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ID

12445

Description

Hyper-PEI-protocol:a programme with regional deep hyperthermia(RHT)in combination with PEI-chemotherapy.The Hyper-PEI protocol is offered in place of the intensive standard chemotherapy for high-risk patie nts with malignant, extracranial tumors. Patients have a measurable relapsed tumor,or a primary tumor that did not respond sufficiently to treatment according to standard protocols. Responsible MD: PD Dr. med. R Wessalowski, Clinic for pediatric oncology,haematology and immunology UKD, Moorenstr. 5, 40225 Dsseldorf

Keywords

  1. 11/16/15 11/16/15 - Julian Varghese
  2. 11/19/15 11/19/15 - Julian Varghese
  3. 11/19/15 11/19/15 - Julian Varghese
Uploaded on

November 19, 2015

DOI

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License

Creative Commons BY-NC 3.0

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    Registration Form Hyperthermia Treatment Study

    Registration Form HYPER-PEI

    General Information
    Description

    General Information

    Alias
    UMLS CUI-1
    C1507644
    Weight
    Description

    Body weight of patient

    Data type

    float

    Measurement units
    • kg
    Alias
    UMLS CUI [1]
    C0005910
    kg
    Height
    Description

    Body height of patient

    Data type

    float

    Measurement units
    • cm
    Alias
    UMLS CUI [1]
    C0489786
    cm
    Diagnosis
    Description

    Diagnose

    Data type

    text

    Alias
    UMLS CUI [1]
    C0011900
    Date of diagnosis
    Description

    Date of Diagnosis

    Data type

    date

    Alias
    UMLS CUI [1]
    C2316983
    Localisation
    Description

    Localisation of malignancy

    Data type

    text

    Alias
    UMLS CUI [1,1]
    C0475264
    UMLS CUI [1,2]
    C0027651
    Primary Neoplasm
    Description

    Primary Neoplasm

    Data type

    integer

    Alias
    UMLS CUI [1]
    C0677930
    1. Relapse
    Description

    first Relapse

    Data type

    text

    Alias
    UMLS CUI [1]
    C0277556
    2./3./... Relapse
    Description

    second/third Relapse

    Data type

    text

    Alias
    UMLS CUI [1]
    C0277556
    Metastasis
    Description

    Evidence of metastatic disease

    Data type

    text

    Alias
    UMLS CUI [1]
    C0027627
    metastasis unifocal
    Description

    metastatis unifocal

    Data type

    text

    Alias
    UMLS CUI [1,1]
    C0027627
    UMLS CUI [1,2]
    C0443337
    Metastasis multifocal
    Description

    metastasis multifocal

    Data type

    text

    Alias
    UMLS CUI [1,1]
    C0027627
    UMLS CUI [1,2]
    C0205292
    Transferring Hospital
    Description

    Transferring Hospital

    Alias
    UMLS CUI-1
    C0019994
    Hospital Name
    Description

    Name of transferring,cooperating hospital

    Data type

    text

    Alias
    UMLS CUI [1]
    C2926025
    Date
    Description

    Issuing Date

    Data type

    date

    Alias
    UMLS CUI [1]
    C0011008
    Treating Physician
    Description

    Responsible Physician for Transfer

    Data type

    text

    Alias
    UMLS CUI [1]
    C1710470
    Signature
    Description

    Responsible Person Signature

    Data type

    text

    Alias
    UMLS CUI [1]
    C1519316
    Email
    Description

    Email

    Data type

    text

    Alias
    UMLS CUI [1]
    C0013849
    Phone Number
    Description

    Phone number

    Data type

    float

    Alias
    UMLS CUI [1]
    C0039457

    Similar models

    Registration Form HYPER-PEI

    Name
    Type
    Description | Question | Decode (Coded Value)
    Data type
    Alias
    Item Group
    General Information
    C1507644 (UMLS CUI-1)
    Patient Weight
    Item
    Weight
    float
    C0005910 (UMLS CUI [1])
    Patient Height
    Item
    Height
    float
    C0489786 (UMLS CUI [1])
    Diagnose
    Item
    Diagnosis
    text
    C0011900 (UMLS CUI [1])
    Date of Diagnosis
    Item
    Date of diagnosis
    date
    C2316983 (UMLS CUI [1])
    Localisation
    Item
    Localisation
    text
    C0475264 (UMLS CUI [1,1])
    C0027651 (UMLS CUI [1,2])
    Item
    Primary Neoplasm
    integer
    C0677930 (UMLS CUI [1])
    Code List
    Primary Neoplasm
    CL Item
    Yes (Yes)
    CL Item
    No (No)
    CL Item
    no information (no information)
    Item
    1. Relapse
    text
    C0277556 (UMLS CUI [1])
    Code List
    1. Relapse
    CL Item
    yes, No=No, not known=not known (Yes)
    Item
    2./3./... Relapse
    text
    C0277556 (UMLS CUI [1])
    Code List
    2./3./... Relapse
    CL Item
    Yes, No=No, not known=not known (Yes)
    Item
    Metastasis
    text
    C0027627 (UMLS CUI [1])
    Code List
    Metastasis
    CL Item
    Yes  (Yes)
    CL Item
    No  (No)
    CL Item
    not known (not known)
    Item
    metastasis unifocal
    text
    C0027627 (UMLS CUI [1,1])
    C0443337 (UMLS CUI [1,2])
    Code List
    metastasis unifocal
    CL Item
    Yes  (Yes)
    CL Item
    No  (No)
    CL Item
    not known (not known)
    Item
    Metastasis multifocal
    text
    C0027627 (UMLS CUI [1,1])
    C0205292 (UMLS CUI [1,2])
    Code List
    Metastasis multifocal
    CL Item
    Yes  (Yes)
    CL Item
    No  (No)
    CL Item
    not known (not known)
    Item Group
    Transferring Hospital
    C0019994 (UMLS CUI-1)
    Treating Hospital Name
    Item
    Hospital Name
    text
    C2926025 (UMLS CUI [1])
    Date
    Item
    Date
    date
    C0011008 (UMLS CUI [1])
    Physician
    Item
    Treating Physician
    text
    C1710470 (UMLS CUI [1])
    Responsible Person Signature
    Item
    Signature
    text
    C1519316 (UMLS CUI [1])
    Email
    Item
    Email
    text
    C0013849 (UMLS CUI [1])
    Phone number
    Item
    Phone Number
    float
    C0039457 (UMLS CUI [1])

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