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Chemotherapy Treatment Form

1 forms  
Cycle
Description

Cycle

Alias
UMLS CUI-1
C1302181
Form related to
Description

Form related to

Data type

integer

Alias
UMLS CUI [1,1]
C1276413
UMLS CUI [1,2]
C2348792
Patient Characteristics At Start Cylce
Description

Patient Characteristics At Start Cylce

Alias
UMLS CUI-1
C0683521
Weight
Description

Weight

Data type

float

Measurement units
  • kg
Alias
UMLS CUI [1]
C0005910
kg
Administration Of Treatment
Description

Administration Of Treatment

Alias
UMLS CUI-1
C0087111
Date start treatment
Description

Date start treatment

Data type

date

Measurement units
  • dd/mm/yyyy
Alias
UMLS CUI [1]
C0808070
dd/mm/yyyy
Drug
Description

Drug

Alias
UMLS CUI-1
C0013227
Drug
Description

Drug

Data type

integer

Alias
UMLS CUI [1]
C0013227
Total dose actually given
Description

Total dose actually given

Data type

float

Measurement units
  • mg
Alias
UMLS CUI [1]
C2986497
mg
Dosage
Description

Dosage

Data type

integer

Alias
UMLS CUI [1]
C0178602
Reason (if dosage >1)
Description

Reason

Data type

integer

Alias
UMLS CUI [1]
C1299575
Comments
Description

Research Comments

Data type

text

Alias
UMLS CUI [1]
C0947611
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Similar models

Chemotherapy Treatment Form

1 forms
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Cycle
C1302181 (UMLS CUI-1)
Item
Form related to
integer
C1276413 (UMLS CUI [1,1])
C2348792 (UMLS CUI [1,2])
Form related to
Code List
Form related to
CL Item
induction cycle I  (1)
C1302181 (UMLS CUI-1)
CL Item
induction cycle II  (2)
C1302181 (UMLS CUI-1)
CL Item
post induction cycle III (3)
C1302181 (UMLS CUI-1)
Item Group
Patient Characteristics At Start Cylce
C0683521 (UMLS CUI-1)
Weight
Item
Weight
float
C0005910 (UMLS CUI [1])
Item Group
Administration Of Treatment
C0087111 (UMLS CUI-1)
Date start treatment
Item
Date start treatment
date
C0808070 (UMLS CUI [1])
Item Group
Drug
C0013227 (UMLS CUI-1)
Item
Drug
integer
C0013227 (UMLS CUI [1])
Drug
Code List
Drug
CL Item
Idarubicin (1)
C0020789 (UMLS CUI-1)
CL Item
Cytarabin (2)
C0010711 (UMLS CUI-1)
CL Item
Lenalidomide (3)
C1144149 (UMLS CUI-1)
CL Item
Daunorubicin (4)
C0011015 (UMLS CUI-1)
CL Item
Mitoxantrone (5)
C0026259 (UMLS CUI-1)
CL Item
Etoposide (6)
C0015133 (UMLS CUI-1)
Total dose actually given
Item
Total dose actually given
float
C2986497 (UMLS CUI [1])
Item
Dosage
integer
C0178602 (UMLS CUI [1])
Dosage
Code List
Dosage
CL Item
full dose according to schedule (1 )
CL Item
full dose given but start of treatment delayed (2 )
CL Item
daily dose reduced >10% (3 )
CL Item
daily dose reduced and start delayed (4 )
CL Item
not given (5 )
CL Item
interrupted during the cycle and resumed (6 )
CL Item
stopped early (7 )
CL Item
other (specify) (8 )
Item
Reason (if dosage >1)
integer
C1299575 (UMLS CUI [1])
Reason
Code List
Reason (if dosage >1)
CL Item
hematological toxicity (1)
C0279810 (UMLS CUI-1)
C0013221 (UMLS CUI-2)
CL Item
non-hematological toxicity (specify) (2)
C0013221 (UMLS CUI-1)
CL Item
other (specify) (8)
C0205394 (UMLS CUI-1)
Research Comments
Item
Comments
text
C0947611 (UMLS CUI [1])
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