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Questionnaire

1 forms  
  1. StudyEvent: ODM
    1. Questionnaire
Patient demographics
Description

Patient demographics

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
Patient address
Description

Patient address

Data type

text

Alias
UMLS CUI [1]
C0421449
Email
Description

Email

Data type

text

Alias
UMLS CUI [1]
C0013849
Telephone
Description

Telephone

Data type

integer

Alias
UMLS CUI [1]
C1515258
Occupation
Description

Occupation

Data type

integer

Alias
UMLS CUI [1]
C0028811
Insurance
Description

Insurance

Primary Subscriber
Description

Primary Subscriber

Data type

text

Alias
UMLS CUI [1]
C3242716
Date of birth
Description

Date of birth

Data type

date

Alias
UMLS CUI [1]
C0421451
Health insurance
Description

Health insurance

Data type

text

Alias
UMLS CUI [1]
C0021682
Dentist
Description

Dentist

Data type

text

Alias
UMLS CUI [1]
C0011441
General Practitioners
Description

General Practitioners

Data type

text

Alias
UMLS CUI [1]
C0017319
Referral and Consultation
Description

Referral and Consultation

Data type

text

Alias
UMLS CUI [1]
C0034928
Follow-up status
Description

Follow-up status

Data type

integer

Alias
UMLS CUI [1]
C0589120
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Similar models

Questionnaire

1 forms
  1. StudyEvent: ODM
    1. Questionnaire
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Patient demographics
Patient name
Item
Patient name
integer
C1299487 (UMLS CUI [1])
Date of birth
Item
Date of birth
date
C0421451 (UMLS CUI [1])
Item
Gender
integer
C0079399 (UMLS CUI [1])
Geschlecht
Code List
Gender
CL Item
male (1)
C0086582 (UMLS CUI-1)
(Comment:de)
CL Item
female (2)
C0015780 (UMLS CUI-1)
(Comment:de)
Patient address
Item
Patient address
text
C0421449 (UMLS CUI [1])
Email
Item
Email
text
C0013849 (UMLS CUI [1])
Telephone
Item
Telephone
integer
C1515258 (UMLS CUI [1])
Occupation
Item
Occupation
integer
C0028811 (UMLS CUI [1])
Item Group
Insurance
Primary Subscriber
Item
Primary Subscriber
text
C3242716 (UMLS CUI [1])
Date of birth
Item
Date of birth
date
C0421451 (UMLS CUI [1])
Health insurance
Item
Health insurance
text
C0021682 (UMLS CUI [1])
Dentist
Item
Dentist
text
C0011441 (UMLS CUI [1])
General Practitioners
Item
General Practitioners
text
C0017319 (UMLS CUI [1])
Referral and Consultation
Item
Referral and Consultation
text
C0034928 (UMLS CUI [1])
Follow-up status
Item
Follow-up status
integer
C0589120 (UMLS CUI [1])
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