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Demographics Screening

1 forms  
  1. StudyEvent: ODM
    1. Demographics Screening
DEMOGRAPHICS (SCREENING)
Description

DEMOGRAPHICS (SCREENING)

Alias
UMLS CUI-1
C0011298
Subject Number:
Description

Subject Number

Data type

text

Alias
UMLS CUI [1]
C2348585
Subject Initials:
Description

Subject Initials

Data type

text

Alias
UMLS CUI [1,1]
C1997894
UMLS CUI [1,2]
C2986440
Visit Date:
Description

Visit Date

Data type

date

Alias
UMLS CUI [1]
C1320303
Date of Birth:
Description

Date of Birth

Data type

date

Alias
UMLS CUI [1]
C0421451
Sex:
Description

Sex

Data type

text

Alias
UMLS CUI [1]
C0079399
Race / Ethnicity (check one):
Description

Ethnicity

Data type

text

Alias
UMLS CUI [1]
C0015031
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Similar models

Demographics Screening

1 forms
  1. StudyEvent: ODM
    1. Demographics Screening
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
DEMOGRAPHICS (SCREENING)
C0011298 (UMLS CUI-1)
Subject Number
Item
Subject Number:
text
C2348585 (UMLS CUI [1])
Subject Initials
Item
Subject Initials:
text
C1997894 (UMLS CUI [1,1])
C2986440 (UMLS CUI [1,2])
Visit Date
Item
Visit Date:
date
C1320303 (UMLS CUI [1])
Date of Birth
Item
Date of Birth:
date
C0421451 (UMLS CUI [1])
Item
Sex:
text
C0079399 (UMLS CUI [1])
Sex
Code List
Sex:
CL Item
Male (Male)
C0086582 (UMLS CUI-1)
(Comment:en)
CL Item
Female (Female)
C0086287 (UMLS CUI-1)
(Comment:en)
Item
Race / Ethnicity (check one):
text
C0015031 (UMLS CUI [1])
Ethnicity
Code List
Race / Ethnicity (check one):
CL Item
White (White)
C0007457 (UMLS CUI-1)
(Comment:en)
CL Item
Black (Black)
C0005680 (UMLS CUI-1)
(Comment:en)
CL Item
Asian or Pacific Islander (Asian or Pacific Islander)
C1531604 (UMLS CUI-1)
(Comment:en)
CL Item
Hispanic (Hispanic)
C0086409 (UMLS CUI-1)
(Comment:en)
CL Item
American Indian or Alaskan Native (American Indian or Alaskan Native)
C1515945 (UMLS CUI-1)
(Comment:en)
CL Item
Other (Other)
C0205394 (UMLS CUI-1)
(Comment:en)
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