ID

43596

Beschrijving

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

Trefwoorden

Versies (4)
  1. 17-11-15 17-11-15 -
  2. 27-11-15 27-11-15 -
  3. 11-02-16 11-02-16 -
  4. 20-09-21 20-09-21 -
Geüploaded op

20 september 2021

DOI

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Licentie

Creative Commons BY-NC 3.0
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AML- Register_Accompanying Material Form_SAL_University hospital dresden

Engels

AML- Register_Accompanying Material Form_SAL_University hospital dresden

1 Formulieren  
Patient information
Beschrijving

Patient information

Alias
UMLS CUI-1
C2707520
Patient name:
Beschrijving

Patient name

Datatype

text

Alias
UMLS CUI [1]
C1299487
Patient ID:
Beschrijving

Patient ID

Datatype

integer

Alias
UMLS CUI [1]
C2348585
Clinic code:
Beschrijving

Clinic code

Datatype

integer

Alias
UMLS CUI [1,1]
C2825164
UMLS CUI [1,2]
C0600091
Date of birth:
Beschrijving

Date of birth

Datatype

date

Alias
UMLS CUI [1]
C0421451
Gender:
Beschrijving

gender

Datatype

integer

Alias
UMLS CUI [1]
C0079399
Collected material
Beschrijving

Collected material

Alias
UMLS CUI-1
C0021430
Date of collection:
Beschrijving

date

Datatype

date

Alias
UMLS CUI [1]
C1302413
Specimen collected during:
Beschrijving

SpecimenCollectedTime

Datatype

integer

Alias
UMLS CUI [1]
C1302181
Please state the month, if you chose "x month":
Beschrijving

month

Datatype

integer

Alias
UMLS CUI [1,1]
C1522577
UMLS CUI [1,2]
C0439231
UMLS CUI [1,3]
C0750480
Specimen sent to study centre:
Beschrijving

Specimen

Datatype

integer

Alias
UMLS CUI [1]
C0456204
Patient agrees with the transfer of ownership (transfer of ownership) of the tissue samples to the SAL biomaterial storage and use for scientific purposes?
Beschrijving

transfer of ownership

Datatype

boolean

Alias
UMLS CUI [1]
C0021430
The following diagnostic desired:
Beschrijving

diagnostik

Datatype

integer

Alias
UMLS CUI [1]
C0430022
Sender information
Beschrijving

Sender information

Physician:
Beschrijving

physician

Datatype

text

Alias
UMLS CUI [1]
C2826892
Clinic:
Beschrijving

Clinic

Datatype

text

Alias
UMLS CUI [1]
C2825164
Telephone:
Beschrijving

telephone

Datatype

integer

Alias
UMLS CUI [1]
C1515258
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Similar models

AML- Register_Accompanying Material Form_SAL_University hospital dresden

1 Formulieren
Name
Type
Description | Question | Decode (Coded Value)
Datatype
Alias
Item Group
Patient information
C2707520 (UMLS CUI-1)
Patient name
Item
Patient name:
text
C1299487 (UMLS CUI [1])
Patient ID
Item
Patient ID:
integer
C2348585 (UMLS CUI [1])
Clinic code
Item
Clinic code:
integer
C2825164 (UMLS CUI [1,1])
C0600091 (UMLS CUI [1,2])
Date of birth
Item
Date of birth:
date
C0421451 (UMLS CUI [1])
Item
Gender:
integer
C0079399 (UMLS CUI [1])
gender
Code List
Gender:
CL Item
female (1)
C0086287 (UMLS CUI-1)
CL Item
male (2)
C0086582 (UMLS CUI-1)
Item Group
Collected material
C0021430 (UMLS CUI-1)
date
Item
Date of collection:
date
C1302413 (UMLS CUI [1])
Item
Specimen collected during:
integer
C1302181 (UMLS CUI [1])
SpecimenCollectedTime
Code List
Specimen collected during:
CL Item
first diagnosis (1)
C0006826 (UMLS CUI-1)
CL Item
progress (2)
C1335499 (UMLS CUI-1)
CL Item
recurrence (3)
C0035020 (UMLS CUI-1)
CL Item
after end of treatment (4)
C0087111 (UMLS CUI-1)
C0444930 (UMLS CUI-2)
CL Item
3rd month (5)
C1522577 (UMLS CUI-1)
C0439231 (UMLS CUI-2)
C0205449 (UMLS CUI-3)
CL Item
6th month (6)
C1522577 (UMLS CUI-1)
C0439231 (UMLS CUI-2)
C0205452 (UMLS CUI-3)
CL Item
9th month (7)
C1522577 (UMLS CUI-1)
C0439231 (UMLS CUI-2)
C0205455 (UMLS CUI-3)
CL Item
12th month (8)
C1522577 (UMLS CUI-1)
C0439231 (UMLS CUI-2)
C0205458 (UMLS CUI-3)
CL Item
x month (9)
C1522577 (UMLS CUI-1)
C0439231 (UMLS CUI-2)
C0205394 (UMLS CUI-3)
month
Item
Please state the month, if you chose "x month":
integer
C1522577 (UMLS CUI [1,1])
C0439231 (UMLS CUI [1,2])
C0750480 (UMLS CUI [1,3])
Item
Specimen sent to study centre:
integer
C0456204 (UMLS CUI [1])
Specimen
Code List
Specimen sent to study centre:
CL Item
10 ml of heparinized bone marrow (1)
CL Item
50 ml of heparinized peripheral blood (2)
CL Item
min. 4 unstained bone marrow smears (if cytomorphology desired) (3)
CL Item
min. 3 unstained peripheral blood smear (if cytomorphology desired) (4)
transfer of ownership
Item
Patient agrees with the transfer of ownership (transfer of ownership) of the tissue samples to the SAL biomaterial storage and use for scientific purposes?
boolean
C0021430 (UMLS CUI [1])
Item
The following diagnostic desired:
integer
C0430022 (UMLS CUI [1])
diagnostik
Code List
The following diagnostic desired:
CL Item
cytomorphology (1)
C2238079 (UMLS CUI-1)
CL Item
Molecular Biology (2)
C0026376 (UMLS CUI-1)
CL Item
immunophenotyping (3)
C0079611 (UMLS CUI-1)
CL Item
cytogenetics (4)
C0010802 (UMLS CUI-1)
Item Group
Sender information
physician
Item
Physician:
text
C2826892 (UMLS CUI [1])
Clinic
Item
Clinic:
text
C2825164 (UMLS CUI [1])
telephone
Item
Telephone:
integer
C1515258 (UMLS CUI [1])
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