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Administrative Data

1 Formulare  
  1. StudyEvent: ODM
    1. Administrative Data
Administrative Data
Beschreibung

Administrative Data

Study
Beschreibung

Complete the specific study name (cohort or trial)

Datentyp

text

Alias
UMLS CUI [1]
C0008976
Patient ID code:
Beschreibung

Complete the specific Patient ID code

Datentyp

text

Alias
UMLS CUI [1]
C1269815
Date of death
Beschreibung

The patient’s date of death should be recorded

Datentyp

date

Alias
UMLS CUI [1]
C1148348
Background demographics
Beschreibung

Background demographics

Year of birth:
Beschreibung

Year of birth

Datentyp

integer

Alias
UMLS CUI [1]
C2826771
Gender:
Beschreibung

Gender

Datentyp

text

Alias
UMLS CUI [1]
C0079399
Height (cm):
Beschreibung

Height

Datentyp

integer

Maßeinheiten
  • cm
Alias
UMLS CUI [1]
C0005890
cm
Weight:
Beschreibung

Body weight (most recent before death)

Datentyp

float

Maßeinheiten
  • kg
Alias
UMLS CUI [1]
C0005910
kg
Date Weight Measured
Beschreibung

(dd-mmm-yy; weight measured)

Datentyp

date

Alias
UMLS CUI [1,1]
C0011008
UMLS CUI [1,2]
C0005910
Data Sources
Beschreibung

Data Sources

Hospital files
Beschreibung

Hospital files

Datentyp

text

Alias
UMLS CUI [1,1]
C0019994
UMLS CUI [1,2]
C0016094
Outpatient clinic chart
Beschreibung

Outpatient clinic chart

Datentyp

text

Alias
UMLS CUI [1,1]
C0029916
UMLS CUI [1,2]
C0025102
Autopsy report
Beschreibung

Autopsy report

Datentyp

text

Alias
UMLS CUI [1]
C1548372
Registry
Beschreibung

If other, specify:

Datentyp

boolean

Alias
UMLS CUI [1,1]
C0034975
UMLS CUI [1,2]
C0205394
Obituary
Beschreibung

If other, specify:

Datentyp

boolean

Alias
UMLS CUI [1]
C3828738
Patients relatives or partner
Beschreibung

Patients relatives or partner

Datentyp

boolean

Alias
UMLS CUI [1]
C0015576
Patients medical provider
Beschreibung

Patients medical provider

Datentyp

boolean

Alias
UMLS CUI [1,1]
C1138603
UMLS CUI [1,2]
C0205476
Nursing home
Beschreibung

Nursing home

Datentyp

text

Alias
UMLS CUI [1]
C0028688
Other Source
Beschreibung

Other Source

Datentyp

text

Alias
UMLS CUI [1]
C0011001
Treating Physician
Beschreibung

Treating Physician

Completed by: Name (in print)
Beschreibung

Name

Datentyp

text

Alias
UMLS CUI [1]
C0027365
Position:
Beschreibung

Position

Datentyp

text

Alias
UMLS CUI [1]
C0733755
Other, describe
Beschreibung

If "Position" was "Other"

Datentyp

text

Alias
UMLS CUI [1,1]
C0733755
UMLS CUI [1,2]
C0205394
Directly involved in the medical care of the patient around the time of death?
Beschreibung

Involved in medical care

Datentyp

boolean

Alias
UMLS CUI [1,1]
C1314939
UMLS CUI [1,2]
C0496675
Date:
Beschreibung

Date (dd/mmm/yy) :

Datentyp

date

Alias
UMLS CUI [1]
C0011008
Signature:
Beschreibung

Signature

Datentyp

text

Alias
UMLS CUI [1]
C1519316
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Ähnliche Modelle

Administrative Data

1 Formulare
  1. StudyEvent: ODM
    1. Administrative Data
Name
Typ
Description | Question | Decode (Coded Value)
Datentyp
Alias
Item Group
Administrative Data
Study
Item
Study
text
C0008976 (UMLS CUI [1])
Patient ID
Item
Patient ID code:
text
C1269815 (UMLS CUI [1])
Date of death
Item
Date of death
date
C1148348 (UMLS CUI [1])
Item Group
Background demographics
Year of birth
Item
Year of birth:
integer
C2826771 (UMLS CUI [1])
Item
Gender:
text
C0079399 (UMLS CUI [1])
Gender
Code List
Gender:
CL Item
male (male)
CL Item
female (female)
Height
Item
Height (cm):
integer
C0005890 (UMLS CUI [1])
Weight
Item
Weight:
float
C0005910 (UMLS CUI [1])
Date
Item
Date Weight Measured
date
C0011008 (UMLS CUI [1,1])
C0005910 (UMLS CUI [1,2])
Item Group
Data Sources
Item
Hospital files
text
C0019994 (UMLS CUI [1,1])
C0016094 (UMLS CUI [1,2])
Hospital files
Code List
Hospital files
CL Item
Yes, complete  (Yes, complete )
CL Item
Yes, incomplete (Yes, incomplete)
CL Item
No (No)
Item
Outpatient clinic chart
text
C0029916 (UMLS CUI [1,1])
C0025102 (UMLS CUI [1,2])
Outpatient clinic chart
Code List
Outpatient clinic chart
CL Item
Yes, complete  (Yes, complete )
CL Item
Yes, incomplete (Yes, incomplete)
CL Item
No (No)
Item
Autopsy report
text
C1548372 (UMLS CUI [1])
Autopsy report
Code List
Autopsy report
CL Item
Yes, complete  (Yes, complete )
CL Item
Yes, incomplete (Yes, incomplete)
CL Item
No (No)
Registry
Item
Registry
boolean
C0034975 (UMLS CUI [1,1])
C0205394 (UMLS CUI [1,2])
Obituary
Item
Obituary
boolean
C3828738 (UMLS CUI [1])
Patients relatives or partner
Item
Patients relatives or partner
boolean
C0015576 (UMLS CUI [1])
Patients medical provider
Item
Patients medical provider
boolean
C1138603 (UMLS CUI [1,1])
C0205476 (UMLS CUI [1,2])
Nursing home
Item
Nursing home
text
C0028688 (UMLS CUI [1])
Other Source
Item
Other Source
text
C0011001 (UMLS CUI [1])
Item Group
Treating Physician
Name
Item
Completed by: Name (in print)
text
C0027365 (UMLS CUI [1])
Item
Position:
text
C0733755 (UMLS CUI [1])
Position
Code List
Position:
CL Item
Physician  (Physician )
CL Item
Nurse  (Nurse )
CL Item
Other, describe (Other, describe)
Other Position
Item
Other, describe
text
C0733755 (UMLS CUI [1,1])
C0205394 (UMLS CUI [1,2])
Involved in medical care
Item
Directly involved in the medical care of the patient around the time of death?
boolean
C1314939 (UMLS CUI [1,1])
C0496675 (UMLS CUI [1,2])
Date
Item
Date:
date
C0011008 (UMLS CUI [1])
Signature
Item
Signature:
text
C1519316 (UMLS CUI [1])
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