
C0020538
Cardiovascular: Hypertension: If ‘Yes’, specify condition(s)
Beschrijving

Medical history: Hypertension - specify

Datatype

text

Alias
UMLS CUI [1,1]
C0262926
UMLS CUI [1,2]
C0020538
UMLS CUI [1,3]
C1521902
Cardiovascular: Other
Beschrijving

Medical histroy: Other cardiovascular diseases

Datatype

text

Alias
UMLS CUI [1,1]
C0262926
UMLS CUI [1,2]
C0007222
UMLS CUI [1,3]
C0205394
Cardiovascular: Other: If ‘Yes’, specify condition(s)
Beschrijving

Medical histroy: Other cardiovascular diseases - specify

Datatype

text

Alias
UMLS CUI [1,1]
C0262926
UMLS CUI [1,2]
C0007222
UMLS CUI [1,3]
C0205394
UMLS CUI [1,4]
C1521902
Cardiovascular: Other
Beschrijving

Medical histroy: Other cardiovascular diseases

Datatype

text

Alias
UMLS CUI [1,1]
C0262926
UMLS CUI [1,2]
C0007222
UMLS CUI [1,3]
C0205394
Cardiovascular: Other: If ‘Yes’, specify condition(s)
Beschrijving

Medical histroy: Other cardiovascular diseases - specify

Datatype

text

Alias
UMLS CUI [1,1]
C0262926
UMLS CUI [1,2]
C0007222
UMLS CUI [1,3]
C0205394
UMLS CUI [1,4]
C1521902
Gastrointestinal
Beschrijving

Medical history: Gastrointestinal

Datatype

text

Alias
UMLS CUI [1,1]
C0262926
UMLS CUI [1,2]
C0017178
Gastrointestinal: If ‘Yes’, specify condition(s)
Beschrijving

Medical history: Gastrointestinal - specify

Datatype

text

Alias
UMLS CUI [1,1]
C0262926
UMLS CUI [1,2]
C0017178
UMLS CUI [1,3]
C1521902
Hepatobiliary and pancreas
Beschrijving

Medical history: Hepatobiliary and pancreas

Datatype

text

Alias
UMLS CUI [1,1]
C0262926
UMLS CUI [1,2]
C0267792
UMLS CUI [2,1]
C0262926
UMLS CUI [2,2]
C0030286
Hepatobiliary and pancreas: If ‘Yes’, specify condition(s)
Beschrijving

Medical history: Hepatobiliary and pancreas - specify

Datatype

text

Alias
UMLS CUI [1,1]
C0262926
UMLS CUI [1,2]
C0267792
UMLS CUI [1,3]
C1521902
UMLS CUI [2,1]
C0262926
UMLS CUI [2,2]
C0030286
UMLS CUI [2,3]
C1521902
Urinary system
Beschrijving

Medical history: Urinary system

Datatype

text

Alias
UMLS CUI [1,1]
C0262926
UMLS CUI [1,2]
C0042075
Urinary system: If ‘Yes’, specify condition(s)
Beschrijving

Medical history: Urinary system - specify

Datatype

text

Alias
UMLS CUI [1,1]
C0262926
UMLS CUI [1,2]
C0042075
UMLS CUI [1,3]
C1521902
Reproductive system
Beschrijving

Medical history: Reproductive system

Datatype

text

Alias
UMLS CUI [1,1]
C0262926
UMLS CUI [1,2]
C0178829
Reproductive system: If ‘Yes’, specify condition(s)
Beschrijving

Medical history: Reproductive system - specify

Datatype

text

Alias
UMLS CUI [1,1]
C0262926
UMLS CUI [1,2]
C0178829
UMLS CUI [1,3]
C1521902
Neurologic
Beschrijving

Medical history: Neurologic

Datatype

text

Alias
UMLS CUI [1,1]
C0262926
UMLS CUI [1,2]
C0027765
Neurologic: If ‘Yes’, specify condition(s)
Beschrijving

Medical history: Neurologic - specify

Datatype

text

Alias
UMLS CUI [1,1]
C0262926
UMLS CUI [1,2]
C0027765
UMLS CUI [1,3]
C1521902
Blood and lymphatic
Beschrijving

Medical history: Blood and lymphatic

Datatype

text

Alias
UMLS CUI [1,1]
C0262926
UMLS CUI [1,2]
C0851353
Blood and lymphatic: If ‘Yes’, specify condition(s)
Beschrijving

Medical history: Blood and lymphatic - specify

Datatype

text

Alias
UMLS CUI [1,1]
C0262926
UMLS CUI [1,2]
C0851353
UMLS CUI [1,3]
C1521902
Endocrine and metabolic: Diabetes/Glucose Intolerance
Beschrijving

Medical history: Diabetes/Glucose Intolerance

Datatype

text

Alias
UMLS CUI [1,1]
C0262926
UMLS CUI [1,2]
C0271650
UMLS CUI [2,1]
C0262926
UMLS CUI [2,2]
C0011849
Endocrine and metabolic: Diabetes/Glucose Intolerance - If ‘Yes’, specify condition(s)
Beschrijving

Medical history: Diabetes/Glucose Intolerance - specify

Datatype

text

Alias
UMLS CUI [1,1]
C0262926
UMLS CUI [1,2]
C0271650
UMLS CUI [1,3]
C1521902
UMLS CUI [2,1]
C0262926
UMLS CUI [2,2]
C0011849
UMLS CUI [2,3]
C1521902
Endocrine and metabolic: Other
Beschrijving

Medical history: Other endocrine diseases

Datatype

text

Alias
UMLS CUI [1,1]
C0262926
UMLS CUI [1,2]
C0014130
UMLS CUI [1,3]
C0205394
Endocrine and metabolic: Other: If ‘Yes’, specify condition(s)
Beschrijving

Medical history: Other endocrine diseases - specify

Datatype

text

Alias
UMLS CUI [1,1]
C0262926
UMLS CUI [1,2]
C0014130
UMLS CUI [1,3]
C0205394
UMLS CUI [1,4]
C1521902
Musculoskeletal
Beschrijving

Medical history: Musculoskeletal

Datatype

text

Alias
UMLS CUI [1,1]
C0026857
UMLS CUI [1,2]
C0262926
Musculoskeletal: If ‘Yes’, specify condition(s)
Beschrijving

Medical history: Musculoskeletal - specify

Datatype

text

Alias
UMLS CUI [1,1]
C0026857
UMLS CUI [1,2]
C0262926
UMLS CUI [1,3]
C1521902
Skin
Beschrijving

Medical history: Skin

Datatype

text

Alias
UMLS CUI [1,1]
C0262926
UMLS CUI [1,2]
C0037274
Skin: If ‘Yes’, specify condition(s)
Beschrijving

Medical history: Skin - specify

Datatype

text

Alias
UMLS CUI [1,1]
C0262926
UMLS CUI [1,2]
C0037274
UMLS CUI [1,3]
C1521902
Psychiatric
Beschrijving

Medical history: Psychiatric

Datatype

text

Alias
UMLS CUI [1,1]
C0262926
UMLS CUI [1,2]
C0004936
Psychiatric: If ‘Yes’, specify condition(s)
Beschrijving

Medical history: Psychiatric - specify

Datatype

text

Alias
UMLS CUI [1,1]
C0262926
UMLS CUI [1,2]
C0004936
UMLS CUI [1,3]
C1521902
Allergies
Beschrijving

Medical history: Allergies

Datatype

text

Alias
UMLS CUI [1,1]
C0262926
UMLS CUI [1,2]
C0020517
Allergies: If ‘Yes’, specify condition(s)
Beschrijving

Medical history: Allergies - specify

Datatype

text

Alias
UMLS CUI [1,1]
C0262926
UMLS CUI [1,2]
C0020517
UMLS CUI [1,3]
C1521902
Other
Beschrijving

Medical history: Other

Datatype

text

Alias
UMLS CUI [1,1]
C0262926
UMLS CUI [1,2]
C0205394
Other: If ‘Yes’, specify condition(s)
Beschrijving

Medical history: Other - specify

Datatype

text

Alias
UMLS CUI [1,1]
C0262926
UMLS CUI [1,2]
C0205394
UMLS CUI [1,3]
C1521902
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Similar models

Medical History

1 Formulieren
  1. StudyEvent: ODM
    1. Medical History
Name
Type
Description | Question | Decode (Coded Value)
Datatype
Alias
Item Group
Administrative Data
C1320722 (UMLS CUI-1)
Study centre number
Item
Site #
integer
C0600091 (UMLS CUI [1,1])
C0019994 (UMLS CUI [1,2])
patient ID
Item
Patient #
integer
C2348585 (UMLS CUI [1])
visit date
Item
Visit Date
date
C1320303 (UMLS CUI [1])
Investigator Name
Item
Investigator Name
text
C2826892 (UMLS CUI [1])
Item Group
Medical / Surgical / Invasive Procedure History
C0262926 (UMLS CUI-1)
C0455610 (UMLS CUI-2)
No significant medical history
Item
None, check box if there are no significant conditions.
boolean
C0262926 (UMLS CUI [1,1])
C0750502 (UMLS CUI [1,2])
C0332197 (UMLS CUI [1,3])
Item
Ear, nose, and throat
text
C0262926 (UMLS CUI [1,1])
C0395797 (UMLS CUI [1,2])
Medical history: Ear, nose, and throat
Code List
Ear, nose, and throat
CL Item
Yes (Yes)
CL Item
No (No)
Medical history: Ear, nose, and throat - specify
Item
Ear, nose, and throat: If ‘Yes’, specify condition(s)
text
C0262926 (UMLS CUI [1,1])
C0395797 (UMLS CUI [1,2])
C1521902 (UMLS CUI [1,3])
Item
Eyes
text
C0262926 (UMLS CUI [1,1])
C0015397 (UMLS CUI [1,2])
Medical history: Ear, nose, and throat
Code List
Eyes
CL Item
Yes (Yes)
CL Item
No (No)
Medical history: Eyes - specify
Item
Eyes: If ‘Yes’, specify condition(s)
text
C0262926 (UMLS CUI [1,1])
C0015397 (UMLS CUI [1,2])
C1521902 (UMLS CUI [1,3])
Item
Respiratory
text
C0262926 (UMLS CUI [1,1])
C0035204 (UMLS CUI [1,2])
Medical history: Ear, nose, and throat
Code List
Respiratory
CL Item
Yes (Yes)
CL Item
No (No)
Medical history: Respiratory - specify
Item
Respiratory: If ‘Yes’, specify condition(s)
text
C0262926 (UMLS CUI [1,1])
C0035204 (UMLS CUI [1,2])
C1521902 (UMLS CUI [1,3])
Item
Cardiovascular: Congenital Heart Disease
text
C0262926 (UMLS CUI [1,1])
C0152021 (UMLS CUI [1,2])
Medical history: Ear, nose, and throat
Code List
Cardiovascular: Congenital Heart Disease
CL Item
Yes (Yes)
CL Item
No (No)
Medical history: Congenital Heart Disease - specify
Item
Cardiovascular: Congenital Heart Disease: If ‘Yes’, specify condition(s)
text
C0262926 (UMLS CUI [1,1])
C0152021 (UMLS CUI [1,2])
C1521902 (UMLS CUI [1,3])
Item
Cardiovascular: Cardial Arrhythmia
text
C0262926 (UMLS CUI [1,1])
C0003811 (UMLS CUI [1,2])
Medical history: Ear, nose, and throat
Code List
Cardiovascular: Cardial Arrhythmia
CL Item
Yes (Yes)
CL Item
No (No)
Medical history: Cardiac Arrhythmia
Item
Cardiovascular: Cardiac Arrhythmia: If ‘Yes’, specify condition(s)
text
C0262926 (UMLS CUI [1,1])
C0003811 (UMLS CUI [1,2])
C1521902 (UMLS CUI [1,3])
Item
Cardiovascular: Hypertension
text
C0262926 (UMLS CUI [1,1])
C0020538 (UMLS CUI [1,2])
Medical history: Ear, nose, and throat
Code List
Cardiovascular: Hypertension
CL Item
Yes (Yes)
CL Item
No (No)
Medical history: Hypertension - specify
Item
Cardiovascular: Hypertension: If ‘Yes’, specify condition(s)
text
C0262926 (UMLS CUI [1,1])
C0020538 (UMLS CUI [1,2])
C1521902 (UMLS CUI [1,3])
Item
Cardiovascular: Other
text
C0262926 (UMLS CUI [1,1])
C0007222 (UMLS CUI [1,2])
C0205394 (UMLS CUI [1,3])
Medical history: Ear, nose, and throat
Code List
Cardiovascular: Other
CL Item
Yes (Yes)
CL Item
No (No)
Medical histroy: Other cardiovascular diseases - specify
Item
Cardiovascular: Other: If ‘Yes’, specify condition(s)
text
C0262926 (UMLS CUI [1,1])
C0007222 (UMLS CUI [1,2])
C0205394 (UMLS CUI [1,3])
C1521902 (UMLS CUI [1,4])
Item
Cardiovascular: Other
text
C0262926 (UMLS CUI [1,1])
C0007222 (UMLS CUI [1,2])
C0205394 (UMLS CUI [1,3])
Medical history: Ear, nose, and throat
Code List
Cardiovascular: Other
CL Item
Yes (Yes)
CL Item
No (No)
Medical histroy: Other cardiovascular diseases - specify
Item
Cardiovascular: Other: If ‘Yes’, specify condition(s)
text
C0262926 (UMLS CUI [1,1])
C0007222 (UMLS CUI [1,2])
C0205394 (UMLS CUI [1,3])
C1521902 (UMLS CUI [1,4])
Item
Gastrointestinal
text
C0262926 (UMLS CUI [1,1])
C0017178 (UMLS CUI [1,2])
Medical history: Ear, nose, and throat
Code List
Gastrointestinal
CL Item
Yes (Yes)
CL Item
No (No)
Medical history: Gastrointestinal - specify
Item
Gastrointestinal: If ‘Yes’, specify condition(s)
text
C0262926 (UMLS CUI [1,1])
C0017178 (UMLS CUI [1,2])
C1521902 (UMLS CUI [1,3])
Item
Hepatobiliary and pancreas
text
C0262926 (UMLS CUI [1,1])
C0267792 (UMLS CUI [1,2])
C0262926 (UMLS CUI [2,1])
C0030286 (UMLS CUI [2,2])
Medical history: Ear, nose, and throat
Code List
Hepatobiliary and pancreas
CL Item
Yes (Yes)
CL Item
No (No)
Medical history: Hepatobiliary and pancreas - specify
Item
Hepatobiliary and pancreas: If ‘Yes’, specify condition(s)
text
C0262926 (UMLS CUI [1,1])
C0267792 (UMLS CUI [1,2])
C1521902 (UMLS CUI [1,3])
C0262926 (UMLS CUI [2,1])
C0030286 (UMLS CUI [2,2])
C1521902 (UMLS CUI [2,3])
Item
Urinary system
text
C0262926 (UMLS CUI [1,1])
C0042075 (UMLS CUI [1,2])
Medical history: Ear, nose, and throat
Code List
Urinary system
CL Item
Yes (Yes)
CL Item
No (No)
Medical history: Urinary system - specify
Item
Urinary system: If ‘Yes’, specify condition(s)
text
C0262926 (UMLS CUI [1,1])
C0042075 (UMLS CUI [1,2])
C1521902 (UMLS CUI [1,3])
Item
Reproductive system
text
C0262926 (UMLS CUI [1,1])
C0178829 (UMLS CUI [1,2])
Medical history: Ear, nose, and throat
Code List
Reproductive system
CL Item
Yes (Yes)
CL Item
No (No)
Medical history: Reproductive system - specify
Item
Reproductive system: If ‘Yes’, specify condition(s)
text
C0262926 (UMLS CUI [1,1])
C0178829 (UMLS CUI [1,2])
C1521902 (UMLS CUI [1,3])
Item
Neurologic
text
C0262926 (UMLS CUI [1,1])
C0027765 (UMLS CUI [1,2])
Medical history: Ear, nose, and throat
Code List
Neurologic
CL Item
Yes (Yes)
CL Item
No (No)
Medical history: Neurologic - specify
Item
Neurologic: If ‘Yes’, specify condition(s)
text
C0262926 (UMLS CUI [1,1])
C0027765 (UMLS CUI [1,2])
C1521902 (UMLS CUI [1,3])
Item
Blood and lymphatic
text
C0262926 (UMLS CUI [1,1])
C0851353 (UMLS CUI [1,2])
Medical history: Ear, nose, and throat
Code List
Blood and lymphatic
CL Item
Yes (Yes)
CL Item
No (No)
Medical history: Blood and lymphatic - specify
Item
Blood and lymphatic: If ‘Yes’, specify condition(s)
text
C0262926 (UMLS CUI [1,1])
C0851353 (UMLS CUI [1,2])
C1521902 (UMLS CUI [1,3])
Item
Endocrine and metabolic: Diabetes/Glucose Intolerance
text
C0262926 (UMLS CUI [1,1])
C0271650 (UMLS CUI [1,2])
C0262926 (UMLS CUI [2,1])
C0011849 (UMLS CUI [2,2])
Medical history: Ear, nose, and throat
Code List
Endocrine and metabolic: Diabetes/Glucose Intolerance
CL Item
Yes (Yes)
CL Item
No (No)
Medical history: Diabetes/Glucose Intolerance - specify
Item
Endocrine and metabolic: Diabetes/Glucose Intolerance - If ‘Yes’, specify condition(s)
text
C0262926 (UMLS CUI [1,1])
C0271650 (UMLS CUI [1,2])
C1521902 (UMLS CUI [1,3])
C0262926 (UMLS CUI [2,1])
C0011849 (UMLS CUI [2,2])
C1521902 (UMLS CUI [2,3])
Item
Endocrine and metabolic: Other
text
C0262926 (UMLS CUI [1,1])
C0014130 (UMLS CUI [1,2])
C0205394 (UMLS CUI [1,3])
Medical history: Ear, nose, and throat
Code List
Endocrine and metabolic: Other
CL Item
Yes (Yes)
CL Item
No (No)
Item
Endocrine and metabolic: Other: If ‘Yes’, specify condition(s)
text
C0262926 (UMLS CUI [1,1])
C0014130 (UMLS CUI [1,2])
C0205394 (UMLS CUI [1,3])
C1521902 (UMLS CUI [1,4])
Medical history: Ear, nose, and throat
Code List
Endocrine and metabolic: Other: If ‘Yes’, specify condition(s)
Item
Musculoskeletal
text
C0026857 (UMLS CUI [1,1])
C0262926 (UMLS CUI [1,2])
Medical history: Ear, nose, and throat
Code List
Musculoskeletal
CL Item
Yes (Yes)
CL Item
No (No)
Medical history: Musculoskeletal - specify
Item
Musculoskeletal: If ‘Yes’, specify condition(s)
text
C0026857 (UMLS CUI [1,1])
C0262926 (UMLS CUI [1,2])
C1521902 (UMLS CUI [1,3])
Item
Skin
text
C0262926 (UMLS CUI [1,1])
C0037274 (UMLS CUI [1,2])
Medical history: Ear, nose, and throat
Code List
Skin
CL Item
Yes (Yes)
CL Item
No (No)
Item
Skin: If ‘Yes’, specify condition(s)
text
C0262926 (UMLS CUI [1,1])
C0037274 (UMLS CUI [1,2])
C1521902 (UMLS CUI [1,3])
Medical history: Ear, nose, and throat
Code List
Skin: If ‘Yes’, specify condition(s)
Item
Psychiatric
text
C0262926 (UMLS CUI [1,1])
C0004936 (UMLS CUI [1,2])
Medical history: Ear, nose, and throat
Code List
Psychiatric
CL Item
Yes (Yes)
CL Item
No (No)
Item
Psychiatric: If ‘Yes’, specify condition(s)
text
C0262926 (UMLS CUI [1,1])
C0004936 (UMLS CUI [1,2])
C1521902 (UMLS CUI [1,3])
Medical history: Ear, nose, and throat
Code List
Psychiatric: If ‘Yes’, specify condition(s)
Item
Allergies
text
C0262926 (UMLS CUI [1,1])
C0020517 (UMLS CUI [1,2])
Medical history: Ear, nose, and throat
Code List
Allergies
CL Item
Yes (Yes)
CL Item
No (No)
Item
Allergies: If ‘Yes’, specify condition(s)
text
C0262926 (UMLS CUI [1,1])
C0020517 (UMLS CUI [1,2])
C1521902 (UMLS CUI [1,3])
Medical history: Ear, nose, and throat
Code List
Allergies: If ‘Yes’, specify condition(s)
Item
Other
text
C0262926 (UMLS CUI [1,1])
C0205394 (UMLS CUI [1,2])
Medical history: Ear, nose, and throat
Code List
Other
CL Item
Yes (Yes)
CL Item
No (No)
Medical history: Other - specify
Item
Other: If ‘Yes’, specify condition(s)
text
C0262926 (UMLS CUI [1,1])
C0205394 (UMLS CUI [1,2])
C1521902 (UMLS CUI [1,3])
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