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History of Chronic lymphocytic leukemia NCT0090051

1 Formulär  
History of CLL
Beskrivning

History of CLL

Date of first diagnosis
Beskrivning

Date of first diagnosis

Datatyp

date

Måttenheter
  • dd/mm/yy
Alias
UMLS CUI-1
C0011008
dd/mm/yy
Is Binet stage at diagnosis knowns?
Beskrivning

Binet stage

Datatyp

integer

Binet stage at diagnosis
Beskrivning

Binet stage at diagnosis

Datatyp

integer

Date of last progression
Beskrivning

Date of last progression

Datatyp

date

Måttenheter
  • dd/mm/yy
Alias
UMLS CUI-1
C0011008
dd/mm/yy
Site of progression (tick all that apply)
Beskrivning

Site of progression (tick all that apply)

Datatyp

integer

Other progression
Beskrivning

Other progression

Datatyp

text

Binet stage at screening
Beskrivning

Binet stage at screening

Stage at screening
Beskrivning

Stage at screening

Datatyp

integer

Previous chemotherapy
Beskrivning

Previous chemotherapy

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

Type of previous chemotherapy

Datatyp

integer

Previous chemotherapy
Beskrivning

Previous chemotherapy

Amendment C onwards
Beskrivning

Amendment C onwards

Datatyp

integer

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Similar models

History of Chronic lymphocytic leukemia NCT0090051

1 Formulär
Name
Typ
Description | Question | Decode (Coded Value)
Datatyp
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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