Engelsk

Alcohol Blood/ Breath Test Week 5 PK Visit (Visit 9)

1 Formulär  
ALCOHOL BLOOD/BREATH TEST
Beskrivning

ALCOHOL BLOOD/BREATH TEST

Alias
UMLS CUI-1
C0202304
Patient Number
Beskrivning

Patient Number

Datatyp

text

Alias
UMLS CUI [1]
C1830427
Centre Number
Beskrivning

Centre Number

Datatyp

integer

Alias
UMLS CUI [1,1]
C0600091
UMLS CUI [1,2]
C0019994
Visit Date
Beskrivning

Visit Date

Datatyp

date

Alias
UMLS CUI [1]
C1320303
Was an alcohol test carried out?
Beskrivning

alcohol test

Datatyp

boolean

Alias
UMLS CUI [1]
C0202304
If "NO", please specify reason:
Beskrivning

specify reason

Datatyp

text

Alias
UMLS CUI [1]
C0566251
Date of alcohol test:
Beskrivning

If "YES", please indicate date of result.

Datatyp

date

Alias
UMLS CUI [1,1]
C0202304
UMLS CUI [1,2]
C0011008
Alcohol test
Beskrivning

Alcohol test

Datatyp

text

Alias
UMLS CUI [1]
C0202304
Tillbaka till toppen

Similar models

Alcohol Blood/ Breath Test Week 5 PK Visit (Visit 9)

1 Formulär
Name
Typ
Description | Question | Decode (Coded Value)
Datatyp
Alias
Item Group
ALCOHOL BLOOD/BREATH TEST
C0202304 (UMLS CUI-1)
Patient Number
Item
Patient Number
text
C1830427 (UMLS CUI [1])
Centre Number
Item
Centre Number
integer
C0600091 (UMLS CUI [1,1])
C0019994 (UMLS CUI [1,2])
Visit Date
Item
Visit Date
date
C1320303 (UMLS CUI [1])
alcohol test
Item
Was an alcohol test carried out?
boolean
C0202304 (UMLS CUI [1])
specify reason
Item
If "NO", please specify reason:
text
C0566251 (UMLS CUI [1])
Date of alcohol test
Item
Date of alcohol test:
date
C0202304 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
Item
Alcohol test
text
C0202304 (UMLS CUI [1])
Alcohol test
Code List
Alcohol test
CL Item
Positive (Positive)
CL Item
Negative (Negative)
Tillbaka till toppen