ID

15964

Beskrivning

informed consent discussion Melanoma NCT00000000 To be conducted during the first inpatient stay or on the first outpatient visit. Not in the presence oof other patients independent from visit, if possible with reference person.

Nyckelord

  1. 2016-06-21 2016-06-21 -
  2. 2016-06-22 2016-06-22 -
  3. 2016-06-27 2016-06-27 -
  4. 2016-07-16 2016-07-16 -
Uppladdad den

21 juni 2016

DOI

För en begäran logga in.

Licens

Creative Commons BY-NC 3.0 Legacy

Modellkommentarer :

Här kan du kommentera modellen. Med hjälp av pratbubblor i Item-grupperna och Item kan du lägga in specifika kommentarer.

Itemgroup-kommentar för :

Item-kommentar för :

Du måste vara inloggad för att kunna ladda ner formulär. Var vänlig logga in eller registrera dig utan kostnad.

informed consent discussion Melanoma NCT00000000

informed consent discussion Melanoma NCT00000000

Meta Information
Beskrivning

Meta Information

Informed Consent discussion conducted with
Beskrivning

Patient Name

Datatyp

text

Alias
UMLS CUI [1]
C1299487
Consulting Physician
Beskrivning

if Other, please specify

Datatyp

integer

Alias
UMLS CUI [1]
C1441532
Other Consulting physician
Beskrivning

Consulting Physician

Datatyp

text

Alias
UMLS CUI [1]
C1441532
Date of Informed Consent Discussion
Beskrivning

Date of Informed Consent Discussion

Datatyp

date

Alias
UMLS CUI [1,1]
C0557061
UMLS CUI [1,2]
C0021430
UMLS CUI [1,3]
C0011008
Results of investigations complete on the first discussion
Beskrivning

In case of missing results please specify. In that case an additional postponed Discussion will be necessary.

Datatyp

boolean

Alias
UMLS CUI [1,1]
C0582103
UMLS CUI [1,2]
C0205197
Missing Examination results
Beskrivning

Missing Examination results

Datatyp

text

Alias
UMLS CUI [1,1]
C0582103
UMLS CUI [1,2]
C1705492
Discussion participant
Beskrivning

In case of Participation of none but the patient themselves: Another discusssion with trusted people participating was suggested and offered.

Datatyp

integer

Alias
UMLS CUI [1,1]
C0679646
UMLS CUI [1,2]
C0557061
Other Participant
Beskrivning

Other Informed Consent Discussion participant

Datatyp

text

Alias
UMLS CUI [1,1]
C0557061
UMLS CUI [1,2]
C0021430
UMLS CUI [1,3]
C0679646
Complete education desired
Beskrivning

Complete education desired

Datatyp

boolean

Alias
UMLS CUI [1,1]
C0030688
UMLS CUI [1,2]
C0205197
UMLS CUI [1,3]
C0871633
Diagnosis and Extent discussed with patient
Beskrivning

Diagnosis and Extent discussed

Datatyp

boolean

Alias
UMLS CUI [1,1]
C0011900
UMLS CUI [1,2]
C0439792
UMLS CUI [1,3]
C0557061
Comment
Beskrivning

Comment

Datatyp

text

Alias
UMLS CUI [1]
C0947611
Other items discussed with the patient
Beskrivning

Other items discussed with the patient

Datatyp

text

Alias
UMLS CUI [1]
C0205394

Similar models

informed consent discussion Melanoma NCT00000000

Name
Typ
Description | Question | Decode (Coded Value)
Datatyp
Alias
Item Group
Meta Information
Patient Name
Item
Informed Consent discussion conducted with
text
C1299487 (UMLS CUI [1])
Item
Consulting Physician
integer
C1441532 (UMLS CUI [1])
Code List
Consulting Physician
CL Item
Prof Sunderkötter (1)
CL Item
Dr. Weishaupt (2)
CL Item
Prof. Metze (3)
CL Item
Dr. Seller (4)
CL Item
Other (5)
Consulting Physician
Item
Other Consulting physician
text
C1441532 (UMLS CUI [1])
Date of Informed Consent Discussion
Item
Date of Informed Consent Discussion
date
C0557061 (UMLS CUI [1,1])
C0021430 (UMLS CUI [1,2])
C0011008 (UMLS CUI [1,3])
Results of investigations complete
Item
Results of investigations complete on the first discussion
boolean
C0582103 (UMLS CUI [1,1])
C0205197 (UMLS CUI [1,2])
Missing Examination results
Item
Missing Examination results
text
C0582103 (UMLS CUI [1,1])
C1705492 (UMLS CUI [1,2])
Item
Discussion participant
integer
C0679646 (UMLS CUI [1,1])
C0557061 (UMLS CUI [1,2])
Code List
Discussion participant
CL Item
Spouse (1)
CL Item
Children (2)
CL Item
Other (3)
CL Item
Only Patient (4)
Other Informed Consent Discussion participant
Item
Other Participant
text
C0557061 (UMLS CUI [1,1])
C0021430 (UMLS CUI [1,2])
C0679646 (UMLS CUI [1,3])
Complete education desired
Item
Complete education desired
boolean
C0030688 (UMLS CUI [1,1])
C0205197 (UMLS CUI [1,2])
C0871633 (UMLS CUI [1,3])
Diagnosis and Extent discussed
Item
Diagnosis and Extent discussed with patient
boolean
C0011900 (UMLS CUI [1,1])
C0439792 (UMLS CUI [1,2])
C0557061 (UMLS CUI [1,3])
Comment
Item
Comment
text
C0947611 (UMLS CUI [1])
Other items discussed with the patient
Item
Other items discussed with the patient
text
C0205394 (UMLS CUI [1])

Använd detta formulär för feedback, frågor och förslag på förbättringar.

Fält markerade med * är obligatoriska.

Do you need help on how to use the search function? Please watch the corresponding tutorial video for more details and learn how to use the search function most efficiently.

Watch Tutorial