Accident repot form

  1. StudyEvent: ODM
    1. Accident repot form
Admission Type - Accident
Description

Admission Type - Accident

Alias
UMLS CUI-1
C1546397
Patient name
Description

Patient name

Data type

integer

Alias
UMLS CUI [1]
C1299487
Date of birth
Description

Date of birth

Data type

date

Alias
UMLS CUI [1]
C0421451
Gender
Description

Gender

Data type

integer

Alias
UMLS CUI [1]
C0079399
Address
Description

Address

Data type

integer

Alias
UMLS CUI [1]
C0421449
Telephone
Description

Telephone

Data type

integer

Alias
UMLS CUI [1]
C1515258
Nationality
Description

Nationality

Data type

integer

Alias
UMLS CUI [1]
C0027473
Occupation
Description

Occupation

Data type

integer

Alias
UMLS CUI [1]
C0028811
Health insurance coverage
Description

Health insurance coverage

Data type

integer

Alias
UMLS CUI [1]
C2029812
Accident site
Description

Please state exact address

Data type

integer

Alias
UMLS CUI [1]
C0337069
Accident date and time
Description

Accident date and time

Data type

integer

Alias
UMLS CUI [1,1]
C0000924
UMLS CUI [1,2]
C0011008
Education and schooling
Description

Education and schooling

Data type

integer

Alias
UMLS CUI [1]
C0455002
End school
Description

End school

Data type

integer

Alias
UMLS CUI [1]
C0680097
Examination for accident
Description

Examination for accident

Data type

integer

Alias
UMLS CUI [1]
C0420134
Response to accident
Description

Response to accident

Data type

integer

Alias
UMLS CUI [1]
C0681639
Treatment date
Description

Treatment date

Data type

date

Alias
UMLS CUI [1]
C3173309

Similar models

Accident repot form

  1. StudyEvent: ODM
    1. Accident repot form
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Admission Type - Accident
C1546397 (UMLS CUI-1)
Patient name
Item
Patient name
integer
C1299487 (UMLS CUI [1])
Date of birth
Item
Date of birth
date
C0421451 (UMLS CUI [1])
Gender
Item
Gender
integer
C0079399 (UMLS CUI [1])
Address
Item
Address
integer
C0421449 (UMLS CUI [1])
Telephone
Item
Telephone
integer
C1515258 (UMLS CUI [1])
Nationality
Item
Nationality
integer
C0027473 (UMLS CUI [1])
Item
Occupation
integer
C0028811 (UMLS CUI [1])
Code List
Occupation
CL Item
Pupil (1)
C0260267 (UMLS CUI-1)
CL Item
Kindergarden (2)
C0870770 (UMLS CUI-1)
Health insurance coverage
Item
Health insurance coverage
integer
C2029812 (UMLS CUI [1])
Accident site
Item
Accident site
integer
C0337069 (UMLS CUI [1])
Accident date and time
Item
Accident date and time
integer
C0000924 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
Education and schooling
Item
Education and schooling
integer
C0455002 (UMLS CUI [1])
End school
Item
End school
integer
C0680097 (UMLS CUI [1])
Examination for accident
Item
Examination for accident
integer
C0420134 (UMLS CUI [1])
Response to accident
Item
Response to accident
integer
C0681639 (UMLS CUI [1])
Treatment date
Item
Treatment date
date
C3173309 (UMLS CUI [1])