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ID

12445

Beschrijving

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

Trefwoorden

  1. 16-11-15 16-11-15 - Julian Varghese
  2. 19-11-15 19-11-15 - Julian Varghese
  3. 19-11-15 19-11-15 - Julian Varghese
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19 november 2015

DOI

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Licentie

Creative Commons BY-NC 3.0

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    Registration Form Hyperthermia Treatment Study

    Registration Form HYPER-PEI

    General Information
    Beschrijving

    General Information

    Alias
    UMLS CUI-1
    C1507644 (General information section:-:-:^Clinical trial protocol:Nar)
    LOINC
    35510-7
    Weight
    Beschrijving

    Body weight of patient

    Datatype

    float

    Maateenheden
    • kg
    Alias
    UMLS CUI [1]
    C0005910 (Body Weight)
    SNOMED
    27113001
    kg
    Height
    Beschrijving

    Body height of patient

    Datatype

    float

    Maateenheden
    • cm
    Alias
    UMLS CUI [1]
    C0489786 (Height)
    LOINC
    LP72681-7
    cm
    Diagnosis
    Beschrijving

    Diagnose

    Datatype

    text

    Alias
    UMLS CUI [1]
    C0011900 (Diagnosis)
    SNOMED
    439401001
    LOINC
    LP30831-9
    Date of diagnosis
    Beschrijving

    Date of Diagnosis

    Datatype

    date

    Alias
    UMLS CUI [1]
    C2316983 (Date of diagnosis)
    SNOMED
    432213005
    LOINC
    LP114957-6
    Localisation
    Beschrijving

    Localisation of malignancy

    Datatype

    text

    Alias
    UMLS CUI [1,1]
    C0475264 (localization)
    SNOMED
    257880008
    UMLS CUI [1,2]
    C0027651 (Neoplasms)
    SNOMED
    108369006
    Primary Neoplasm
    Beschrijving

    Primary Neoplasm

    Datatype

    integer

    Alias
    UMLS CUI [1]
    C0677930 (Primary Neoplasm)
    1. Relapse
    Beschrijving

    first Relapse

    Datatype

    text

    Alias
    UMLS CUI [1]
    C0277556 (Recurrent disease)
    SNOMED
    58184002
    2./3./... Relapse
    Beschrijving

    second/third Relapse

    Datatype

    text

    Alias
    UMLS CUI [1]
    C0277556 (Recurrent disease)
    SNOMED
    58184002
    Metastasis
    Beschrijving

    Evidence of metastatic disease

    Datatype

    text

    Alias
    UMLS CUI [1]
    C0027627 (Neoplasm Metastasis)
    LOINC
    LP35033-7
    metastasis unifocal
    Beschrijving

    metastatis unifocal

    Datatype

    text

    Alias
    UMLS CUI [1,1]
    C0027627 (Neoplasm Metastasis)
    LOINC
    LP35033-7
    UMLS CUI [1,2]
    C0443337 (Unifocal)
    SNOMED
    261034003
    Metastasis multifocal
    Beschrijving

    metastasis multifocal

    Datatype

    text

    Alias
    UMLS CUI [1,1]
    C0027627 (Neoplasm Metastasis)
    LOINC
    LP35033-7
    UMLS CUI [1,2]
    C0205292 (Multifocal)
    SNOMED
    524008
    Transferring Hospital
    Beschrijving

    Transferring Hospital

    Alias
    UMLS CUI-1
    C0019994 (Hospitals)
    Hospital Name
    Beschrijving

    Name of transferring,cooperating hospital

    Datatype

    text

    Alias
    UMLS CUI [1]
    C2926025 (Name:ID:Pt:Hospital:Nom)
    LOINC
    58237-9
    Date
    Beschrijving

    Issuing Date

    Datatype

    date

    Alias
    UMLS CUI [1]
    C0011008 (Date in time)
    SNOMED
    410671006
    Treating Physician
    Beschrijving

    Responsible Physician for Transfer

    Datatype

    text

    Alias
    UMLS CUI [1]
    C1710470 (Treating Physician)
    Signature
    Beschrijving

    Responsible Person Signature

    Datatype

    text

    Alias
    UMLS CUI [1]
    C1519316 (Signature)
    LOINC
    LP248948-4
    Email
    Beschrijving

    Email

    Datatype

    text

    Alias
    UMLS CUI [1]
    C0013849 (Email)
    Phone Number
    Beschrijving

    Phone number

    Datatype

    float

    Alias
    UMLS CUI [1]
    C0039457 (Telephone)
    SNOMED
    359993007
    LOINC
    LA26664-5

    Similar models

    Registration Form HYPER-PEI

    Name
    Type
    Description | Question | Decode (Coded Value)
    Datatype
    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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