| Name | F90 |
| Description | Request for Patient's Siblings Service |
| Name of field on form | Dictionary label (description) | EMDIS fields (matching dictionary field) | WMDA XML fields (matching dictionary field) |
|---|---|---|---|
|
First line of address (The first line of an address, generally for an organisation, can be any format) |
ADDR_1 |
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Second line of address (The second line of an address, generally for an organisation, can be any format) |
ADDR_2 |
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Third line address (The third line of an address, generally for an organisation, can be any format) |
ADDR_3 |
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City Address (The city of an address, generally for an organisation, can be any format) |
CITY |
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Country (The country of an address, generally for an organisation, can be any format) |
COUNTRY |
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Email (email address, generally for an organisation, can be any format) |
EMAIL |
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Fax Number (Fax number, usually of an organisation) |
FAX |
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Receiving institution (Institution receiving a product ( sample, HPC)) |
INST_MARR_SENT INST_SMP_SENT |
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Invoice institution (institution responsible for paying, usually requesting TC or registry) |
INST_PAY |
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Postal Code (Postal code (or zip code) of an address) |
ZIP |
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Institution (Identification of an institution, usually refers to a receiving or sending regsitry.) |
INST_ID |
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Contact phone number (The listed phone number to contact at an organisation usually a registry or transplant centre) |
PHONE |
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First name (Given name of an individual) |
P_FNAME |
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Patient Identification (Patient identification assigned by patient registry) |
P_ID |
RSV_PAT |
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Last name (Surname of an individual) |
P_LNAME |
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Date of birth (Birth date) |
CB_BIRTH_DATE D_BIRTH_DATE P_BIRTH_DATE |
BIRTH_DATE |