Subject’s parent or legal guardian’s first name and family name
Item
Subject’s parent or legal guardian’s first name and family name
text
C1443235 (UMLS CUI [1,1])
C0030551 (UMLS CUI [1,2])
C1301584 (UMLS CUI [2,1])
C0030551 (UMLS CUI [2,2])
C1443235 (UMLS CUI [3,1])
C0085537 (UMLS CUI [3,2])
C1301584 (UMLS CUI [4,1])
C0085537 (UMLS CUI [4,2])
Participant's Firs Name, Family Name
Item
Participant's Firs Name, Family Name
text
C0679646 (UMLS CUI [1,1])
C1443235 (UMLS CUI [1,2])
C0679646 (UMLS CUI [2,1])
C1301584 (UMLS CUI [2,2])
Participant's Signature (where applicable)
Item
Participant's Signature (where applicable)
text
C0679646 (UMLS CUI [1,1])
C1519316 (UMLS CUI [1,2])
Parent/ Guardian's First Name, Family Name
Item
Parent/ Guardian's First Name, Family Name
text
C0030551 (UMLS CUI [1,1])
C1443235 (UMLS CUI [1,2])
C0030551 (UMLS CUI [2,1])
C1301584 (UMLS CUI [2,2])
C0023226 (UMLS CUI [3,1])
C1443235 (UMLS CUI [3,2])
C0023226 (UMLS CUI [4,1])
C1301584 (UMLS CUI [4,2])
Parent/ Guardian's siganture
Item
Parent/ Guardian's siganture
text
C0030551 (UMLS CUI [1,1])
C1519316 (UMLS CUI [1,2])
C0023226 (UMLS CUI [2,1])
C1519316 (UMLS CUI [2,2])
Relationship to participant
Item
Relationship to participant
text
C0439849 (UMLS CUI [1,1])
C0679646 (UMLS CUI [1,2])
Participant's main address
Item
Participant's main address
text
C0421449 (UMLS CUI [1])
Participant’s phone number:
Item
Participant’s phone number:
integer
C0679646 (UMLS CUI [1,1])
C1515258 (UMLS CUI [1,2])
Date
Item
Date
date
C0011008 (UMLS CUI [1])
Time
Item
Time
time
C0040223 (UMLS CUI [1])
Witness
Item
Witness
text
C0682356 (UMLS CUI [1])