ID
18731
Beschreibung
ODM Form derived from: https://ictr.wisc.edu/CaseReptTempt. Template Name: Medical History (General). Case Report Form (CRF)/Source Document templates were created for University of Wisconsin-Madison researchers. These templates are consistent with the FDA's CDASH (Clinical Data Acquisition Standards Harmonization) standards. The CDASH standards identify those elements that should be captured on a Case Report Form (CRF). The forms serve only as templates, and must be edited to meet the study data collection needs as described in the protocol.
Link
https://ictr.wisc.edu/CaseReptTempt
Stichworte
Versionen (2)
- 22.07.16 22.07.16 -
- 17.11.16 17.11.16 -
Hochgeladen am
17. November 2016
DOI
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Lizenz
Creative Commons BY-NC 3.0
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Medical History (General): CRF Wisconsin Madison
Medical History (General): CRF Wisconsin Madison
- StudyEvent: ODM
Beschreibung
Medical History (General)
Beschreibung
Body System
Datentyp
text
Alias
- UMLS CUI [1]
- C0460002
Beschreibung
Diagnosed condition
Datentyp
boolean
Alias
- UMLS CUI [1]
- C0011900
Beschreibung
Diagnosis/Condition/Surgery
Datentyp
text
Alias
- UMLS CUI [1]
- C0011900
- UMLS CUI [2]
- C0543467
Beschreibung
Onset Date or Year
Datentyp
integer
Alias
- UMLS CUI [1]
- C0574845
- UMLS CUI [2]
- C3274945
Beschreibung
Current Problem
Datentyp
boolean
Alias
- UMLS CUI [1,1]
- C0033213
- UMLS CUI [1,2]
- C0521116
Beschreibung
Other (specify)
Beschreibung
Diagnosed condition
Datentyp
boolean
Alias
- UMLS CUI [1]
- C0011900
Beschreibung
Diagnosis/Condition/Surgery
Datentyp
text
Alias
- UMLS CUI [1]
- C0011900
- UMLS CUI [2]
- C0543467
Beschreibung
Onset Date Or Year
Datentyp
integer
Alias
- UMLS CUI [1]
- C0574845
- UMLS CUI [2]
- C3274945
Beschreibung
Current Problem
Datentyp
boolean
Alias
- UMLS CUI [1,1]
- C0033213
- UMLS CUI [1,2]
- C0521116
Beschreibung
Additional Notes
Datentyp
text
Alias
- UMLS CUI [1]
- C0947611
Beschreibung
Medical History Not Obtained
Datentyp
boolean
Alias
- UMLS CUI [1,1]
- C0262926
- UMLS CUI [1,2]
- C1882120
Beschreibung
Medical History Obtained By
Datentyp
text
Alias
- UMLS CUI [1,1]
- C0262926
- UMLS CUI [1,2]
- C1301820
Ähnliche Modelle
Medical History (General): CRF Wisconsin Madison
- StudyEvent: ODM
C1521895 (UMLS CUI [1,2])
C1705824 (UMLS CUI [1,2])
C0543467 (UMLS CUI [2])
C3274945 (UMLS CUI [2])
C0521116 (UMLS CUI [1,2])
C0543467 (UMLS CUI [2])
C3274945 (UMLS CUI [2])
C0521116 (UMLS CUI [1,2])
C1882120 (UMLS CUI [1,2])
C1301820 (UMLS CUI [1,2])