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Basis Doku, Anamnese 1/2, Melanom NCT00000000

1 forms  
Patientenidentifikation
Description

Patientenidentifikation

Name
Description

Name

Data type

text

Alias
UMLS CUI [1]
C0421448
Vorname
Description

First name

Data type

text

Alias
UMLS CUI [1]
C1443235
Geburtsdatum:
Description

Date of birth

Data type

date

Alias
UMLS CUI [1]
C0421451
Geschlecht:
Description

Gender

Data type

integer

Alias
UMLS CUI [1]
C0079399
Zeitpunkt der Anamnese
Description

Zeitpunkt der Anamnese

Datum
Description

date

Data type

date

Alias
UMLS CUI [1]
C0011008
Diagnose
Description

falls MM, Anzahl vorhandener pTs

Data type

integer

Alias
UMLS CUI [1]
C0011900
Progress
Description

Progression

Data type

boolean

Alias
UMLS CUI [1]
C0242656
Einverständnis
Description

Einverständnis

Datenspeicherung Krebsregister
Description

Informed Consent given for Cancer Registry

Data type

boolean

Alias
UMLS CUI [1,1]
C0021430
UMLS CUI [1,2]
C0805443
Hauttumorbank
Description

Informed Consent Skin Tumor Biobank

Data type

boolean

Alias
UMLS CUI [1,1]
C1519671
UMLS CUI [1,2]
C0021430
abgelehnt
Description

informed consent refused

Data type

boolean

Alias
UMLS CUI [1,1]
C0021430
UMLS CUI [1,2]
C1705116
Anamnese und Risikofaktoren
Description

Anamnese und Risikofaktoren

Gewichtsverlust
Description

Weight loss

Data type

integer

Alias
UMLS CUI [1]
C1262477
Appetitlosigkeit
Description

Loss of Appetite

Data type

integer

Alias
UMLS CUI [1]
C1971624
Nachtschweiß
Description

night sweat

Data type

integer

Alias
UMLS CUI [1]
C0028081
Abgeschlagenheit
Description

fatigue

Data type

text

Alias
UMLS CUI [1]
C0015672
Thrombosen
Description

Thrombosis

Data type

integer

Alias
UMLS CUI [1]
C0040053
Schmerzempfinden:
Description

Pain

Data type

integer

Alias
UMLS CUI [1]
C0030193
Raucher
Description

Smoking

Data type

integer

Alias
UMLS CUI [1]
C1519384
Erstmalignom: Haut
Description

falls ja: Bitte im folgenden Item spezifizieren

Data type

integer

Alias
UMLS CUI [1,1]
C3172269
UMLS CUI [1,2]
C1123023
Was?
Description

Type of Malignant neoplasm of skin

Data type

text

Alias
UMLS CUI [1,1]
C0007114
UMLS CUI [1,2]
C0332307
Wann?
Description

Date of diagnosis

Data type

date

Alias
UMLS CUI [1]
C2316983
Andere Tumoren
Description

Falls ja, bitte unten spezifizieren.

Data type

integer

Alias
UMLS CUI [1,1]
C0006826
UMLS CUI [1,2]
C0205394
Was?
Description

Other malignancy Specification

Data type

text

Alias
UMLS CUI [1,1]
C0205394
UMLS CUI [1,2]
C0006826
UMLS CUI [1,3]
C2348235
Wann?
Description

Other Malignancy date

Data type

date

Alias
UMLS CUI [1,1]
C0205394
UMLS CUI [1,2]
C0006826
UMLS CUI [1,3]
C0011008
Familiärer Hautkrebs
Description

Falls ja, bitte unten spezifizieren.

Data type

integer

Alias
UMLS CUI [1,1]
C0007114
UMLS CUI [1,2]
C0241888
Wer?
Description

Familial skin cancer: family member affected

Data type

text

Alias
UMLS CUI [1,1]
C0007114
UMLS CUI [1,2]
C0241888
UMLS CUI [1,3]
C0027361
Was?
Description

Familial Skin Cancer Type

Data type

text

Alias
UMLS CUI [1,1]
C0007114
UMLS CUI [1,2]
C0241888
UMLS CUI [1,3]
C0332307
Wann?
Description

Familial skin cancer date

Data type

date

Alias
UMLS CUI [1,1]
C0007114
UMLS CUI [1,2]
C0241888
UMLS CUI [1,3]
C0011008
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Similar models

Basis Doku, Anamnese 1/2, Melanom NCT00000000

1 forms
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Patientenidentifikation
Name
Item
Name
text
C0421448 (UMLS CUI [1])
First name
Item
Vorname
text
C1443235 (UMLS CUI [1])
Date of birth
Item
Geburtsdatum:
date
C0421451 (UMLS CUI [1])
Item
Geschlecht:
integer
C0079399 (UMLS CUI [1])
Gender
Code List
Geschlecht:
CL Item
männlich  (1)
CL Item
weiblich (2)
Item Group
Zeitpunkt der Anamnese
date
Item
Datum
date
C0011008 (UMLS CUI [1])
Item
Diagnose
integer
C0011900 (UMLS CUI [1])
Diagnosis
Code List
Diagnose
CL Item
Erstdiagnose (1)
CL Item
Zweitmelanom (2)
CL Item
Multiple Melanoma (3)
Progression
Item
Progress
boolean
C0242656 (UMLS CUI [1])
Item Group
Einverständnis
Informed Consent given for Cancer Registry
Item
Datenspeicherung Krebsregister
boolean
C0021430 (UMLS CUI [1,1])
C0805443 (UMLS CUI [1,2])
Informed Consent Skin Tumor Biobank
Item
Hauttumorbank
boolean
C1519671 (UMLS CUI [1,1])
C0021430 (UMLS CUI [1,2])
informed consent refused
Item
abgelehnt
boolean
C0021430 (UMLS CUI [1,1])
C1705116 (UMLS CUI [1,2])
Item Group
Anamnese und Risikofaktoren
Item
Gewichtsverlust
integer
C1262477 (UMLS CUI [1])
risk factors
Code List
Gewichtsverlust
CL Item
ja  (1)
CL Item
nein (2)
CL Item
unbekannt (3)
Item
Appetitlosigkeit
integer
C1971624 (UMLS CUI [1])
Loss of Appetite
Code List
Appetitlosigkeit
CL Item
ja (1)
CL Item
nein (2)
CL Item
unbekannt (3)
Item
Nachtschweiß
integer
C0028081 (UMLS CUI [1])
night sweat
Code List
Nachtschweiß
CL Item
ja (1)
CL Item
nein (2)
CL Item
unbekannt (3)
Item
Abgeschlagenheit
text
C0015672 (UMLS CUI [1])
fatigue
Code List
Abgeschlagenheit
CL Item
ja (ja)
CL Item
nein (nein)
CL Item
unbekannt (unbekannt)
Item
Thrombosen
integer
C0040053 (UMLS CUI [1])
Thrombosis
Code List
Thrombosen
CL Item
ja (1)
CL Item
nein (2)
CL Item
unbekannt (3)
Item
Schmerzempfinden:
integer
C0030193 (UMLS CUI [1])
Pain
Code List
Schmerzempfinden:
CL Item
ja (1)
CL Item
nein (2)
CL Item
unbekannt (3)
Item
Raucher
integer
C1519384 (UMLS CUI [1])
Smoking
Code List
Raucher
CL Item
ja (1)
CL Item
nein (2)
CL Item
unbekannt (3)
Item
Erstmalignom: Haut
integer
C3172269 (UMLS CUI [1,1])
C1123023 (UMLS CUI [1,2])
first malignancy: skin
Code List
Erstmalignom: Haut
CL Item
ja (1)
CL Item
nein (2)
CL Item
unbekannt (3)
Type of Malignant neoplasm of skin
Item
Was?
text
C0007114 (UMLS CUI [1,1])
C0332307 (UMLS CUI [1,2])
Date of diagnosis
Item
Wann?
date
C2316983 (UMLS CUI [1])
Item
Andere Tumoren
integer
C0006826 (UMLS CUI [1,1])
C0205394 (UMLS CUI [1,2])
Other Tumors
Code List
Andere Tumoren
CL Item
ja (1)
CL Item
nein (2)
CL Item
unbekannt (3)
Other malignancy Specification
Item
Was?
text
C0205394 (UMLS CUI [1,1])
C0006826 (UMLS CUI [1,2])
C2348235 (UMLS CUI [1,3])
Other Malignancy date
Item
Wann?
date
C0205394 (UMLS CUI [1,1])
C0006826 (UMLS CUI [1,2])
C0011008 (UMLS CUI [1,3])
Item
Familiärer Hautkrebs
integer
C0007114 (UMLS CUI [1,1])
C0241888 (UMLS CUI [1,2])
familial skin cancer
Code List
Familiärer Hautkrebs
CL Item
ja (1)
CL Item
nein (2)
CL Item
unbekannt (3)
Familial skin cancer: family member affected
Item
Wer?
text
C0007114 (UMLS CUI [1,1])
C0241888 (UMLS CUI [1,2])
C0027361 (UMLS CUI [1,3])
Familial Skin Cancer Type
Item
Was?
text
C0007114 (UMLS CUI [1,1])
C0241888 (UMLS CUI [1,2])
C0332307 (UMLS CUI [1,3])
Familial skin cancer date
Item
Wann?
date
C0007114 (UMLS CUI [1,1])
C0241888 (UMLS CUI [1,2])
C0011008 (UMLS CUI [1,3])
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