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Demographics, administrative data, race

1 forms  
Administrative data
Description

Administrative data

Alias
UMLS CUI-1
C1320722
Subject number
Description

Subject number

Data type

text

Alias
UMLS CUI [1]
C2348585
Date of visit
Description

Date of visit

Data type

date

Alias
UMLS CUI [1]
C1320303
Workbook number
Description

Workbook number

Data type

integer

Alias
UMLS CUI [1]
C2986015
Informed Consent
Description

Informed Consent

Alias
UMLS CUI-1
C0021430
I certify that Informed Consent has been obtained prior to any study procedure. (Date of informed consent)
Description

Date of informed consent

Data type

date

Alias
UMLS CUI [1,1]
C0021430
UMLS CUI [1,2]
C0011008
RANDOMISATION / TREATMENT ALLOCATION
Description

RANDOMISATION / TREATMENT ALLOCATION

Alias
UMLS CUI-1
C0034656
Record treatment number
Description

Record treatment number

Data type

integer

Alias
UMLS CUI [1,1]
C1522541
UMLS CUI [1,2]
C0600091
Demographics data
Description

Demographics data

Alias
UMLS CUI-1
C0011298
Center number
Description

Center number

Data type

text

Alias
UMLS CUI [1,1]
C0018704
UMLS CUI [1,2]
C0600091
Date of birth
Description

Date of birth

Data type

date

Alias
UMLS CUI [1]
C0421451
American Hispanic or Latino
Description

Ethnicity

Data type

integer

Alias
UMLS CUI [1]
C0015031
Race
Description

Race

Data type

integer

Alias
UMLS CUI [1]
C0034510
Specify
Description

Other race

Data type

text

Alias
UMLS CUI [1,1]
C0034510
UMLS CUI [1,2]
C0205394
Gender
Description

Gender

Data type

text

Alias
UMLS CUI [1]
C0079399
Height
Description

Height

Data type

integer

Measurement units
  • cm
Alias
UMLS CUI [1]
C0005890
cm
Weight
Description

Body weight

Data type

float

Measurement units
  • kg
Alias
UMLS CUI [1]
C0005910
kg
Gestational age
Description

Gestational age

Data type

integer

Measurement units
  • weeks
Alias
UMLS CUI [1]
C0017504
weeks
Origine
Description

Origine

Alias
UMLS CUI-1
C2348568
Has the subject been enrolled after the Amendment 1 approval?
Description

Date of approval of the protocol amendment 1: For workbook 1: 6 of May 2008 For workbook 2: 27 of May 2008

Data type

boolean

Alias
UMLS CUI [1,1]
C0205345
UMLS CUI [1,2]
C1516879
UMLS CUI [1,3]
C0011008
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Similar models

Demographics, administrative data, race

1 forms
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Administrative data
C1320722 (UMLS CUI-1)
Subject number
Item
Subject number
text
C2348585 (UMLS CUI [1])
Date of visit
Item
Date of visit
date
C1320303 (UMLS CUI [1])
Item
Workbook number
integer
C2986015 (UMLS CUI [1])
Workbook number
Code List
Workbook number
CL Item
Workbook 1 (1)
CL Item
Workbook 2 (2)
CL Item
Workbook 3 (3)
Item Group
Informed Consent
C0021430 (UMLS CUI-1)
Date of informed consent
Item
I certify that Informed Consent has been obtained prior to any study procedure. (Date of informed consent)
date
C0021430 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
Item Group
RANDOMISATION / TREATMENT ALLOCATION
C0034656 (UMLS CUI-1)
Record treatment number
Item
Record treatment number
integer
C1522541 (UMLS CUI [1,1])
C0600091 (UMLS CUI [1,2])
Item Group
Demographics data
C0011298 (UMLS CUI-1)
Center number
Item
Center number
text
C0018704 (UMLS CUI [1,1])
C0600091 (UMLS CUI [1,2])
Date of birth
Item
Date of birth
date
C0421451 (UMLS CUI [1])
Item
American Hispanic or Latino
integer
C0015031 (UMLS CUI [1])
Ethnicity
Code List
American Hispanic or Latino
CL Item
American Hispanic or Latino (1)
CL Item
Not American Hispanic or Latino (2)
Item
Race
integer
C0034510 (UMLS CUI [1])
Race
Code List
Race
CL Item
African Heritage / African American (1)
CL Item
American Indian or Alaskan Native (2)
CL Item
Asian - Central/South Asian Heritage (3)
CL Item
Asian - East Asian Heritage (4)
CL Item
Asian - Japanese Heritage (5)
CL Item
Asian - South East Asian Heritage (6)
CL Item
Native Hawaiian or Other Pacific Islander (7)
CL Item
White - Arabic / North African Heritage (8)
CL Item
White - Caucasian / European Heritage (9)
CL Item
Other (10)
Other race
Item
Specify
text
C0034510 (UMLS CUI [1,1])
C0205394 (UMLS CUI [1,2])
Item
Gender
text
C0079399 (UMLS CUI [1])
Gender
Code List
Gender
CL Item
male,F=female (M)
Height
Item
Height
integer
C0005890 (UMLS CUI [1])
Body weight
Item
Weight
float
C0005910 (UMLS CUI [1])
Gestational age
Item
Gestational age
integer
C0017504 (UMLS CUI [1])
Item Group
Origine
C2348568 (UMLS CUI-1)
Relative Enrollment Date
Item
Has the subject been enrolled after the Amendment 1 approval?
boolean
C0205345 (UMLS CUI [1,1])
C1516879 (UMLS CUI [1,2])
C0011008 (UMLS CUI [1,3])
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