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Online Application Form

 

Personal Information (* required fields)

Applicant
Applicant*





Principal Investigator
Principal Investigator*






Researcher 0
Researcher*






HA Collaborator 0
HA Collaborator




 

Project Details (* required fields)


(Not more than 255 characters)

(to be published to portal for the general public to read)
(Not more than 1000 characters)

(Please include the contribution to the public good.)
(Not more than 255 characters)

(Not more than 2000 characters)

(Not more than 255 characters)

(Available tools in HADCL Platform)
(Not more than 4000 characters)



 

Data Requirements (* required fields)


 


 
(Recent two years of structural data is not available in HADCL)
 


 
(Recent two years of textual data is not available in HADCL)
 


 
(Thick slice lossy image is available in HADCL)


(Not more than 255 characters of each Criteria)

(Not more than 255 characters of each Criteria)

Remarks:
Please provide the inclusion and exclusion criteria as well as required dataset for each set of the study group, if necessary.


HA DCL Data Catalogue Dataset ID Dataset Name Required (Y/N) Relevance to Study Objectives
(100 characters)
Demographic data D01 Patient Demographic
Clinical structured notes D02 Diabetes Mellitus Complication Screening
D03 Family Medicine - Patient Disease
D04 Family Medicine - Consultation Note ICPC
Immunization D05 Immunization
Diagnosis D06 Diagnosis Progress
Procedure D07 Procedure Progress
Summary of episodes / Clinical Activity D08 Outpatient Appointment and Attendance
D12 Inpatient Admission, Transfer & Discharge - Episode's Transaction
D09 Accident and Emergency Department Attendance
Radiology examinations D13 Radiology Appointment
D14 Radiology Examination Result
T01 Radiology Exam Report (TEXT)
X01 Radiology Image (DICOM)
Medications D15 Medications - Prescription
D16 Medications - Multiple Dosage
Laboratory tests & results D17 Laboratory Result - Chemical Pathology
D18 Laboratory Result - Hematology & Immunology
D19 Laboratory Result - Microbiology & Virology
D20 Laboratory Result - Bacterial Culture and Sensitivity Test
D21 Anatomical Pathology - Specific SNOMED Result
T02 Laboratory Result (TEXT)
Obstetrics data D23 Obstetrics
Clinical notes / Summary (Text) T03 Clinical & Discharge Note (TEXT)

Specific Requirement for Dataset


Dataset ID Dataset Name Description or Definition / Criteria of Required Data
(255 characters)
 
e.g. D15 Medications - Prescription Dispensed antimicrobials under BNF 5.1 of included patients  
e.g. X01 Radiology Image (DICOM) Brain CT, thin slice, in year 2019  

Other Data (NOT under HADCL Data Catalogue)


Data Name / Classification
(100 characters)
Description or Definition / Criteria of Required Data
(255 characters)
Relevance to Study Objectives
(100 characters)
 

Remarks:
Data request(s) that is/are beyond the scope of the HADCL Data Catalogue are subject to exploration and panel review.

Attachment (* required fields)

Ethics Approval*
Support from Organization*
Supplementary information

 

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