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Demography, Informed consent, Randomisation/ Treatment Allocation

1 Formulär  
Administrative data
Beskrivning

Administrative data

Alias
UMLS CUI-1
C1320722
Subject Number
Beskrivning

Subject Number

Datatyp

text

Alias
UMLS CUI [1]
C2348585
Workbook Number
Beskrivning

Workbook Number

Datatyp

integer

Alias
UMLS CUI [1]
C2986015
Visit Date
Beskrivning

day month year

Datatyp

date

Alias
UMLS CUI [1]
C1320303
Protocol Number
Beskrivning

Protocol Number

Datatyp

text

Alias
UMLS CUI [1]
C2348563
Informed consent
Beskrivning

Informed consent

Alias
UMLS CUI-1
C0021430
Informed Consent Date
Beskrivning

day month year I certify that Informed Consent has been obtained prior to any study procedure.

Datatyp

date

Alias
UMLS CUI [1,1]
C0011008
UMLS CUI [1,2]
C0009797
Randomisation/ Treatment Allocation
Beskrivning

Randomisation/ Treatment Allocation

Alias
UMLS CUI-1
C0034656
Record treatment number
Beskrivning

Treatment number

Datatyp

text

Alias
UMLS CUI [1]
C1522541
Demography
Beskrivning

Demography

Alias
UMLS CUI-1
C0011298
Center number
Beskrivning

Center number

Datatyp

integer

Alias
UMLS CUI [1,1]
C1301943
UMLS CUI [1,2]
C0600091
Date of birth
Beskrivning

day month year

Datatyp

date

Alias
UMLS CUI [1]
C0421451
Gender
Beskrivning

Gender

Datatyp

text

Alias
UMLS CUI [1]
C0079399
Geographic Ancestry
Beskrivning

Geographic Ancestry

Alias
UMLS CUI-1
C0034510
Ethnicity
Beskrivning

Ethnicity

Datatyp

integer

Alias
UMLS CUI [1]
C0015031
African American/African Heritage
Beskrivning

African American/African Heritage

Datatyp

boolean

Alias
UMLS CUI [1]
C0085756
UMLS CUI [2]
C0027567
American Indian or Alaskan Native
Beskrivning

American Indian or Alaskan Native

Datatyp

boolean

Alias
UMLS CUI [1]
C1515945
Asian - Central/South Asian Heritage
Beskrivning

Asian - Central/South Asian Heritage

Datatyp

boolean

Alias
UMLS CUI [1]
C0238696
UMLS CUI [2]
C1519427
Asian - East Asian Heritage
Beskrivning

Asian - East Asian Heritage

Datatyp

boolean

Alias
UMLS CUI [1]
C4540996
Asian - Japanese Heritage
Beskrivning

Asian - Japanese Heritage

Datatyp

boolean

Alias
UMLS CUI [1]
C1556094
Asian - South East Asian Heritage
Beskrivning

Asian - South East Asian Heritage

Datatyp

boolean

Alias
UMLS CUI [1]
C0238697
Native Hawaiian or Other Pacific Islander
Beskrivning

Native Hawaiian or Other Pacific Islander

Datatyp

boolean

Alias
UMLS CUI [1]
C1513907
White - Arabic/North African Heritage
Beskrivning

White - Arabic/North African Heritage

Datatyp

boolean

Alias
UMLS CUI [1]
C0238604
UMLS CUI [2]
C2698217
White - Caucasian/European Heritage
Beskrivning

White - Caucasian/European Heritage

Datatyp

boolean

Alias
UMLS CUI [1]
C0043157
Other Race
Beskrivning

Other Race

Datatyp

boolean

Alias
UMLS CUI [1,1]
C0034510
UMLS CUI [1,2]
C0205394
If other racial group, please specify
Beskrivning

Other Race, specification

Datatyp

text

Alias
UMLS CUI [1,1]
C0205394
UMLS CUI [1,2]
C0034510
UMLS CUI [1,3]
C2348235
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Similar models

Demography, Informed consent, Randomisation/ Treatment Allocation

1 Formulär
Name
Typ
Description | Question | Decode (Coded Value)
Datatyp
Alias
Item Group
Administrative data
C1320722 (UMLS CUI-1)
Subject Number
Item
Subject Number
text
C2348585 (UMLS CUI [1])
Item
Workbook Number
integer
C2986015 (UMLS CUI [1])
Workbook Number
Code List
Workbook Number
CL Item
WB 1 (1)
CL Item
WB 2 (2)
Visit Date
Item
Visit Date
date
C1320303 (UMLS CUI [1])
Protocol Number
Item
Protocol Number
text
C2348563 (UMLS CUI [1])
Item Group
Informed consent
C0021430 (UMLS CUI-1)
Informed Consent Date
Item
Informed Consent Date
date
C0011008 (UMLS CUI [1,1])
C0009797 (UMLS CUI [1,2])
Item Group
Randomisation/ Treatment Allocation
C0034656 (UMLS CUI-1)
Treatment number
Item
Record treatment number
text
C1522541 (UMLS CUI [1])
Item Group
Demography
C0011298 (UMLS CUI-1)
Center number
Item
Center number
integer
C1301943 (UMLS CUI [1,1])
C0600091 (UMLS CUI [1,2])
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)
CL Item
Female (F)
Item Group
Geographic Ancestry
C0034510 (UMLS CUI-1)
Item
Ethnicity
integer
C0015031 (UMLS CUI [1])
Ethnicity
Code List
Ethnicity
CL Item
American Hispanic or Latino (1)
CL Item
Not American Hispanic or Latino (2)
African American/African Heritage
Item
African American/African Heritage
boolean
C0085756 (UMLS CUI [1])
C0027567 (UMLS CUI [2])
American Indian or Alaskan Native
Item
American Indian or Alaskan Native
boolean
C1515945 (UMLS CUI [1])
Asian - Central/South Asian Heritage
Item
Asian - Central/South Asian Heritage
boolean
C0238696 (UMLS CUI [1])
C1519427 (UMLS CUI [2])
Asian - East Asian Heritage
Item
Asian - East Asian Heritage
boolean
C4540996 (UMLS CUI [1])
Asian - Japanese Heritage
Item
Asian - Japanese Heritage
boolean
C1556094 (UMLS CUI [1])
Asian - South East Asian Heritage
Item
Asian - South East Asian Heritage
boolean
C0238697 (UMLS CUI [1])
Native Hawaiian or Other Pacific Islander
Item
Native Hawaiian or Other Pacific Islander
boolean
C1513907 (UMLS CUI [1])
White - Arabic/North African Heritage
Item
White - Arabic/North African Heritage
boolean
C0238604 (UMLS CUI [1])
C2698217 (UMLS CUI [2])
White - Caucasian/European Heritage
Item
White - Caucasian/European Heritage
boolean
C0043157 (UMLS CUI [1])
Other Race
Item
Other Race
boolean
C0034510 (UMLS CUI [1,1])
C0205394 (UMLS CUI [1,2])
Other Race, specification
Item
If other racial group, please specify
text
C0205394 (UMLS CUI [1,1])
C0034510 (UMLS CUI [1,2])
C2348235 (UMLS CUI [1,3])
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