Miscellaneous Information

Administrative Data
Descrizione

Administrative Data

Alias
UMLS CUI-1
C1320722
Subject Screening number
Descrizione

Subject Screening No.

Tipo di dati

integer

Alias
UMLS CUI [1,1]
C0220908
UMLS CUI [1,2]
C0600091
Subject no.
Descrizione

Subject Number

Tipo di dati

integer

Alias
UMLS CUI [1]
C2348585
Date Information Collected
Descrizione

Date Information Collected

Tipo di dati

date

Alias
UMLS CUI [1,1]
C3244127
UMLS CUI [1,2]
C0011008
Miscellaneous Information
Descrizione

Miscellaneous Information

Alias
UMLS CUI-1
C0205395
UMLS CUI-2
C1955348
Has the subject an adequate command of the English language (written and verbal)?
Descrizione

Able to Read and Write English

Tipo di dati

boolean

Alias
UMLS CUI [1,1]
C0586740
UMLS CUI [1,2]
C0376245
UMLS CUI [2,1]
C0584993
UMLS CUI [2,2]
C0376245
Details If Not Able to Speak or Write English
Descrizione

To be filled out if the subject has no adequate command of the English language

Tipo di dati

text

Alias
UMLS CUI [1,1]
C1522508
UMLS CUI [1,2]
C1299582
UMLS CUI [1,3]
C0586740
UMLS CUI [1,4]
C0376245
UMLS CUI [2,1]
C1522508
UMLS CUI [2,2]
C1299582
UMLS CUI [2,3]
C0584993
UMLS CUI [2,4]
C0376245
Has the subject contracted any tropical diseases?
Descrizione

Tropical Diseases

Tipo di dati

boolean

Alias
UMLS CUI [1,1]
C0262926
UMLS CUI [1,2]
C1336827
Details if the subject contracted any tropical diseases, including dates if possible
Descrizione

To be filled out if the subject contracted any tropical diseases

Tipo di dati

text

Alias
UMLS CUI [1,1]
C1522508
UMLS CUI [1,2]
C0262926
UMLS CUI [1,3]
C1336827
UMLS CUI [2,1]
C0011008
UMLS CUI [2,2]
C1336827
Has the subject travelled to tropical countries (other than country of origin)?
Descrizione

Travels to Tropical Countries

Tipo di dati

boolean

Alias
UMLS CUI [1]
C2938902
If the subject has travelled to tropical countries, give details including dates if possible.
Descrizione

Details to Travels to Tropical Countries

Tipo di dati

text

Alias
UMLS CUI [1,1]
C2938902
UMLS CUI [1,2]
C1522508
UMLS CUI [2,1]
C0011008
UMLS CUI [2,2]
C2938902
Conclusion
Descrizione

Conclusion

Alias
UMLS CUI-1
C1707478
Physician's Initials
Descrizione

Physician's Initials

Tipo di dati

text

Alias
UMLS CUI [1,1]
C2986440
UMLS CUI [1,2]
C0031831

Similar models

Miscellaneous Information

Name
genere
Description | Question | Decode (Coded Value)
Tipo di dati
Alias
Item Group
Administrative Data
C1320722 (UMLS CUI-1)
Subject Screening No.
Item
Subject Screening number
integer
C0220908 (UMLS CUI [1,1])
C0600091 (UMLS CUI [1,2])
Subject Number
Item
Subject no.
integer
C2348585 (UMLS CUI [1])
Date Information Collected
Item
Date Information Collected
date
C3244127 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
Item Group
Miscellaneous Information
C0205395 (UMLS CUI-1)
C1955348 (UMLS CUI-2)
Able to Read and Write English
Item
Has the subject an adequate command of the English language (written and verbal)?
boolean
C0586740 (UMLS CUI [1,1])
C0376245 (UMLS CUI [1,2])
C0584993 (UMLS CUI [2,1])
C0376245 (UMLS CUI [2,2])
Details If Not Able to Speak or Write English
Item
Details If Not Able to Speak or Write English
text
C1522508 (UMLS CUI [1,1])
C1299582 (UMLS CUI [1,2])
C0586740 (UMLS CUI [1,3])
C0376245 (UMLS CUI [1,4])
C1522508 (UMLS CUI [2,1])
C1299582 (UMLS CUI [2,2])
C0584993 (UMLS CUI [2,3])
C0376245 (UMLS CUI [2,4])
Tropical Diseases
Item
Has the subject contracted any tropical diseases?
boolean
C0262926 (UMLS CUI [1,1])
C1336827 (UMLS CUI [1,2])
Tropical Diseases
Item
Details if the subject contracted any tropical diseases, including dates if possible
text
C1522508 (UMLS CUI [1,1])
C0262926 (UMLS CUI [1,2])
C1336827 (UMLS CUI [1,3])
C0011008 (UMLS CUI [2,1])
C1336827 (UMLS CUI [2,2])
Travels to Tropical Countries
Item
Has the subject travelled to tropical countries (other than country of origin)?
boolean
C2938902 (UMLS CUI [1])
Details to Travels to Tropical Countries
Item
If the subject has travelled to tropical countries, give details including dates if possible.
text
C2938902 (UMLS CUI [1,1])
C1522508 (UMLS CUI [1,2])
C0011008 (UMLS CUI [2,1])
C2938902 (UMLS CUI [2,2])
Item Group
Conclusion
C1707478 (UMLS CUI-1)
Physician's Initials
Item
Physician's Initials
text
C2986440 (UMLS CUI [1,1])
C0031831 (UMLS CUI [1,2])