ID

43584

Description

Items used as routine documentation for the SAL (Studienallianz Leukämie) study centre of university hospital dresden. ODM derived from original form "AML-Register Meldebogen - A", converted to ODM format.

Keywords

Versions (3)
  1. 11/23/15 11/23/15 -
  2. 2/11/16 2/11/16 -
  3. 9/20/21 9/20/21 -
Uploaded on

September 20, 2021

DOI

To request one please log in.

License

Creative Commons BY-NC 3.0
Model comments :

You can comment on the data model here. Via the speech bubbles at the itemgroups and items you can add comments to those specificially.

Back to model comments
Itemgroup comments for :

Item comments for :

In order to download data models you must be logged in. Please log in or register for free.

AML- Register_Registration form_SAL_University hospital dresden

English

AML- Register_Registration form_SAL_University hospital dresden

1 forms  
Clinic information
Description

Clinic information

Name of the hospital:
Description

hospital name

Data type

text

Alias
UMLS CUI [1]
C2825164
Clinic code:
Description

Clinic code

Data type

integer

Alias
UMLS CUI [1,1]
C2825164
UMLS CUI [1,2]
C0600091
Hospital address:
Description

hospital address

Data type

text

Alias
UMLS CUI [1]
C1442065
Telephone number:
Description

Telephone number

Data type

integer

Alias
UMLS CUI [1]
C1515258
Fax number:
Description

Fax number

Data type

integer

Alias
UMLS CUI [1]
C0085205
Patient information
Description

Patient information

Alias
UMLS CUI-1
C2707520
Patient's surname:
Description

Surname

Data type

text

Alias
UMLS CUI [1,1]
C1299487
UMLS CUI [1,2]
C1301584
Patient's first name:
Description

first name

Data type

text

Alias
UMLS CUI [1]
C1443235
Patient ID:
Description

Patient ID

Data type

integer

Alias
UMLS CUI [1]
C2348585
Date of birth:
Description

date of birth

Data type

date

Alias
UMLS CUI [1]
C0421451
Gender:
Description

Gender

Data type

text

Alias
UMLS CUI [1]
C0079399
Patient's address:
Description

Patient address

Data type

text

Alias
UMLS CUI [1]
C0421449
Address of the family doctor:
Description

family doctor address

Data type

text

Alias
UMLS CUI [1]
C0017319
Is the signed informed consent available?
Description

informed consent

Data type

boolean

Alias
UMLS CUI [1]
C0021430
Does the patient agree to the transfer of ownership of the collected tissue sample?
Description

transfer of ownership; tissue sample

Data type

boolean

Alias
UMLS CUI [1,1]
C1292533
UMLS CUI [1,2]
C0021430
Back to the top of the page

Similar models

AML- Register_Registration form_SAL_University hospital dresden

1 forms
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Clinic information
hospital name
Item
Name of the hospital:
text
C2825164 (UMLS CUI [1])
Clinic code
Item
Clinic code:
integer
C2825164 (UMLS CUI [1,1])
C0600091 (UMLS CUI [1,2])
hospital address
Item
Hospital address:
text
C1442065 (UMLS CUI [1])
Telephone number
Item
Telephone number:
integer
C1515258 (UMLS CUI [1])
Fax number
Item
Fax number:
integer
C0085205 (UMLS CUI [1])
Item Group
Patient information
C2707520 (UMLS CUI-1)
Surname
Item
Patient's surname:
text
C1299487 (UMLS CUI [1,1])
C1301584 (UMLS CUI [1,2])
first name
Item
Patient's first name:
text
C1443235 (UMLS CUI [1])
Patient ID
Item
Patient ID:
integer
C2348585 (UMLS CUI [1])
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 (1)
C0086582 (UMLS CUI-1)
CL Item
Female (2)
C0086287 (UMLS CUI-1)
Patient address
Item
Patient's address:
text
C0421449 (UMLS CUI [1])
family doctor address
Item
Address of the family doctor:
text
C0017319 (UMLS CUI [1])
informed consent
Item
Is the signed informed consent available?
boolean
C0021430 (UMLS CUI [1])
transfer of ownership; tissue sample
Item
Does the patient agree to the transfer of ownership of the collected tissue sample?
boolean
C1292533 (UMLS CUI [1,1])
C0021430 (UMLS CUI [1,2])
Back to the top of the page 

Contact

Please use this form for feedback, questions and suggestions for improvements.

Fields marked with * are required.

Help

Do you need help on how to use the search function? Please watch the corresponding tutorial video for more details and learn how to use the search function most efficiently.

Watch Tutorial