Data source

General Details:

Name:
Data source
Steward:
NINDS
Definition:
Source of the data provided on the case report form
Registration Status:
Qualified

Permissible Values:

Value Type:
Value List
Unit of Measure:
Ids:
Value Code Name Code Code System Code Description
Participant/subject Participant/subject Participant/subject
Mother Mother Mother
Father Father Father
Sister Sister Sister
Brother Brother Brother
Son Son Son
Daughter Daughter Daughter
Family, specify relation Family, specify relation Family, specify relation
Friend Friend Friend
Physician Physician Physician
Chart/Medical record Chart/Medical record Chart/Medical record
Other, specify Other, specify Other, specify
Unknown Unknown Unknown
Spouse Spouse Spouse
Clinician Clinician Clinician
Coach Coach Coach
Other Other Other
Parent Parent Parent
Player Player Player

Designations:

Designation:
Data source
Tags:
Designation:
DATA SOURCE
Tags:
Question Text
Designation:
Data Source
Tags:
Question Text
Designation:
From whom/ what were the medical history data obtained
Tags:
Question Text
Designation:
From whom/what were the medical history data obtained?
Tags:
Question Text
Designation:
Indicate how the medical/family history information was obtained
Tags:
Question Text
Designation:
Source from which medical and family history obtained?
Tags:
Question Text
Designation:
Source of information
Tags:
Question Text
Designation:
Who filled out this form?
Tags:
Question Text
Designation:
Who is the source of this information in relation to the subject?
Tags:
Question Text

Designations:

Definition:
Source of the data provided on the case report form
Tags:

Identifiers:

Source:
NLM
Id:
AURwV8TsYjS
Version:
3.1
Source:
NINDS
Id:
C08147
Version:
3
Source:
BRICS Variable Name
Id:
DataSource
Version: