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Admission checklist

1 forms  
  1. StudyEvent: ODM
    1. Admission checklist
Patient demographics
Description

Patient demographics

Patient name
Description

Patient name

Data type

text

Alias
UMLS CUI [1]
C1299487
Date of birth
Description

Date of birth

Data type

date

Alias
UMLS CUI [1]
C0421451
Admission date
Description

Admission date

Data type

date

Alias
UMLS CUI [1]
C1302393
Admission time
Description

Admission time

Data type

time

Alias
UMLS CUI [1]
C3854259
Physician
Description

Physician

Data type

integer

Alias
UMLS CUI [1]
C0031831
Admission status
Description

Admission status

Admission voluntarily
Description

Admission voluntarily

Data type

boolean

Alias
UMLS CUI [1]
C0586002
Suicide attempt
Description

Suicide attempt

Data type

boolean

Alias
UMLS CUI [1]
C0038663
Suicidality
Description

Suicidality

Data type

boolean

Alias
UMLS CUI [1]
C0438696
Suicide threat
Description

Suicide threat

Data type

boolean

Alias
UMLS CUI [1]
C4087166
Severe illness
Description

Severe illness

Data type

boolean

Alias
UMLS CUI [1]
C0221423
Patient Admission
Description

Patient Admission

Data type

integer

Alias
UMLS CUI [1]
C0030673
Legal basis
Description

Legal basis

Data type

integer

Alias
UMLS CUI [1]
C0557319
First consultation
Description

First consultation

Data type

integer

Alias
UMLS CUI [1]
C0009818
Medicaton history
Description

Medication history

Data type

integer

Alias
UMLS CUI [1,1]
C0262926
UMLS CUI [1,2]
C0013227
Documentation
Description

Documentation

Hypersensitivity
Description

Hypersensitivity

Data type

integer

Alias
UMLS CUI [1]
C0020517
Psychiatric history
Description

Psychiatric history

Data type

integer

Alias
UMLS CUI [1]
C0748059
Neurologic Examination
Description

Neurologic Examination

Data type

integer

Alias
UMLS CUI [1]
C0027853
Probable diagnosis
Description

Probable diagnosis

Data type

integer

Alias
UMLS CUI [1]
C0332148
Differential diagnosis
Description

Differential diagnosis

Data type

integer

Alias
UMLS CUI [1]
C0011906
Procedures
Description

Procedures

Data type

integer

Alias
UMLS CUI [1]
C2700391
Signature physician
Description

Signature physician

Data type

text

Alias
UMLS CUI [1]
C0807938
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Similar models

Admission checklist

1 forms
  1. StudyEvent: ODM
    1. Admission checklist
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Patient demographics
Patient name
Item
Patient name
text
C1299487 (UMLS CUI [1])
Date of birth
Item
Date of birth
date
C0421451 (UMLS CUI [1])
Admission date
Item
Admission date
date
C1302393 (UMLS CUI [1])
Admission time
Item
Admission time
time
C3854259 (UMLS CUI [1])
Physician
Item
Physician
integer
C0031831 (UMLS CUI [1])
Item Group
Admission status
Admission voluntarily
Item
Admission voluntarily
boolean
C0586002 (UMLS CUI [1])
Suicide attempt
Item
Suicide attempt
boolean
C0038663 (UMLS CUI [1])
Suicidality
Item
Suicidality
boolean
C0438696 (UMLS CUI [1])
Suicide threat
Item
Suicide threat
boolean
C4087166 (UMLS CUI [1])
Severe illness
Item
Severe illness
boolean
C0221423 (UMLS CUI [1])
Item
Patient Admission
integer
C0030673 (UMLS CUI [1])
Patient Admission
Code List
Patient Admission
CL Item
Number of admission (1)
C0184666 (UMLS CUI-1)
C0449788 (UMLS CUI-2)
CL Item
Patient job (2)
C0028811 (UMLS CUI-1)
CL Item
Referral by (3)
C2584922 (UMLS CUI-1)
CL Item
Relatives (4)
C0080103 (UMLS CUI-1)
Item
Legal basis
integer
C0557319 (UMLS CUI [1])
Legal basis
Code List
Legal basis
CL Item
voluntary  (1)
C0439656 (UMLS CUI-1)
CL Item
Mental health law (2)
C0025353 (UMLS CUI-1)
C0220866 (UMLS CUI-2)
CL Item
guardianship (3)
C0870627 (UMLS CUI-1)
CL Item
medical consultation (4)
C3826021 (UMLS CUI-1)
Item
First consultation
integer
C0009818 (UMLS CUI [1])
First consultation
Code List
First consultation
CL Item
Medical history (1)
C0262926 (UMLS CUI-1)
Medication history
Item
Medicaton history
integer
C0262926 (UMLS CUI [1,1])
C0013227 (UMLS CUI [1,2])
Item Group
Documentation
Hypersensitivity
Item
Hypersensitivity
integer
C0020517 (UMLS CUI [1])
Psychiatric history
Item
Psychiatric history
integer
C0748059 (UMLS CUI [1])
Neurologic Examination
Item
Neurologic Examination
integer
C0027853 (UMLS CUI [1])
Probable diagnosis
Item
Probable diagnosis
integer
C0332148 (UMLS CUI [1])
Differential diagnosis
Item
Differential diagnosis
integer
C0011906 (UMLS CUI [1])
Procedures
Item
Procedures
integer
C2700391 (UMLS CUI [1])
Signature physician
Item
Signature physician
text
C0807938 (UMLS CUI [1])
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