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