1. StudyEvent: ODM
    1. Form D
FORM D
Description

FORM D

Alias
UMLS CUI-1
C1306577
Subject number
Description

Subject number

Data type

integer

Alias
UMLS CUI [1]
C2348585
Certified cause of death: _
Description

cause of death

Data type

text

Alias
UMLS CUI [1]
C0007465
Date of death:
Description

Date of death

Data type

date

Alias
UMLS CUI [1]
C1148348
Was an autopsy done?
Description

autopsy was performed

Data type

boolean

Alias
UMLS CUI [1]
C3656695
Please summarize findings (including diagnosis)
Description

Findings autopsy

Data type

text

Alias
UMLS CUI [1,1]
C0243095
UMLS CUI [1,2]
C0004398
Physician’s signature:
Description

Physician signature

Data type

text

Alias
UMLS CUI [1]
C1519316
Date
Description

Date

Data type

date

Alias
UMLS CUI [1]
C0011008

Similar models

Form D

  1. StudyEvent: ODM
    1. Form D
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
FORM D
C1306577 (UMLS CUI-1)
Subject number
Item
Subject number
integer
C2348585 (UMLS CUI [1])
cause of death
Item
Certified cause of death: _
text
C0007465 (UMLS CUI [1])
Date of death
Item
Date of death:
date
C1148348 (UMLS CUI [1])
autopsy was performed
Item
Was an autopsy done?
boolean
C3656695 (UMLS CUI [1])
Findings autopsy
Item
Please summarize findings (including diagnosis)
text
C0243095 (UMLS CUI [1,1])
C0004398 (UMLS CUI [1,2])
Physician signature
Item
Physician’s signature:
text
C1519316 (UMLS CUI [1])
Date
Item
Date
date
C0011008 (UMLS CUI [1])