ID

12445

Beskrivning

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

Nyckelord

  1. 2015-11-16 2015-11-16 - Julian Varghese
  2. 2015-11-19 2015-11-19 - Julian Varghese
  3. 2015-11-19 2015-11-19 - Julian Varghese
Uppladdad den

19 november 2015

DOI

För en begäran logga in.

Licens

Creative Commons BY-NC 3.0

Modellkommentarer :

Här kan du kommentera modellen. Med hjälp av pratbubblor i Item-grupperna och Item kan du lägga in specifika kommentarer.

Itemgroup-kommentar för :

Item-kommentar för :


Inga kommentarer

Du måste vara inloggad för att kunna ladda ner formulär. Var vänlig logga in eller registrera dig utan kostnad.

Registration Form Hyperthermia Treatment Study

Registration Form HYPER-PEI

General Information
Beskrivning

General Information

Alias
UMLS CUI-1
C1507644
Weight
Beskrivning

Body weight of patient

Datatyp

float

Måttenheter
  • kg
Alias
UMLS CUI [1]
C0005910
kg
Height
Beskrivning

Body height of patient

Datatyp

float

Måttenheter
  • cm
Alias
UMLS CUI [1]
C0489786
cm
Diagnosis
Beskrivning

Diagnose

Datatyp

text

Alias
UMLS CUI [1]
C0011900
Date of diagnosis
Beskrivning

Date of Diagnosis

Datatyp

date

Alias
UMLS CUI [1]
C2316983
Localisation
Beskrivning

Localisation of malignancy

Datatyp

text

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

Primary Neoplasm

Datatyp

integer

Alias
UMLS CUI [1]
C0677930
1. Relapse
Beskrivning

first Relapse

Datatyp

text

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

second/third Relapse

Datatyp

text

Alias
UMLS CUI [1]
C0277556
Metastasis
Beskrivning

Evidence of metastatic disease

Datatyp

text

Alias
UMLS CUI [1]
C0027627
metastasis unifocal
Beskrivning

metastatis unifocal

Datatyp

text

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

metastasis multifocal

Datatyp

text

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

Transferring Hospital

Alias
UMLS CUI-1
C0019994
Hospital Name
Beskrivning

Name of transferring,cooperating hospital

Datatyp

text

Alias
UMLS CUI [1]
C2926025
Date
Beskrivning

Issuing Date

Datatyp

date

Alias
UMLS CUI [1]
C0011008
Treating Physician
Beskrivning

Responsible Physician for Transfer

Datatyp

text

Alias
UMLS CUI [1]
C1710470
Signature
Beskrivning

Responsible Person Signature

Datatyp

text

Alias
UMLS CUI [1]
C1519316
Email
Beskrivning

Email

Datatyp

text

Alias
UMLS CUI [1]
C0013849
Phone Number
Beskrivning

Phone number

Datatyp

float

Alias
UMLS CUI [1]
C0039457

Similar models

Registration Form HYPER-PEI

Name
Typ
Description | Question | Decode (Coded Value)
Datatyp
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])

Do you need help on how to use the search function? Please watch the corresponding tutorial video for more details and learn how to use the search function most efficiently.

Watch Tutorial