ID

16439

Description

Klinik und Poliklinik für Hautkrankheiten - Allgemeine Dermatologie und Venerologie - Direktor: Univ.-Prof. Dr. med. Th. A. Luger

Mots-clés

  1. 29/06/2016 29/06/2016 -
  2. 16/07/2016 16/07/2016 -
Téléchargé le

16 juillet 2016

DOI

Pour une demande vous connecter.

Licence

Creative Commons BY-NC 3.0

Modèle Commentaires :

Ici, vous pouvez faire des commentaires sur le modèle. À partir des bulles de texte, vous pouvez laisser des commentaires spécifiques sur les groupes Item et les Item.

Groupe Item commentaires pour :

Item commentaires pour :

Vous devez être connecté pour pouvoir télécharger des formulaires. Veuillez vous connecter ou s’inscrire gratuitement.

Basic Documentation, Medical History 1/2, Melanoma NCT00000000

Basis Doku, Anamnese 1/2, Melanom NCT00000000

patient identification
Description

patient identification

Name
Description

Name

Type de données

text

Alias
UMLS CUI [1]
C0421448
First name
Description

First name

Type de données

text

Alias
UMLS CUI [1]
C1443235
Date of birth
Description

Date of birth

Type de données

date

Alias
UMLS CUI [1]
C0421451
Gender
Description

Gender

Type de données

integer

Alias
UMLS CUI [1]
C0079399
Classification of Anamnesis
Description

Classification of Anamnesis

date
Description

date

Type de données

date

Alias
UMLS CUI [1]
C0011008
Diagnosis
Description

Diagnosis

Type de données

integer

Alias
UMLS CUI [1]
C0011900
Progression
Description

Progression

Type de données

boolean

Alias
UMLS CUI [1]
C0242656
Consent
Description

Consent

Informed Consent given for Cancer Registry
Description

Informed Consent given for Cancer Registry

Type de données

boolean

Alias
UMLS CUI [1,1]
C0021430
UMLS CUI [1,2]
C0805443
Informed Consent Skin Tumor Biobank
Description

Informed Consent Skin Tumor Biobank

Type de données

boolean

Alias
UMLS CUI [1,1]
C1519671
UMLS CUI [1,2]
C0021430
informed consent refused
Description

informed consent refused

Type de données

boolean

Alias
UMLS CUI [1,1]
C0021430
UMLS CUI [1,2]
C1705116
Anamnesis and risk factors Part A
Description

Anamnesis and risk factors Part A

Weight loss
Description

Weight loss

Type de données

integer

Alias
UMLS CUI [1]
C1262477
Loss of Appetite
Description

Loss of Appetite

Type de données

integer

Alias
UMLS CUI [1]
C1971624
night sweat
Description

night sweat

Type de données

integer

Alias
UMLS CUI [1]
C0028081
fatigue
Description

fatigue

Type de données

text

Alias
UMLS CUI [1]
C0015672
Thrombosis
Description

Thrombosis

Type de données

integer

Alias
UMLS CUI [1]
C0040053
Pain
Description

Pain

Type de données

integer

Alias
UMLS CUI [1]
C0030193
Smoking
Description

Smoking

Type de données

integer

Alias
UMLS CUI [1]
C1519384
first malignancy: skin
Description

first malignancy: skin

Type de données

integer

Alias
UMLS CUI [1,1]
C3172269
UMLS CUI [1,2]
C1123023
Type of Malignant neoplasm of skin
Description

Type of Malignant neoplasm of skin

Type de données

text

Alias
UMLS CUI [1,1]
C0007114
UMLS CUI [1,2]
C0332307
Date of diagnosis
Description

Date of diagnosis

Type de données

date

Alias
UMLS CUI [1]
C2316983
Other Tumors
Description

Other Tumors

Type de données

integer

Alias
UMLS CUI [1,1]
C0006826
UMLS CUI [1,2]
C0205394
Other malignancy Specification
Description

Other malignancy Specification

Type de données

text

Alias
UMLS CUI [1,1]
C0205394
UMLS CUI [1,2]
C0006826
UMLS CUI [1,3]
C2348235
Other Malignancy date
Description

Other Malignancy date

Type de données

date

Alias
UMLS CUI [1,1]
C0205394
UMLS CUI [1,2]
C0006826
UMLS CUI [1,3]
C0011008
familial skin cancer
Description

familial skin cancer

Type de données

integer

Alias
UMLS CUI [1,1]
C0007114
UMLS CUI [1,2]
C0241888
Familial skin cancer: family member affected
Description

Familial skin cancer: family member affected

Type de données

text

Alias
UMLS CUI [1,1]
C0007114
UMLS CUI [1,2]
C0241888
UMLS CUI [1,3]
C0027361
Familial Skin Cancer Type
Description

Familial Skin Cancer Type

Type de données

text

Alias
UMLS CUI [1,1]
C0007114
UMLS CUI [1,2]
C0241888
UMLS CUI [1,3]
C0332307
Familial skin cancer date
Description

Familial skin cancer date

Type de données

date

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

Similar models

Basis Doku, Anamnese 1/2, Melanom NCT00000000

Name
Type
Description | Question | Decode (Coded Value)
Type de données
Alias
Item Group
patient identification
Name
Item
text
C0421448 (UMLS CUI [1])
First name
Item
text
C1443235 (UMLS CUI [1])
Date of birth
Item
date
C0421451 (UMLS CUI [1])
Item
integer
C0079399 (UMLS CUI [1])
Code List
Gender
CL Item
 (1)
CL Item
 (2)
date
Item
date
C0011008 (UMLS CUI [1])
Item
integer
C0011900 (UMLS CUI [1])
Code List
Diagnosis
CL Item
 (1)
CL Item
 (2)
CL Item
 (3)
Progression
Item
boolean
C0242656 (UMLS CUI [1])
Item Group
Informed Consent given for Cancer Registry
Item
boolean
C0021430 (UMLS CUI [1,1])
C0805443 (UMLS CUI [1,2])
Informed Consent Skin Tumor Biobank
Item
boolean
C1519671 (UMLS CUI [1,1])
C0021430 (UMLS CUI [1,2])
informed consent refused
Item
boolean
C0021430 (UMLS CUI [1,1])
C1705116 (UMLS CUI [1,2])
Item
integer
C1262477 (UMLS CUI [1])
Code List
Weight loss
CL Item
 (1)
CL Item
 (2)
CL Item
 (3)
Item
integer
C1971624 (UMLS CUI [1])
Code List
Loss of Appetite
CL Item
 (1)
CL Item
 (2)
CL Item
 (3)
Item
integer
C0028081 (UMLS CUI [1])
Code List
night sweat
CL Item
 (1)
CL Item
 (2)
CL Item
 (3)
Item
text
C0015672 (UMLS CUI [1])
Code List
fatigue
CL Item
 (ja)
CL Item
 (nein)
CL Item
 (unbekannt)
Item
integer
C0040053 (UMLS CUI [1])
Code List
Thrombosis
CL Item
 (1)
CL Item
 (2)
CL Item
 (3)
Item
integer
C0030193 (UMLS CUI [1])
Code List
Pain
CL Item
 (1)
CL Item
 (2)
CL Item
 (3)
Item
integer
C1519384 (UMLS CUI [1])
Code List
Smoking
CL Item
 (1)
CL Item
 (2)
CL Item
 (3)
Item
integer
C3172269 (UMLS CUI [1,1])
C1123023 (UMLS CUI [1,2])
Code List
first malignancy: skin
CL Item
 (1)
CL Item
 (2)
CL Item
 (3)
Type of Malignant neoplasm of skin
Item
text
C0007114 (UMLS CUI [1,1])
C0332307 (UMLS CUI [1,2])
Date of diagnosis
Item
date
C2316983 (UMLS CUI [1])
Item
integer
C0006826 (UMLS CUI [1,1])
C0205394 (UMLS CUI [1,2])
Code List
Other Tumors
CL Item
 (1)
CL Item
 (2)
CL Item
 (3)
Other malignancy Specification
Item
text
C0205394 (UMLS CUI [1,1])
C0006826 (UMLS CUI [1,2])
C2348235 (UMLS CUI [1,3])
Other Malignancy date
Item
date
C0205394 (UMLS CUI [1,1])
C0006826 (UMLS CUI [1,2])
C0011008 (UMLS CUI [1,3])
Item
integer
C0007114 (UMLS CUI [1,1])
C0241888 (UMLS CUI [1,2])
Code List
familial skin cancer
CL Item
 (1)
CL Item
 (2)
CL Item
 (3)
Familial skin cancer: family member affected
Item
text
C0007114 (UMLS CUI [1,1])
C0241888 (UMLS CUI [1,2])
C0027361 (UMLS CUI [1,3])
Familial Skin Cancer Type
Item
text
C0007114 (UMLS CUI [1,1])
C0241888 (UMLS CUI [1,2])
C0332307 (UMLS CUI [1,3])
Familial skin cancer date
Item
date
C0007114 (UMLS CUI [1,1])
C0241888 (UMLS CUI [1,2])
C0011008 (UMLS CUI [1,3])

Utilisez ce formulaire pour les retours, les questions et les améliorations suggérées.

Les champs marqués d’un * sont obligatoires.

Do you need help on how to use the search function? Please watch the corresponding tutorial video for more details and learn how to use the search function most efficiently.

Watch Tutorial