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CF-Patient, multicenter trial of hemolysis as diagnostic test for cystic fibrosis (HemCF)

1 forms  
Patienteninformationen
Description

Patienteninformationen

Zentrum
Description

center

Data type

integer

Patient number
Description

Patient number

Data type

integer

Patient name
Description

Patient name

Data type

text

Alias
UMLS CUI [1]
C1299487
Date Consent
Description

Date Consent

Data type

date

inclusion criteria
Description

inclusion criteria

Existence of a signed consent form
Description

Existence of a signed consent form

Data type

boolean

exclusion criteria
Description

exclusion criteria

Respiratory infections within the last 4 weeks
Description

Respiratory infections within the last 4 weeks

Data type

boolean

Participation in drug study within the last 30 days
Description

Participation in drug study within the last 30 days

Data type

boolean

Clinical evidence of cystic fibrosis
Description

Clinical evidence of cystic fibrosis

Data type

boolean

grouping
Description

grouping

Typical CF patient and the F508 homozygous
Description

Typical CF patient and the F508 homozygous

Data type

boolean

Typical CF patient and not the F508 homozygous
Description

Typical CF patient and not the F508 homozygous

Data type

boolean

Atypical CF patient
Description

Atypical CF patient

Data type

boolean

Date
Description

Date

Data type

date

Alias
UMLS CUI [1]
C0011008
CFTR mutations
Description

CFTR mutations

CFTR mutations
Description

CFTR mutations

Data type

boolean

allele 1
Description

allele 1

Data type

text

allele 2
Description

allele 2

Data type

text

allele 1 and 2
Description

allele 1 and 2

Data type

text

Other mutation allele 1
Description

Other mutation allele 1

Data type

text

Other mutation allele 2
Description

Other mutation allele 2

Data type

text

Shwachman score without X
Description

Shwachman score without X

Data type

integer

sweat chloride
Description

sweat chloride

Data type

text

date
Description

date

Data type

date

date unknown
Description

date unknown

Data type

boolean

Lung function tests
Description

Lung function tests

Performed pulmonary function tests
Description

Performed pulmonary function tests

Data type

boolean

Date pulmonary function test
Description

Date pulmonary function test

Data type

date

FEV1
Description

FEV1

Data type

float

FVC
Description

FVC

Data type

float

demography
Description

demography

Date of birth
Description

Date of birth

Data type

date

Alias
UMLS CUI [1]
C0421451
Gender
Description

Gender

Data type

text

Alias
UMLS CUI [1]
C0079399
body weight
Description

body weight

Data type

float

height
Description

height

Data type

float

Measurement units
  • cm
Alias
UMLS CUI [1]
C0005890
cm
hemolysis
Description

hemolysis

date blood Collection
Description

date blood Collection

Data type

datetime

Date laboratory examination
Description

Date laboratory examination

Data type

datetime

Monitoring of results 75
Description

Monitoring of results 75

Data type

float

Result Gd3
Description

Result Gd3

Data type

float

Result Gd3 + + Zn 2
Description

Result Gd3 + + Zn 2

Data type

float

Other laboratory results
Description

Other laboratory results

erythrocyte
Description

erythrocyte

Data type

float

vitamin e
Description

vitamin e

Data type

float

reticulocytes
Description

reticulocytes

Data type

float

unit reticulocytes
Description

unit reticulocytes

Data type

text

zinc
Description

zinc

Data type

float

unit zinc
Description

unit zinc

Data type

text

Concomitant medication last 4 weeks
Description

Concomitant medication last 4 weeks

no concomitant medication
Description

no concomitant medication

Data type

boolean

inhalation
Description

inhalation

Data type

text

PO
Description

PO

Data type

text

other concomitant medications
Description

other concomitant medications

Data type

text

date
Description

date

Data type

date

signature examiner
Description

signature examiner

Data type

text

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Similar models

CF-Patient, multicenter trial of hemolysis as diagnostic test for cystic fibrosis (HemCF)

1 forms
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Patienteninformationen
center
Item
Zentrum
integer
Patient number
Item
integer
Patient name
Item
text
C1299487 (UMLS CUI [1])
Date Consent
Item
date
Existence of a signed consent form
Item
boolean
Respiratory infections within the last 4 weeks
Item
boolean
Participation in drug study within the last 30 days
Item
boolean
Clinical evidence of cystic fibrosis
Item
boolean
Item Group
Typical CF patient and the F508 homozygous
Item
boolean
Typical CF patient and not the F508 homozygous
Item
boolean
Atypical CF patient
Item
boolean
Date
Item
date
C0011008 (UMLS CUI [1])
Item Group
CFTR mutations
Item
boolean
Item
text
allele 1
Code List
allele 1
CL Item
 (delF508 )
CL Item
 (N1303K )
CL Item
 (R117H)
CL Item
 (G551D )
CL Item
 (R560T )
CL Item
 (2184dA)
CL Item
 (G542X )
CL Item
 (dl507 )
CL Item
 (R1162X)
CL Item
 (R553X )
CL Item
 (1717-1G→A )
CL Item
 (3849+10kb C→T)
CL Item
 (W1282X )
CL Item
 (A455E)
CL Item
 (R347P S549N 621+1G→T)
Item
text
allele 2
Code List
allele 2
CL Item
 (delF508 )
CL Item
 (N1303K )
CL Item
 (R117H)
CL Item
 (G551D )
CL Item
 (R560T )
CL Item
 (2184dA)
CL Item
 (G542X )
CL Item
 (dl507 )
CL Item
 (R1162X)
CL Item
 (R553X )
CL Item
 (1717-1G→A )
CL Item
 (3849+10kb C→T)
CL Item
 (W1282X )
CL Item
 (A455E)
CL Item
 (R347P S549N 621+1G→T)
allele 1 and 2
Code List
allele 1 and 2
CL Item
 (delF508 )
CL Item
 (N1303K )
CL Item
 (R117H)
CL Item
 (G551D )
CL Item
 (R560T )
CL Item
 (2184dA)
CL Item
 (G542X )
CL Item
 (dl507 )
CL Item
 (R1162X)
CL Item
 (R553X )
CL Item
 (1717-1G→A )
CL Item
 (3849+10kb C→T)
CL Item
 (W1282X )
CL Item
 (A455E)
CL Item
 (R347P S549N 621+1G→T)
Other mutation allele 1
Item
text
Other mutation allele 2
Item
text
Shwachman score without X
Item
integer
sweat chloride
Code List
sweat chloride
CL Item
 (<30 mmol/l )
CL Item
 (≥30 und ≤60 mmol/l )
CL Item
 (>60 mmol/l)
date
Item
date
date unknown
Item
boolean
Performed pulmonary function tests
Item
boolean
Date pulmonary function test
Item
date
FEV1
Item
float
FVC
Item
float
Item Group
Date of birth
Item
date
C0421451 (UMLS CUI [1])
Item
text
C0079399 (UMLS CUI [1])
Gender
Code List
Gender
CL Item
 (1)
CL Item
 (2)
body weight
Item
float
height
Item
float
C0005890 (UMLS CUI [1])
Item Group
date blood Collection
Item
datetime
Date laboratory examination
Item
datetime
Monitoring of results 75
Item
float
Result Gd3
Item
float
Result Gd3 + + Zn 2
Item
float
erythrocyte
Item
float
vitamin e
Item
float
reticulocytes
Item
float
unit reticulocytes
Code List
unit reticulocytes
CL Item
 (1)
CL Item
 (2)
zinc
Item
float
Item
text
unit zinc
Code List
unit zinc
CL Item
 (1)
CL Item
 (2)
no concomitant medication
Item
boolean
Item
text
inhalation
Code List
inhalation
CL Item
 (Colistin)
CL Item
 (Tobramycin)
CL Item
 (Dornase)
CL Item
 (Salbutamol)
CL Item
 (Salmeterol)
CL Item
 (Formoterol)
CL Item
 (Budesonid)
CL Item
 (Fluticason/Salmeterol)
CL Item
 (Ipratropiumbromid/Fenoterol)
CL Item
 (Hypertone Kochsalzlösung)
Item
text
PO
Code List
PO
CL Item
 (Lipase, Amylase,)
CL Item
 (Protease)
CL Item
 (Multivitamin)
CL Item
 (Selen)
CL Item
 (Vitamin A)
CL Item
 (Vitamin D)
CL Item
 (Vitamin E)
CL Item
 (Vitamin K)
CL Item
 (Zink)
CL Item
 (Betacarotin)
CL Item
 (Azithromycin)
CL Item
 (Cefaclor)
CL Item
 (Cefadroxil)
CL Item
 (Cefuroxim)
CL Item
 (Ciprofloxacin)
CL Item
 (Trimethoprim/)
CL Item
 (Sulfamethoxazol)
CL Item
 (Ambroxol)
CL Item
 (N-Acetylcystein)
CL Item
 (Omeprazol)
CL Item
 (Ursodesoxycholsäure)
other concomitant medications
Item
text
date
Item
date
signature examiner
Item
text
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