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Administrative / Demographics

1 forms  
Inform Screening / Inform Enrolment
Description

Inform Screening / Inform Enrolment

Alias
UMLS CUI-1
C1710477
UMLS CUI-2
C4041024
Subject Initials
Description

Clinical trial participant (person); Person Initials

Data type

text

Alias
UMLS CUI [1,1]
C1997894
UMLS CUI [1,2]
C2986440
Date of Birth
Description

Patient date of birth

Data type

date

Alias
UMLS CUI [1]
C0421451
Subject number
Description

Clinical Trial Subject Unique Identifier

Data type

integer

Alias
UMLS CUI [1]
C2348585
Date of Visit
Description

Date of Visit

Alias
UMLS CUI-1
C1320303
Date of Visit/ assessment
Description

Date of Visit | Assessment Date

Data type

date

Alias
UMLS CUI [1]
C1320303
UMLS CUI [2]
C2985720
Demography
Description

Demography

Alias
UMLS CUI-1
C0011298
Date of Birth
Description

Patient date of birth

Data type

date

Alias
UMLS CUI [1]
C0421451
Gender
Description

Gender

Data type

text

Alias
UMLS CUI [1]
C0079399
Ethnicity
Description

Ethnic group

Data type

integer

Alias
UMLS CUI [1]
C0015031
Geogrpahic ancestry
Description

Check all that apply

Data type

integer

Alias
UMLS CUI [1]
C3841890
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Similar models

Administrative / Demographics

1 forms
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Inform Screening / Inform Enrolment
C1710477 (UMLS CUI-1)
C4041024 (UMLS CUI-2)
Clinical trial participant (person); Person Initials
Item
Subject Initials
text
C1997894 (UMLS CUI [1,1])
C2986440 (UMLS CUI [1,2])
Patient date of birth
Item
Date of Birth
date
C0421451 (UMLS CUI [1])
Clinical Trial Subject Unique Identifier
Item
Subject number
integer
C2348585 (UMLS CUI [1])
Item Group
Date of Visit
C1320303 (UMLS CUI-1)
Date of Visit | Assessment Date
Item
Date of Visit/ assessment
date
C1320303 (UMLS CUI [1])
C2985720 (UMLS CUI [2])
Item Group
Demography
C0011298 (UMLS CUI-1)
Patient date of birth
Item
Date of Birth
date
C0421451 (UMLS CUI [1])
Item
Gender
text
C0079399 (UMLS CUI [1])
Gender
Code List
Gender
CL Item
male (m)
Item
Ethnicity
integer
C0015031 (UMLS CUI [1])
Ethnic group
Code List
Ethnicity
CL Item
Hispanic or Latino (1)
CL Item
Not Hispanic or Latino (2)
Item
Geogrpahic ancestry
integer
C3841890 (UMLS CUI [1])
Your ancestry or national origin
Code List
Geogrpahic ancestry
CL Item
African American/ African Heritage (11)
CL Item
American Indian or Alaskan Native (12)
CL Item
Asian - Central/ South Asian Heritage (13)
CL Item
Asian - East Asian Heritage (14)
CL Item
Asian - Japanese Heritage (15)
CL Item
Asian - South East Asian Heritage (16)
CL Item
Native - Hawaiian or other Pacific Islander (17)
CL Item
White - Arabic/ North African Heritage (18)
CL Item
White - White / Caucasian / European Heritage (19)
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