ID

41540

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

  1. 10/20/20 10/20/20 -
  2. 11/3/20 11/3/20 -
Copyright Holder

GlaxoSmithKline

Uploaded on

November 3, 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

IMD Report - Autoimmune Liver Diseases; Sarcoidosis; Other diseases (Report Final and Annex Report 2 Final)

Administrative
Description

Administrative

Alias
UMLS CUI-1
C1320722
Centre Number
Description

Centre Number

Data type

text

Alias
UMLS CUI [1,1]
C0600091
UMLS CUI [1,2]
C0019994
Patient Number
Description

Patient Number

Data type

text

Alias
UMLS CUI [1]
C2348585
Autoimmune Liver Diseases
Description

Autoimmune Liver Diseases

Alias
UMLS CUI-1
C0400936
Autoimmune Liver Diseases - Diagnosis
Description

Please tick appropriate diagnosis

Data type

integer

Alias
UMLS CUI [1,1]
C0400936
UMLS CUI [1,2]
C0011900
Autoimmune Liver Diseases - Specify other diagnosis
Description

Autoimmune Liver Diseases - Specify other diagnosis

Data type

text

Alias
UMLS CUI [1]
C0400936
UMLS CUI [2,1]
C0011900
UMLS CUI [2,2]
C0205394
Please specify related adverse event: SAE Case No.
Description

In case of serious adverse event

Data type

integer

Alias
UMLS CUI [1,1]
C1519255
UMLS CUI [1,2]
C0237753
Please specify related adverse event: AE No.
Description

In case of non-serious adverse event

Data type

integer

Alias
UMLS CUI [1,1]
C1518404
UMLS CUI [1,2]
C0237753
Date of final diagnosis:
Description

Date of final diagnosis:

Data type

date

Alias
UMLS CUI [1,1]
C2316983
UMLS CUI [1,2]
C1546485
Autoimmune Liver Diseases - Signs and Symptoms
Description

Autoimmune Liver Diseases - Signs and Symptoms

Alias
UMLS CUI-1
C0400936
UMLS CUI-2
C0037088
Autoimmune Liver Diseases - Signs and Symptoms
Description

Autoimmune Liver Diseases - Signs and Symptoms

Data type

integer

Alias
UMLS CUI [1]
C0400936
UMLS CUI [2]
C0037088
Autoimmune Liver Diseases - Signs and Symptoms present
Description

Autoimmune Liver Diseases - Signs and Symptoms present

Data type

text

Alias
UMLS CUI [1]
C0400936
UMLS CUI [2,1]
C0037088
UMLS CUI [2,2]
C0150312
Autoimmune Liver Diseases - Signs and Symptoms start date
Description

Autoimmune Liver Diseases - Signs and Symptoms start date

Data type

date

Alias
UMLS CUI [1]
C0400936
UMLS CUI [2,1]
C0037088
UMLS CUI [2,2]
C0808070
Autoimmune Liver Diseases - Signs and Symptoms end date
Description

Autoimmune Liver Diseases - Signs and Symptoms end date

Data type

date

Alias
UMLS CUI [1]
C0400936
UMLS CUI [2,1]
C0037088
UMLS CUI [2,2]
C0806020
Autoimmune Liver Diseases - Signs and Symptoms continuing at end of study
Description

Autoimmune Liver Diseases - Signs and Symptoms continuing at end of study

Data type

integer

Alias
UMLS CUI [1]
C0400936
UMLS CUI [2]
C0037088
UMLS CUI [3,1]
C0549178
UMLS CUI [3,2]
C0444496
Autoimmune Liver Diseases - Other signs and symptoms
Description

Autoimmune Liver Diseases - Other signs and symptoms

Alias
UMLS CUI-1
C0400936
UMLS CUI-2
C0037088
UMLS CUI-3
C0205394
If any other signs and symptoms, please tick the box and complete below
Description

If any other signs and symptoms, please tick the box and complete below

Data type

integer

Alias
UMLS CUI [1,1]
C0037088
UMLS CUI [1,2]
C0205394
Autoimmune Liver Diseases - Other signs and symptoms
Description

Autoimmune Liver Diseases - Other signs and symptoms

Alias
UMLS CUI-1
C0400936
UMLS CUI-2
C0037088
UMLS CUI-3
C0205394
Autoimmune Liver Diseases - Other signs and symptoms
Description

Autoimmune Liver Diseases - Other signs and symptoms

Data type

text

Alias
UMLS CUI [1]
C0400936
UMLS CUI [2,1]
C0037088
UMLS CUI [2,2]
C0205394
Autoimmune Liver Diseases - Other signs and symptoms start date
Description

Autoimmune Liver Diseases - Other signs and symptoms start date

Data type

date

Alias
UMLS CUI [1]
C0400936
UMLS CUI [2,1]
C0037088
UMLS CUI [2,2]
C0205394
UMLS CUI [3]
C0808070
Autoimmune Liver Diseases - Other signs and symptoms end date
Description

Autoimmune Liver Diseases - Other signs and symptoms end date

Data type

date

Alias
UMLS CUI [1]
C0400936
UMLS CUI [2,1]
C0037088
UMLS CUI [2,2]
C0205394
UMLS CUI [3]
C0806020
Autoimmune Liver Diseases - Other signs and symptoms continuing at end of study
Description

Autoimmune Liver Diseases - Other signs and symptoms continuing at end of study

Data type

integer

Alias
UMLS CUI [1]
C0400936
UMLS CUI [2,1]
C0037088
UMLS CUI [2,2]
C0205394
UMLS CUI [3,1]
C0549178
UMLS CUI [3,2]
C0444496
Autoimmune Liver Diseases - Diagnostic Test Results
Description

Autoimmune Liver Diseases - Diagnostic Test Results

Alias
UMLS CUI-1
C0400936
UMLS CUI-2
C0456984
UMLS CUI-3
C0430022
Autoimmune Liver Diseases - Test
Description

Autoimmune Liver Diseases - Test

Data type

integer

Alias
UMLS CUI [1]
C0400936
UMLS CUI [2]
C2826273
Autoimmune Liver Diseases - Test done
Description

Autoimmune Liver Diseases - Test done

Data type

text

Alias
UMLS CUI [1]
C0400936
UMLS CUI [2,1]
C0022885
UMLS CUI [2,2]
C1272695
Autoimmune Liver Diseases - Test date
Description

Autoimmune Liver Diseases - Test date

Data type

date

Alias
UMLS CUI [1]
C0400936
UMLS CUI [2]
C2826247
Autoimmune Liver Diseases - Test Result
Description

Autoimmune Liver Diseases - Test Result

Data type

float

Alias
UMLS CUI [1]
C0400936
UMLS CUI [2]
C0587081
Autoimmune Liver Diseases - Test Units
Description

Autoimmune Liver Diseases - Test Units

Data type

text

Alias
UMLS CUI [1]
C0400936
UMLS CUI [2]
C1519795
Autoimmune Liver Diseases - Low Norm
Description

Autoimmune Liver Diseases - Low Norm

Data type

float

Alias
UMLS CUI [1]
C0400936
UMLS CUI [2,1]
C0086715
UMLS CUI [2,2]
C0205251
Autoimmune Liver Diseases - High Norm
Description

Autoimmune Liver Diseases - High Norm

Data type

float

Alias
UMLS CUI [1]
C0400936
UMLS CUI [2,1]
C0086715
UMLS CUI [2,2]
C0205250
Autoimmune Liver Diseases - Other Diagnostic Test Results
Description

Autoimmune Liver Diseases - Other Diagnostic Test Results

Alias
UMLS CUI-1
C0400936
UMLS CUI-2
C0456984
UMLS CUI-3
C0430022
UMLS CUI-4
C0205394
If any other diagnostic test results are available, please tick the box and complete below
Description

If any other diagnostic test results are available, please tick the box and complete below

Data type

integer

Alias
UMLS CUI [1,1]
C0456984
UMLS CUI [1,2]
C0430022
UMLS CUI [1,3]
C0205394
Autoimmune Liver Diseases - Other Diagnostic Test Results
Description

Autoimmune Liver Diseases - Other Diagnostic Test Results

Alias
UMLS CUI-1
C0400936
UMLS CUI-2
C0456984
UMLS CUI-3
C0430022
UMLS CUI-4
C0205394
Autoimmune Liver Diseases - Test
Description

Autoimmune Liver Diseases - Test

Data type

text

Alias
UMLS CUI [1]
C0400936
UMLS CUI [2]
C2826273
Autoimmune Liver Diseases - Test date
Description

Autoimmune Liver Diseases - Test date

Data type

date

Alias
UMLS CUI [1]
C0400936
UMLS CUI [2]
C2826247
Autoimmune Liver Diseases - Test Result
Description

Autoimmune Liver Diseases - Test Result

Data type

float

Alias
UMLS CUI [1]
C0400936
UMLS CUI [2]
C0587081
Autoimmune Liver Diseases - Test Units
Description

Autoimmune Liver Diseases - Test Units

Data type

text

Alias
UMLS CUI [1]
C0400936
UMLS CUI [2]
C1519795
Autoimmune Liver Diseases - Low Norm
Description

Autoimmune Liver Diseases - Low Norm

Data type

float

Alias
UMLS CUI [1]
C0400936
UMLS CUI [2,1]
C0086715
UMLS CUI [2,2]
C0205251
Autoimmune Liver Diseases - High Norm
Description

Autoimmune Liver Diseases - High Norm

Data type

float

Alias
UMLS CUI [1]
C0400936
UMLS CUI [2,1]
C0086715
UMLS CUI [2,2]
C0205250
Autoimmune Liver Diseases - Other diagnostic Procedure
Description

Autoimmune Liver Diseases - Other diagnostic Procedure

Alias
UMLS CUI-1
C0400936
UMLS CUI-2
C0430022
UMLS CUI-3
C0205394
Describe any other diagnostic procedure supporting the diagnosis (Liver biopsy, Liver echography, Liver/abdominal CT scan, Other)
Description

Describe any other diagnostic procedure supporting the diagnosis

Data type

text

Alias
UMLS CUI [1,1]
C0430022
UMLS CUI [1,2]
C0205394
UMLS CUI [2]
C0011900
UMLS CUI [3]
C0193388
UMLS CUI [4,1]
C0041618
UMLS CUI [4,2]
C0023884
UMLS CUI [5,1]
C0040405
UMLS CUI [5,2]
C0023884
UMLS CUI [6]
C0412620
Sarcoidosis
Description

Sarcoidosis

Alias
UMLS CUI-1
C0036202
Please specify related adverse event: SAE Case No.
Description

In case of serious adverse event

Data type

integer

Alias
UMLS CUI [1,1]
C1519255
UMLS CUI [1,2]
C0237753
Please specify related adverse event: AE No.
Description

In case of non-serious adverse event

Data type

integer

Alias
UMLS CUI [1,1]
C1518404
UMLS CUI [1,2]
C0237753
Date of final diagnosis:
Description

Date of final diagnosis:

Data type

date

Alias
UMLS CUI [1,1]
C2316983
UMLS CUI [1,2]
C1546485
Sarcoidosis - Signs and symptoms
Description

Sarcoidosis - Signs and symptoms

Alias
UMLS CUI-1
C0036202
UMLS CUI-2
C0037088
UMLS CUI-3
C1546485
Sarcoidosis - Signs and symptoms
Description

Sarcoidosis - Signs and symptoms

Data type

integer

Alias
UMLS CUI [1]
C0036202
UMLS CUI [2]
C0037088
Sarcoidosis - Specify increased lymph nodes
Description

Sarcoidosis - Specify increased lymph nodes

Data type

text

Alias
UMLS CUI [1]
C0036202
UMLS CUI [2,1]
C0024204
UMLS CUI [2,2]
C0442805
Sarcoidosis - Specify other renal disorders
Description

Sarcoidosis - Specify other renal disorders

Data type

text

Alias
UMLS CUI [1]
C0036202
UMLS CUI [2,1]
C0022658
UMLS CUI [2,2]
C0205394
Sarcoidosis - Signs and symptoms present
Description

Sarcoidosis - Signs and symptoms present

Data type

text

Alias
UMLS CUI [1]
C0036202
UMLS CUI [2]
C0037088
UMLS CUI [3]
C0150312
Sarcoidosis - Signs and symptoms Start Date
Description

Sarcoidosis - Signs and symptoms Start Date

Data type

date

Alias
UMLS CUI [1]
C0036202
UMLS CUI [2]
C0037088
UMLS CUI [3]
C0808070
Sarcoidosis - Signs and symptoms End date
Description

Sarcoidosis - Signs and symptoms End date

Data type

date

Alias
UMLS CUI [1]
C0036202
UMLS CUI [2]
C0037088
UMLS CUI [3]
C0806020
Sarcoidosis - Signs and symptoms continuing at the end of study
Description

Sarcoidosis - Signs and symptoms continuing at the end of study

Data type

integer

Alias
UMLS CUI [1]
C0036202
UMLS CUI [2]
C0037088
UMLS CUI [3,1]
C0549178
UMLS CUI [3,2]
C0444496
Sarcoidosis - Other Signs and symptoms
Description

Sarcoidosis - Other Signs and symptoms

Alias
UMLS CUI-1
C0036202
UMLS CUI-2
C0037088
UMLS CUI-3
C0205394
If any other signs and symptoms, please tick the box and complete below
Description

If any other signs and symptoms, please tick the box and complete below

Data type

integer

Alias
UMLS CUI [1,1]
C0037088
UMLS CUI [1,2]
C0205394
Sarcoidosis - Other Signs and symptoms
Description

Sarcoidosis - Other Signs and symptoms

Alias
UMLS CUI-1
C0036202
UMLS CUI-2
C0037088
UMLS CUI-3
C0205394
Sarcoidosis - Other Signs and symptoms
Description

Sarcoidosis - Other Signs and symptoms

Data type

text

Alias
UMLS CUI [1]
C0036202
UMLS CUI [2,1]
C0037088
UMLS CUI [2,2]
C0205394
Sarcoidosis - Other Signs and symptoms Start Date
Description

Sarcoidosis - Other Signs and symptoms Start Date

Data type

date

Alias
UMLS CUI [1]
C0036202
UMLS CUI [2,1]
C0037088
UMLS CUI [2,2]
C0205394
UMLS CUI [3]
C0808070
Sarcoidosis - Other Signs and symptoms End Date
Description

Sarcoidosis - Other Signs and symptoms End Date

Data type

date

Alias
UMLS CUI [1]
C0036202
UMLS CUI [2,1]
C0037088
UMLS CUI [2,2]
C0205394
UMLS CUI [3]
C0806020
Sarcoidosis - Other signs and symptoms continuing at the end of study
Description

Sarcoidosis - Other signs and symptoms continuing at the end of study

Data type

text

Alias
UMLS CUI [1]
C0036202
UMLS CUI [2,1]
C0037088
UMLS CUI [2,2]
C0205394
UMLS CUI [3,1]
C0549178
UMLS CUI [3,2]
C0444496
Sarcoidosis - Diagnostic Test Results
Description

Sarcoidosis - Diagnostic Test Results

Alias
UMLS CUI-1
C0036202
UMLS CUI-2
C0430022
UMLS CUI-3
C0456984
Sarcoidosis - Test
Description

Sarcoidosis - Test

Data type

integer

Alias
UMLS CUI [1]
C0036202
UMLS CUI [2]
C2826273
Sarcoidosis - Test done
Description

Sarcoidosis - Test done

Data type

text

Alias
UMLS CUI [1]
C0036202
UMLS CUI [2,1]
C0022885
UMLS CUI [2,2]
C1272695
Sarcoidosis - Test date
Description

Sarcoidosis - Test date

Data type

date

Alias
UMLS CUI [1]
C0036202
UMLS CUI [2]
C2826247
Sarcoidosis - Test Result
Description

Sarcoidosis - Test Result

Data type

float

Alias
UMLS CUI [1]
C0036202
UMLS CUI [2]
C0587081
Sarcoidosis - Test Units
Description

Sarcoidosis - Test Units

Data type

text

Alias
UMLS CUI [1]
C0036202
UMLS CUI [2]
C1519795
Sarcoidosis - Low Norm
Description

Sarcoidosis - Low Norm

Data type

float

Alias
UMLS CUI [1]
C0036202
UMLS CUI [2,1]
C0086715
UMLS CUI [2,2]
C0205251
Sarcoidosis - High Norm
Description

Sarcoidosis - High Norm

Data type

float

Alias
UMLS CUI [1]
C0036202
UMLS CUI [2,1]
C0086715
UMLS CUI [2,2]
C0205250
Sarcoidosis - Other Diagnostic Test Results
Description

Sarcoidosis - Other Diagnostic Test Results

Alias
UMLS CUI-1
C0036202
UMLS CUI-2
C0456984
UMLS CUI-3
C0430022
UMLS CUI-4
C0205394
If any other diagnostic test results are available, please tick the box and complete below
Description

If any other diagnostic test results are available, please tick the box and complete below

Data type

integer

Alias
UMLS CUI [1,1]
C0456984
UMLS CUI [1,2]
C0430022
UMLS CUI [1,3]
C0205394
Sarcoidosis - Other Diagnostic Test Results
Description

Sarcoidosis - Other Diagnostic Test Results

Alias
UMLS CUI-1
C0036202
UMLS CUI-2
C0456984
UMLS CUI-3
C0430022
UMLS CUI-4
C0205394
Sarcoidosis - Test
Description

Sarcoidosis - Test

Data type

text

Alias
UMLS CUI [1]
C0036202
UMLS CUI [2]
C2826273
Sarcoidosis - Test date
Description

Sarcoidosis - Test date

Data type

date

Alias
UMLS CUI [1]
C0036202
UMLS CUI [2]
C2826247
Sarcoidosis - Test Result
Description

Sarcoidosis - Test Result

Data type

float

Alias
UMLS CUI [1]
C0036202
UMLS CUI [2]
C0587081
Sarcoidosis - Test Units
Description

Sarcoidosis - Test Units

Data type

text

Alias
UMLS CUI [1]
C0036202
UMLS CUI [2]
C1519795
Sarcoidosis - Low Norm
Description

Sarcoidosis - Low Norm

Data type

float

Alias
UMLS CUI [1]
C0036202
UMLS CUI [2,1]
C0086715
UMLS CUI [2,2]
C0205251
Sarcoidosis - High Norm
Description

Sarcoidosis - High Norm

Data type

float

Alias
UMLS CUI [1]
C0036202
UMLS CUI [2,1]
C0086715
UMLS CUI [2,2]
C0205250
Sarcoidosis - Other diagnostic Procedure
Description

Sarcoidosis - Other diagnostic Procedure

Alias
UMLS CUI-1
C0036202
UMLS CUI-2
C0430022
UMLS CUI-3
C0205394
Describe any other diagnostic procedure supporting the diagnosis (Chest X-Ray, Pulmonary CT scan, Broncho- alveolar lavage, Biopsy of nodules, Electrocardiography, Brain MRI/MRA, Lumbar puncture, Joint X-Ray, HLA typing)
Description

Describe any other diagnostic procedure supporting the diagnosis

Data type

text

Alias
UMLS CUI [1,1]
C0430022
UMLS CUI [1,2]
C0205394
UMLS CUI [2]
C0011900
UMLS CUI [3]
C0039985
UMLS CUI [4]
C5188852
UMLS CUI [5]
C1535502
UMLS CUI [6,1]
C0005558
UMLS CUI [6,2]
C0028259
UMLS CUI [7]
C1623258
UMLS CUI [8]
C0412675
UMLS CUI [9]
C0553794
UMLS CUI [10]
C0850942
UMLS CUI [11]
C0242318
Other disease
Description

Other disease

Alias
UMLS CUI-1
C2359476
Specify other disease
Description

Specify other disease

Data type

text

Alias
UMLS CUI [1,1]
C2359476
UMLS CUI [1,2]
C2348235
Please specify related adverse event: SAE Case No.
Description

In case of serious adverse event

Data type

integer

Alias
UMLS CUI [1,1]
C1519255
UMLS CUI [1,2]
C0237753
Please specify related adverse event: AE No.
Description

In case of non-serious adverse event

Data type

text

Alias
UMLS CUI [1,1]
C1518404
UMLS CUI [1,2]
C0237753
Date of final diagnosis:
Description

Date of final diagnosis:

Data type

date

Alias
UMLS CUI [1,1]
C2316983
UMLS CUI [1,2]
C1546485
Other disease - Signs and symptoms
Description

Other disease - Signs and symptoms

Alias
UMLS CUI-1
C2359476
UMLS CUI-2
C0037088
UMLS CUI-3
C1546485
Other disease - Signs and symptoms
Description

Other disease - Signs and symptoms

Data type

text

Alias
UMLS CUI [1]
C2359476
UMLS CUI [2]
C0037088
Other disease - Signs and symptoms Start Date
Description

Other disease - Signs and symptoms Start Date

Data type

date

Alias
UMLS CUI [1]
C2359476
UMLS CUI [2]
C0037088
UMLS CUI [3]
C0808070
Other disease - Signs and symptoms End date
Description

Other disease - Signs and symptoms End date

Data type

date

Alias
UMLS CUI [1]
C2359476
UMLS CUI [2]
C0037088
UMLS CUI [3]
C0806020
Other disease - Signs and symptoms continuing at the end of study
Description

Other disease - Signs and symptoms continuing at the end of study

Data type

integer

Alias
UMLS CUI [1]
C2359476
UMLS CUI [2]
C0037088
UMLS CUI [3,1]
C0549178
UMLS CUI [3,2]
C0444496
Other disease - Diagnostic Test Results
Description

Other disease - Diagnostic Test Results

Alias
UMLS CUI-1
C2359476
UMLS CUI-2
C0456984
Other disease - Test
Description

Other disease - Test

Data type

integer

Alias
UMLS CUI [1]
C2359476
UMLS CUI [2]
C2826273
Other disease - Test done
Description

Other disease - Test done

Data type

text

Alias
UMLS CUI [1]
C2359476
UMLS CUI [2,1]
C0022885
UMLS CUI [2,2]
C1272695
Other disease - Test date
Description

Other disease - Test date

Data type

date

Alias
UMLS CUI [1]
C2359476
UMLS CUI [2]
C2826247
Other disease - Test Result
Description

Other disease - Test Result

Data type

float

Alias
UMLS CUI [1]
C2359476
UMLS CUI [2]
C0587081
Other disease - Test Units
Description

Other disease - Test Units

Data type

text

Alias
UMLS CUI [1]
C2359476
UMLS CUI [2]
C1519795
Other disease - Low Norm
Description

Other disease - Low Norm

Data type

float

Alias
UMLS CUI [1]
C2359476
UMLS CUI [2,1]
C0086715
UMLS CUI [2,2]
C0205251
Other disease - High Norm
Description

Other disease - High Norm

Data type

float

Alias
UMLS CUI [1]
C2359476
UMLS CUI [2,1]
C0086715
UMLS CUI [2,2]
C0205250
Other disease - Other Diagnostic Test Results
Description

Other disease - Other Diagnostic Test Results

Alias
UMLS CUI-1
C2359476
UMLS CUI-2
C0456984
UMLS CUI-3
C0430022
UMLS CUI-4
C0205394
If any other diagnostic test results are available please tick the box and complete below
Description

If any other diagnostic test results are available, please tick the box and complete below

Data type

integer

Alias
UMLS CUI [1,1]
C0456984
UMLS CUI [1,2]
C0430022
UMLS CUI [1,3]
C0205394
Other disease - Other Diagnostic Test Results
Description

Other disease - Other Diagnostic Test Results

Alias
UMLS CUI-1
C2359476
UMLS CUI-2
C0456984
UMLS CUI-3
C0430022
UMLS CUI-4
C0205394
Other disease - Test
Description

Other disease - Test

Data type

text

Alias
UMLS CUI [1]
C2359476
UMLS CUI [2]
C2826273
Other disease - Test date
Description

Other disease - Test date

Data type

date

Alias
UMLS CUI [1]
C2359476
UMLS CUI [2]
C2826247
Other disease - Test Result
Description

Other disease - Test Result

Data type

float

Alias
UMLS CUI [1]
C2359476
UMLS CUI [2]
C0587081
Other disease - Test Units
Description

Other disease - Test Units

Data type

text

Alias
UMLS CUI [1]
C2359476
UMLS CUI [2]
C1519795
Other disease - Low Norm
Description

Other disease - Low Norm

Data type

float

Alias
UMLS CUI [1]
C2359476
UMLS CUI [2,1]
C0086715
UMLS CUI [2,2]
C0205251
Other disease - High Norm
Description

Other disease - High Norm

Data type

float

Alias
UMLS CUI [1]
C2359476
UMLS CUI [2,1]
C0086715
UMLS CUI [2,2]
C0205250
Other disease - Other diagnostic Procedure
Description

Other disease - Other diagnostic Procedure

Alias
UMLS CUI-1
C2359476
UMLS CUI-2
C0430022
UMLS CUI-3
C0205394
UMLS CUI-4
C0011900
Describe any other diagnostic procedure supporting the diagnosis
Description

Describe any other diagnostic procedure supporting the diagnosis

Data type

text

Alias
UMLS CUI [1]
C1608389
UMLS CUI [2,1]
C0430022
UMLS CUI [2,2]
C0205394
UMLS CUI [3]
C0011900

Similar models

IMD Report - Autoimmune Liver Diseases; Sarcoidosis; Other diseases (Report Final and Annex Report 2 Final)

Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Administrative
C1320722 (UMLS CUI-1)
Centre Number
Item
Centre Number
text
C0600091 (UMLS CUI [1,1])
C0019994 (UMLS CUI [1,2])
Patient Number
Item
Patient Number
text
C2348585 (UMLS CUI [1])
Item Group
Autoimmune Liver Diseases
C0400936 (UMLS CUI-1)
Item
Autoimmune Liver Diseases - Diagnosis
integer
C0400936 (UMLS CUI [1,1])
C0011900 (UMLS CUI [1,2])
Code List
Autoimmune Liver Diseases - Diagnosis
CL Item
Autoimmune hepatitis Type 1 (1)
CL Item
Autoimmune hepatitis Type 2 (2)
CL Item
Autoimmune hepatitis Type 3 (3)
CL Item
Primary biliary cirrhosis (4)
CL Item
Primary sclerosing cholangitis (5)
CL Item
Other, specify (6)
Autoimmune Liver Diseases - Specify other diagnosis
Item
Autoimmune Liver Diseases - Specify other diagnosis
text
C0400936 (UMLS CUI [1])
C0011900 (UMLS CUI [2,1])
C0205394 (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])
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])
Date of final diagnosis:
Item
Date of final diagnosis:
date
C2316983 (UMLS CUI [1,1])
C1546485 (UMLS CUI [1,2])
Item Group
Autoimmune Liver Diseases - Signs and Symptoms
C0400936 (UMLS CUI-1)
C0037088 (UMLS CUI-2)
Item
Autoimmune Liver Diseases - Signs and Symptoms
integer
C0400936 (UMLS CUI [1])
C0037088 (UMLS CUI [2])
Code List
Autoimmune Liver Diseases - Signs and Symptoms
CL Item
Fatigue (1)
CL Item
Pruritus (2)
CL Item
Anorexia (3)
CL Item
Abdominal discomfort (4)
CL Item
Hepatomegaly (5)
CL Item
Splenomegaly (6)
CL Item
Jaundice (7)
CL Item
Hyper-pigmentation (8)
CL Item
Spider angiomata (9)
CL Item
Ascite (10)
CL Item
Encephalopathy (11)
Item
Autoimmune Liver Diseases - Signs and Symptoms present
text
C0400936 (UMLS CUI [1])
C0037088 (UMLS CUI [2,1])
C0150312 (UMLS CUI [2,2])
Code List
Autoimmune Liver Diseases - Signs and Symptoms present
CL Item
Yes (Y)
CL Item
No (N)
CL Item
Unknown (U)
CL Item
Not Applicable (NA)
Autoimmune Liver Diseases - Signs and Symptoms start date
Item
Autoimmune Liver Diseases - Signs and Symptoms start date
date
C0400936 (UMLS CUI [1])
C0037088 (UMLS CUI [2,1])
C0808070 (UMLS CUI [2,2])
Autoimmune Liver Diseases - Signs and Symptoms end date
Item
Autoimmune Liver Diseases - Signs and Symptoms end date
date
C0400936 (UMLS CUI [1])
C0037088 (UMLS CUI [2,1])
C0806020 (UMLS CUI [2,2])
Item
Autoimmune Liver Diseases - Signs and Symptoms continuing at end of study
integer
C0400936 (UMLS CUI [1])
C0037088 (UMLS CUI [2])
C0549178 (UMLS CUI [3,1])
C0444496 (UMLS CUI [3,2])
Code List
Autoimmune Liver Diseases - Signs and Symptoms continuing at end of study
CL Item
Continuing at end of study (1)
Item Group
Autoimmune Liver Diseases - Other signs and symptoms
C0400936 (UMLS CUI-1)
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])
Code List
If any other signs and symptoms, please tick the box and complete below
CL Item
Other signs and symptoms (1)
Item Group
Autoimmune Liver Diseases - Other signs and symptoms
C0400936 (UMLS CUI-1)
C0037088 (UMLS CUI-2)
C0205394 (UMLS CUI-3)
Autoimmune Liver Diseases - Other signs and symptoms
Item
Autoimmune Liver Diseases - Other signs and symptoms
text
C0400936 (UMLS CUI [1])
C0037088 (UMLS CUI [2,1])
C0205394 (UMLS CUI [2,2])
Autoimmune Liver Diseases - Other signs and symptoms start date
Item
Autoimmune Liver Diseases - Other signs and symptoms start date
date
C0400936 (UMLS CUI [1])
C0037088 (UMLS CUI [2,1])
C0205394 (UMLS CUI [2,2])
C0808070 (UMLS CUI [3])
Autoimmune Liver Diseases - Other signs and symptoms end date
Item
Autoimmune Liver Diseases - Other signs and symptoms end date
date
C0400936 (UMLS CUI [1])
C0037088 (UMLS CUI [2,1])
C0205394 (UMLS CUI [2,2])
C0806020 (UMLS CUI [3])
Item
Autoimmune Liver Diseases - Other signs and symptoms continuing at end of study
integer
C0400936 (UMLS CUI [1])
C0037088 (UMLS CUI [2,1])
C0205394 (UMLS CUI [2,2])
C0549178 (UMLS CUI [3,1])
C0444496 (UMLS CUI [3,2])
Code List
Autoimmune Liver Diseases - Other signs and symptoms continuing at end of study
CL Item
Continuing at end of study (1)
Item Group
Autoimmune Liver Diseases - Diagnostic Test Results
C0400936 (UMLS CUI-1)
C0456984 (UMLS CUI-2)
C0430022 (UMLS CUI-3)
Item
Autoimmune Liver Diseases - Test
integer
C0400936 (UMLS CUI [1])
C2826273 (UMLS CUI [2])
Code List
Autoimmune Liver Diseases - Test
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
Serum protein electrophoresis (11)
CL Item
Serum IgG (12)
CL Item
Serum IgM (13)
CL Item
Aspartate amino Transferase (AST) (14)
CL Item
Alanine amino Transferase (ALT) (15)
CL Item
alkaline phosphatase (ALP) (16)
CL Item
γ-glutamyl transpeptidase (GGTP) (17)
CL Item
Cholesterol (18)
CL Item
LDL (19)
CL Item
VLDL (20)
CL Item
HDL (21)
CL Item
Serum bilirubin (22)
CL Item
Anti-smooth mucle antibodies (ASMA) (23)
CL Item
Anti-liver-kidney microsomal antibodies (anti-LKM) (24)
CL Item
Anti-soluble liver antigens (anti-SLA) (25)
CL Item
Anti-mitochondrial antibodies (AMA) (26)
CL Item
Anti-nuclear antibodies (ANA) (27)
CL Item
Rheumatoid factor (RF) (28)
Item
Autoimmune Liver Diseases - Test done
text
C0400936 (UMLS CUI [1])
C0022885 (UMLS CUI [2,1])
C1272695 (UMLS CUI [2,2])
Code List
Autoimmune Liver Diseases - Test done
CL Item
Yes (Y)
CL Item
No (N)
CL Item
Unknown (U)
CL Item
Not Applicable (NA)
Autoimmune Liver Diseases - Test date
Item
Autoimmune Liver Diseases - Test date
date
C0400936 (UMLS CUI [1])
C2826247 (UMLS CUI [2])
Autoimmune Liver Diseases - Test Result
Item
Autoimmune Liver Diseases - Test Result
float
C0400936 (UMLS CUI [1])
C0587081 (UMLS CUI [2])
Autoimmune Liver Diseases - Test Units
Item
Autoimmune Liver Diseases - Test Units
text
C0400936 (UMLS CUI [1])
C1519795 (UMLS CUI [2])
Autoimmune Liver Diseases - Low Norm
Item
Autoimmune Liver Diseases - Low Norm
float
C0400936 (UMLS CUI [1])
C0086715 (UMLS CUI [2,1])
C0205251 (UMLS CUI [2,2])
Autoimmune Liver Diseases - High Norm
Item
Autoimmune Liver Diseases - High Norm
float
C0400936 (UMLS CUI [1])
C0086715 (UMLS CUI [2,1])
C0205250 (UMLS CUI [2,2])
Item Group
Autoimmune Liver Diseases - Other Diagnostic Test Results
C0400936 (UMLS CUI-1)
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])
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
Autoimmune Liver Diseases - Other Diagnostic Test Results
C0400936 (UMLS CUI-1)
C0456984 (UMLS CUI-2)
C0430022 (UMLS CUI-3)
C0205394 (UMLS CUI-4)
Autoimmune Liver Diseases - Test
Item
Autoimmune Liver Diseases - Test
text
C0400936 (UMLS CUI [1])
C2826273 (UMLS CUI [2])
Autoimmune Liver Diseases - Test date
Item
Autoimmune Liver Diseases - Test date
date
C0400936 (UMLS CUI [1])
C2826247 (UMLS CUI [2])
Autoimmune Liver Diseases - Test Result
Item
Autoimmune Liver Diseases - Test Result
float
C0400936 (UMLS CUI [1])
C0587081 (UMLS CUI [2])
Autoimmune Liver Diseases - Test Units
Item
Autoimmune Liver Diseases - Test Units
text
C0400936 (UMLS CUI [1])
C1519795 (UMLS CUI [2])
Autoimmune Liver Diseases - Low Norm
Item
Autoimmune Liver Diseases - Low Norm
float
C0400936 (UMLS CUI [1])
C0086715 (UMLS CUI [2,1])
C0205251 (UMLS CUI [2,2])
Autoimmune Liver Diseases - High Norm
Item
Autoimmune Liver Diseases - High Norm
float
C0400936 (UMLS CUI [1])
C0086715 (UMLS CUI [2,1])
C0205250 (UMLS CUI [2,2])
Item Group
Autoimmune Liver Diseases - Other diagnostic Procedure
C0400936 (UMLS CUI-1)
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 (Liver biopsy, Liver echography, Liver/abdominal CT scan, Other)
text
C0430022 (UMLS CUI [1,1])
C0205394 (UMLS CUI [1,2])
C0011900 (UMLS CUI [2])
C0193388 (UMLS CUI [3])
C0041618 (UMLS CUI [4,1])
C0023884 (UMLS CUI [4,2])
C0040405 (UMLS CUI [5,1])
C0023884 (UMLS CUI [5,2])
C0412620 (UMLS CUI [6])
Item Group
Sarcoidosis
C0036202 (UMLS CUI-1)
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])
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])
Date of final diagnosis:
Item
Date of final diagnosis:
date
C2316983 (UMLS CUI [1,1])
C1546485 (UMLS CUI [1,2])
Item Group
Sarcoidosis - Signs and symptoms
C0036202 (UMLS CUI-1)
C0037088 (UMLS CUI-2)
C1546485 (UMLS CUI-3)
Item
Sarcoidosis - Signs and symptoms
integer
C0036202 (UMLS CUI [1])
C0037088 (UMLS CUI [2])
Code List
Sarcoidosis - Signs and symptoms
CL Item
Fatigue (1)
CL Item
Malaise (2)
CL Item
Fever (3)
CL Item
Weight loss (4)
CL Item
Cough (5)
CL Item
Dyspnea (6)
CL Item
Hemoptysis (7)
CL Item
Pleural effusion (8)
CL Item
Pneumothorax (9)
CL Item
Lymph nodes increased, specify (10)
CL Item
Maculo-papular eruptions (11)
CL Item
Lupus pernio (violaceous discoloration of nose, cheeks, chin, ears) (12)
CL Item
Erythema nodosum (13)
CL Item
Subcutaneous nodules (14)
CL Item
Uveitis (15)
CL Item
Retinal vasculitis (16)
CL Item
Keratoconjunctivitis (17)
CL Item
Seizures (18)
CL Item
Stroke (19)
CL Item
Cranial nerve disorder (20)
CL Item
Signs of meningitis (21)
CL Item
Peripheral neuropathy (22)
CL Item
Myositis (23)
CL Item
Polyarthritis (24)
CL Item
Cardiac disorders (25)
CL Item
Cor pulmonale caused by pulmonary fibrosis (26)
CL Item
Nephrolithiasis (27)
CL Item
Other renal disorders, specify (28)
Sarcoidosis - Specify increased lymph nodes
Item
Sarcoidosis - Specify increased lymph nodes
text
C0036202 (UMLS CUI [1])
C0024204 (UMLS CUI [2,1])
C0442805 (UMLS CUI [2,2])
Sarcoidosis - Specify other renal disorders
Item
Sarcoidosis - Specify other renal disorders
text
C0036202 (UMLS CUI [1])
C0022658 (UMLS CUI [2,1])
C0205394 (UMLS CUI [2,2])
Item
Sarcoidosis - Signs and symptoms present
text
C0036202 (UMLS CUI [1])
C0037088 (UMLS CUI [2])
C0150312 (UMLS CUI [3])
Code List
Sarcoidosis - Signs and symptoms present
CL Item
Yes (Y)
CL Item
No (N)
CL Item
Unknown (U)
CL Item
Not Applicable (NA)
Sarcoidosis - Signs and symptoms Start Date
Item
Sarcoidosis - Signs and symptoms Start Date
date
C0036202 (UMLS CUI [1])
C0037088 (UMLS CUI [2])
C0808070 (UMLS CUI [3])
Sarcoidosis - Signs and symptoms End date
Item
Sarcoidosis - Signs and symptoms End date
date
C0036202 (UMLS CUI [1])
C0037088 (UMLS CUI [2])
C0806020 (UMLS CUI [3])
Item
Sarcoidosis - Signs and symptoms continuing at the end of study
integer
C0036202 (UMLS CUI [1])
C0037088 (UMLS CUI [2])
C0549178 (UMLS CUI [3,1])
C0444496 (UMLS CUI [3,2])
Code List
Sarcoidosis - Signs and symptoms continuing at the end of study
CL Item
Continuing at end of study (1)
Item Group
Sarcoidosis - Other Signs and symptoms
C0036202 (UMLS CUI-1)
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])
Code List
If any other signs and symptoms, please tick the box and complete below
CL Item
Other signs and symptoms (1)
Item Group
Sarcoidosis - Other Signs and symptoms
C0036202 (UMLS CUI-1)
C0037088 (UMLS CUI-2)
C0205394 (UMLS CUI-3)
Sarcoidosis - Other Signs and symptoms
Item
Sarcoidosis - Other Signs and symptoms
text
C0036202 (UMLS CUI [1])
C0037088 (UMLS CUI [2,1])
C0205394 (UMLS CUI [2,2])
Sarcoidosis - Other Signs and symptoms Start Date
Item
Sarcoidosis - Other Signs and symptoms Start Date
date
C0036202 (UMLS CUI [1])
C0037088 (UMLS CUI [2,1])
C0205394 (UMLS CUI [2,2])
C0808070 (UMLS CUI [3])
Sarcoidosis - Other Signs and symptoms End Date
Item
Sarcoidosis - Other Signs and symptoms End Date
date
C0036202 (UMLS CUI [1])
C0037088 (UMLS CUI [2,1])
C0205394 (UMLS CUI [2,2])
C0806020 (UMLS CUI [3])
Item
Sarcoidosis - Other signs and symptoms continuing at the end of study
text
C0036202 (UMLS CUI [1])
C0037088 (UMLS CUI [2,1])
C0205394 (UMLS CUI [2,2])
C0549178 (UMLS CUI [3,1])
C0444496 (UMLS CUI [3,2])
Code List
Sarcoidosis - Other signs and symptoms continuing at the end of study
CL Item
Continuing at end of study (1)
Item Group
Sarcoidosis - Diagnostic Test Results
C0036202 (UMLS CUI-1)
C0430022 (UMLS CUI-2)
C0456984 (UMLS CUI-3)
Item
Sarcoidosis - Test
integer
C0036202 (UMLS CUI [1])
C2826273 (UMLS CUI [2])
Code List
Sarcoidosis - Test
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
Serum alkaline phosphatase (11)
CL Item
Serum creatine kinase (CK) (12)
CL Item
Serum creatine kinase MB (13)
CL Item
Serum sodium (14)
CL Item
Serum chloride (15)
CL Item
Serum calcemia (16)
CL Item
Calciuria (24h) (17)
CL Item
Anti-nuclear antibodies (ANA) (18)
CL Item
Rheumatoid factor (RF) (19)
Item
Sarcoidosis - Test done
text
C0036202 (UMLS CUI [1])
C0022885 (UMLS CUI [2,1])
C1272695 (UMLS CUI [2,2])
Code List
Sarcoidosis - Test done
CL Item
Yes  (Y)
CL Item
No  (N)
CL Item
Unknown  (U)
CL Item
Not Applicable (NA)
Sarcoidosis - Test date
Item
Sarcoidosis - Test date
date
C0036202 (UMLS CUI [1])
C2826247 (UMLS CUI [2])
Sarcoidosis - Test Result
Item
Sarcoidosis - Test Result
float
C0036202 (UMLS CUI [1])
C0587081 (UMLS CUI [2])
Sarcoidosis - Test Units
Item
Sarcoidosis - Test Units
text
C0036202 (UMLS CUI [1])
C1519795 (UMLS CUI [2])
Sarcoidosis - Low Norm
Item
Sarcoidosis - Low Norm
float
C0036202 (UMLS CUI [1])
C0086715 (UMLS CUI [2,1])
C0205251 (UMLS CUI [2,2])
Sarcoidosis - High Norm
Item
Sarcoidosis - High Norm
float
C0036202 (UMLS CUI [1])
C0086715 (UMLS CUI [2,1])
C0205250 (UMLS CUI [2,2])
Item Group
Sarcoidosis - Other Diagnostic Test Results
C0036202 (UMLS CUI-1)
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])
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
Sarcoidosis - Other Diagnostic Test Results
C0036202 (UMLS CUI-1)
C0456984 (UMLS CUI-2)
C0430022 (UMLS CUI-3)
C0205394 (UMLS CUI-4)
Sarcoidosis - Test
Item
Sarcoidosis - Test
text
C0036202 (UMLS CUI [1])
C2826273 (UMLS CUI [2])
Sarcoidosis - Test date
Item
Sarcoidosis - Test date
date
C0036202 (UMLS CUI [1])
C2826247 (UMLS CUI [2])
Sarcoidosis - Test Result
Item
Sarcoidosis - Test Result
float
C0036202 (UMLS CUI [1])
C0587081 (UMLS CUI [2])
Sarcoidosis - Test Units
Item
Sarcoidosis - Test Units
text
C0036202 (UMLS CUI [1])
C1519795 (UMLS CUI [2])
Sarcoidosis - Low Norm
Item
Sarcoidosis - Low Norm
float
C0036202 (UMLS CUI [1])
C0086715 (UMLS CUI [2,1])
C0205251 (UMLS CUI [2,2])
Sarcoidosis - High Norm
Item
Sarcoidosis - High Norm
float
C0036202 (UMLS CUI [1])
C0086715 (UMLS CUI [2,1])
C0205250 (UMLS CUI [2,2])
Item Group
Sarcoidosis - Other diagnostic Procedure
C0036202 (UMLS CUI-1)
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, Pulmonary CT scan, Broncho- alveolar lavage, Biopsy of nodules, Electrocardiography, Brain MRI/MRA, Lumbar puncture, Joint X-Ray, HLA typing)
text
C0430022 (UMLS CUI [1,1])
C0205394 (UMLS CUI [1,2])
C0011900 (UMLS CUI [2])
C0039985 (UMLS CUI [3])
C5188852 (UMLS CUI [4])
C1535502 (UMLS CUI [5])
C0005558 (UMLS CUI [6,1])
C0028259 (UMLS CUI [6,2])
C1623258 (UMLS CUI [7])
C0412675 (UMLS CUI [8])
C0553794 (UMLS CUI [9])
C0850942 (UMLS CUI [10])
C0242318 (UMLS CUI [11])
Item Group
Other disease
C2359476 (UMLS CUI-1)
Specify other disease
Item
Specify other disease
text
C2359476 (UMLS CUI [1,1])
C2348235 (UMLS CUI [1,2])
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])
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])
Date of final diagnosis:
Item
Date of final diagnosis:
date
C2316983 (UMLS CUI [1,1])
C1546485 (UMLS CUI [1,2])
Item Group
Other disease - Signs and symptoms
C2359476 (UMLS CUI-1)
C0037088 (UMLS CUI-2)
C1546485 (UMLS CUI-3)
Other disease - Signs and symptoms
Item
Other disease - Signs and symptoms
text
C2359476 (UMLS CUI [1])
C0037088 (UMLS CUI [2])
Other disease - Signs and symptoms Start Date
Item
Other disease - Signs and symptoms Start Date
date
C2359476 (UMLS CUI [1])
C0037088 (UMLS CUI [2])
C0808070 (UMLS CUI [3])
Other disease - Signs and symptoms End date
Item
Other disease - Signs and symptoms End date
date
C2359476 (UMLS CUI [1])
C0037088 (UMLS CUI [2])
C0806020 (UMLS CUI [3])
Item
Other disease - Signs and symptoms continuing at the end of study
integer
C2359476 (UMLS CUI [1])
C0037088 (UMLS CUI [2])
C0549178 (UMLS CUI [3,1])
C0444496 (UMLS CUI [3,2])
Code List
Other disease - Signs and symptoms continuing at the end of study
CL Item
Continuing at end of study (1)
Item Group
Other disease - Diagnostic Test Results
C2359476 (UMLS CUI-1)
C0456984 (UMLS CUI-2)
Item
Other disease - Test
integer
C2359476 (UMLS CUI [1])
C2826273 (UMLS CUI [2])
Code List
Other disease - Test
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
Serum C-reactive protein (CRP) (9)
CL Item
Erythrocyte sedimentation rate (ESR) (10)
CL Item
Anti-nuclear antibodies (ANA) (11)
CL Item
Rheumatoid factor (RF) (12)
Item
Other disease - Test done
text
C2359476 (UMLS CUI [1])
C0022885 (UMLS CUI [2,1])
C1272695 (UMLS CUI [2,2])
Code List
Other disease - Test done
CL Item
Yes  (Y)
CL Item
No  (N)
CL Item
Unknown  (U)
CL Item
Not Applicable (NA)
Other disease - Test date
Item
Other disease - Test date
date
C2359476 (UMLS CUI [1])
C2826247 (UMLS CUI [2])
Other disease - Test Result
Item
Other disease - Test Result
float
C2359476 (UMLS CUI [1])
C0587081 (UMLS CUI [2])
Other disease - Test Units
Item
Other disease - Test Units
text
C2359476 (UMLS CUI [1])
C1519795 (UMLS CUI [2])
Other disease - Low Norm
Item
Other disease - Low Norm
float
C2359476 (UMLS CUI [1])
C0086715 (UMLS CUI [2,1])
C0205251 (UMLS CUI [2,2])
Other disease - High Norm
Item
Other disease - High Norm
float
C2359476 (UMLS CUI [1])
C0086715 (UMLS CUI [2,1])
C0205250 (UMLS CUI [2,2])
Item Group
Other disease - Other Diagnostic Test Results
C2359476 (UMLS CUI-1)
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])
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
Other disease - Other Diagnostic Test Results
C2359476 (UMLS CUI-1)
C0456984 (UMLS CUI-2)
C0430022 (UMLS CUI-3)
C0205394 (UMLS CUI-4)
Other disease - Test
Item
Other disease - Test
text
C2359476 (UMLS CUI [1])
C2826273 (UMLS CUI [2])
Other disease - Test date
Item
Other disease - Test date
date
C2359476 (UMLS CUI [1])
C2826247 (UMLS CUI [2])
Other disease - Test Result
Item
Other disease - Test Result
float
C2359476 (UMLS CUI [1])
C0587081 (UMLS CUI [2])
Other disease - Test Units
Item
Other disease - Test Units
text
C2359476 (UMLS CUI [1])
C1519795 (UMLS CUI [2])
Other disease - Low Norm
Item
Other disease - Low Norm
float
C2359476 (UMLS CUI [1])
C0086715 (UMLS CUI [2,1])
C0205251 (UMLS CUI [2,2])
Other disease - High Norm
Item
Other disease - High Norm
float
C2359476 (UMLS CUI [1])
C0086715 (UMLS CUI [2,1])
C0205250 (UMLS CUI [2,2])
Item Group
Other disease - Other diagnostic Procedure
C2359476 (UMLS CUI-1)
C0430022 (UMLS CUI-2)
C0205394 (UMLS CUI-3)
C0011900 (UMLS CUI-4)
Describe any other diagnostic procedure supporting the diagnosis
Item
Describe any other diagnostic procedure supporting the diagnosis
text
C1608389 (UMLS CUI [1])
C0430022 (UMLS CUI [2,1])
C0205394 (UMLS CUI [2,2])
C0011900 (UMLS CUI [3])

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