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ID
41402
Description
Study ID: 111476 Clinical Study ID: 111476 Study Title: An open, single-arm trial to assess the clinical activity of recMAGE-A3 + AS15 in patients with unresectable MAGE-A3-positive metastatic cutaneous melanoma Patient Level Data: Study Listed on ClinicalStudyDataRequest.com Clinicaltrials.gov Identifier: NCT00942162 Sponsor: GlaxoSmithKline Phase: Phase 2 Study Recruitment Status: Completed Generic Name: Antigen-Specific Cancer Immunotherapeutic Study Indication: Melanoma
Keywords
Versions (5)
- 9/28/20 9/28/20 -
- 9/28/20 9/28/20 -
- 9/29/20 9/29/20 -
- 9/29/20 9/29/20 -
- 11/2/20 11/2/20 -
Copyright Holder
GlaxoSmithKline
Uploaded on
September 29, 2020
DOI
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License
Creative Commons BY 4.0
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Clinical activity of recMAGE-A3 + AS15 in patients with metastatic cutaneous melanoma NCT00942162
Immune Mediated Disease Report; General Medical History; Relevant Risk Factors; Neurological Events; Myasthenia Gravis; Uveitis
Similar models
Immune Mediated Disease Report; General Medical History; Relevant Risk Factors; Neurological Events; Myasthenia Gravis; Uveitis
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Centre Number
Item
Centre Number
text
C0600091 (UMLS CUI [1,1])
C0019994 (UMLS CUI [1,2])
C0019994 (UMLS CUI [1,2])
Patient Number
Item
Patient Number
text
C2348585 (UMLS CUI [1])
Has any confirmed or probable Immune Mediated Disease occurred during the study?
Item
Has any confirmed or probable Immune Mediated Disease occurred during the study?
boolean
C0012634 (UMLS CUI [1,1])
C4330477 (UMLS CUI [1,2])
C4330477 (UMLS CUI [1,2])
Item
If Immune Mediated Diasease occured during study, tick the disease category
text
C0012634 (UMLS CUI [1,1])
C4330477 (UMLS CUI [1,2])
C2745955 (UMLS CUI [2])
C0683312 (UMLS CUI [3])
C4330477 (UMLS CUI [1,2])
C2745955 (UMLS CUI [2])
C0683312 (UMLS CUI [3])
Code List
If Immune Mediated Diasease occured during study, tick the disease category
CL Item
Neurological events: Guillain-Barre syndrome, Multiple sclerosis, Optic neuritis, Myelitis Transverse, Demyelinating disease (1)
CL Item
Myasthenia gravis (2)
CL Item
Uveitis (3)
CL Item
Rheumatoid diseases: Rheumatoid arthritis, Juvenile rheumatoid arthritis, Polymyalgia rheumatica, Reactive arthritis, Reiter syndrome, Ankylosing spondilitis, Psoriasis arthritis, Undifferienciated spondylarthropathy (4)
CL Item
Systemic lupus erythematosus or Cutaneous lupus (5)
CL Item
Sjogren’s syndrome (6)
CL Item
Scleroderma or Morphea (7)
CL Item
Dermatomyositis or Polymyositis (8)
CL Item
Diabetes Mellitus type I (9)
CL Item
Autoimmune thyroid diseases: Grave-Basedow disease, Hashimoto thyroiditis, Autoimmune thyroiditis (10)
CL Item
Addison’s disease (11)
CL Item
Inflammatory bowel diseases: Crohn’s disease, Ulcerative colitis, Ulcerative proctitis (12)
CL Item
Coeliac disease (13)
CL Item
Antiphospholipid syndrome (14)
CL Item
Autoimmune haemolytic anaemia (15)
CL Item
Idiopathic thrombocytopenic purpura (16)
CL Item
Pernicious anaemia (17)
CL Item
Vasculitis: Leukocytoclatic vasculitis, Periarteritis nodosa, Microscopic polyangiitis, Wegener’s granulomatosis, Henoch-Schonlein purpura, Churg Strauss disease, Kawasaki disease, Temporal arteritis, Giant cell arteritis, Takayasu’s arteritis, (18)
CL Item
(Glomerulo)nephritis (19)
CL Item
Inflammatory skin diseases: Pemphigus, Bullous pemphigoid, Dermatitis herpetiformis, Stevens-Johnson syndrome, Psoriasis, Vitiligo, Raynaud’s phenomen, Raynaud disease, Erythema nodosum (20)
CL Item
Autoimmune myocarditis (21)
CL Item
Autoimmune liver disease: Autoimmune hepatitis, primary biliary cirrhosis, primary sclerosing cholangitis (22)
CL Item
Sarcoidosis (23)
CL Item
Other, specify (24)
Are you aware of any pre-existing conditions present in Patient or in close family (father, mother or sister/brother) prior the start of the study?
Item
Are you aware of any pre-existing conditions present in Patient or in close family (father, mother or sister/brother) prior the start of the study?
boolean
C0521987 (UMLS CUI [1])
C0030705 (UMLS CUI [2])
C0086282 (UMLS CUI [3])
C0015671 (UMLS CUI [4])
C0026591 (UMLS CUI [5])
C0337514 (UMLS CUI [6])
C0337527 (UMLS CUI [7])
C0030705 (UMLS CUI [2])
C0086282 (UMLS CUI [3])
C0015671 (UMLS CUI [4])
C0026591 (UMLS CUI [5])
C0337514 (UMLS CUI [6])
C0337527 (UMLS CUI [7])
Diagnosis
Item
Diagnosis
text
C0011900 (UMLS CUI [1])
Item
Pre-existing conditions present in Patient or in close family
integer
C0521987 (UMLS CUI [1])
C0030705 (UMLS CUI [2])
C0086282 (UMLS CUI [3])
C0030705 (UMLS CUI [2])
C0086282 (UMLS CUI [3])
Code List
Pre-existing conditions present in Patient or in close family
CL Item
Patient (1)
CL Item
Father (2)
CL Item
Mother (3)
CL Item
Sister/ Brother (4)
CL Item
Past (1)
CL Item
Current (2)
Are you aware of any other pre-existing conditions in other family members or of relevant risk factors (occupational, life style,…) in the Patient?
Item
Are you aware of any other pre-existing conditions in other family members or of relevant risk factors (occupational, life style,…) in the Patient?
boolean
C0521987 (UMLS CUI [1])
C0086282 (UMLS CUI [2,1])
C0205394 (UMLS CUI [2,2])
C0035648 (UMLS CUI [3])
C0014006 (UMLS CUI [4])
C0023676 (UMLS CUI [5])
C0086282 (UMLS CUI [2,1])
C0205394 (UMLS CUI [2,2])
C0035648 (UMLS CUI [3])
C0014006 (UMLS CUI [4])
C0023676 (UMLS CUI [5])
Pre-existing conditions or Risk factors details
Item
Pre-existing conditions or Risk factors details
text
C0521987 (UMLS CUI [1])
C0035648 (UMLS CUI [2])
C1522508 (UMLS CUI [3])
C0035648 (UMLS CUI [2])
C1522508 (UMLS CUI [3])
Item
Neurological Event Diagnosis
integer
C0027763 (UMLS CUI [1,1])
C0877248 (UMLS CUI [1,2])
C0011900 (UMLS CUI [1,3])
C0877248 (UMLS CUI [1,2])
C0011900 (UMLS CUI [1,3])
CL Item
Guillain-Barre syndrome (1)
CL Item
Multiple sclerosis (2)
CL Item
Optic neuritis (3)
CL Item
Myelitis Transverse (4)
CL Item
Demyelinating disease (5)
CL Item
Other, specify (6)
Specify other diagnosis
Item
Specify other diagnosis
text
C0011900 (UMLS CUI [1])
C0205394 (UMLS CUI [2,1])
C2348235 (UMLS CUI [2,2])
C0205394 (UMLS CUI [2,1])
C2348235 (UMLS CUI [2,2])
Please specify related adverse event: SAE Case No.
Item
Please specify related adverse event: SAE Case No.
integer
C1519255 (UMLS CUI [1,1])
C0237753 (UMLS CUI [1,2])
C0237753 (UMLS CUI [1,2])
Please specify related adverse event: AE No.
Item
Please specify related adverse event: AE No.
integer
C1518404 (UMLS CUI [1,1])
C0237753 (UMLS CUI [1,2])
C0237753 (UMLS CUI [1,2])
Date of final diagnosis:
Item
Date of final diagnosis:
date
C2316983 (UMLS CUI [1,1])
C1546485 (UMLS CUI [1,2])
C1546485 (UMLS CUI [1,2])
Item Group
Neurological Events - Signs and Symptoms
C0027763 (UMLS CUI-1)
C0877248 (UMLS CUI-2)
C0037088 (UMLS CUI-3)
C0877248 (UMLS CUI-2)
C0037088 (UMLS CUI-3)
Item
Neurological Events - Signs and Symptoms
integer
C0027763 (UMLS CUI [1,1])
C0877248 (UMLS CUI [1,2])
C0037088 (UMLS CUI [2])
C0877248 (UMLS CUI [1,2])
C0037088 (UMLS CUI [2])
CL Item
Headache (1)
CL Item
Neck stiffness (2)
CL Item
Photophobia (3)
CL Item
Lethargy (4)
CL Item
Decreased level of consciousness (5)
CL Item
Cognitive dysfunction (Attention spam, Concentration, Memory, Judgment) (6)
CL Item
Depression (7)
CL Item
Meningismus (8)
CL Item
Sensory loss, specify localisation (9)
CL Item
Paresthesia (10)
CL Item
Motor dysfunction onset acute (11)
CL Item
Motor dysfunction onset chronic (12)
CL Item
Motor dysfunction onset symmetric (13)
CL Item
Motor dysfunction onset asymmetric (14)
CL Item
Hemiparesis, specify localisation (15)
CL Item
Paraparesis, specify localisation (16)
CL Item
Paralysis, specify localisation (17)
CL Item
Respiratory muscle involvement (18)
CL Item
Spasticity, specify localisation (19)
CL Item
Muscle cramping secondary to spasticity (20)
CL Item
Seizures (21)
Item
Neurological Events - Signs and Symptoms present
text
C0027763 (UMLS CUI [1,1])
C0877248 (UMLS CUI [1,2])
C0037088 (UMLS CUI [2,1])
C0150312 (UMLS CUI [2,2])
C0877248 (UMLS CUI [1,2])
C0037088 (UMLS CUI [2,1])
C0150312 (UMLS CUI [2,2])
CL Item
Yes (Y)
CL Item
No (N)
CL Item
Unknown (U)
CL Item
Not Applicable (NA)
Neurological Events - Signs and Symptoms start date
Item
Neurological Events - Signs and Symptoms start date
date
C0027763 (UMLS CUI [1,1])
C0877248 (UMLS CUI [1,2])
C0037088 (UMLS CUI [2,1])
C0808070 (UMLS CUI [2,2])
C0877248 (UMLS CUI [1,2])
C0037088 (UMLS CUI [2,1])
C0808070 (UMLS CUI [2,2])
Neurological Events - Signs and Symptoms end date
Item
Neurological Events - Signs and Symptoms end date
date
C0027763 (UMLS CUI [1,1])
C0877248 (UMLS CUI [1,2])
C0037088 (UMLS CUI [2,1])
C0806020 (UMLS CUI [2,2])
C0877248 (UMLS CUI [1,2])
C0037088 (UMLS CUI [2,1])
C0806020 (UMLS CUI [2,2])
Item
Neurological Events - Signs and Symptoms continuing at end of study
integer
C0027763 (UMLS CUI [1,1])
C0877248 (UMLS CUI [1,2])
C0037088 (UMLS CUI [2])
C0549178 (UMLS CUI [3,1])
C0444496 (UMLS CUI [3,2])
C0877248 (UMLS CUI [1,2])
C0037088 (UMLS CUI [2])
C0549178 (UMLS CUI [3,1])
C0444496 (UMLS CUI [3,2])
Code List
Neurological Events - Signs and Symptoms continuing at end of study
CL Item
Continuing at end of study (1)
Item Group
Neurological Events - Signs and Symptoms - Seizures
C0027763 (UMLS CUI-1)
C0877248 (UMLS CUI-2)
C0037088 (UMLS CUI-3)
C0036572 (UMLS CUI-4)
C0877248 (UMLS CUI-2)
C0037088 (UMLS CUI-3)
C0036572 (UMLS CUI-4)
Item
Neurological Events - Specify seizures
integer
C0027763 (UMLS CUI [1,1])
C0877248 (UMLS CUI [1,2])
C0036572 (UMLS CUI [2,1])
C2348235 (UMLS CUI [2,2])
C0877248 (UMLS CUI [1,2])
C0036572 (UMLS CUI [2,1])
C2348235 (UMLS CUI [2,2])
CL Item
Focal (1)
CL Item
Generalised (2)
CL Item
Convulsive (3)
CL Item
Sensitive (4)
Neurological Events - Number of seizure episodes
Item
Neurological Events - Number of seizure episodes
integer
C0027763 (UMLS CUI [1,1])
C0877248 (UMLS CUI [1,2])
C0036572 (UMLS CUI [2,1])
C4086638 (UMLS CUI [2,2])
C0877248 (UMLS CUI [1,2])
C0036572 (UMLS CUI [2,1])
C4086638 (UMLS CUI [2,2])
Neurological Events - Duration of longest seizure episode
Item
Neurological Events - Duration of longest seizure episode
text
C0027763 (UMLS CUI [1,1])
C0877248 (UMLS CUI [1,2])
C0449238 (UMLS CUI [2])
C0332189 (UMLS CUI [3,1])
C1522425 (UMLS CUI [3,2])
C0036572 (UMLS CUI [4])
C0877248 (UMLS CUI [1,2])
C0449238 (UMLS CUI [2])
C0332189 (UMLS CUI [3,1])
C1522425 (UMLS CUI [3,2])
C0036572 (UMLS CUI [4])
Item Group
Neurological Events - Signs and Symptoms
C0027763 (UMLS CUI-1)
C0877248 (UMLS CUI-2)
C0037088 (UMLS CUI-3)
C0877248 (UMLS CUI-2)
C0037088 (UMLS CUI-3)
Item
Neurological Events - Signs and Symptoms
integer
C0027763 (UMLS CUI [1,1])
C0877248 (UMLS CUI [1,2])
C0037088 (UMLS CUI [2])
C0877248 (UMLS CUI [1,2])
C0037088 (UMLS CUI [2])
CL Item
Hyperreflexia, specify (1)
CL Item
Deep tendon reflexes, specify (2)
CL Item
Urinary retention (3)
CL Item
Urinary incontinence (4)
CL Item
Bowel dysfunction, specify (5)
CL Item
Sexual dysfunction (6)
CL Item
Disarthria (7)
CL Item
Unsteady gait, ataxia (8)
CL Item
Tremor (9)
CL Item
Coordination disturbance, dysmetria (10)
CL Item
Hearing impairment (11)
CL Item
Diplopia (12)
CL Item
Aphasia / dysphasia (13)
CL Item
Facial palsy unilateral (14)
CL Item
Facial palsy bilateral (15)
CL Item
Trigeminal neuralgia unilateral (16)
CL Item
Trigeminal neuralgia bilateral (17)
CL Item
Pain in limbs, specify (18)
CL Item
Orbital pain (19)
CL Item
Loss of vision (20)
CL Item
Central scotoma (21)
CL Item
Flashes of light (22)
CL Item
Color vision disturbed (23)
CL Item
Optic neuritis bilateral (24)
CL Item
Optic neuritis unilateral (25)
CL Item
Myelitis Transverse acute (26)
CL Item
Myelitis Transverse chronic (27)
CL Item
Myelitis Transverse partial (28)
CL Item
Myelitis Transverse total (29)
CL Item
Myelitis Transverse, lesion level, specify (30)
CL Item
Lhermitte sign (Neck flexion results in an electric shocklike feeling in the torso or extremities) (31)
Specify Hyperreflexia
Item
Specify Hyperreflexia
text
C0151889 (UMLS CUI [1,1])
C2348235 (UMLS CUI [1,2])
C2348235 (UMLS CUI [1,2])
Specify Bowel dysfunction
Item
Specify Bowel dysfunction
text
C2004461 (UMLS CUI [1,1])
C2348235 (UMLS CUI [1,2])
C2348235 (UMLS CUI [1,2])
Specify Pain in limbs
Item
Specify Pain in limbs
text
C0015385 (UMLS CUI [1,1])
C0030193 (UMLS CUI [1,2])
C2348235 (UMLS CUI [1,3])
C0030193 (UMLS CUI [1,2])
C2348235 (UMLS CUI [1,3])
Specify Myelitis Transverse, lesion level
Item
Specify Myelitis Transverse, lesion level
text
C0026976 (UMLS CUI [1])
C0221198 (UMLS CUI [2])
C2348235 (UMLS CUI [3])
C0221198 (UMLS CUI [2])
C2348235 (UMLS CUI [3])
Item
Neurological Events - Signs and symptoms present
text
C0027763 (UMLS CUI [1,1])
C0877248 (UMLS CUI [1,2])
C0037088 (UMLS CUI [2,1])
C0150312 (UMLS CUI [2,2])
C0877248 (UMLS CUI [1,2])
C0037088 (UMLS CUI [2,1])
C0150312 (UMLS CUI [2,2])
CL Item
Yes (Y)
CL Item
No (N)
CL Item
Unknown (U)
CL Item
Not Applicable (NA)
Neurological Events - Signs and symptoms start date
Item
Neurological Events - Signs and symptoms start date
date
C0027763 (UMLS CUI [1,1])
C0877248 (UMLS CUI [1,2])
C0037088 (UMLS CUI [2,1])
C0808070 (UMLS CUI [2,2])
C0877248 (UMLS CUI [1,2])
C0037088 (UMLS CUI [2,1])
C0808070 (UMLS CUI [2,2])
Neurological Events - Signs and symptoms end date
Item
Neurological Events - Signs and symptoms end date
date
C0027763 (UMLS CUI [1,1])
C0877248 (UMLS CUI [1,2])
C0037088 (UMLS CUI [2,1])
C0806020 (UMLS CUI [2,2])
C0877248 (UMLS CUI [1,2])
C0037088 (UMLS CUI [2,1])
C0806020 (UMLS CUI [2,2])
Item
Neurological Events - Signs and symptoms continuing at end of study
integer
C0027763 (UMLS CUI [1,1])
C0877248 (UMLS CUI [1,2])
C0037088 (UMLS CUI [2])
C0549178 (UMLS CUI [3,1])
C0444496 (UMLS CUI [3,2])
C0877248 (UMLS CUI [1,2])
C0037088 (UMLS CUI [2])
C0549178 (UMLS CUI [3,1])
C0444496 (UMLS CUI [3,2])
Code List
Neurological Events - Signs and symptoms continuing at end of study
CL Item
Continuing at end of study (1)
Item Group
Neurological Events - Other signs and symptoms
C0027763 (UMLS CUI-1)
C0877248 (UMLS CUI-2)
C0037088 (UMLS CUI-3)
C0205394 (UMLS CUI-4)
C0877248 (UMLS CUI-2)
C0037088 (UMLS CUI-3)
C0205394 (UMLS CUI-4)
Item
If any other signs and symptoms, please tick the box and complete below
integer
C0037088 (UMLS CUI [1,1])
C0205394 (UMLS CUI [1,2])
C0205394 (UMLS CUI [1,2])
Code List
If any other signs and symptoms, please tick the box and complete below
CL Item
Other signs and symptoms (1)
Item Group
Neurological Events - Other signs and symptoms
C0027763 (UMLS CUI-1)
C0877248 (UMLS CUI-2)
C0037088 (UMLS CUI-3)
C0205394 (UMLS CUI-4)
C0877248 (UMLS CUI-2)
C0037088 (UMLS CUI-3)
C0205394 (UMLS CUI-4)
Neurological Events - Other signs and symptoms
Item
Neurological Events - Other signs and symptoms
text
C0027763 (UMLS CUI [1])
C0877248 (UMLS CUI [2,1])
C0205394 (UMLS CUI [2,2])
C0877248 (UMLS CUI [2,1])
C0205394 (UMLS CUI [2,2])
Neurological Events - Other signs and symptoms start date
Item
Neurological Events - Other signs and symptoms start date
date
C0027763 (UMLS CUI [1])
C0877248 (UMLS CUI [2,1])
C0205394 (UMLS CUI [2,2])
C0808070 (UMLS CUI [3])
C0877248 (UMLS CUI [2,1])
C0205394 (UMLS CUI [2,2])
C0808070 (UMLS CUI [3])
Neurological Events - Other signs and symptoms end date
Item
Neurological Events - Other signs and symptoms end date
date
C0027763 (UMLS CUI [1,1])
C0877248 (UMLS CUI [1,2])
C0037088 (UMLS CUI [2,1])
C0205394 (UMLS CUI [2,2])
C0806020 (UMLS CUI [3])
C0877248 (UMLS CUI [1,2])
C0037088 (UMLS CUI [2,1])
C0205394 (UMLS CUI [2,2])
C0806020 (UMLS CUI [3])
Item
Neurological Events - Other signs and symptoms continuing at end of study
integer
C0027763 (UMLS CUI [1,1])
C0877248 (UMLS CUI [1,2])
C0037088 (UMLS CUI [2,1])
C0205394 (UMLS CUI [2,2])
C0549178 (UMLS CUI [3,1])
C0444496 (UMLS CUI [3,2])
C0877248 (UMLS CUI [1,2])
C0037088 (UMLS CUI [2,1])
C0205394 (UMLS CUI [2,2])
C0549178 (UMLS CUI [3,1])
C0444496 (UMLS CUI [3,2])
Code List
Neurological Events - Other signs and symptoms continuing at end of study
CL Item
Continuing at end of study (1)
Item Group
Neurological Events - Diagnostic Test Results
C0027763 (UMLS CUI-1)
C0877248 (UMLS CUI-2)
C0456984 (UMLS CUI-3)
C0430022 (UMLS CUI-4)
C0877248 (UMLS CUI-2)
C0456984 (UMLS CUI-3)
C0430022 (UMLS CUI-4)
Item
Neurological Events - Test
integer
C0027763 (UMLS CUI [1,1])
C0877248 (UMLS CUI [1,2])
C2826273 (UMLS CUI [2])
C0877248 (UMLS CUI [1,2])
C2826273 (UMLS CUI [2])
CL Item
CSF Total protein (1)
CL Item
CSF IgG elevated (2)
CL Item
CSF Oligoclonal bands (3)
CL Item
CSF white blood cells (4)
CL Item
CSF lymphocytes (5)
CL Item
CSF neutrophyls (6)
CL Item
CSF Glucose (7)
CL Item
White Blood Cells (8)
CL Item
Neutrophils (9)
CL Item
Lymphocytes (10)
CL Item
Monocytes (11)
CL Item
Eosinophils (12)
CL Item
Basophils (13)
CL Item
Red blood cells (14)
CL Item
Platelets (15)
CL Item
Erythrocyte Sedimentation Rate (ESR) (16)
CL Item
Serum C-reactive protein (CRP) (17)
CL Item
Serum sodium (18)
CL Item
Serum chloride (19)
CL Item
Serum calcium (20)
CL Item
Serum magnesium (21)
CL Item
Alanine amino Transferase (ALT) (22)
CL Item
Aspartate amino Transferase (AST) (23)
CL Item
Alkaline Phosphatase (AP) (24)
CL Item
Rheumatoid factor (RF) (25)
CL Item
Anti-nuclear antibodies (ANA) (26)
Item
Neurological Events - Test done
text
C0027763 (UMLS CUI [1,1])
C0877248 (UMLS CUI [1,2])
C0022885 (UMLS CUI [2,1])
C1272695 (UMLS CUI [2,2])
C0877248 (UMLS CUI [1,2])
C0022885 (UMLS CUI [2,1])
C1272695 (UMLS CUI [2,2])
CL Item
Yes (Y)
CL Item
No (N)
CL Item
Unknown (U)
CL Item
Not Applicable (NA)
Neurological Events - Test date
Item
Neurological Events - Test date
date
C0027763 (UMLS CUI [1,1])
C0877248 (UMLS CUI [1,2])
C2826247 (UMLS CUI [2])
C0877248 (UMLS CUI [1,2])
C2826247 (UMLS CUI [2])
Neurological Events - Test Result
Item
Neurological Events - Test Result
float
C0027763 (UMLS CUI [1,1])
C0877248 (UMLS CUI [1,2])
C0587081 (UMLS CUI [2])
C0877248 (UMLS CUI [1,2])
C0587081 (UMLS CUI [2])
Neurological Events - Test Units
Item
Neurological Events - Test Units
text
C0027763 (UMLS CUI [1,1])
C0877248 (UMLS CUI [1,2])
C1519795 (UMLS CUI [2])
C0877248 (UMLS CUI [1,2])
C1519795 (UMLS CUI [2])
Neurological Events - Low Norm
Item
Neurological Events - Low Norm
float
C0027763 (UMLS CUI [1,1])
C0877248 (UMLS CUI [1,2])
C0086715 (UMLS CUI [2,1])
C0205251 (UMLS CUI [2,2])
C0877248 (UMLS CUI [1,2])
C0086715 (UMLS CUI [2,1])
C0205251 (UMLS CUI [2,2])
Neurological Events - High Norm
Item
Neurological Events - High Norm
float
C0027763 (UMLS CUI [1,1])
C0877248 (UMLS CUI [1,2])
C0086715 (UMLS CUI [2,1])
C0205250 (UMLS CUI [2,2])
C0877248 (UMLS CUI [1,2])
C0086715 (UMLS CUI [2,1])
C0205250 (UMLS CUI [2,2])
Item Group
Neurological Events - Other Diagnostic Test Results
C0027763 (UMLS CUI-1)
C0877248 (UMLS CUI-2)
C0456984 (UMLS CUI-3)
C0430022 (UMLS CUI-4)
C0205394 (UMLS CUI-5)
C0877248 (UMLS CUI-2)
C0456984 (UMLS CUI-3)
C0430022 (UMLS CUI-4)
C0205394 (UMLS CUI-5)
Item
If any other diagnostic test results are available, please tick the box and complete below
integer
C0456984 (UMLS CUI [1,1])
C0430022 (UMLS CUI [1,2])
C0205394 (UMLS CUI [1,3])
C0430022 (UMLS CUI [1,2])
C0205394 (UMLS CUI [1,3])
Code List
If any other diagnostic test results are available, please tick the box and complete below
CL Item
Other diagnostic test results available (1)
Item Group
Neurological Events - Other Diagnostic Test Results
C0027763 (UMLS CUI-1)
C0877248 (UMLS CUI-2)
C0456984 (UMLS CUI-3)
C0430022 (UMLS CUI-4)
C0205394 (UMLS CUI-5)
C0877248 (UMLS CUI-2)
C0456984 (UMLS CUI-3)
C0430022 (UMLS CUI-4)
C0205394 (UMLS CUI-5)
Neurological Events - Test
Item
Neurological Events - Test
text
C0027763 (UMLS CUI [1,1])
C0877248 (UMLS CUI [1,2])
C2826273 (UMLS CUI [2])
C0877248 (UMLS CUI [1,2])
C2826273 (UMLS CUI [2])
Neurological Events - Test date
Item
Neurological Events - Test date
date
C0027763 (UMLS CUI [1,1])
C0877248 (UMLS CUI [1,2])
C2826247 (UMLS CUI [2])
C0877248 (UMLS CUI [1,2])
C2826247 (UMLS CUI [2])
Neurological Events - Test Result
Item
Neurological Events - Test Result
float
C0027763 (UMLS CUI [1,1])
C0877248 (UMLS CUI [1,2])
C0587081 (UMLS CUI [2])
C0877248 (UMLS CUI [1,2])
C0587081 (UMLS CUI [2])
Neurological Events - Test Units
Item
Neurological Events - Test Units
text
C0027763 (UMLS CUI [1,1])
C0877248 (UMLS CUI [1,2])
C1519795 (UMLS CUI [2])
C0877248 (UMLS CUI [1,2])
C1519795 (UMLS CUI [2])
Neurological Events - Low Norm
Item
Neurological Events - Low Norm
float
C0027763 (UMLS CUI [1,1])
C0877248 (UMLS CUI [1,2])
C0086715 (UMLS CUI [2,1])
C0205251 (UMLS CUI [2,2])
C0877248 (UMLS CUI [1,2])
C0086715 (UMLS CUI [2,1])
C0205251 (UMLS CUI [2,2])
Neurological Events - High Norm
Item
Neurological Events - High Norm
float
C0027763 (UMLS CUI [1,1])
C0877248 (UMLS CUI [1,2])
C0086715 (UMLS CUI [2,1])
C0205250 (UMLS CUI [2,2])
C0877248 (UMLS CUI [1,2])
C0086715 (UMLS CUI [2,1])
C0205250 (UMLS CUI [2,2])
Item Group
Neurological Events - Other diagnostic Procedure
C0027763 (UMLS CUI-1)
C0877248 (UMLS CUI-2)
C0430022 (UMLS CUI-3)
C0205394 (UMLS CUI-4)
C0877248 (UMLS CUI-2)
C0430022 (UMLS CUI-3)
C0205394 (UMLS CUI-4)
Describe any other diagnostic procedure supporting the diagnosis
Item
Describe any other diagnostic procedure supporting the diagnosis (Magnetic Resonance Image, Evoqued Potential Tests, Ophtalmologic examination, Electrophysiologic examination, Myelography, CT scan, Viral serology, Tests for bacterial infections)
text
C0430022 (UMLS CUI [1,1])
C0205394 (UMLS CUI [1,2])
C0011900 (UMLS CUI [2])
C0024485 (UMLS CUI [3])
C0015214 (UMLS CUI [4])
C0029087 (UMLS CUI [5,1])
C0031809 (UMLS CUI [5,2])
C0013865 (UMLS CUI [6,1])
C0031809 (UMLS CUI [6,2])
C0026995 (UMLS CUI [7])
C0040405 (UMLS CUI [8])
C0036743 (UMLS CUI [9,1])
C0521026 (UMLS CUI [9,2])
C0004623 (UMLS CUI [10,1])
C0022885 (UMLS CUI [10,2])
C0205394 (UMLS CUI [1,2])
C0011900 (UMLS CUI [2])
C0024485 (UMLS CUI [3])
C0015214 (UMLS CUI [4])
C0029087 (UMLS CUI [5,1])
C0031809 (UMLS CUI [5,2])
C0013865 (UMLS CUI [6,1])
C0031809 (UMLS CUI [6,2])
C0026995 (UMLS CUI [7])
C0040405 (UMLS CUI [8])
C0036743 (UMLS CUI [9,1])
C0521026 (UMLS CUI [9,2])
C0004623 (UMLS CUI [10,1])
C0022885 (UMLS CUI [10,2])
Please specify related adverse event: SAE Case No.
Item
Please specify related adverse event: SAE Case No.
integer
C1519255 (UMLS CUI [1,1])
C0237753 (UMLS CUI [1,2])
C0237753 (UMLS CUI [1,2])
Please specify related adverse event: AE No.
Item
Please specify related adverse event: AE No.
integer
C1518404 (UMLS CUI [1,1])
C0237753 (UMLS CUI [1,2])
C0237753 (UMLS CUI [1,2])
Date of final diagnosis:
Item
Date of final diagnosis:
date
C2316983 (UMLS CUI [1,1])
C1546485 (UMLS CUI [1,2])
C1546485 (UMLS CUI [1,2])
Item Group
Myasthenia Gravis - Signs and symptoms (supporting the final diagnosis)
C0026896 (UMLS CUI-1)
C0037088 (UMLS CUI-2)
C1546485 (UMLS CUI-3)
C0037088 (UMLS CUI-2)
C1546485 (UMLS CUI-3)
Item
Myasthenia Gravis - Signs and symptoms
integer
C0026896 (UMLS CUI [1])
C0037088 (UMLS CUI [2])
C0037088 (UMLS CUI [2])
CL Item
Muscle weakness symmetric (1)
CL Item
Muscle weakness asymmetric (2)
CL Item
Ptosis (3)
CL Item
Diplopia (4)
CL Item
Facial weakness (5)
CL Item
Mask-like face (6)
CL Item
Horizontal smile (7)
CL Item
Head extension and flexion weakness (8)
CL Item
Oropharyngeal muscle weakness (9)
CL Item
Dysphagia (10)
CL Item
Dysarthria (11)
CL Item
Upper limb muscle weakness (12)
CL Item
Lower limb muscle weakness (13)
CL Item
Axial muscle weakness (14)
CL Item
Respiratory muscle weakness (15)
CL Item
Difficult breathing (16)
CL Item
Hyperthyroidism (17)
CL Item
Rheumatoid arthritis (18)
CL Item
Scleroderma (19)
CL Item
Lupus (20)
Item
Myasthenia Gravis - Signs and symptoms present
text
C0026896 (UMLS CUI [1])
C0037088 (UMLS CUI [2])
C0150312 (UMLS CUI [3])
C0037088 (UMLS CUI [2])
C0150312 (UMLS CUI [3])
Code List
Myasthenia Gravis - Signs and symptoms present
CL Item
Yes (Y)
CL Item
No (N)
CL Item
Unknown (U)
CL Item
Not Applicable (NA)
Myasthenia Gravis - Signs and symptoms Start Date
Item
Myasthenia Gravis - Signs and symptoms Start Date
date
C0026896 (UMLS CUI [1])
C0037088 (UMLS CUI [2])
C0808070 (UMLS CUI [3])
C0037088 (UMLS CUI [2])
C0808070 (UMLS CUI [3])
Myasthenia Gravis - Signs and symptoms End date
Item
Myasthenia Gravis - Signs and symptoms End date
date
C0026896 (UMLS CUI [1])
C0037088 (UMLS CUI [2])
C0806020 (UMLS CUI [3])
C0037088 (UMLS CUI [2])
C0806020 (UMLS CUI [3])
Item
Myasthenia Gravis - Signs and symptoms continuing at the end of study
text
C0026896 (UMLS CUI [1])
C0037088 (UMLS CUI [2])
C0549178 (UMLS CUI [3,1])
C0444496 (UMLS CUI [3,2])
C0037088 (UMLS CUI [2])
C0549178 (UMLS CUI [3,1])
C0444496 (UMLS CUI [3,2])
Code List
Myasthenia Gravis - Signs and symptoms continuing at the end of study
CL Item
Continuing at end of study (1)
Item Group
Myasthenia Gravis - Other Signs and symptoms
C0026896 (UMLS CUI-1)
C0037088 (UMLS CUI-2)
C0205394 (UMLS CUI-3)
C0037088 (UMLS CUI-2)
C0205394 (UMLS CUI-3)
Item
If any other signs and symptoms, please tick the box and complete below
integer
C0037088 (UMLS CUI [1,1])
C0205394 (UMLS CUI [1,2])
C0205394 (UMLS CUI [1,2])
Code List
If any other signs and symptoms, please tick the box and complete below
CL Item
Other signs and symptoms (1)
Item Group
Myasthenia Gravis - Other Signs and symptoms
C0026896 (UMLS CUI-1)
C0037088 (UMLS CUI-2)
C0205394 (UMLS CUI-3)
C0037088 (UMLS CUI-2)
C0205394 (UMLS CUI-3)
Myasthenia Gravis - Other Signs and symptoms
Item
Myasthenia Gravis - Other Signs and symptoms
text
C0026896 (UMLS CUI [1])
C0037088 (UMLS CUI [2,1])
C0205394 (UMLS CUI [2,2])
C0037088 (UMLS CUI [2,1])
C0205394 (UMLS CUI [2,2])
Myasthenia Gravis - Other Signs and symptoms Start Date
Item
Myasthenia Gravis - Other Signs and symptoms Start Date
date
C0026896 (UMLS CUI [1])
C0037088 (UMLS CUI [2,1])
C0205394 (UMLS CUI [2,2])
C0808070 (UMLS CUI [3])
C0037088 (UMLS CUI [2,1])
C0205394 (UMLS CUI [2,2])
C0808070 (UMLS CUI [3])
Myasthenia Gravis - Other Signs and symptoms End Date
Item
Myasthenia Gravis - Other Signs and symptoms End Date
date
C0026896 (UMLS CUI [1])
C0037088 (UMLS CUI [2,1])
C0205394 (UMLS CUI [2,2])
C0806020 (UMLS CUI [3])
C0037088 (UMLS CUI [2,1])
C0205394 (UMLS CUI [2,2])
C0806020 (UMLS CUI [3])
Item Group
Myasthenia Gravis - Diagnostic Test Results
C0026896 (UMLS CUI-1)
C0456984 (UMLS CUI-2)
C0456984 (UMLS CUI-2)
Item
Myasthenia Gravis - Test
integer
C0026896 (UMLS CUI [1])
C2826273 (UMLS CUI [2])
C2826273 (UMLS CUI [2])
CL Item
White Blood Cells (1)
CL Item
Neutrophils (2)
CL Item
Lymphocytes (3)
CL Item
Monocytes (4)
CL Item
Eosinophils (5)
CL Item
Basophils (6)
CL Item
Red blood cells (7)
CL Item
Platelets (8)
CL Item
Erythrocyte sedimentation rate (ESR) (9)
CL Item
Serum C-reactive protein (CRP) (10)
CL Item
Anti-acetylcholine receptor antibodies (anti-AChRs) (11)
CL Item
Anti-Muscle Specific Kinase antibodies (anti-MuSK) (12)
CL Item
Striational autoantibodies (skeletal muscle Ab) (13)
CL Item
Thyroxine Total T4 (14)
CL Item
Thyroxine Free T4 (15)
CL Item
TSH (16)
CL Item
Anti-thyroglobulin autoantibodies (17)
CL Item
Anti-thyroid peroxidase autoantibodies (18)
CL Item
Anti-TSH-Receptor antoantibodies (19)
CL Item
Rheumatoid Factor (RF) (20)
CL Item
Anti-Nuclear Antibodies (ANA) (21)
Item
Myasthenia Gravis - Test done
text
C0026896 (UMLS CUI [1])
C0022885 (UMLS CUI [2,1])
C1272695 (UMLS CUI [2,2])
C0022885 (UMLS CUI [2,1])
C1272695 (UMLS CUI [2,2])
CL Item
Yes (Y)
CL Item
No (N)
CL Item
Unknown (U)
CL Item
Not Applicable (NA)
Myasthenia Gravis - Test date
Item
Myasthenia Gravis - Test date
date
C0026896 (UMLS CUI [1])
C2826247 (UMLS CUI [2])
C2826247 (UMLS CUI [2])
Myasthenia Gravis - Test Result
Item
Myasthenia Gravis - Test Result
float
C0026896 (UMLS CUI [1])
C0587081 (UMLS CUI [2])
C0587081 (UMLS CUI [2])
Myasthenia Gravis - Test Units
Item
Myasthenia Gravis - Test Units
text
C0026896 (UMLS CUI [1])
C1519795 (UMLS CUI [2])
C1519795 (UMLS CUI [2])
Myasthenia Gravis - Low Norm
Item
Myasthenia Gravis - Low Norm
float
C0026896 (UMLS CUI [1])
C0086715 (UMLS CUI [2,1])
C0205251 (UMLS CUI [2,2])
C0086715 (UMLS CUI [2,1])
C0205251 (UMLS CUI [2,2])
Myasthenia Gravis - High Norm
Item
Myasthenia Gravis - High Norm
float
C0026896 (UMLS CUI [1])
C0086715 (UMLS CUI [2,1])
C0205250 (UMLS CUI [2,2])
C0086715 (UMLS CUI [2,1])
C0205250 (UMLS CUI [2,2])
Item Group
Myasthenia Gravis - Other Diagnostic Test Results
C0026896 (UMLS CUI-1)
C0456984 (UMLS CUI-2)
C0430022 (UMLS CUI-3)
C0205394 (UMLS CUI-4)
C0456984 (UMLS CUI-2)
C0430022 (UMLS CUI-3)
C0205394 (UMLS CUI-4)
Item
If any other diagnostic test results are available, please tick the box and complete below
integer
C0456984 (UMLS CUI [1,1])
C0430022 (UMLS CUI [1,2])
C0205394 (UMLS CUI [1,3])
C0430022 (UMLS CUI [1,2])
C0205394 (UMLS CUI [1,3])
Code List
If any other diagnostic test results are available, please tick the box and complete below
CL Item
Other diagnostic test results available (1)
Item Group
Myasthenia Gravis - Other Diagnostic Test Results
C0026896 (UMLS CUI-1)
C0456984 (UMLS CUI-2)
C0430022 (UMLS CUI-3)
C0205394 (UMLS CUI-4)
C0456984 (UMLS CUI-2)
C0430022 (UMLS CUI-3)
C0205394 (UMLS CUI-4)
Myasthenia Gravis - Test
Item
Myasthenia Gravis - Test
text
C0026896 (UMLS CUI [1])
C2826273 (UMLS CUI [2])
C2826273 (UMLS CUI [2])
Myasthenia Gravis - Test date
Item
Myasthenia Gravis - Test date
date
C0026896 (UMLS CUI [1])
C2826247 (UMLS CUI [2])
C2826247 (UMLS CUI [2])
Myasthenia Gravis - Test Result
Item
Myasthenia Gravis - Test Result
float
C0026896 (UMLS CUI [1])
C0587081 (UMLS CUI [2])
C0587081 (UMLS CUI [2])
Myasthenia Gravis - Test Units
Item
Myasthenia Gravis - Test Units
text
C0026896 (UMLS CUI [1])
C1519795 (UMLS CUI [2])
C1519795 (UMLS CUI [2])
Myasthenia Gravis - Low Norm
Item
Myasthenia Gravis - Low Norm
float
C0026896 (UMLS CUI [1])
C0086715 (UMLS CUI [2,1])
C0205251 (UMLS CUI [2,2])
C0086715 (UMLS CUI [2,1])
C0205251 (UMLS CUI [2,2])
Myasthenia Gravis - High Norm
Item
Myasthenia Gravis - High Norm
float
C0026896 (UMLS CUI [1])
C0086715 (UMLS CUI [2,1])
C0205250 (UMLS CUI [2,2])
C0086715 (UMLS CUI [2,1])
C0205250 (UMLS CUI [2,2])
Item Group
Myasthenia Gravis - Other diagnostic Procedure
C0026896 (UMLS CUI-1)
C0430022 (UMLS CUI-2)
C0205394 (UMLS CUI-3)
C0430022 (UMLS CUI-2)
C0205394 (UMLS CUI-3)
Describe any other diagnostic procedure supporting the diagnosis
Item
Describe any other diagnostic procedure supporting the diagnosis (Chest x-ray, Chest CT scan, Electrodiagnositic studies, Repetitive nerve stimulation, Single-fiber electromyography)
text
C0430022 (UMLS CUI [1,1])
C0205394 (UMLS CUI [1,2])
C0011900 (UMLS CUI [2])
C0039985 (UMLS CUI [3])
C0202823 (UMLS CUI [4])
C0430874 (UMLS CUI [5])
C0430810 (UMLS CUI [6])
C0474789 (UMLS CUI [7])
C0205394 (UMLS CUI [1,2])
C0011900 (UMLS CUI [2])
C0039985 (UMLS CUI [3])
C0202823 (UMLS CUI [4])
C0430874 (UMLS CUI [5])
C0430810 (UMLS CUI [6])
C0474789 (UMLS CUI [7])
Please specify related adverse event: SAE Case No.
Item
Please specify related adverse event: SAE Case No.
integer
C1519255 (UMLS CUI [1,1])
C0237753 (UMLS CUI [1,2])
C0237753 (UMLS CUI [1,2])
Please specify related adverse event: AE No.
Item
Please specify related adverse event: AE No.
text
C1518404 (UMLS CUI [1,1])
C0237753 (UMLS CUI [1,2])
C0237753 (UMLS CUI [1,2])
Date of final diagnosis:
Item
Date of final diagnosis:
date
C2316983 (UMLS CUI [1,1])
C1546485 (UMLS CUI [1,2])
C1546485 (UMLS CUI [1,2])
Item Group
Uveitis - Signs and symptoms (supporting the final diagnosis)
C0042164 (UMLS CUI-1)
C0037088 (UMLS CUI-2)
C1546485 (UMLS CUI-3)
C0037088 (UMLS CUI-2)
C1546485 (UMLS CUI-3)
Item
Uveitis - Signs and symptoms
integer
C0042164 (UMLS CUI [1])
C0037088 (UMLS CUI [2])
C0037088 (UMLS CUI [2])
CL Item
Eye redness (1)
CL Item
Eye pain (2)
CL Item
Impaired/blurred vision (3)
CL Item
Light sensitivity (4)
CL Item
Anterior uveitis (iritis, iridocyclitis, anterior cyclitis) (5)
CL Item
Intermediate uveitis (inflammation in the vitreousand/or retina) (6)
CL Item
Posterior uveitis (inflammation of the retina andthe choroid) (7)
CL Item
Panuveitis (8)
CL Item
Fever (9)
CL Item
Nervous findings, specify (10)
CL Item
Ear / nose / throat findings, specify (11)
CL Item
Gastrointestinal disoders, specify (12)
CL Item
Pulmonary disoders, specify (13)
CL Item
Genitourinary disoders, specify (14)
CL Item
Dermatologic disoders, specify (15)
CL Item
Musculoskeletal disoders, specify (16)
Uveitis - Specify nervous findings
Item
Uveitis - Specify nervous findings
text
C0042164 (UMLS CUI [1])
C0027763 (UMLS CUI [2,1])
C2607943 (UMLS CUI [2,2])
C0027763 (UMLS CUI [2,1])
C2607943 (UMLS CUI [2,2])
Uveitis - Specify ear/ nose / throat findings
Item
Uveitis - Specify ear/ nose / throat findings
text
C0042164 (UMLS CUI [1])
C0243095 (UMLS CUI [2])
C0243095 (UMLS CUI [2])
Uveitis - Specify gastrointestinal disorders
Item
Uveitis - Specify gastrointestinal disorders
text
C0042164 (UMLS CUI [1])
C0017178 (UMLS CUI [2])
C0017178 (UMLS CUI [2])
Uveitis - Specify Pulmonary disorders
Item
Uveitis - Specify Pulmonary disorders
text
C0042164 (UMLS CUI [1])
C0024115 (UMLS CUI [2])
C0024115 (UMLS CUI [2])
Uveitis - Specify genitourinary disoders
Item
Uveitis - Specify genitourinary disoders
text
C0042164 (UMLS CUI [1])
C0042066 (UMLS CUI [2])
C0042066 (UMLS CUI [2])
Uveitis - Specify dermatologic disoders
Item
Uveitis - Specify dermatologic disoders
text
C0042164 (UMLS CUI [1])
C0037274 (UMLS CUI [2])
C0037274 (UMLS CUI [2])
Uveitis - Specify musculoskeletal disoders
Item
Uveitis - Specify musculoskeletal disoders
text
C0042164 (UMLS CUI [1])
C0026857 (UMLS CUI [2])
C0026857 (UMLS CUI [2])
Item
Uveitis - Signs and symptoms present
text
C0042164 (UMLS CUI [1])
C0037088 (UMLS CUI [2])
C0150312 (UMLS CUI [3])
C0037088 (UMLS CUI [2])
C0150312 (UMLS CUI [3])
CL Item
Yes (Y)
CL Item
No (N)
CL Item
Unknown (U)
CL Item
Not Applicable (NA)
Uveitis - Signs and symptoms Start Date
Item
Uveitis - Signs and symptoms Start Date
date
C0042164 (UMLS CUI [1])
C0037088 (UMLS CUI [2])
C0808070 (UMLS CUI [3])
C0037088 (UMLS CUI [2])
C0808070 (UMLS CUI [3])
Uveitis - Signs and symptoms End date
Item
Uveitis - Signs and symptoms End date
date
C0042164 (UMLS CUI [1])
C0037088 (UMLS CUI [2])
C0806020 (UMLS CUI [3])
C0037088 (UMLS CUI [2])
C0806020 (UMLS CUI [3])
Item
Uveitis - Signs and symptoms continuing at the end of study
integer
C0042164 (UMLS CUI [1])
C0037088 (UMLS CUI [2])
C0549178 (UMLS CUI [3,1])
C0444496 (UMLS CUI [3,2])
C0037088 (UMLS CUI [2])
C0549178 (UMLS CUI [3,1])
C0444496 (UMLS CUI [3,2])
Code List
Uveitis - Signs and symptoms continuing at the end of study
CL Item
Continuing at end of study (1)
Item Group
Uveitis - Other Signs and symptoms
C0042164 (UMLS CUI-1)
C0037088 (UMLS CUI-2)
C0205394 (UMLS CUI-3)
C0037088 (UMLS CUI-2)
C0205394 (UMLS CUI-3)
Item
If any other signs and symptoms, please tick the box and complete below
integer
C0037088 (UMLS CUI [1,1])
C0205394 (UMLS CUI [1,2])
C0205394 (UMLS CUI [1,2])
Code List
If any other signs and symptoms, please tick the box and complete below
CL Item
Other signs and symptoms (1)
Item Group
Uveitis - Other Signs and symptoms
C0042164 (UMLS CUI-1)
C0037088 (UMLS CUI-2)
C0205394 (UMLS CUI-3)
C0037088 (UMLS CUI-2)
C0205394 (UMLS CUI-3)
Uveitis - Other Signs and symptoms
Item
Uveitis - Other Signs and symptoms
text
C0042164 (UMLS CUI [1])
C0037088 (UMLS CUI [2,1])
C0205394 (UMLS CUI [2,2])
C0037088 (UMLS CUI [2,1])
C0205394 (UMLS CUI [2,2])
Uveitis - Other Signs and symptoms Start Date
Item
Uveitis - Other Signs and symptoms Start Date
date
C0042164 (UMLS CUI [1])
C0037088 (UMLS CUI [2,1])
C0205394 (UMLS CUI [2,2])
C0808070 (UMLS CUI [3])
C0037088 (UMLS CUI [2,1])
C0205394 (UMLS CUI [2,2])
C0808070 (UMLS CUI [3])
Uveitis - Other Signs and symptoms End Date
Item
Uveitis - Other Signs and symptoms End Date
date
C0042164 (UMLS CUI [1])
C0037088 (UMLS CUI [2,1])
C0205394 (UMLS CUI [2,2])
C0806020 (UMLS CUI [3])
C0037088 (UMLS CUI [2,1])
C0205394 (UMLS CUI [2,2])
C0806020 (UMLS CUI [3])
Item Group
Uveitis - Diagnostic Test Results
C0042164 (UMLS CUI-1)
C0456984 (UMLS CUI-2)
C0456984 (UMLS CUI-2)
CL Item
White Blood Cells (1)
CL Item
Neutrophils (2)
CL Item
Lymphocytes (3)
CL Item
Monocytes (4)
CL Item
Eosinophils (5)
CL Item
Basophils (6)
CL Item
Red blood cells (7)
CL Item
Platelets (8)
CL Item
Erythrocyte sedimentation rate (ESR) (9)
CL Item
Serum C-reactive protein (CRP) (10)
Item
Uveitis - Test done
text
C0042164 (UMLS CUI [1])
C0022885 (UMLS CUI [2,1])
C1272695 (UMLS CUI [2,2])
C0022885 (UMLS CUI [2,1])
C1272695 (UMLS CUI [2,2])
CL Item
Yes (Y)
CL Item
No (N)
CL Item
Unknown (U)
CL Item
Not Applicable (NA)
Uveitis - Test date
Item
Uveitis - Test date
date
C0042164 (UMLS CUI [1])
C2826247 (UMLS CUI [2])
C2826247 (UMLS CUI [2])
Uveitis - Test Result
Item
Uveitis - Test Result
float
C0042164 (UMLS CUI [1])
C0587081 (UMLS CUI [2])
C0587081 (UMLS CUI [2])
Uveitis - Test Units
Item
Uveitis - Test Units
text
C0042164 (UMLS CUI [1])
C1519795 (UMLS CUI [2])
C1519795 (UMLS CUI [2])
Uveitis - Low Norm
Item
Uveitis - Low Norm
float
C0042164 (UMLS CUI [1])
C0086715 (UMLS CUI [2,1])
C0205251 (UMLS CUI [2,2])
C0086715 (UMLS CUI [2,1])
C0205251 (UMLS CUI [2,2])
Uveitis - High Norm
Item
Uveitis - High Norm
float
C0042164 (UMLS CUI [1])
C0086715 (UMLS CUI [2,1])
C0205250 (UMLS CUI [2,2])
C0086715 (UMLS CUI [2,1])
C0205250 (UMLS CUI [2,2])
Item Group
Uveitis - Other Diagnostic Test Results
C0042164 (UMLS CUI-1)
C0456984 (UMLS CUI-2)
C0430022 (UMLS CUI-3)
C0205394 (UMLS CUI-4)
C0456984 (UMLS CUI-2)
C0430022 (UMLS CUI-3)
C0205394 (UMLS CUI-4)
Item
If any other diagnostic test results are available, please tick the box and complete below
integer
C0456984 (UMLS CUI [1,1])
C0430022 (UMLS CUI [1,2])
C0205394 (UMLS CUI [1,3])
C0430022 (UMLS CUI [1,2])
C0205394 (UMLS CUI [1,3])
Code List
If any other diagnostic test results are available, please tick the box and complete below
CL Item
Other diagnostic test results available (1)
Item Group
Uveitis - Other Diagnostic Test Results
C0042164 (UMLS CUI-1)
C0456984 (UMLS CUI-2)
C0430022 (UMLS CUI-3)
C0205394 (UMLS CUI-4)
C0456984 (UMLS CUI-2)
C0430022 (UMLS CUI-3)
C0205394 (UMLS CUI-4)
Uveitis - Test
Item
Uveitis - Test
text
C0042164 (UMLS CUI [1])
C2826273 (UMLS CUI [2])
C2826273 (UMLS CUI [2])
Uveitis - Test date
Item
Uveitis - Test date
date
C0042164 (UMLS CUI [1])
C2826247 (UMLS CUI [2])
C2826247 (UMLS CUI [2])
Uveitis - Test Result
Item
Uveitis - Test Result
float
C0042164 (UMLS CUI [1])
C0587081 (UMLS CUI [2])
C0587081 (UMLS CUI [2])
Uveitis - Test Units
Item
Uveitis - Test Units
text
C0042164 (UMLS CUI [1])
C1519795 (UMLS CUI [2])
C1519795 (UMLS CUI [2])
Uveitis - Low Norm
Item
Uveitis - Low Norm
float
C0042164 (UMLS CUI [1])
C0086715 (UMLS CUI [2,1])
C0205251 (UMLS CUI [2,2])
C0086715 (UMLS CUI [2,1])
C0205251 (UMLS CUI [2,2])
Uveitis - High Norm
Item
Uveitis - High Norm
float
C0042164 (UMLS CUI [1])
C0086715 (UMLS CUI [2,1])
C0205250 (UMLS CUI [2,2])
C0086715 (UMLS CUI [2,1])
C0205250 (UMLS CUI [2,2])
Item Group
Uveitis - Other diagnostic Procedure
C0042164 (UMLS CUI-1)
C0430022 (UMLS CUI-2)
C0205394 (UMLS CUI-3)
C0430022 (UMLS CUI-2)
C0205394 (UMLS CUI-3)
Describe any other diagnostic procedure supporting the diagnosis
Item
Describe any other diagnostic procedure supporting the diagnosis (Slit-lamp photograph, Biomicroscopy)
text
C0430022 (UMLS CUI [1,1])
C0205394 (UMLS CUI [1,2])
C0011900 (UMLS CUI [2])
C0419360 (UMLS CUI [3])
C0205394 (UMLS CUI [1,2])
C0011900 (UMLS CUI [2])
C0419360 (UMLS CUI [3])