CDE Detailed Report

Disease: Myalgic Encephalomyelitis/Chronic Fatigue Syndrome
Subdomain Name: General Health History
CRF: Medical History - Immune Module

Displaying 51 - 100 of 113
CDE ID CDE Name Variable Name Definition Short Description Question Text Permissible Values Description Data Type Disease Specific Instructions Disease Specific Reference Population Classification (e.g., Core) Version Number Version Date CRF Name (CRF Module / Guidance) Subdomain Name Domain Name Size Input Restrictions Min Value Max Value Measurement Type External Id Loinc External Id Snomed External Id caDSR External Id CDISC
C57321 Atopy allergic disorder condition diagnosis type AtopyAllDisordrCondDiagnosTyp The type of condition(s) that the participant/subject was diagnosed with in relation to his/her history of atopy/allergic disorders The type of condition(s) that the participant/subject was diagnosed with in relation to his/her history of atopy/allergic disorder Condition diagnosis Allergic rhinitis/hay fever;Asthma;Atopic dermatitis;Hives;Mast cell activation syndrome;Other, specify Allergic rhinitis/hay fever;Asthma;Atopic dermatitis;Hives;Mast cell activation syndrome;Other, specify Alphanumeric Adult Exploratory 1.00 2018-01-05 10:51:03.0 Medical History - Immune Module General Health History Participant History and Family History

Multiple Pre-Defined Values Selected

C57485 Ear nose throat condition inactive resolved type EarNoseThroatCondInactResTyp Element related to ear, nose, throat conditions that are considered no longer active or resolved Element related to ear, nose, throat conditions that are considered no longer active or resolved Condition(s) no longer active/resolved Chronic rhinitis (runny nose);Chronic sinusitis;Chronic/repeated otitis media (ear infections);Hay fever;Impaired hearing;Easy nasal bleeding;Nasal allergies;Tonsillectomy;Other, specify;Chronically infected tonsils Chronic rhinitis (runny nose);Chronic sinusitis;Chronic/repeated otitis media (ear infections);Hay fever;Impaired hearing;Easy nasal bleeding;Nasal allergies;Tonsillectomy;Other, specify;Chronically infected tonsils Alphanumeric Adult Exploratory 1.00 2018-01-08 11:20:01.0 Medical History - Immune Module General Health History Participant History and Family History

Multiple Pre-Defined Values Selected

C57266 Ear nose throat condition diagnosis year value EarNoseThroatCondDiagnosYrVal The year the subject was diagnosed with an ear, nose, throat condition The year the subject was diagnosed with an ear, nose, throat condition Year(s) of diagnosis Numeric Values Adult Exploratory 1.00 2018-01-05 10:02:54.0 Medical History - Immune Module General Health History Participant History and Family History

Free-Form Entry

C57881 Infection condition inactive resolved other text InfectCondInactResolvOthrTxt Text specifying an infection other than the ones already mentioned that is no longer active in the subject or is considered resolved or cured Text specifying an infection other than the ones already mentioned that is no longer active in the subject or is considered resolved or cure Other, specify: Alphanumeric Adult Exploratory 1.00 2018-01-11 13:09:26.0 Medical History - Immune Module General Health History Participant History and Family History 255

Free-Form Entry

C57363 ROME II criteria type ROMEIICritTyp The type of condition that is required for the ROME II criteria for Irritable Bowel Syndrome to be met The type of condition that is required for the ROME II criteria for Irritable Bowel Syndrome to be me Abdominal distention or pain Relieved with defecation;An onset associated with change in the form (appearance) of stool;Onset associated with change in the frequency of stool Relieved with defecation;An onset associated with change in the form (appearance) of stool;Onset associated with change in the frequency of stool Alphanumeric

Of at least 12 weeks duration (not necessarily consecutive weeks) in the preceding 12 months accompanied by two of the following three features of altered bowel habits.

Adult Supplemental-Highly Recommended 1.00 2018-01-05 12:51:04.0 Medical History - Immune Module General Health History Participant History and Family History

Multiple Pre-Defined Values Selected

C57602 Gut condition active indicator GutCondActInd The indicator relating to whether the subject currently has an active gut condition The indicator relating to whether the subject currently has an active gut condition Condition active No;Yes No;Yes Alphanumeric Adult Exploratory 1.00 2018-01-09 11:27:55.0 Medical History - Immune Module General Health History Participant History and Family History

Single Pre-Defined Value Selected

C57280 Food hypersensitivity reaction onset date FoodHypersensRxnOnsetDate The date of onset for reaction(s) as a result of food hypersensitivity The date of onset for reaction(s) as a result of food hypersensitivity Date of onset Date or Date & Time Adult Exploratory 1.00 2018-01-05 10:19:54.0 Medical History - Immune Module General Health History Participant History and Family History

Free-Form Entry

C57383 Eye condition medication work well indicator EyeCondMedctnWorkWellInd The indicator relating to whether the subject's medication(s) for eye conditons is(are) working well The indicator relating to whether the subject's medication(s) for eye conditons is(are) working wel Medications work well Yes;No;Not applicable Yes;No;Not applicable Alphanumeric Adult Exploratory 1.00 2018-01-08 08:43:57.0 Medical History - Immune Module General Health History Participant History and Family History

Single Pre-Defined Value Selected

C57717 Skin condition medication work well indicator SkinCondMedWorkWellInd The indicator relating to whether the medication(s) the subject is taking for skin condition(s) is(are) working well The indicator relating to whether the medication(s) the subject is taking for skin condition(s) is(are) working wel Medication(s) work well Yes;No;Not applicable Yes;No;Not applicable Alphanumeric Adult Exploratory 1.00 2018-01-10 11:04:35.0 Medical History - Immune Module General Health History Participant History and Family History

Single Pre-Defined Value Selected

C57805 Blood immune condition inactive resolved other text BldImmunCondInactResolvOthrTxt Text specifying a blood and/or immune system condition other than the ones previously mentioned that is no longer active in the subject or is considered resolved or cured Text specifying a blood and/or immune system condition other than the ones previously mentioned that is no longer active in the subject or is considered resolved or cure Other, specify: Alphanumeric Adult Exploratory 1.00 2018-01-10 17:00:23.0 Medical History - Immune Module General Health History Participant History and Family History 255

Free-Form Entry

C57323 Atopic allergy disorder condition diagnosed information status AllRhiHayFeverCondInfoStat Status for atopy/allergic disorder(s) with which the participant/subject has been diagnosed Status for atopy/allergic disorder(s) with which the participant/subject has been diagnosed If diagnosed: Condition active past one year;Condition currently active;Medications are taken for this condition;Medications taken daily for this condition Condition active past one year;Condition currently active;Medications are taken for this condition;Medications taken daily for this condition Alphanumeric Adult Exploratory 1.00 2018-01-05 10:54:30.0 Medical History - Immune Module General Health History Participant History and Family History

Multiple Pre-Defined Values Selected

C57489 Lung condition diagnosed indicator LungCondDiagInd Indicator related to lung condition(s) the participant/subject has been diagnosed with Indicator related to lung condition(s) the participant/subject has been diagnosed with Condition diagnosed No;Yes No;Yes Alphanumeric Adult Exploratory 1.00 2018-01-08 12:33:33.0 Medical History - Immune Module General Health History Participant History and Family History

Single Pre-Defined Value Selected

C57267 Medical history Immunodeficiency syndrome name text MedHistImmunodefSyndNameTxt The name of the immunodeficiency syndrome(s) the subject has as medical history of The name of the immunodeficiency syndrome(s) the subject has as medical history of Name of syndrome: Alphanumeric Adult Exploratory 1.00 2018-01-05 10:04:11.0 Medical History - Immune Module General Health History Participant History and Family History 255

Free-Form Entry

C57882 Immune disorder treatment received indicator ImmDisordrTreatmtRecInd Indicator related to whether treatments were received for any immune disorders Indicator related to whether treatments were received for any immune disorders Treatments received for any immune disorders? No;Yes No;Yes Alphanumeric Adult Exploratory 1.00 2018-01-11 13:10:35.0 Medical History - Immune Module General Health History Participant History and Family History

Single Pre-Defined Value Selected

C57364 ROME II criteria indicator ROMEIICritInd The indicator relating to whether the ROME II criteria for Irritable Bowel Syndrome has been met The indicator relating to whether the ROME II criteria for Irritable Bowel Syndrome has been me Rome II criteria: No;Yes No;Yes Alphanumeric Adult Supplemental-Highly Recommended 1.00 2018-01-05 12:53:38.0 Medical History - Immune Module General Health History Participant History and Family History

Single Pre-Defined Value Selected

C57603 Gut condition medication past year indicator GutCondMedPastYrInd The indicator relating to whether the subject has taken medication for gut condition(s) in the past year The indicator relating to whether the subject has taken medication for gut condition(s) in the past year Take medications No;Yes No;Yes Alphanumeric

In the past year

Adult Exploratory 1.00 2018-01-09 11:28:54.0 Medical History - Immune Module General Health History Participant History and Family History

Single Pre-Defined Value Selected

C57281 Infection condition diagnosis year value InfectCondDiagYrVal The year of diagnosis of infections The year of diagnosis of infections Year(s) of diagnosis Numeric Values Adult Exploratory 1.00 2018-01-05 10:20:57.0 Medical History - Immune Module General Health History Participant History and Family History

Free-Form Entry

C57414 Eye condition inactive resolved type EyeCondInactResolvTyp Element related to eye conditions that are considered no longer active or resolved Element related to eye conditions that are considered no longer active or resolved Condition no longer active/resolved Optic neuritis;Uveitis or scleritis;Dry eye;Eye infections;Sjogren's syndrome;Other, specify Optic neuritis;Uveitis or scleritis;Dry eye;Eye infections;Sjogren's syndrome;Other, specify Alphanumeric Adult Exploratory 1.00 2018-01-08 09:14:39.0 Medical History - Immune Module General Health History Participant History and Family History

Multiple Pre-Defined Values Selected

C57766 Skin condition inactive resolved type SkinCondInactResolvTyp Any type of the aforementioned skin conditions that are no longer active in the subject or are considered resolved or cured Any type of the aforementioned skin conditions that are no longer active in the subject or are considered resolved or cure Condition no longer active/resolved Psoriasis;Eczema;Dermatomyositis;Contact dermatitis;Vasculitis;Zoster;Other allergic skin reactions;Other, specify;Hives Psoriasis;Eczema;Dermatomyositis;Contact dermatitis;Vasculitis;Zoster;Other allergic skin reactions;Other, specify;Hives Alphanumeric Adult Exploratory 1.00 2018-01-10 12:36:57.0 Medical History - Immune Module General Health History Participant History and Family History

Multiple Pre-Defined Values Selected

C57806 Infection diagnosis type InfecDiagnosTyp Any type of the infections listed that the subject has ever been diagnosed with Any type of the infections listed that the subject has ever been diagnosed wit Condition diagnosed Mononucleosis;Lyme disease, Specify type;HIV/AIDS;Fungal disease (not including skin infection);Chronic parasitic infection;Tuberculosis;Syphilis;Subacute bacterial endocarditis;Sepsis, ever;Sepsis in the past 12 weeks;Osteomyelitis;Other, specify Mononucleosis;Lyme disease, Specify type;HIV/AIDS;Fungal disease (not including skin infection);Chronic parasitic infection;Tuberculosis;Syphilis;Subacute bacterial endocarditis;Sepsis, ever;Sepsis in the past 12 weeks;Osteomyelitis;Other, specify Alphanumeric Adult Exploratory 1.00 2018-01-11 08:32:59.0 Medical History - Immune Module General Health History Participant History and Family History

Multiple Pre-Defined Values Selected

C57325 Atopic allergic disorder condition medication name AtopicAllergDsrdrCondMedName The name(s) of the medication(s) being taken for the participant/subject's atopy/allergic disorder condition The name(s) of the medication(s) being taken for the participant/subject's atopy/allergic disorder condition Medication(s) name(s) Alphanumeric Adult Exploratory 1.00 2018-01-05 10:57:24.0 Medical History - Immune Module General Health History Participant History and Family History 255

Free-Form Entry

C57494 Lung condition active indicator LungCondActInd The indicator relating to lung condition(s) that are active The indicator relating to lung condition(s) that are active Condition(s) active No;Yes No;Yes Alphanumeric Adult Exploratory 1.00 2018-01-08 13:54:58.0 Medical History - Immune Module General Health History Participant History and Family History

Single Pre-Defined Value Selected

C00314 Medical history taken date and time MedclHistTakenDateTime Date (and time, if applicable and known) the participant's medical history was taken Date (and time, if applicable and known) the participant 's medical history was taken Date history taken: Date or Date & Time Adult Exploratory 3.20 2024-02-29 15:42:39.0 Medical History - Immune Module General Health History Participant History and Family History

Free-Form Entry

2179659
C57268 Medical history immune symptom onset text MedHistImmSymptmOnsetTxt Text describing symptoms at onset the participant/subject experienced for immune conditions as part of medical history Text describing symptoms at onset the participant/subject experienced for immune conditions as part of medical history Symptoms at onset Alphanumeric Adult Exploratory 1.00 2018-01-05 10:05:04.0 Medical History - Immune Module General Health History Participant History and Family History 255

Free-Form Entry

C57957 Immune symptom onset current type ImmSymptmOnsetCurrTyp Whether the types of general immune/infectious symptom(s) that the subject experienced at onset (within first month of illness) are being currently experienced Whether the types of general immune/infectious symptom(s) that the subject experienced at onset (within first month of illness) are being currently experience If yes, are any of those symptoms current? Fever;Chills;Night sweats;Sore throats;Swollen/tender glands;Rashes;N/V/D;Arthalgia/arthritis;Mouth ulcers;History of autoimmune disease;Family history of autoimmune disease (biological relatives only, if applicable) Fever;Chills;Night sweats;Sore throats;Swollen/tender glands;Rashes;N/V/D;Arthalgia/arthritis;Mouth ulcers;History of autoimmune disease;Family history of autoimmune disease (biological relatives only, if applicable) Alphanumeric

Check all that apply

Adult Core 1.00 2018-01-05 09:23:33.0 Medical History - Immune Module General Health History Participant History and Family History

Multiple Pre-Defined Values Selected

C57365 ROME III criteria type ROMEIIICritTyp The type of ROME II Diagnostic Criteria for Irritable Bowel Syndrome that needs to be met The type of ROME II Diagnostic Criteria for Irritable Bowel Syndrome that needs to be me Recurrent abdominal pain for discomfort at least three days per month and two or more of the following symptoms: Improvement with defecation;An onset associated with change in the form (appearance) of stool;Onset associated with change in the frequency of stool Improvement with defecation;An onset associated with change in the form (appearance) of stool;Onset associated with change in the frequency of stool Alphanumeric Adult Supplemental-Highly Recommended 1.00 2018-01-05 12:55:19.0 Medical History - Immune Module General Health History Participant History and Family History

Multiple Pre-Defined Values Selected

C57605 Gut condition medication current indicator GutCondMedCurrentInd The indicator relating to whether the subject currently takes medication for gut conditions The indicator relating to whether the subject currently takes medication for gut conditions Currently take medications No;Yes No;Yes Alphanumeric Adult Exploratory 1.00 2018-01-09 11:28:54.0 Medical History - Immune Module General Health History Participant History and Family History

Single Pre-Defined Value Selected

C57282 Adverse reaction drug type text AdvRxnDrugTypTxt Free-text field to describe the type of adverse reaction the participant/subject has from a drug Free-text field to describe the type of adverse reaction the participant/subject has from a drug Reaction Alphanumeric Adult Exploratory 1.00 2018-01-05 10:19:54.0 Medical History - Immune Module General Health History Participant History and Family History 255

Free-Form Entry

C57416 Eye condition diagnosis year number EyeCondDiagnosYrNum The year that the subject was diagnosed with an eye condition The year that the subject was diagnosed with an eye conditio Year(s) of diagnosis Numeric Values Adult Exploratory 1.00 2018-01-08 09:19:30.0 Medical History - Immune Module General Health History Participant History and Family History

Free-Form Entry

C57767 Skin condition inactive resolved other text SkinCondInactResolvOthrTxt Text specifying another skin condition that is no longer active in the subject or is considered resolved or cured Text specifying another skin condition that is no longer active in the subject or is considered resolved or cure Other, specify: Alphanumeric Adult Exploratory 1.00 2018-01-10 12:38:48.0 Medical History - Immune Module General Health History Participant History and Family History 255

Free-Form Entry

C57807 Infection diagnosis Lyme disease type text InfecDiagnosLymeDisTypTxt Text specifying the type of Lyme disease the subject has/had ever been diagnoses with Text specifying the type of Lyme disease the subject has/had ever been diagnoses wit Specify type: Alphanumeric Adult Exploratory 1.00 2018-01-11 08:38:19.0 Medical History - Immune Module General Health History Participant History and Family History 255

Free-Form Entry

C57335 Skin condition medication name SkinCondMedName The name of the medication(s) being used for the subject's skin condition(s) The name of the medication(s) being used for the subject's skin condition(s) Medication name(s) Alphanumeric Adult Exploratory 1.00 2018-01-05 11:14:19.0 Medical History - Immune Module General Health History Participant History and Family History 255

Free-Form Entry

C57495 Lung condition medication past year indicator LungCondMedPastYrInd The indicator relating to whether the subject has taken medication for lung condition(s) in the past year The indicator relating to whether the subject has taken medication for lung condition(s) in the past year Take medications No;Yes No;Yes Alphanumeric

In the past year

Adult Exploratory 1.00 2018-01-08 13:59:10.0 Medical History - Immune Module General Health History Participant History and Family History

Single Pre-Defined Value Selected

C17402 Site name SiteName The name of the site for the study The name of the site for the study Site name: Alphanumeric Adult Exploratory 3.00 2013-06-21 00:00:00.0 Medical History - Immune Module General Health History Participant History and Family History 255

Free-Form Entry

C57269 Lunc condition diagnosis year value LungCondDiagnosYrVal The year that the subject was diagnosed with a lung condition(s) The year that the subject was diagnosed with a lung condition(s) Year(s) of diagnosis Numeric Values Adult Exploratory 1.00 2018-01-05 10:06:10.0 Medical History - Immune Module General Health History Participant History and Family History

Free-Form Entry

C57958 Antibiotic long term repeated history indicator AntibLongTermRepeatHistInd Indicator related to whether the participant/subject has a history of repeated or long-term antibiotic use Indicator related to whether the participant/subject has a history of repeated or long-term antibiotic use Does the participant/subject have a history of repeated or long-term antibiotic use? No;Yes No;Yes Alphanumeric Adult Exploratory 1.00 2018-01-05 09:42:20.0 Medical History - Immune Module General Health History Participant History and Family History

Single Pre-Defined Value Selected

C57366 ROME III criteria indicator ROMEIIICritInd The indicator relating to whether the ROME III Diagnostic Criteria for Irritable Bowel Syndrome has been met The indicator relating to whether the ROME III Diagnostic Criteria for Irritable Bowel Syndrome has been me Meets Rome III diagnostic criteria for irritable bowel syndrome No;Yes No;Yes Alphanumeric Adult Supplemental-Highly Recommended 1.00 2018-01-05 12:57:52.0 Medical History - Immune Module General Health History Participant History and Family History

Single Pre-Defined Value Selected

C57606 Gut condition medication name GutCondMedName The name of the medication(s) the subject is taking for gut condition(s) The name of the medication(s) the subject is taking for gut condition(s) Medication name(s) Alphanumeric Adult Exploratory 1.00 2018-01-09 11:31:17.0 Medical History - Immune Module General Health History Participant History and Family History 255

Free-Form Entry

C57768 Blood immune system condition diagnosis type BldImmCondDiagnosTyp Any type of blood and/or immune system condition(s) that the subject has ever been diagnosed with Any type of blood and/or immune system condition(s) that the subject has ever been diagnosed wit Condition diagnosed Anemia;Sickle cell disease;Thalassemia;Hemochromatosis;Myeloproliferative disorders (myelodysplasia);Other, specify Anemia;Sickle cell disease;Thalassemia;Hemochromatosis;Myeloproliferative disorders (myelodysplasia);Other, specify Alphanumeric Adult Exploratory 1.00 2018-01-10 12:54:37.0 Medical History - Immune Module General Health History Participant History and Family History

Multiple Pre-Defined Values Selected

C57285 Skin condition diagnosis year value SkinCondDiagYrVal The year skin condition(s) was diagnosed The year skin condition(s) was diagnosed Year(s) of diagnosis Numeric Values Adult Exploratory 1.00 2018-01-05 10:24:44.0 Medical History - Immune Module General Health History Participant History and Family History

Free-Form Entry

C57417 Ear nose throat condition diagnosed type EarNoseThroatCondDiagnosTyp Any ear, nose, and/or throat condition that the subject has ever been diagnosed with Any ear, nose, and/or throat condition that the subject has ever been diagnosed wit Condition Diagnosed Chronic rhinitis (runny nose);Chronic sinusitis;Chronic/repeated otitis media (ear infections);Hay fever;Impaired hearing;Easy nasal bleeding;Nasal allergies;Tonsillectomy;Other, specify;Chronically infected tonsils Chronic rhinitis (runny nose);Chronic sinusitis;Chronic/repeated otitis media (ear infections);Hay fever;Impaired hearing;Easy nasal bleeding;Nasal allergies;Tonsillectomy;Other, specify;Chronically infected tonsils Alphanumeric Adult Exploratory 1.00 2018-01-08 09:20:35.0 Medical History - Immune Module General Health History Participant History and Family History

Multiple Pre-Defined Values Selected

C57808 Infection diagnosis other text InfecDiagnosOthrTxt Text specifying an infection other than the ones previously mentioned that the subject has ever been diagnosed with Text specifying an infection other than the ones previously mentioned that the subject has ever been diagnosed wit Other, specify: Alphanumeric Adult Exploratory 1.00 2018-01-11 08:39:29.0 Medical History - Immune Module General Health History Participant History and Family History 255

Free-Form Entry

C57344 Vaccine unusual history indicator VaccUnusualHistInd The indicator relating to whether the participant/subject has a history of unusual vaccines The indicator relating to whether the participant/subject has a history of unusual vaccine History of unusual vaccines No;Yes No;Yes Alphanumeric

(e.g., related to international travel)

Adult Exploratory 1.00 2018-01-05 11:19:35.0 Medical History - Immune Module General Health History Participant History and Family History

Single Pre-Defined Value Selected

C57497 Lung condition medication currently indicator LungCondMedCurrentInd The indicator relating to whether the subject currently takes medication for lung condiiton(s) The indicator relating to whether the subject currently takes medication for lung condiiton(s) Currently take medication(s) No;Yes No;Yes Alphanumeric Adult Exploratory 1.00 2018-01-08 13:59:10.0 Medical History - Immune Module General Health History Participant History and Family History

Single Pre-Defined Value Selected

C19247 Subject ID SubIDNam Subject identification ID Subject identification ID Subject ID: Alphanumeric Adult Exploratory 1.00 2014-06-05 13:10:49.0 Medical History - Immune Module General Health History Participant History and Family History 255

Free-Form Entry

C57270 Medical history immune malignancy name text MedHistImmMalignancyNameTxt The name of any malignancy or malignancies affecting the subject's immune system as part of the medical history The name of any malignancy or malignancies affecting the subject's immune system as part of the medical history Name of syndrome: Alphanumeric Adult Exploratory 1.00 2018-01-05 10:07:25.0 Medical History - Immune Module General Health History Participant History and Family History 255

Free-Form Entry

C58430 Atopy allergic disorder condition diagnosis other text AtopyAllDisordrCondDiagOthTxt The free-text field to describe other type of condition(s) that the participant/subject was diagnosed with in relation to his/her history of atopy/allergic disorders The free-text field to describe other type of condition(s) that the participant/subject was diagnosed with in relation to his/her history of atopy/allergic disorder Other, specify: Alphanumeric Adult Exploratory 1.00 2018-01-05 10:51:03.0 Medical History - Immune Module General Health History Participant History and Family History 500

Free-Form Entry

C57367 Irritable Bowel Syndrome predominant stool pattern subtype type IBSPredStoolPatSubTyp The subtype of Irritable Bowel Syndrome (IBS) observed by a predominant stool pattern in the subject The subtype of Irritable Bowel Syndrome (IBS) observed by a predominant stool pattern in the subjec Irritable bowel syndrome subtypes by predominant stool pattern IBS with Constipation (IBS-C);IBS with Diarrhea (IBS-D);Mixed IBS (IBS-M);Unsubtyped IBS Hard or lumpy stool (Type 1 or 2) with more than 25% of bowel movements, and loose or watery stools (Type 6 or 7) with less than 25% of bowel movements;Loose or watery stools (Type 6 or 7) with more than 25% of bowel movements, and hard lumpy stools (Type 1 or 2) with less than 25% of bowel movements;Hard or lumpy stool (Type 1 or 2) with more than 25% of bowel movement, plus loose or watery stool (Type 6 or 7) with more than 25% of bowel movements;Insufficient abnormality of stool consistency to meet criteria for IBS-C, IBS-D, or IBS-M Alphanumeric

You must not be taking laxatives or antidiarrheal medicines that will change your bowel habits.

Adult Exploratory 1.00 2018-01-05 13:00:05.0 Medical History - Immune Module General Health History Participant History and Family History

Single Pre-Defined Value Selected

C57607 Gut condition medication work well indicator GutCondMedWorkWellInd The indicator relating to whether the medication(s) for gut condition the subject is taking is(are) working well The indicator relating to whether the medication(s) for gut condition the subject is taking is(are) working well Medications work well Yes;No;Not applicable Yes;No;Not applicable Alphanumeric Adult Exploratory 1.00 2018-01-09 11:33:16.0 Medical History - Immune Module General Health History Participant History and Family History

Single Pre-Defined Value Selected

C57769 Blood immune condition diagnosis other text BldImmuneCondDiagnosOthrTxt Text specifying a blood and/or immune system condition other than the ones previously mentioned that the subject has ever been diagnosed with Text specifying a blood and/or immune system condition other than the ones previously mentioned that the subject has ever been diagnosed wit Other, specify: Alphanumeric Adult Exploratory 1.00 2018-01-10 12:58:27.0 Medical History - Immune Module General Health History Participant History and Family History 255

Free-Form Entry

CSV