Información:
Error:
ID
43584
Descripción
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.
Palabras clave
Versiones (3)
- 23/11/15 23/11/15 -
- 11/2/16 11/2/16 -
- 20/9/21 20/9/21 -
Subido en
20 de septiembre de 2021
DOI
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Licencia
Creative Commons BY-NC 3.0
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AML- Register_Registration form_SAL_University hospital dresden
AML- Register_Registration form_SAL_University hospital dresden
- StudyEvent: ODM
Similar models
AML- Register_Registration form_SAL_University hospital dresden
- StudyEvent: ODM
Name
Tipo
Description | Question | Decode (Coded Value)
Tipo de datos
Alias
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])
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])
Surname
Item
Patient's surname:
text
C1299487 (UMLS CUI [1,1])
C1301584 (UMLS CUI [1,2])
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])
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])
C0021430 (UMLS CUI [1,2])