Medical History

The CDASHIG MH domain includes the subject's medical history at the start of the trial.

Sponsors may choose to code reported medical history terms outside of the CRF collection page using the appropriate variables for coding. The Collection Date may not need to be included on this CRF, if the date of collection is determined from a collected visit date.

"Form MH - Medical History [MH]" Form Preview

Form MH - Medical History

MH - Medical History

Were any medical conditions or events reported?

No Yes

What was the date the medical history was collected?

01 Jan 2000

* What is the medical condition or event term?

What [is/was] the [medical event or condition/category of the event] start date?

01 Jan 2000

Is the medical condition or event ongoing (as of the [study-specific timepoint or period])?

No Yes

What [is/was] the [medical event or condition/category of the event] end date?

01 Jan 2000

* Mandatory field

Package(s)
MH eCRF Package