Patient Name
Item
Subject’s first name and family name
text
C1299487 (UMLS CUI [1])
Participant, Signature
Item
Participant’s signature
text
C0679646 (UMLS CUI [1,1])
C1519316 (UMLS CUI [1,2])
Patient address
Item
Participant’s main address
text
C0421449 (UMLS CUI [1])
Participant, Telephone Number
Item
Participant’s phone number
integer
C0679646 (UMLS CUI [1,1])
C1515258 (UMLS CUI [1,2])
Informed Consent, Date in time
Item
Date
date
C0021430 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
Informed Consent, Time
Item
Time
time
C0021430 (UMLS CUI [1,1])
C0040223 (UMLS CUI [1,2])
Informed Consent, Witnesses
Item
Witness
text
C0021430 (UMLS CUI [1,1])
C0682356 (UMLS CUI [1,2])
Informed Consent, Research Personnel, Name
Item
Name
text
C0021430 (UMLS CUI [1,1])
C0035173 (UMLS CUI [1,2])
C0027365 (UMLS CUI [1,3])
Informed Consent, Research Personnel, Signature
Item
Signature
text
C0021430 (UMLS CUI [1,1])
C0035173 (UMLS CUI [1,2])
C1519316 (UMLS CUI [1,3])
Informed Consent, Research Personnel, Occupations
Item
Designation
text
C0021430 (UMLS CUI [1,1])
C0035173 (UMLS CUI [1,2])
C0028811 (UMLS CUI [1,3])
Informed Consent, Research Personnel, Date in time
Item
Date
date
C0021430 (UMLS CUI [1,1])
C0035173 (UMLS CUI [1,2])
C0011008 (UMLS CUI [1,3])
Informed Consent, Research Personnel, Time
Item
Time
time
C0021430 (UMLS CUI [1,1])
C0035173 (UMLS CUI [1,2])
C0040223 (UMLS CUI [1,3])