| # | Question | Response |
|---|---|---|
|
1
|
Medical History Verbatim
field_001
|
|
|
2
|
Approximate start date of condition
field_002
|
|
|
3
|
Outcome of the condition
field_003
|
|
|
4
|
Approximate date of recovery from the condition
field_004
|
|
|
5
|
Severity of the condition
field_005
|
| # | Question | Response |
|---|---|---|
|
1
|
Collection Date
mh801_1.MHDAT
|
|
|
2
|
Date of Diagnosis of Diabetes?
mh801_1.MHSTDAT
|
|
|
3
|
Type of Diabetes
mh801_1.MHTERM
|
|
|
4
|
field_004
|
| # | Question | Response |
|---|---|---|
|
1
|
Collection Date
mh801_1.MHDAT
|
|
|
2
|
Diabetic Retinopathy
mh801_2.MHTERM</br>_mh801_2.MHOCCUR
|
|
|
3
|
Neuropathy
mh801_2.MHTERM</br>_mh801_2.MHOCCUR_2
|
|
|
4
|
Nephropathy
mh801_2.MHTERM</br>_mh801_2.MHOCCUR_3
|
|
|
5
|
Peripheral Vascular Disease
mh801_2.MHTERM</br>_mh801_2.MHOCCUR_4
|
|
|
6
|
Diabetic Ketoacidosis
mh801_2.MHTERM</br>_mh801_2.MHOCCUR_5
|
|
|
7
|
Date of Diagnosis
mh801_2.MHSTDAT
|
|
|
8
|
field_008
|
| # | Question | Response |
|---|---|---|
|
1
|
Collection Date
mh801_3.MHDAT
|
|
|
2
|
Medical History Verbatim
mh801_3.MHTERM
|
|
|
3
|
Start Date
mh801_3.MHSTDAT
|
|
|
4
|
End Date
mh801_3.MHENDAT
|
|
|
5
|
Ongoing
mh801_3.MHONGO
|
|
|
6
|
field_006
|
| # | Question | Response |
|---|---|---|
|
1
|
Medical Condition
field_001
|
|
|
2
|
Date of diagnosis
field_002
|
|
|
3
|
Did the patient have any symptoms of Anemia in
field_003
|
|
|
4
|
Shortness of breath
field_004
|
|
|
5
|
Fatigue
field_005
|
|
|
6
|
Other symptoms
field_006
|
|
|
7
|
If 'Other', specify
field_007
|
|
|
8
|
field_008
|
| # | Question | Response |
|---|---|---|
|
1
|
Medical Condition
field_001
|
|
|
2
|
Date of diagnosis
field_002
|
|
|
3
|
Stage of Chronic Kidney Disease
field_003
|
|
|
4
|
What is the likely etiology of CKD?
field_004
|
|
|
5
|
field_005
|