German English

Sichel-Reg, 4. Informationsblatt für Patienten, Eltern / Sorgeberechtigte und Jugendliche ab 16 Jahren

1 forms  
Patient information sheet
Description

Patient information sheet

Alias
UMLS CUI-1
C1955348
Last Name
Description

Last Name

Data type

text

Alias
UMLS CUI-1
C1301584
First Name
Description

First Name

Data type

text

Alias
UMLS CUI-1
C1443235
Birth Date
Description

Birth Date

Data type

date

Alias
UMLS CUI-1
C0421451
Informed Consent Date
Description

Informed Consent Date

Data type

date

Alias
UMLS CUI-1
C2985782
Physician consent obtained
Description

Physician consent obtained

Data type

text

Alias
UMLS CUI-1
C1320725
Patient information
Data type

text

Alias
UMLS CUI-1
C1955348
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Similar models

Sichel-Reg, 4. Informationsblatt für Patienten, Eltern / Sorgeberechtigte und Jugendliche ab 16 Jahren

1 forms
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Patient information sheet
C1955348 (UMLS CUI-1)
Last Name
Item
Last Name
text
C1301584 (UMLS CUI-1)
First Name
Item
First Name
text
C1443235 (UMLS CUI-1)
Birth Date
Item
Birth Date
date
C0421451 (UMLS CUI-1)
Informed Consent Date
Item
Informed Consent Date
date
C2985782 (UMLS CUI-1)
Physician consent obtained
Item
Physician consent obtained
text
C1320725 (UMLS CUI-1)
Patient information
Item
text
C1955348 (UMLS CUI-1)
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