Information:
Error:
ID
28244
Description
Patient Identification form REGISTRY OF MYELODYSPLASTIC SYNDROMES AND THERAPY-RELATED ACUTE MYELOID LEUKEMIA OBSERVATOIRE DES SYNDROMES MYELODYSPLASIQUES ET DES LEUCEMIES SECONDAIRES CHIMIO ET RADIO INDUITES DES CENTRES DU G.F.M. Groupe Francophone des Myélodysplasies Pr Pierre FENAUX, Paris
Keywords
Versions (1)
- 12/29/17 12/29/17 -
Copyright Holder
Clinfile
Uploaded on
December 29, 2017
DOI
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License
Creative Commons BY-NC 3.0
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Patient Identification Registry myelodysplastic syndromes and therapy-related AML
Patient Identification Registry myelodysplastic syndromes and therapy-related AML
Similar models
Patient Identification Registry myelodysplastic syndromes and therapy-related AML
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Initial name-first name
Item
Initiales nom-prénom
text
C1443235 (UMLS CUI [1,1])
C1301584 (UMLS CUI [1,2])
C1301584 (UMLS CUI [1,2])
Maiden name initial
Item
Initiale du nom de jeune fille
text
C0806887 (UMLS CUI [1])
No maiden name
Item
NA
boolean
C0549184 (UMLS CUI [1,1])
C0806887 (UMLS CUI [1,2])
C0806887 (UMLS CUI [1,2])
Year of birth
Item
Année de naissance
partialDate
C2826771 (UMLS CUI [1])
CL Item
masculin (male)
(Comment:fr)
CL Item
féminin (female)
(Comment:fr)
Informed consent form signed
Item
Consentement du patient obtenu
boolean
C0021430 (UMLS CUI [1])
Date of inclusion
Item
Date d'inclusion
date
C0011008 (UMLS CUI [1,1])
C1512693 (UMLS CUI [1,2])
C1512693 (UMLS CUI [1,2])