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