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Sichel-Reg, 7. Einverständniserklärung zur Asservierung einer Blutprobe und Durchführung molekulargenetischer Untersuchungen

1 forms  
Informed consent
Description

Informed consent

Alias
UMLS CUI-1
C0021430
Consent Forms
Data type

text

Alias
UMLS CUI-1
C0009797
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
City and date
Data type

text

Signature
Data type

text

Alias
UMLS CUI-1
C1519316
Minor (person)
Data type

boolean

Alias
UMLS CUI-1
C0026193
Legal Guardian
Data type

text

Alias
UMLS CUI-1
C0023226
City and date
Data type

text

Signature
Data type

text

Alias
UMLS CUI-1
C1519316
Legal Guardian
Data type

text

Alias
UMLS CUI-1
C0023226
City and date
Data type

text

Signature
Data type

text

Alias
UMLS CUI-1
C1519316
Physician consent obtained
Description

Physician consent obtained

Data type

text

Alias
UMLS CUI-1
C1320725
City and date
Data type

text

Signature
Data type

text

Alias
UMLS CUI-1
C1519316
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Similar models

Sichel-Reg, 7. Einverständniserklärung zur Asservierung einer Blutprobe und Durchführung molekulargenetischer Untersuchungen

1 forms
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Informed consent
C0021430 (UMLS CUI-1)
Consent Forms
Item
text
C0009797 (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)
City and date
Item
text
Signature
Item
text
C1519316 (UMLS CUI-1)
Minor (person)
Item
boolean
C0026193 (UMLS CUI-1)
Legal Guardian
Item
text
C0023226 (UMLS CUI-1)
City and date
Item
text
Signature
Item
text
C1519316 (UMLS CUI-1)
Legal Guardian
Item
text
C0023226 (UMLS CUI-1)
City and date
Item
text
Signature
Item
text
C1519316 (UMLS CUI-1)
Physician consent obtained
Item
Physician consent obtained
text
C1320725 (UMLS CUI-1)
City and date
Item
text
Signature
Item
text
C1519316 (UMLS CUI-1)
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