Prescription form

  1. StudyEvent: ODM
    1. Prescription form
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
Prescription
Description

Prescription

Date
Description

Date

Data type

integer

Alias
UMLS CUI [1]
C0011008
Signature
Description

Signature

Data type

integer

Alias
UMLS CUI [1]
C1519316
Complete Blood Count
Description

Complete Blood Count

Data type

integer

Alias
UMLS CUI [1]
C0009555
Blood Cell Count
Description

Blood Cell Count

Data type

integer

Alias
UMLS CUI [1]
C0005771
Reticulocyte count (procedure)
Description

Reticulocyte count (procedure)

Data type

integer

Alias
UMLS CUI [1]
C0206161
BGA
Description

BGA

Data type

integer

Alias
UMLS CUI [1]
C0005800
Blood sugar
Description

Blood sugar

Data type

integer

Alias
UMLS CUI [1]
C0392201
Electrolyte
Description

Electrolyte

Data type

integer

Alias
UMLS CUI [1]
C0013832
CRP
Description

CRP

Data type

integer

Alias
UMLS CUI [1]
C0201657
Crea
Description

Crea

Data type

integer

Alias
UMLS CUI [1]
C0201976
Bilirubin total
Description

Bilirubin ges.

Data type

integer

Alias
UMLS CUI [1]
C1278039
Bilirubin direct
Description

Bilirubin direkt

Data type

integer

Alias
UMLS CUI [1]
C0201916
AP
Description

AP

Data type

integer

Alias
UMLS CUI [1]
C0201850
Blood coagulation
Description

Blood coagulation

Data type

integer

Alias
UMLS CUI [1]
C0005778
Blood group
Description

Blood group

Data type

integer

Alias
UMLS CUI [1]
C0005810
Cross-matching
Description

Cross matching

Data type

integer

Alias
UMLS CUI [1]
C0010367
blood phenylalanine measurement
Description

blood phenylalanine measurement by Guthrie

Data type

integer

Alias
UMLS CUI [1]
C0202174
Urine status
Description

Urine status

Data type

integer

Alias
UMLS CUI [1]
C0421368
Urine culture
Description

Urine culture

Data type

integer

Alias
UMLS CUI [1]
C0848716
Stool
Description

Stool

Data type

integer

Alias
UMLS CUI [1]
C0015733
Smear
Description

Smear

Data type

integer

Alias
UMLS CUI [1]
C0444186
X-ray
Description

X-ray

Data type

integer

Alias
UMLS CUI [1]
C0043309
Ultrasound
Description

Ultrasound

Data type

integer

Alias
UMLS CUI [1]
C1456803
ECG
Description

ECG

Data type

integer

Alias
UMLS CUI [1]
C1623258
EEG
Description

EEG

Data type

integer

Alias
UMLS CUI [1]
C0013819
Echocardiography
Description

Echocardiography

Data type

integer

Alias
UMLS CUI [1]
C0013516
Ophthalmologist
Description

Ophthalmologist

Data type

integer

Alias
UMLS CUI [1]
C3845861

Similar models

Prescription form

  1. StudyEvent: ODM
    1. Prescription form
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])
Item Group
Prescription
Date
Item
Date
integer
C0011008 (UMLS CUI [1])
Signature
Item
Signature
integer
C1519316 (UMLS CUI [1])
Complete Blood Count
Item
Complete Blood Count
integer
C0009555 (UMLS CUI [1])
Blood Cell Count
Item
Blood Cell Count
integer
C0005771 (UMLS CUI [1])
Reticulocyte count (procedure)
Item
Reticulocyte count (procedure)
integer
C0206161 (UMLS CUI [1])
BGA
Item
BGA
integer
C0005800 (UMLS CUI [1])
Blood sugar
Item
Blood sugar
integer
C0392201 (UMLS CUI [1])
Electrolyte
Item
Electrolyte
integer
C0013832 (UMLS CUI [1])
CRP
Item
CRP
integer
C0201657 (UMLS CUI [1])
Crea
Item
Crea
integer
C0201976 (UMLS CUI [1])
Bilirubin ges.
Item
Bilirubin total
integer
C1278039 (UMLS CUI [1])
Bilirubin direkt
Item
Bilirubin direct
integer
C0201916 (UMLS CUI [1])
AP
Item
AP
integer
C0201850 (UMLS CUI [1])
Blood coagulation
Item
Blood coagulation
integer
C0005778 (UMLS CUI [1])
Blood group
Item
Blood group
integer
C0005810 (UMLS CUI [1])
Cross matching
Item
Cross-matching
integer
C0010367 (UMLS CUI [1])
blood phenylalanine measurement by Guthrie
Item
blood phenylalanine measurement
integer
C0202174 (UMLS CUI [1])
Urine status
Item
Urine status
integer
C0421368 (UMLS CUI [1])
Urine culture
Item
Urine culture
integer
C0848716 (UMLS CUI [1])
Stool
Item
Stool
integer
C0015733 (UMLS CUI [1])
Smear
Item
Smear
integer
C0444186 (UMLS CUI [1])
X-ray
Item
X-ray
integer
C0043309 (UMLS CUI [1])
Ultrasound
Item
Ultrasound
integer
C1456803 (UMLS CUI [1])
ECG
Item
ECG
integer
C1623258 (UMLS CUI [1])
EEG
Item
EEG
integer
C0013819 (UMLS CUI [1])
Echocardiography
Item
Echocardiography
integer
C0013516 (UMLS CUI [1])
Ophthalmologist
Item
Ophthalmologist
integer
C3845861 (UMLS CUI [1])