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History of Chronic lymphocytic leukemia NCT0090051

1 Formulários  
History of CLL
Descrição

History of CLL

Date of first diagnosis
Descrição

Date of first diagnosis

Tipo de dados

date

Unidades de medida
  • dd/mm/yy
Alias
UMLS CUI-1
C0011008
dd/mm/yy
Is Binet stage at diagnosis knowns?
Descrição

Binet stage

Tipo de dados

integer

Binet stage at diagnosis
Descrição

Binet stage at diagnosis

Tipo de dados

integer

Date of last progression
Descrição

Date of last progression

Tipo de dados

date

Unidades de medida
  • dd/mm/yy
Alias
UMLS CUI-1
C0011008
dd/mm/yy
Site of progression (tick all that apply)
Descrição

Site of progression (tick all that apply)

Tipo de dados

integer

Other progression
Descrição

Other progression

Tipo de dados

text

Binet stage at screening
Descrição

Binet stage at screening

Stage at screening
Descrição

Stage at screening

Tipo de dados

integer

Previous chemotherapy
Descrição

Previous chemotherapy

Alias
UMLS CUI-1
C0205156
UMLS CUI-2
C0392920
Type of previous chemotherapy
Descrição

Type of previous chemotherapy

Tipo de dados

integer

Previous chemotherapy
Descrição

Previous chemotherapy

Amendment C onwards
Descrição

Amendment C onwards

Tipo de dados

integer

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Similar models

History of Chronic lymphocytic leukemia NCT0090051

1 Formulários
Name
Tipo
Description | Question | Decode (Coded Value)
Tipo de dados
Alias
Item Group
History of CLL
Date
Item
Date of first diagnosis
date
C0011008 (UMLS CUI-1)
Item
Is Binet stage at diagnosis knowns?
integer
Binet stage
Code List
Is Binet stage at diagnosis knowns?
CL Item
yes (-> specify below) (1)
CL Item
no (2)
Item
Binet stage at diagnosis
integer
Binet stage
Code List
Binet stage at diagnosis
CL Item
A (1)
C2698392 (UMLS CUI-1)
CL Item
B (2)
C2698393 (UMLS CUI-1)
CL Item
C (3)
C2698394 (UMLS CUI-1)
Date of last progression
Item
Date of last progression
date
C0011008 (UMLS CUI-1)
Item
Site of progression (tick all that apply)
integer
Site of progression
Code List
Site of progression (tick all that apply)
CL Item
peripheral blood (1)
C0229664 (UMLS CUI-1)
CL Item
lymph nodes (2)
C0024204 (UMLS CUI-1)
CL Item
bone marrow (3)
C0005953 (UMLS CUI-1)
CL Item
other (-> specify below) (4)
Site of progression
Item
Other progression
text
Item Group
Binet stage at screening
Item
Stage at screening
integer
Binet stage
Code List
Stage at screening
CL Item
A (1)
C2698392 (UMLS CUI-1)
CL Item
B (2)
C2698393 (UMLS CUI-1)
CL Item
C (3)
C2698394 (UMLS CUI-1)
Item Group
Previous chemotherapy
C0205156 (UMLS CUI-1)
C0392920 (UMLS CUI-2)
Item
Type of previous chemotherapy
integer
Type of previous chemotherapy
Code List
Type of previous chemotherapy
CL Item
1 (1)
CL Item
2 (2)
CL Item
3 (3)
Item Group
Previous chemotherapy
Item
Amendment C onwards
integer
Type of previous chemotherapy
Code List
Amendment C onwards
CL Item
1 (1)
CL Item
2 (2)
CL Item
3 (3)
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