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ID
10163
Description
Data derived from paper-based form of the Department of Internal Medicine. With friendly permission of Prof. Dr. med. Schmiegel http://www.medunikkh.de/
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Versions (2)
- 4/16/15 4/16/15 -
- 2/10/16 2/10/16 -
Uploaded on
April 16, 2015
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License
Creative Commons BY-NC 3.0
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HSCT Donor selection form - Department of Internal Medicine Knappschaftskrankenhaus Bochum-Langendreer
Donor selection SCT AML KKH Bochum
- StudyEvent: ODM
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Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Patient name
Item
text
C1299487 (UMLS CUI-1)
Date of birth
Item
date
C0421451 (UMLS CUI-1)
Blood group
Item
text
C0005810 (UMLS CUI-1)
CMV
Item
boolean
C0010825 (UMLS CUI-1)
Weight
Item
integer
C0005910 (UMLS CUI-1)
Age
Item
integer
C0001779 (UMLS CUI-1)
CL Item
male (1)
CL Item
female (2)
Pregnancy/Pregnancies
Item
integer
C0032961 (UMLS CUI-1)
Patient name
Item
text
C1299487 (UMLS CUI-1)
Date of birth
Item
date
C0421451 (UMLS CUI-1)
HLA-Constellation
Item
HLA-Constellation/HLA-matches
integer
C0019627 (UMLS CUI-1)
Blood group
Item
text
C0005810 (UMLS CUI-1)
CMV
Item
boolean
C0010825 (UMLS CUI-1)
Weight
Item
integer
C0005910 (UMLS CUI-1)
Age
Item
integer
C0001779 (UMLS CUI-1)
CL Item
male (1)
CL Item
female (2)
Pregnancy/Pregnancies
Item
integer
C0032961 (UMLS CUI-1)
Choice/Reason for exclusion
Item
text
C1449774 (UMLS CUI-1)
Signature of investigator
Item
text
C2346576 (UMLS CUI-1)
Date
Item
date
C0011008 (UMLS CUI-1)