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Information:
Fel:
ID
16248
Beskrivning
REGIMS is a registry of the administration, adverse events and benefit of immunotherapeutic agents in patients with Multiple Sclerosis. REGIMS is a project from the Institute of Epidemiology and Social Medicine of the University of Muenster, publication granted by Prof. Dr. Berger. For further information (in German), please view http://campus.uni-muenster.de/index.php?id=6075 or http://www.kompetenznetz-multiplesklerose.de/aktuelle-studien/regims. REGIMS ist ein Immuntherapieregister zur Verbesserung der Arzneimittelsicherheit in der Multiple Sklerose Therapie innerhalb des krankheitsbezogenen Kompetenznetzes MS. Das primäre Ziel von REGIMS ist die Erfassung der Häufigkeit, Charakteristika und Auswirkungen von Nebenwirkungen aktueller und neuer Immuntherapien in der klinischen Routinebehandlung der MS. Sekundäre Ziele sind die Auswertung von Faktoren, die a) mit Nebenwirkungen und b) mit guter Therapie-Adhärenz assoziiert sind. Optional können bei Zustimmung der Patienten Blutproben für die Biobank des KKNMS gesammelt werden. Patienten mit Multipler Sklerose (MS) weisen trotz des chronischen Verlaufs eine große Heterogenität klinischer Symptome, in Befunden der Bildgebung sowie pathophysiologischen Prozessen auf. Faktoren, die zur individuellen Krankheitsprognose beitragen sind kaum bekannt, jedoch hat die Einführung neuer Substanzen die Therapiemöglichkeiten der MS in den letzten Jahren deutlich erweitert. Die Anwendung sogenannter Immuntherapeutika (inklusive der neuen Substanzklasse der Biologika) bietet in der MS-Therapie eine Reihe von Chancen, birgt aber auch Risiken.
Länk
http://campus.uni-muenster.de/index.php?id=6075
Nyckelord
Versioner (10)
- 7/7/16 7/7/16 -
- 7/7/16 7/7/16 -
- 7/7/16 7/7/16 -
- 7/11/16 7/11/16 -
- 7/11/16 7/11/16 -
- 7/12/16 7/12/16 -
- 8/3/16 8/3/16 -
- 12/7/17 12/7/17 -
- 3/15/21 3/15/21 - Dr. rer. medic Philipp Neuhaus
- 9/20/21 9/20/21 -
Uppladdad den
July 7, 2016
DOI
För en begäran logga in.
Licens
Creative Commons BY-NC 3.0 Legacy
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REGIMS Multiple Sclerosis Immunotherapy Registry Version 2016
Medizinischer Basisbogen
- StudyEvent: Baseline
- StudyEvent: Medizinischer Folgebogen
- Note: This form can be printed as a PDF.
- Modul B - Änderungen der MS-Therapie
- Modul C - Schubereignis / Krankheitsprogression
- Note: This form can be created as a PDF. After the Ausgedrucken please before shipment practice add stamp.
- Meldebogen für Schwangerschaft - Teil 2 (nur PDF)
- If the exact date is not known, please take "01" for the day of the start - and depending on the duration of an appropriate day for the end.
Similar models
Medizinischer Basisbogen
- StudyEvent: Baseline
- StudyEvent: Medizinischer Folgebogen
- Note: This form can be printed as a PDF.
- Modul B - Änderungen der MS-Therapie
- Modul C - Schubereignis / Krankheitsprogression
- Note: This form can be created as a PDF. After the Ausgedrucken please before shipment practice add stamp.
- Meldebogen für Schwangerschaft - Teil 2 (nur PDF)
- If the exact date is not known, please take "01" for the day of the start - and depending on the duration of an appropriate day for the end.
Name
Typ
Description | Question | Decode (Coded Value)
Datatyp
Alias
Visitendatum
Item
Visit date
date
C1320303 (UMLS CUI [1])
CL Item
Yes (1)
CL Item
No (0)
CL Item
Yes (1)
CL Item
No (0)
CL Item
male (1)
CL Item
female (2)
Geburtsjahr
Item
Year of birth
integer
C2826771 (UMLS CUI [1])
geoesse
Item
Size (cm)
integer
C0005890 (UMLS CUI [1])
Gewicht
Item
Body weight (kg)
float
C0005910 (UMLS CUI [1])
Datum MS-Symptomatik
Item
Date of first symptoms of MS: month/year
date
C0574845 (UMLS CUI [1])
CL Item
Yes (1)
diagdat
Item
MS diagnosis date: month/year
date
C2316983 (UMLS CUI [1])
CL Item
Yes (1)
CL Item
not clearly attributable (-1)
CL Item
Clinically isolated syndrome (CIS) (1)
C2350037 (UMLS CUI-1)
CL Item
Thrust-remitting MS (RRMS) (2)
C0751967 (UMLS CUI-1)
CL Item
Secondary progressive MS (SPMS) (3)
C0751965 (UMLS CUI-1)
CL Item
Primary progressive MS (PPMS) (4)
C0751964 (UMLS CUI-1)
CL Item
Others (5)
C0026769 (UMLS CUI-1)
C0449259 (UMLS CUI-2)
C0205394 (UMLS CUI-3)
C0449259 (UMLS CUI-2)
C0205394 (UMLS CUI-3)
Andere Verlaufsform
Item
Other clinical course?
text
C0449259 (UMLS CUI [1,1])
C0205394 (UMLS CUI [1,2])
C0205394 (UMLS CUI [1,2])
Item
Number of flares in the last 24 months
integer
C0856120 (UMLS CUI [1,1])
C0449788 (UMLS CUI [1,2])
C0449788 (UMLS CUI [1,2])
CL Item
0 (0)
CL Item
1 (1)
CL Item
2 (2)
CL Item
3 (3)
CL Item
4 (4)
CL Item
5 (5)
CL Item
6 (6)
CL Item
7 (7)
CL Item
8 (8)
CL Item
9 (9)
CL Item
10 (10)
CL Item
> 10 (11)
CL Item
Yes (1)
CL Item
No (0)
EDSS vor 12
Item
EDSS score
float
C3830336 (UMLS CUI [1,1])
C3898100 (UMLS CUI [1,2])
C3898100 (UMLS CUI [1,2])
Item
Unknown
integer
C3830336 (UMLS CUI [1,1])
C3898100 (UMLS CUI [1,2])
C0439673 (UMLS CUI [1,3])
C3898100 (UMLS CUI [1,2])
C0439673 (UMLS CUI [1,3])
CL Item
Yes (1)
Item Group
Please enter the current score for the different function systems.
Heutiger EDSS
Item
Today's EDSS
float
C3830336 (UMLS CUI [1])
Item
Unknown / not obtained
integer
C3830336 (UMLS CUI [1,1])
C0439673 (UMLS CUI [1,2])
C0439673 (UMLS CUI [1,2])
CL Item
Yes (1)
Pyramidal
Item
Pyramidal
integer
C3829393 (UMLS CUI [1])
Sensibilität
Item
Sensitivity
integer
C3829393 (UMLS CUI [1])
Zerebral
Item
Cerebral
integer
C3829397 (UMLS CUI [1])
Kleinhirn
Item
Cerebellum
integer
C3829398 (UMLS CUI [1])
BlaseMastdarm
Item
Bowel and Bladder Functions
integer
C3829400 (UMLS CUI [1])
Gehfähigkeit
Item
Ability to walk
integer
C3829396 (UMLS CUI [1,1])
C0559964 (UMLS CUI [1,2])
C0559964 (UMLS CUI [1,2])
Hirnstamm
Item
Brain stem
integer
C3829399 (UMLS CUI [1])
Visuell
Item
Visual
integer
C3827261 (UMLS CUI [1])
Score
Item
Sum
float
C3830336 (UMLS CUI [1])
Item
Was a disease-modifying MS therapy previously conducted?
integer
C2114510 (UMLS CUI [1])
CL Item
Yes (1)
CL Item
No, de novo therapy (please go to next field) (99)
CL Item
Alemtuzumab (Lemtrada) (22)
C0383429 (UMLS CUI-1)
CL Item
Azathioprine (2)
C0004482 (UMLS CUI-1)
CL Item
Cyclophosphamide (4)
C0010583 (UMLS CUI-1)
CL Item
Fingolimod (Gilenya) (18)
C1699926 (UMLS CUI-1)
CL Item
Fumarate (BG-12; Tecfidera) (24)
C0058218 (UMLS CUI-1)
CL Item
COPAXONE (Copaxone) (6)
C0289884 (UMLS CUI-1)
CL Item
Immune Globulins (7)
C0021027 (UMLS CUI-1)
CL Item
Interferon ß-1A (Avonex) (19)
C0254119 (UMLS CUI-1)
C0021492 (UMLS CUI-2)
C0021492 (UMLS CUI-2)
CL Item
Interferon ß-1A SC (Rebif 22 µg, Rebif 44 µg) (20)
C0254119 (UMLS CUI-1)
CL Item
Interferon ß 1SC (Betaseron, Extavia) (21)
C0244713 (UMLS CUI-1)
CL Item
* Medication from a MS study (8)
C0013175 (UMLS CUI-1)
C0013227 (UMLS CUI-2)
C0013227 (UMLS CUI-2)
CL Item
Methotrexate (9)
C0025677 (UMLS CUI-1)
CL Item
Mitoxantrone (10)
C0026259 (UMLS CUI-1)
CL Item
Natalizumab (Tysabri) (11)
C1172734 (UMLS CUI-1)
CL Item
Rituximab (14)
C0393022 (UMLS CUI-1)
CL Item
Teriflunomide (Aubagio) (23)
C1718383 (UMLS CUI-1)
CL Item
Cortisone (25)
C0010137 (UMLS CUI-1)
CL Item
Others... (99)
C1115771 (UMLS CUI-1)
Wirkstoff anderer
Item
other active ingredient
text
C2114510 (UMLS CUI [1])
Wirkstoff Beginn
Item
Start: Month/year
date
C3173309 (UMLS CUI [1,1])
C2114510 (UMLS CUI [1,2])
C2114510 (UMLS CUI [1,2])
Wirkstoff Ende
Item
End: Month
date
C1531784 (UMLS CUI [1,1])
C2114510 (UMLS CUI [1,2])
C2114510 (UMLS CUI [1,2])
Item
Main reason for stopping the therapy
integer
C0850893 (UMLS CUI [1,1])
C0566251 (UMLS CUI [1,2])
C0566251 (UMLS CUI [1,2])
CL Item
Side effects (1)
C0877248 (UMLS CUI-1)
CL Item
Lack effectiveness (2)
C0235828 (UMLS CUI-1)
CL Item
Another reason (99)
C0205394 (UMLS CUI-1)
Text Anderer Grund
Item
If other, please indicate the reason
text
C3840932 (UMLS CUI [1])
CL Item
Alemtuzumab (Lemtrada) (22)
C0383429 (UMLS CUI-1)
CL Item
Azathioprine (2)
C0004482 (UMLS CUI-1)
CL Item
Cyclophosphamide (4)
C0010583 (UMLS CUI-1)
CL Item
Fingolimod (Gilenya) (18)
C1699926 (UMLS CUI-1)
CL Item
Fumarate (BG-12; Tecfidera) (24)
C0058218 (UMLS CUI-1)
CL Item
COPAXONE (Copaxone) (6)
C0289884 (UMLS CUI-1)
CL Item
Immune Globulins (7)
C0021027 (UMLS CUI-1)
CL Item
Interferon ß-1A (Avonex) (19)
C0254119 (UMLS CUI-1)
C0021492 (UMLS CUI-2)
C0021492 (UMLS CUI-2)
CL Item
Interferon ß-1A SC (Rebif 22 µg, Rebif 44 µg) (20)
C0254119 (UMLS CUI-1)
CL Item
Interferon ß 1SC (Betaseron, Extavia) (21)
C0244713 (UMLS CUI-1)
CL Item
* Medication from a MS study (8)
C0013175 (UMLS CUI-1)
C0013227 (UMLS CUI-2)
C0013227 (UMLS CUI-2)
CL Item
Methotrexate (9)
C0025677 (UMLS CUI-1)
CL Item
Mitoxantrone (10)
C0026259 (UMLS CUI-1)
CL Item
Natalizumab (Tysabri) (11)
C1172734 (UMLS CUI-1)
CL Item
Rituximab (14)
C0393022 (UMLS CUI-1)
CL Item
Teriflunomide (Aubagio) (23)
C1718383 (UMLS CUI-1)
CL Item
Cortisone (25)
C0010137 (UMLS CUI-1)
CL Item
Others... (99)
C1115771 (UMLS CUI-1)
curth1a
Item
other active ingredient
text
C2827774 (UMLS CUI [1])
curth1ab
Item
Start: Month/year
date
C3173309 (UMLS CUI [1,1])
C2827774 (UMLS CUI [1,2])
C2827774 (UMLS CUI [1,2])
CL Item
Standard (1)
CL Item
Others (99)
andere
Item
Please specify the dose and type of administration
text
C0001555 (UMLS CUI [1])
Item Group
If Yes, please specify all disease a disease group and each month and year of diagnosis. Please indicate also, if these are treated with medicines.
C0332138 (UMLS CUI-1)
CL Item
NA (1)
CL Item
High blood pressure (02)
C0020538 (UMLS CUI-1)
CL Item
Heart failure/insufficiency (03)
C0392173 (UMLS CUI-1)
CL Item
Heart rhythm disorder (04)
C0003811 (UMLS CUI-1)
CL Item
Heart attack (05)
C0027051 (UMLS CUI-1)
CL Item
CHD / Angina Pectoris (06)
C0010068 (UMLS CUI-1)
CL Item
Vein thrombosis (07)
C0587220 (UMLS CUI-1)
CL Item
Pulmonary embolism (08)
C0034065 (UMLS CUI-1)
Kreislauferkrankungen: Monat/Jahr
Item
Month/year
date
C0007222 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
C0011008 (UMLS CUI [1,2])
Item
Date unknown
integer
C0007222 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
C0439673 (UMLS CUI [1,3])
C0011008 (UMLS CUI [1,2])
C0439673 (UMLS CUI [1,3])
CL Item
Yes (1)
Item
Current drug treatment
integer
C0007222 (UMLS CUI [1,1])
C2827774 (UMLS CUI [1,2])
C2827774 (UMLS CUI [1,2])
CL Item
Yes (1)
CL Item
No (0)
CL Item
NA (1)
CL Item
Diabetes mellitus (11)
C0011849 (UMLS CUI-1)
CL Item
Thyroid under or overactive (12)
C0040128 (UMLS CUI-1)
Stoffwechsel: Monat/Jahr
Item
Month/year
date
C0025517 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
C0011008 (UMLS CUI [1,2])
Item
Date unknown
integer
C0025517 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
C0439673 (UMLS CUI [1,3])
C0011008 (UMLS CUI [1,2])
C0439673 (UMLS CUI [1,3])
CL Item
Yes (1)
Item
Current drug treatment
integer
C0025517 (UMLS CUI [1,1])
C2827774 (UMLS CUI [1,2])
C2827774 (UMLS CUI [1,2])
CL Item
Yes (1)
CL Item
No (0)
CL Item
NA (1)
CL Item
Hepatitis B or C (21)
C0019163 (UMLS CUI-1)
C0019196 (UMLS CUI-3)
C0019196 (UMLS CUI-3)
CL Item
HIV infection (22)
C0019693 (UMLS CUI-1)
CL Item
Tuberculosis (23)
C0041296 (UMLS CUI-1)
CL Item
Opportunistic infections (24)
C0029118 (UMLS CUI-1)
CL Item
Herpes infection (25)
C0019372 (UMLS CUI-1)
CL Item
PML (26)
C0023524 (UMLS CUI-1)
CL Item
Lung inflammation (27)
C0032285 (UMLS CUI-1)
Welche opportunistische Infektion
Item
If Yes, what opportunistic infection
text
C0029118 (UMLS CUI [1])
Ort der Herpes-Infektion
Item
Site of infection
text
C0019372 (UMLS CUI [1,1])
C0475264 (UMLS CUI [1,2])
C0475264 (UMLS CUI [1,2])
Infektion: Monat/Jahr
Item
Month/year
date
C0009450 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
C0011008 (UMLS CUI [1,2])
Item
Date unknown
integer
C0009450 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
C0439673 (UMLS CUI [1,3])
C0011008 (UMLS CUI [1,2])
C0439673 (UMLS CUI [1,3])
CL Item
Yes (1)
Item
Current drug treatment
integer
C0009450 (UMLS CUI [1,1])
C2827774 (UMLS CUI [1,2])
C2827774 (UMLS CUI [1,2])
CL Item
Yes (1)
CL Item
No (0)
Item
Gastrointestinal diseases
integer
C0017178 (UMLS CUI [1])
CL Item
NA (1)
CL Item
Inflammation of the pancreas (31)
C3889003 (UMLS CUI-1)
CL Item
Cirrhosis of the liver (32)
C0023890 (UMLS CUI-1)
CL Item
Crohn's disease (33)
C0010346 (UMLS CUI-1)
CL Item
Ulcerative colitis (34)
C0009324 (UMLS CUI-1)
Gastro: Monat/Jahr
Item
Month/year
date
C0017178 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
C0011008 (UMLS CUI [1,2])
Item
Date unknown
integer
C0017178 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
C0439673 (UMLS CUI [1,3])
C0011008 (UMLS CUI [1,2])
C0439673 (UMLS CUI [1,3])
CL Item
Yes (1)
Item
Current drug treatment
integer
C0017178 (UMLS CUI [1,1])
C2827774 (UMLS CUI [1,2])
C2827774 (UMLS CUI [1,2])
CL Item
Yes (1)
CL Item
No (0)
Item
Neurological / psychiatric disorders
integer
C0027765 (UMLS CUI [1])
C0004936 (UMLS CUI [2])
C0004936 (UMLS CUI [2])
CL Item
NA (1)
Item
Which disease has been diagnosed?
integer
C0027765 (UMLS CUI [1])
C0004936 (UMLS CUI [2])
C0004936 (UMLS CUI [2])
CL Item
Epileptic seizures (41)
C0036572 (UMLS CUI-1)
CL Item
Depression (42)
C0011581 (UMLS CUI-1)
CL Item
Angsstörungen, panic attacks (43)
C0497330 (UMLS CUI-1)
CL Item
Migraine / headache (44)
C0149931 (UMLS CUI-1)
CL Item
Anorexia (45)
C0003123 (UMLS CUI-1)
Neuro: Monat/Jahr
Item
Month/year
date
C0027765 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
C0004936 (UMLS CUI [2,1])
C0011008 (UMLS CUI [2,2])
C0011008 (UMLS CUI [1,2])
C0004936 (UMLS CUI [2,1])
C0011008 (UMLS CUI [2,2])
Item
Date unknown
integer
C0027765 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
C0439673 (UMLS CUI [1,3])
C0004936 (UMLS CUI [2,1])
C0011008 (UMLS CUI [2,2])
C0439673 (UMLS CUI [2,3])
C0011008 (UMLS CUI [1,2])
C0439673 (UMLS CUI [1,3])
C0004936 (UMLS CUI [2,1])
C0011008 (UMLS CUI [2,2])
C0439673 (UMLS CUI [2,3])
CL Item
Yes (1)
Item
Current drug treatment
integer
C0027765 (UMLS CUI [1,1])
C2827774 (UMLS CUI [1,2])
C0004936 (UMLS CUI [2,1])
C2827774 (UMLS CUI [2,2])
C2827774 (UMLS CUI [1,2])
C0004936 (UMLS CUI [2,1])
C2827774 (UMLS CUI [2,2])
CL Item
Yes (1)
CL Item
No (0)
CL Item
NA (1)
CL Item
Drug allergy (51)
C0013182 (UMLS CUI-1)
CL Item
House dust / pollen (52)
C0339808 (UMLS CUI-1)
C1548336 (UMLS CUI-3)
C1548336 (UMLS CUI-3)
CL Item
Food (53)
C0016470 (UMLS CUI-1)
CL Item
Nickel / fragrances (54)
C1690547 (UMLS CUI-1)
C0577618 (UMLS CUI-3)
C0577618 (UMLS CUI-3)
CL Item
Insect bites (55)
C0854051 (UMLS CUI-1)
Medikamentenallergien
Item
Which drug?
text
C0013182 (UMLS CUI [1,1])
C2360065 (UMLS CUI [1,2])
C2360065 (UMLS CUI [1,2])
Allergien: Monat/Jahr
Item
Month/year
date
C0020517 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
C0011008 (UMLS CUI [1,2])
Item
Date unknown
integer
C0020517 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
C0439673 (UMLS CUI [1,3])
C0011008 (UMLS CUI [1,2])
C0439673 (UMLS CUI [1,3])
CL Item
Yes (1)
Item
Current drug treatment
integer
C0020517 (UMLS CUI [1,1])
C2827774 (UMLS CUI [1,2])
C2827774 (UMLS CUI [1,2])
CL Item
Yes (1)
CL Item
No (0)
CL Item
NA (1)
CL Item
Recurrent urinary tract infections (61)
C0262655 (UMLS CUI-1)
CL Item
Renal impairment (62)
C0151746 (UMLS CUI-1)
CL Item
Other urological diseases (63)
C0080276 (UMLS CUI-1)
Uro: Monat/Jahr
Item
Month/year
date
C0080276 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
C0011008 (UMLS CUI [1,2])
Item
Date unknown
integer
C0080276 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
C0439673 (UMLS CUI [1,3])
C0011008 (UMLS CUI [1,2])
C0439673 (UMLS CUI [1,3])
CL Item
Yes (1)
Item
Current drug treatment
integer
C0080276 (UMLS CUI [1,1])
C2827774 (UMLS CUI [1,2])
C2827774 (UMLS CUI [1,2])
CL Item
Yes (1)
CL Item
No (0)
CL Item
NA (1)
CL Item
Myasthenia gravis (71)
C0026896 (UMLS CUI-1)
CL Item
Autoimmune thyroid disease (72)
C0178468 (UMLS CUI-1)
CL Item
Systemic Lupus Erythematosus (73)
C0024141 (UMLS CUI-1)
CL Item
Psoriasis (74)
C0033860 (UMLS CUI-1)
Autoimmun: Monat/Jahr
Item
Month/year
date
C0004364 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
C0011008 (UMLS CUI [1,2])
Item
Date unknown
integer
C0004364 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
C0439673 (UMLS CUI [1,3])
C0011008 (UMLS CUI [1,2])
C0439673 (UMLS CUI [1,3])
CL Item
Yes (1)
Item
Current drug treatment
integer
C0004364 (UMLS CUI [1,1])
C2827774 (UMLS CUI [1,2])
C2827774 (UMLS CUI [1,2])
CL Item
Yes (1)
CL Item
No (0)
CL Item
NA (1)
CL Item
Anemia (81)
C0002871 (UMLS CUI-1)
CL Item
Lymphopenia (82)
C0024312 (UMLS CUI-1)
CL Item
Leukopenia (83)
C0023530 (UMLS CUI-1)
CL Item
Neutropenia (84)
C0027947 (UMLS CUI-1)
CL Item
Coagulation disorders (85)
C0005779 (UMLS CUI-1)
CL Item
Myelodysplastic syndrome (86)
C3463824 (UMLS CUI-1)
CL Item
Saliency in Lebertest(s) (87)
C0438237 (UMLS CUI-1)
CL Item
Saliency in Nierentest(s) (88)
C0236151 (UMLS CUI-1)
BlutLab: Monat/Jahr
Item
Month/year
date
C0018939 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
C0011008 (UMLS CUI [1,2])
Item
Date unknown
integer
C0018939 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
C0439673 (UMLS CUI [1,3])
C0011008 (UMLS CUI [1,2])
C0439673 (UMLS CUI [1,3])
CL Item
Yes (1)
Item
Current drug treatment
integer
C0018939 (UMLS CUI [1,1])
C2827774 (UMLS CUI [1,2])
C2827774 (UMLS CUI [1,2])
CL Item
Yes (1)
CL Item
No (0)
CL Item
NA (1)
CL Item
Hair loss (91)
C0002170 (UMLS CUI-1)
CL Item
Skin rash (92)
C0015230 (UMLS CUI-1)
CL Item
local symptoms with medications (93)
C0853813 (UMLS CUI-1)
C0877248 (UMLS CUI-2)
C0877248 (UMLS CUI-2)
CL Item
Retinopathy, macular edema (94)
C0035309 (UMLS CUI-1)
C0271051 (UMLS CUI-3)
C0271051 (UMLS CUI-3)
CL Item
Joint pain (95)
C0003862 (UMLS CUI-1)
CL Item
Weight loss or gain (96)
C0005911 (UMLS CUI-1)
AllgemSympt: Monat/Jahr
Item
Month/year
date
C0159028 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
C0011008 (UMLS CUI [1,2])
Item
Date unknown
integer
C0159028 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
C0439673 (UMLS CUI [1,3])
C0011008 (UMLS CUI [1,2])
C0439673 (UMLS CUI [1,3])
CL Item
Yes (1)
Item
Current drug treatment
integer
C0159028 (UMLS CUI [1,1])
C2827774 (UMLS CUI [1,2])
C2827774 (UMLS CUI [1,2])
CL Item
Yes (1)
CL Item
No (0)
CL Item
NA (1)
Operation
Item
Which operations?
text
C0543467 (UMLS CUI [1])
Operation: Monat/Jahr
Item
Month/year
date
C0543467 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
C0011008 (UMLS CUI [1,2])
Item
Date unknown
integer
C0543467 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
C0439673 (UMLS CUI [1,3])
C0011008 (UMLS CUI [1,2])
C0439673 (UMLS CUI [1,3])
CL Item
Yes (1)
Item
Current drug treatment
integer
C0543467 (UMLS CUI [1,1])
C2827774 (UMLS CUI [1,2])
C2827774 (UMLS CUI [1,2])
CL Item
Yes (1)
CL Item
No (0)
CL Item
NA (1)
Art von Krebs
Item
What kind of cancer
text
C0006826 (UMLS CUI [1])
Krebs: Monat/Jahr
Item
Month/year
date
C0006826 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
C0011008 (UMLS CUI [1,2])
Item Group
Cancer Treatment?
C0920425 (UMLS CUI-1)
CL Item
Yes (1)
CL Item
No (0)
CL Item
Yes (1)
CL Item
No (0)
CL Item
Yes (1)
CL Item
No (0)
Substanzen
Item
If yes, please specify substances chemotherapy
text
C0729502 (UMLS CUI [1,1])
C0920425 (UMLS CUI [1,2])
C0920425 (UMLS CUI [1,2])
Item
not known
integer
C0729502 (UMLS CUI [1,1])
C0439673 (UMLS CUI [1,2])
C0920425 (UMLS CUI [1,3])
C0439673 (UMLS CUI [1,2])
C0920425 (UMLS CUI [1,3])
CL Item
Yes (1)
CL Item
NA (1)
Andere
Item
What other disease?
text
C0332138 (UMLS CUI [1])
Andere: Monat/Jahr
Item
Month/year
date
C0332138 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
C0011008 (UMLS CUI [1,2])
Item
Date unknown
integer
C0332138 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
C0439673 (UMLS CUI [1,3])
C0011008 (UMLS CUI [1,2])
C0439673 (UMLS CUI [1,3])
CL Item
Yes (1)
Item
Current drug treatment
integer
C0332138 (UMLS CUI [1,1])
C2827774 (UMLS CUI [1,2])
C2827774 (UMLS CUI [1,2])
CL Item
Yes (1)
CL Item
No (0)
Item Group
FYI: after selecting it may take a few seconds, because the closed fields are checked.
CL Item
Yes (1)
CL Item
No (0)
CL Item
Yes (1)
Item Group
Biologic Material (for example blood)
C0370003 (UMLS CUI-1)
Probennummer
Item
Sample No.
text
C0370003 (UMLS CUI [1,1])
C1300638 (UMLS CUI [1,2])
C1300638 (UMLS CUI [1,2])
Zusatz
Item
Additional (currently disabled)
text
C0947611 (UMLS CUI [1])
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