Inclusion confirmation
Item
Inclusion confirmed by Hyper-PEI leader
boolean
C1512693 (UMLS CUI [1])
Date
Item
Date
date
C0011008 (UMLS CUI [1])
Item
Complete remission (CR)
text
C0677874 (UMLS CUI [1])
Code List
Complete remission (CR)
CL Item
yes no=no not known=not known (yes)
Item
Partial Response (PR)
text
C1521726 (UMLS CUI [1])
Code List
Partial Response (PR)
CL Item
yes no=no not known=not known (yes)
Item
Low Response
text
C1704632 (UMLS CUI [1,1])
C0205251 (UMLS CUI [1,2])
CL Item
yes no=no not known=not known (yes)
Item
Stable Disease
text
C0677946 (UMLS CUI [1])
CL Item
yes no=no not known=not known (yes)
Item
Progression
text
C0242656 (UMLS CUI [1])
CL Item
yes no=no not known=not known (yes)
Item
Complete remission (CR)
text
C0544452 (UMLS CUI [1])
Code List
Complete remission (CR)
CL Item
yes no=no not known=not known (yes)
Item
Partial Response
text
C1521726 (UMLS CUI [1])
Code List
Partial Response
CL Item
yes no=no not known=not known (yes)
Item
Low Response
text
C1704632 (UMLS CUI [1,1])
C0205251 (UMLS CUI [1,2])
CL Item
yes no=no not known=not known (yes)
Item
Stable Disease
text
C0677946 (UMLS CUI [1])
CL Item
yes no=no not known=not known (yes)
Item
Progression
text
C0242656 (UMLS CUI [1])
CL Item
yes no=no not known=not known (yes)
Localisation
Item
Localisation
text
C0475264 (UMLS CUI [1,1])
C0027651 (UMLS CUI [1,2])
TumorLargestDimensionMeasurement
Item
Dimension 1
float
C0242485 (UMLS CUI [1,1])
C0027651 (UMLS CUI [1,2])
TumorSecondDimensionMeasurement
Item
Dimension 2
float
C0242485 (UMLS CUI [1,1])
C0027651 (UMLS CUI [1,2])
Item
Measurement Method
text
C0242485 (UMLS CUI [1,1])
C0449851 (UMLS CUI [1,2])
Code List
Measurement Method
CL Item
x-ray, 2=CT, 3=MRI, 4=Ultrasound (1)
Item
Is there evidence of metastasis
text
C2939420 (UMLS CUI [1,1])
C1515974 (UMLS CUI [1,2])
Code List
Is there evidence of metastasis
CL Item
yes , no=no , not known=not known (yes)
MetastasisLargestDimensionMeasurement
Item
Dimension 1
float
C0242485 (UMLS CUI [1,1])
C0027651 (UMLS CUI [1,2])
MetastasisSecondDimensionMeasurement
Item
Dimension 2
float
C0242485 (UMLS CUI [1,1])
C0027651 (UMLS CUI [1,2])
Item
Measurement Method
text
C0242485 (UMLS CUI [1,1])
C0449851 (UMLS CUI [1,2])
Code List
Measurement Method
CL Item
X-ray , 2=CT , 3=MRI , 4=Ultrasound (1)
Date
Item
Date
date
C0011008 (UMLS CUI [1])
Child Development
Item
Has the childhood development been normal before diagnose
text
C0008071 (UMLS CUI [1])
Item
Body Height
text
C0005890 (UMLS CUI [1])
CL Item
yes , no=no , not know=not known (yes)
Item
Development of Weight
text
C0043100 (UMLS CUI [1])
Code List
Development of Weight
CL Item
yes , no=no , not known=not known (yes)
Item
Psychomotor Development
text
C0392358 (UMLS CUI [1])
Code List
Psychomotor Development
CL Item
yes , no=no , not known=not known (yes)
Item
Sexual Development
text
C0233896 (UMLS CUI [1])
Code List
Sexual Development
CL Item
yes , no=no , not known=not known (yes)
Childhood diseases
Item
History of childhood diseases
text
C0489532 (UMLS CUI [1])
Item
Rubeola
text
C0035920 (UMLS CUI [1])
CL Item
yes , no=no, not known=not known (yes)
Item
Measles
text
C0025007 (UMLS CUI [1])
CL Item
yes , no=no , not know=not known (yes)
Item
Mumps
text
C0026780 (UMLS CUI [1])
CL Item
yes , no=no , not known=not known (yes)
Item
Pertussis
text
C0043167 (UMLS CUI [1])
CL Item
yes , no=no , not known=not known (yes)
Item
TBC
text
C0041296 (UMLS CUI [1])
CL Item
yes , no=no , not known=not known (yes)
Item
scarlet fever
text
C0036285 (UMLS CUI [1])
CL Item
yes , no=no , not known=not known (yes)
Item
Chickenpox
text
C0008049 (UMLS CUI [1])
CL Item
yes , no=no , not known=not known (yes)
Item
Any current side effects of tumor treatment
text
C0041755 (UMLS CUI [1])
Code List
Any current side effects of tumor treatment
CL Item
yes , no=no, not known=not known (yes)
Side effects
Item
If yes, please specify
text
C0041755 (UMLS CUI [1])
Item
Other relevant diseases
text
C0012634 (UMLS CUI [1])
Code List
Other relevant diseases
CL Item
yes , no=no, not known=not known (yes)
Other relevant diseases
Item
If yes, please specify
text
C0012634 (UMLS CUI [1])
Item
operative procedures other than tumor surgery
text
C0038895 (UMLS CUI [1])
Code List
operative procedures other than tumor surgery
CL Item
yes , no=no, not known=not known (yes)
surgery
Item
If yes, please specify
text
C0038895 (UMLS CUI [1])
Findings
Item
Findings should be enclosed, no older than 4 weeks
text
C0243095 (UMLS CUI [1])
Item
Human immunodeficiency virus
text
C0019682 (UMLS CUI [1])
Code List
Human immunodeficiency virus
Item
Type B viral hepatitis
text
C0019163 (UMLS CUI [1])
Code List
Type B viral hepatitis
CL Item
infection 2= immunity 3= negative 4= not known (1)
Item
Viral hepatitis C
text
C0019196 (UMLS CUI [1])
Code List
Viral hepatitis C
CL Item
infection 2= immunity 3= negative 4= not known (1)
Item
HSV IgG
text
C0206558 (UMLS CUI [1])
CL Item
infection 2= immunity 3= negative 4= not known (1)
Item
CMV
integer
C0010825 (UMLS CUI [1])
CL Item
infection 2= immunity 3= negative 4= not known (1)
Item
EBV status
text
C0014644 (UMLS CUI [1])
CL Item
infection 2= immunity 3= negative 4= not known (1)
Item
HHV6
text
C0019381 (UMLS CUI [1])
CL Item
infection 2= immunity 3= negative 4= not known (1)
Item
VZV
text
C0042338 (UMLS CUI [1])
CL Item
infection 2= immunity 3= negative 4= not known (1)
Item
Adenovirus
text
C0001483 (UMLS CUI [1])
CL Item
infection 2= immunity 3= negative 4= not known (1)
Item
Parvovirus B 19
text
C0085274 (UMLS CUI [1])
Code List
Parvovirus B 19
CL Item
infection 2= immunity 3= negative 4= not known (1)
Findings
Item
Findings should be enclosed, no older than 4 weeks
text
C0243095 (UMLS CUI [1])
Item
Toxoplasma Antibodies
text
C0370073 (UMLS CUI [1])
Code List
Toxoplasma Antibodies
CL Item
infection 2= immunity 3= negative 4= not known (1)
Item
Mycoplasma Antibodies
text
C0443703 (UMLS CUI [1])
Code List
Mycoplasma Antibodies
CL Item
infection 2= immunity 3= negative 4= not known (1)
Item
Syphilis Antibodies
text
C0474646 (UMLS CUI [1])
Code List
Syphilis Antibodies
CL Item
infection 2= immunity 3= negative 4= not known (1)
Date
Item
Date
date
C0011008 (UMLS CUI [1])
Physician
Item
Treating Physician
text
C1710470 (UMLS CUI [1])
Responsible Person Signature
Item
Signature
text
C1550483 (UMLS CUI [1])