ID
18731
Description
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.
Lien
https://ictr.wisc.edu/CaseReptTempt
Mots-clés
Versions (2)
- 22/07/2016 22/07/2016 -
- 17/11/2016 17/11/2016 -
Téléchargé le
17 novembre 2016
DOI
Pour une demande vous connecter.
Licence
Creative Commons BY-NC 3.0
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Medical History (General): CRF Wisconsin Madison
Medical History (General): CRF Wisconsin Madison
- StudyEvent: ODM
Description
Medical History (General)
Description
Body System
Type de données
text
Alias
- UMLS CUI [1]
- C0460002
Description
Diagnosed condition
Type de données
boolean
Alias
- UMLS CUI [1]
- C0011900
Description
Diagnosis/Condition/Surgery
Type de données
text
Alias
- UMLS CUI [1]
- C0011900
- UMLS CUI [2]
- C0543467
Description
Onset Date or Year
Type de données
integer
Alias
- UMLS CUI [1]
- C0574845
- UMLS CUI [2]
- C3274945
Description
Current Problem
Type de données
boolean
Alias
- UMLS CUI [1,1]
- C0033213
- UMLS CUI [1,2]
- C0521116
Description
Other (specify)
Description
Diagnosed condition
Type de données
boolean
Alias
- UMLS CUI [1]
- C0011900
Description
Diagnosis/Condition/Surgery
Type de données
text
Alias
- UMLS CUI [1]
- C0011900
- UMLS CUI [2]
- C0543467
Description
Onset Date Or Year
Type de données
integer
Alias
- UMLS CUI [1]
- C0574845
- UMLS CUI [2]
- C3274945
Description
Current Problem
Type de données
boolean
Alias
- UMLS CUI [1,1]
- C0033213
- UMLS CUI [1,2]
- C0521116
Description
Additional Notes
Type de données
text
Alias
- UMLS CUI [1]
- C0947611
Description
Medical History Not Obtained
Type de données
boolean
Alias
- UMLS CUI [1,1]
- C0262926
- UMLS CUI [1,2]
- C1882120
Description
Medical History Obtained By
Type de données
text
Alias
- UMLS CUI [1,1]
- C0262926
- UMLS CUI [1,2]
- C1301820
Similar models
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])