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One Year Survival Assessment

1 forms  
Administrative
Description

Administrative

Alias
UMLS CUI-1
C1320722
Patient Number
Description

Patient Number

Data type

text

Alias
UMLS CUI [1]
C2348585
One Year Survival Assessment
Description

One Year Survival Assessment

Alias
UMLS CUI-1
C0220921
UMLS CUI-2
C0220825
Did the patient return for the One year survival assessment from time of registration?
Description

Did the patient return for the One year survival assessment from time of registration?

Data type

boolean

Alias
UMLS CUI [1,1]
C0220921
UMLS CUI [1,2]
C0220825
UMLS CUI [2]
C0332156
UMLS CUI [3]
C1514821
Date of visit:
Description

Date of visit:

Data type

date

Alias
UMLS CUI [1]
C1320303
If the patient did not return for the One year survival assessment from time of registration, is the patient still alive?
Description

If the patient did not return for the One year survival assessment from time of registration, is the patient still alive?

Data type

text

Alias
UMLS CUI [1,1]
C0220921
UMLS CUI [1,2]
C0220825
UMLS CUI [2]
C0332156
UMLS CUI [3]
C1514821
UMLS CUI [4]
C2584946
If the patient is still alive, enter date of contact
Description

If the patient is still alive, enter date of contact

Data type

date

Alias
UMLS CUI [1]
C2584946
UMLS CUI [2,1]
C0011008
UMLS CUI [2,2]
C1705415
If unkown if patient is still alive, specify the reason
Description

If unkown if patient is still alive, specify the reason

Data type

text

Alias
UMLS CUI [1]
C2584946
UMLS CUI [2,1]
C0392360
UMLS CUI [2,2]
C2348235
Other reason for unkown if patient is still alive
Description

Other reason for unkown if patient is still alive

Data type

text

Alias
UMLS CUI [1]
C2584946
UMLS CUI [2]
C3840932
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Similar models

One Year Survival Assessment

1 forms
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Administrative
C1320722 (UMLS CUI-1)
Patient Number
Item
Patient Number
text
C2348585 (UMLS CUI [1])
Item Group
One Year Survival Assessment
C0220921 (UMLS CUI-1)
C0220825 (UMLS CUI-2)
Did the patient return for the One year survival assessment from time of registration?
Item
Did the patient return for the One year survival assessment from time of registration?
boolean
C0220921 (UMLS CUI [1,1])
C0220825 (UMLS CUI [1,2])
C0332156 (UMLS CUI [2])
C1514821 (UMLS CUI [3])
Date of visit:
Item
Date of visit:
date
C1320303 (UMLS CUI [1])
Item
If the patient did not return for the One year survival assessment from time of registration, is the patient still alive?
text
C0220921 (UMLS CUI [1,1])
C0220825 (UMLS CUI [1,2])
C0332156 (UMLS CUI [2])
C1514821 (UMLS CUI [3])
C2584946 (UMLS CUI [4])
If the patient did not return for the One year survival assessment from time of registration, is the patient still alive?
Code List
If the patient did not return for the One year survival assessment from time of registration, is the patient still alive?
CL Item
Yes (Y)
CL Item
No (N)
CL Item
Unknown (U)
If the patient is still alive, enter date of contact
Item
If the patient is still alive, enter date of contact
date
C2584946 (UMLS CUI [1])
C0011008 (UMLS CUI [2,1])
C1705415 (UMLS CUI [2,2])
Item
If unkown if patient is still alive, specify the reason
text
C2584946 (UMLS CUI [1])
C0392360 (UMLS CUI [2,1])
C2348235 (UMLS CUI [2,2])
If unkown if patient is still alive, specify the reason
Code List
If unkown if patient is still alive, specify the reason
CL Item
Lost to follow-up (LFU)
CL Item
Consent withdrawal (CWS)
CL Item
Other, specify (OTH)
Other reason for unkown if patient is still alive
Item
Other reason for unkown if patient is still alive
text
C2584946 (UMLS CUI [1])
C3840932 (UMLS CUI [2])
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