ID

18198

Beskrivning

Positronen-Emissionstomographie-gesteuerte Therapie aggressiver Non-Hodgkin-Lymphome (PETAL-Studie) Universitätsklinikum Essen (UK Essen) EudraCT-Nummer: 2006-001641-33 NCT00554164

Nyckelord

Versioner (2)
  1. 2016-10-24 2016-10-24 -
  2. 2016-10-24 2016-10-24 -
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24 oktober 2016

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Patient questionnaire PETAL Study NCT00554164

Tysk Engelsk

Patient questionnaire

1 Formulär  
  1. StudyEvent: ODM
    1. Patient questionnaire
Patient questionnaire
Beskrivning

Patient questionnaire

Phase
Beskrivning

Phase

Datatyp

text

Alias
UMLS CUI [1]
C0205390
Report completion date
Beskrivning

Report completion date

Datatyp

date

Alias
UMLS CUI [1]
C1549507
Physical Exertion
Beskrivning

Physical Exertion

Datatyp

integer

Alias
UMLS CUI [1]
C0031807
Ability to walk
Beskrivning

Ability to walk

Datatyp

integer

Alias
UMLS CUI [1]
C0559964
Walking (activity)
Beskrivning

Walking (activity)

Datatyp

integer

Alias
UMLS CUI [1]
C0080331
Bed rest
Beskrivning

Bed rest

Datatyp

integer

Alias
UMLS CUI [1]
C0004910
Assistance with eating
Beskrivning

Assistance with eating

Datatyp

integer

Alias
UMLS CUI [1]
C1822175
Work ability
Beskrivning

Work ability

Datatyp

integer

Alias
UMLS CUI [1]
C2960301
Free time activity limited
Beskrivning

Free time activity limited

Datatyp

integer

Alias
UMLS CUI [1]
C0683585
Dyspnea
Beskrivning

Dyspnea

Datatyp

integer

Alias
UMLS CUI [1]
C0013404
Pain
Beskrivning

Pain

Datatyp

integer

Alias
UMLS CUI [1]
C0030193
Need Rest
Beskrivning

Need Rest

Datatyp

integer

Alias
UMLS CUI [1]
C3641751
Sleep disturbances
Beskrivning

Sleep disturbances

Datatyp

integer

Alias
UMLS CUI [1]
C0037317
Weakness
Beskrivning

Weakness

Datatyp

integer

Alias
UMLS CUI [1]
C3714552
Loss of appetite
Beskrivning

Loss of appetite

Datatyp

integer

Alias
UMLS CUI [1]
C1971624
Nausea
Beskrivning

Nausea

Datatyp

integer

Alias
UMLS CUI [1]
C0027497
Vomiting
Beskrivning

Vomiting

Datatyp

integer

Alias
UMLS CUI [1]
C0042963
Congestion
Beskrivning

Congestion

Datatyp

integer

Alias
UMLS CUI [1]
C0700148
Diarrhea
Beskrivning

Diarrhea

Datatyp

integer

Alias
UMLS CUI [1]
C0011991
Fatigue
Beskrivning

Fatigue

Datatyp

integer

Alias
UMLS CUI [1]
C0015672
Impaired
Beskrivning

Impaired

Datatyp

integer

Alias
UMLS CUI [1]
C0221099
Unable to concentrate
Beskrivning

Unable to concentrate

Datatyp

integer

Alias
UMLS CUI [1]
C0235198
Emotional Strain
Beskrivning

Emotional Strain

Datatyp

integer

Alias
UMLS CUI [1]
C2987481
Grief reaction
Beskrivning

Grief reaction

Datatyp

integer

Alias
UMLS CUI [1]
C0018235
Excitability
Beskrivning

Excitability

Datatyp

integer

Alias
UMLS CUI [1]
C0235169
Mental Depression
Beskrivning

Mental Depression

Datatyp

integer

Alias
UMLS CUI [1]
C0011570
Memory performance
Beskrivning

Memory performance

Datatyp

integer

Alias
UMLS CUI [1]
C1285654
Disruptive family life
Beskrivning

Disruptive family life

Datatyp

integer

Alias
UMLS CUI [1]
C4060868
Living together impaired
Beskrivning

Living together impaired

Datatyp

integer

Alias
UMLS CUI [1,1]
C0682072
UMLS CUI [1,2]
C0221099
Financial problems
Beskrivning

Financial problems

Datatyp

integer

Alias
UMLS CUI [1]
C0549106
Personal health
Beskrivning

Personal health

Datatyp

integer

Alias
UMLS CUI [1]
C0683314
Quality of life
Beskrivning

Quality of life

Datatyp

integer

Alias
UMLS CUI [1]
C0034380
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Similar models

Patient questionnaire

1 Formulär
  1. StudyEvent: ODM
    1. Patient questionnaire
Name
Typ
Description | Question | Decode (Coded Value)
Datatyp
Alias
Item Group
Patient questionnaire
Phase
Item
Phase
text
C0205390 (UMLS CUI [1])
Report completion date
Item
Report completion date
date
C1549507 (UMLS CUI [1])
Item
Physical Exertion
integer
C0031807 (UMLS CUI [1])
Physical Exertion
Code List
Physical Exertion
CL Item
not at all (1)
CL Item
somewhat  (2)
CL Item
moderate  (3)
CL Item
very much (4)
Item
Ability to walk
integer
C0559964 (UMLS CUI [1])
Ability to walk
Code List
Ability to walk
CL Item
not at all (1)
CL Item
somewhat  (2)
CL Item
moderate  (3)
CL Item
very much (4)
Item
Walking (activity)
integer
C0080331 (UMLS CUI [1])
Walking (activity)
Code List
Walking (activity)
CL Item
not at all (1)
CL Item
somewhat  (2)
CL Item
moderate  (3)
CL Item
very much (4)
Item
Bed rest
integer
C0004910 (UMLS CUI [1])
Bed rest
Code List
Bed rest
CL Item
not at all (1)
CL Item
somewhat  (2)
CL Item
moderate  (3)
CL Item
very much (4)
Item
Assistance with eating
integer
C1822175 (UMLS CUI [1])
Assistance with eating
Code List
Assistance with eating
CL Item
not at all (1)
CL Item
somewhat  (2)
CL Item
moderate  (3)
CL Item
very much (4)
Item
Work ability
integer
C2960301 (UMLS CUI [1])
Work ability
Code List
Work ability
CL Item
not at all (1)
CL Item
somewhat  (2)
CL Item
moderate  (3)
CL Item
very much (4)
Item
Free time activity limited
integer
C0683585 (UMLS CUI [1])
Free time activity limited
Code List
Free time activity limited
CL Item
not at all (1)
CL Item
somewhat  (2)
CL Item
moderate  (3)
CL Item
very much (4)
Item
Dyspnea
integer
C0013404 (UMLS CUI [1])
Dyspnea
Code List
Dyspnea
CL Item
not at all (1)
CL Item
somewhat  (2)
CL Item
moderate  (3)
CL Item
very much (4)
Item
Pain
integer
C0030193 (UMLS CUI [1])
Pain
Code List
Pain
CL Item
not at all (1)
CL Item
somewhat  (2)
CL Item
moderate  (3)
CL Item
very much (4)
Item
Need Rest
integer
C3641751 (UMLS CUI [1])
Need Rest
Code List
Need Rest
CL Item
not at all (1)
CL Item
somewhat  (2)
CL Item
moderate  (3)
CL Item
very much (4)
Item
Sleep disturbances
integer
C0037317 (UMLS CUI [1])
Sleep disturbances
Code List
Sleep disturbances
CL Item
not at all (1)
CL Item
somewhat  (2)
CL Item
moderate  (3)
CL Item
very much (4)
Item
Weakness
integer
C3714552 (UMLS CUI [1])
Weakness
Code List
Weakness
CL Item
not at all (1)
CL Item
somewhat  (2)
CL Item
moderate  (3)
CL Item
very much (4)
Item
Loss of appetite
integer
C1971624 (UMLS CUI [1])
Loss of appetite
Code List
Loss of appetite
CL Item
not at all (1)
CL Item
somewhat  (2)
CL Item
moderate  (3)
CL Item
very much (4)
Item
Nausea
integer
C0027497 (UMLS CUI [1])
Nausea
Code List
Nausea
CL Item
not at all (1)
CL Item
somewhat  (2)
CL Item
moderate  (3)
CL Item
very much (4)
Item
Vomiting
integer
C0042963 (UMLS CUI [1])
Vomiting
Code List
Vomiting
CL Item
not at all (1)
CL Item
somewhat  (2)
CL Item
moderate  (3)
CL Item
very much (4)
Item
Congestion
integer
C0700148 (UMLS CUI [1])
Congestion
Code List
Congestion
CL Item
not at all (1)
CL Item
somewhat  (2)
CL Item
moderate  (3)
CL Item
very much (4)
Item
Diarrhea
integer
C0011991 (UMLS CUI [1])
Diarrhea
Code List
Diarrhea
CL Item
not at all (1)
CL Item
somewhat  (2)
CL Item
moderate  (3)
CL Item
very much (4)
Item
Fatigue
integer
C0015672 (UMLS CUI [1])
Fatigue
Code List
Fatigue
CL Item
not at all (1)
CL Item
somewhat  (2)
CL Item
moderate  (3)
CL Item
very much (4)
Item
Impaired
integer
C0221099 (UMLS CUI [1])
Impaired
Code List
Impaired
CL Item
not at all (1)
CL Item
somewhat  (2)
CL Item
moderate  (3)
CL Item
very much (4)
Item
Unable to concentrate
integer
C0235198 (UMLS CUI [1])
Unable to concentrate
Code List
Unable to concentrate
CL Item
not at all (1)
CL Item
somewhat  (2)
CL Item
moderate  (3)
CL Item
very much (4)
Item
Emotional Strain
integer
C2987481 (UMLS CUI [1])
Emotional Strain
Code List
Emotional Strain
CL Item
not at all (1)
CL Item
somewhat  (2)
CL Item
moderate  (3)
CL Item
very much (4)
Item
Grief reaction
integer
C0018235 (UMLS CUI [1])
Grief reaction
Code List
Grief reaction
CL Item
not at all (1)
CL Item
somewhat  (2)
CL Item
moderate  (3)
CL Item
very much (4)
Item
Excitability
integer
C0235169 (UMLS CUI [1])
Excitability
Code List
Excitability
CL Item
not at all (1)
CL Item
somewhat  (2)
CL Item
moderate  (3)
CL Item
very much (4)
Item
Mental Depression
integer
C0011570 (UMLS CUI [1])
Mental Depression
Code List
Mental Depression
CL Item
not at all (1)
CL Item
somewhat  (2)
CL Item
moderate  (3)
CL Item
very much (4)
Item
Memory performance
integer
C1285654 (UMLS CUI [1])
Memory performance
Code List
Memory performance
CL Item
not at all (1)
CL Item
somewhat  (2)
CL Item
moderate  (3)
CL Item
very much (4)
Item
Disruptive family life
integer
C4060868 (UMLS CUI [1])
Disruptive family life
Code List
Disruptive family life
CL Item
not at all (1)
CL Item
somewhat  (2)
CL Item
moderate  (3)
CL Item
very much (4)
Item
Living together impaired
integer
C0682072 (UMLS CUI [1,1])
C0221099 (UMLS CUI [1,2])
Living together impaired
Code List
Living together impaired
CL Item
not at all (1)
CL Item
somewhat  (2)
CL Item
moderate  (3)
CL Item
very much (4)
Item
Financial problems
integer
C0549106 (UMLS CUI [1])
Financial problem
Code List
Financial problems
CL Item
not at all (1)
CL Item
somewhat  (2)
CL Item
moderate  (3)
CL Item
very much (4)
Item
Personal health
integer
C0683314 (UMLS CUI [1])
Personal health
Code List
Personal health
CL Item
not at all (1)
CL Item
somewhat  (2)
CL Item
moderate  (3)
CL Item
very much (4)
Item
Quality of life
integer
C0034380 (UMLS CUI [1])
Quality of life
Code List
Quality of life
CL Item
not at all (1)
CL Item
somewhat  (2)
CL Item
moderate  (3)
CL Item
very much (4)
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