ID

17539

Beskrivning

Study part: Basic documentation B1 LeMLAR-Studie. Lenalidomide in conjunction with methotrexate, leucovorin, cytarabine and rituximab for the treatment of relapsed or refractory CD20-positive aggressive lymphomas: an open-label, multicenter phase I/II trial. Publication granted by Prof. Dührsen and provided by Claudia Ose, University clinic Essen, NCT01788189, Version 1.3-28.04.2013.doc.

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  1. 2016-09-22 2016-09-22 -
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22 september 2016

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Basic documentation B1 LeMLAR-Studie Lymphoma NCT01788189

Tysk

Basic documentation B1

1 Formulär  
  1. StudyEvent: ODM
    1. Basic documentation B1
Histologische Diagnose
Beskrivning

Histologische Diagnose

Alias
UMLS CUI-1
C0011900
UMLS CUI-2
C0019638
Datum
Beskrivning

Date

Datatyp

date

Alias
UMLS CUI [1]
C0011008
Patientenidentifikation
Beskrivning

Patient ID

Datatyp

integer

Alias
UMLS CUI [1]
C1269815
Histologische Diagnose:
Beskrivning

diagnosis Histology

Datatyp

text

Alias
UMLS CUI [1,1]
C0011900
UMLS CUI [1,2]
C0019638
Sonstiges:
Beskrivning

other

Datatyp

text

Alias
UMLS CUI [1]
C0205394
Datum der Primärdiagnose:
Beskrivning

date Principal diagnosis

Datatyp

date

Alias
UMLS CUI [1,1]
C0011008
UMLS CUI [1,2]
C0332137
Datum der aktuellen Rezidivdiagnose:
Beskrivning

date diagnosis recurrence

Datatyp

date

Alias
UMLS CUI [1,1]
C0011008
UMLS CUI [1,2]
C0011900
UMLS CUI [1,3]
C1458156
Pathologe (letzte Biopsie)
Beskrivning

Pathologe (letzte Biopsie)

Alias
UMLS CUI-1
C0334866
Name:
Beskrivning

Name

Datatyp

text

Alias
UMLS CUI [1]
C0027365
Histologie-Nummer:
Beskrivning

identification number histology

Datatyp

text

Alias
UMLS CUI [1,1]
C1300638
UMLS CUI [1,2]
C0019638
Institution:
Beskrivning

Institution

Datatyp

text

Alias
UMLS CUI [1]
C1301943
Anschrift:
Beskrivning

Address

Datatyp

text

Alias
UMLS CUI [1]
C0376649
Vorgeschichte
Beskrivning

Vorgeschichte

Alias
UMLS CUI-1
C0262926
1. Rezidiv Therapie von:
Beskrivning

Date of start of treatment Recurrence

Datatyp

partialDate

Alias
UMLS CUI [1,1]
C3173309
UMLS CUI [1,2]
C2825055
1. Rezidiv Therapie bis:
Beskrivning

Therapy End Date Recurrence

Datatyp

partialDate

Alias
UMLS CUI [1,1]
C2584899
UMLS CUI [1,2]
C2711097
UMLS CUI [1,3]
C2825055
Protokoll, Anzahl Zyklen
Beskrivning

protocol

Datatyp

text

Alias
UMLS CUI [1]
C1507394
Therapieergebnis (CR, PR, SD, PD, NE)
Beskrivning

result therapy

Datatyp

text

Alias
UMLS CUI [1,1]
C1274040
UMLS CUI [1,2]
C0087111
2. Rezidiv Therapie von:
Beskrivning

Date of start of treatment Recurrence

Datatyp

partialDate

Alias
UMLS CUI [1,1]
C3173309
UMLS CUI [1,2]
C2825055
2. Rezidiv Therapie bis:
Beskrivning

Therapy End Date Recurrence

Datatyp

partialDate

Alias
UMLS CUI [1,1]
C2584899
UMLS CUI [1,2]
C2711097
UMLS CUI [1,3]
C2825055
Protokoll, Anzahl Zyklen
Beskrivning

protocol

Datatyp

text

Alias
UMLS CUI [1]
C1507394
Therapieergebnis (CR, PR, SD, PD, NE)
Beskrivning

result therapy

Datatyp

text

Alias
UMLS CUI [1,1]
C1274040
UMLS CUI [1,2]
C0087111
3. Rezidiv Therapie von:
Beskrivning

Date of start of treatment Recurrence

Datatyp

partialDate

Alias
UMLS CUI [1,1]
C3173309
UMLS CUI [1,2]
C2825055
3. Rezidiv Therapie bis:
Beskrivning

Therapy End Date Recurrence

Datatyp

partialDate

Alias
UMLS CUI [1,1]
C2584899
UMLS CUI [1,2]
C2711097
UMLS CUI [1,3]
C2825055
Protokoll, Anzahl Zyklen
Beskrivning

protocol

Datatyp

text

Alias
UMLS CUI [1]
C1507394
Therapieergebnis (CR, PR, SD, PD, NE)
Beskrivning

result therapy

Datatyp

text

Alias
UMLS CUI [1,1]
C1274040
UMLS CUI [1,2]
C0087111
4. Rezidiv Therapie von:
Beskrivning

Date of start of treatment Recurrence

Datatyp

partialDate

Alias
UMLS CUI [1,1]
C3173309
UMLS CUI [1,2]
C2825055
4. Rezidiv Therapie bis:
Beskrivning

Therapy End Date Recurrence

Datatyp

partialDate

Alias
UMLS CUI [1,1]
C2584899
UMLS CUI [1,2]
C2711097
UMLS CUI [1,3]
C2825055
Protokoll, Anzahl Zyklen
Beskrivning

protocol

Datatyp

text

Alias
UMLS CUI [1]
C1507394
Therapieergebnis (CR, PR, SD, PD, NE)
Beskrivning

result therapy

Datatyp

text

Alias
UMLS CUI [1,1]
C1274040
UMLS CUI [1,2]
C0087111
5. Rezidiv Therapie von:
Beskrivning

Date of start of treatment Recurrence

Datatyp

partialDate

Alias
UMLS CUI [1,1]
C3173309
UMLS CUI [1,2]
C2825055
5. Rezidiv Therapie bis:
Beskrivning

Therapy End Date Recurrence

Datatyp

partialDate

Alias
UMLS CUI [1,1]
C2584899
UMLS CUI [1,2]
C2711097
UMLS CUI [1,3]
C2825055
Datum der Bearbeitung
Beskrivning

date

Datatyp

date

Alias
UMLS CUI [1]
C0011008
Protokoll, Anzahl Zyklen
Beskrivning

protocol

Datatyp

text

Alias
UMLS CUI [1]
C1507394
Name
Beskrivning

name

Datatyp

text

Alias
UMLS CUI [1]
C0027365
Therapieergebnis (CR, PR, SD, PD, NE)
Beskrivning

result therapy

Datatyp

text

Alias
UMLS CUI [1,1]
C1274040
UMLS CUI [1,2]
C0087111
Unterschrift
Beskrivning

signature

Datatyp

text

Alias
UMLS CUI [1]
C1519316
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Similar models

Basic documentation B1

1 Formulär
  1. StudyEvent: ODM
    1. Basic documentation B1
Name
Typ
Description | Question | Decode (Coded Value)
Datatyp
Alias
Item Group
Histologische Diagnose
C0011900 (UMLS CUI-1)
C0019638 (UMLS CUI-2)
Date
Item
Datum
date
C0011008 (UMLS CUI [1])
Patient ID
Item
Patientenidentifikation
integer
C1269815 (UMLS CUI [1])
Item
Histologische Diagnose:
text
C0011900 (UMLS CUI [1,1])
C0019638 (UMLS CUI [1,2])
diagnosis Histology
Code List
Histologische Diagnose:
CL Item
Diffuses großzelliges B-Zell-Lymphom  (1)
CL Item
Follikuläres Lymphom Grad 3b  (2)
CL Item
Burkitt-Lymphom  (3)
CL Item
Sonstiges (4)
other
Item
Sonstiges:
text
C0205394 (UMLS CUI [1])
date Principal diagnosis
Item
Datum der Primärdiagnose:
date
C0011008 (UMLS CUI [1,1])
C0332137 (UMLS CUI [1,2])
date diagnosis recurrence
Item
Datum der aktuellen Rezidivdiagnose:
date
C0011008 (UMLS CUI [1,1])
C0011900 (UMLS CUI [1,2])
C1458156 (UMLS CUI [1,3])
Item Group
Pathologe (letzte Biopsie)
C0334866 (UMLS CUI-1)
Name
Item
Name:
text
C0027365 (UMLS CUI [1])
identification number histology
Item
Histologie-Nummer:
text
C1300638 (UMLS CUI [1,1])
C0019638 (UMLS CUI [1,2])
Institution
Item
Institution:
text
C1301943 (UMLS CUI [1])
Address
Item
Anschrift:
text
C0376649 (UMLS CUI [1])
Item Group
Vorgeschichte
C0262926 (UMLS CUI-1)
Date of start of treatment Recurrence
Item
1. Rezidiv Therapie von:
partialDate
C3173309 (UMLS CUI [1,1])
C2825055 (UMLS CUI [1,2])
Therapy End Date Recurrence
Item
1. Rezidiv Therapie bis:
partialDate
C2584899 (UMLS CUI [1,1])
C2711097 (UMLS CUI [1,2])
C2825055 (UMLS CUI [1,3])
protocol
Item
Protokoll, Anzahl Zyklen
text
C1507394 (UMLS CUI [1])
result therapy
Item
Therapieergebnis (CR, PR, SD, PD, NE)
text
C1274040 (UMLS CUI [1,1])
C0087111 (UMLS CUI [1,2])
Date of start of treatment Recurrence
Item
2. Rezidiv Therapie von:
partialDate
C3173309 (UMLS CUI [1,1])
C2825055 (UMLS CUI [1,2])
Therapy End Date Recurrence
Item
2. Rezidiv Therapie bis:
partialDate
C2584899 (UMLS CUI [1,1])
C2711097 (UMLS CUI [1,2])
C2825055 (UMLS CUI [1,3])
protocol
Item
Protokoll, Anzahl Zyklen
text
C1507394 (UMLS CUI [1])
result therapy
Item
Therapieergebnis (CR, PR, SD, PD, NE)
text
C1274040 (UMLS CUI [1,1])
C0087111 (UMLS CUI [1,2])
Date of start of treatment Recurrence
Item
3. Rezidiv Therapie von:
partialDate
C3173309 (UMLS CUI [1,1])
C2825055 (UMLS CUI [1,2])
Therapy End Date Recurrence
Item
3. Rezidiv Therapie bis:
partialDate
C2584899 (UMLS CUI [1,1])
C2711097 (UMLS CUI [1,2])
C2825055 (UMLS CUI [1,3])
protocol
Item
Protokoll, Anzahl Zyklen
text
C1507394 (UMLS CUI [1])
result therapy
Item
Therapieergebnis (CR, PR, SD, PD, NE)
text
C1274040 (UMLS CUI [1,1])
C0087111 (UMLS CUI [1,2])
Date of start of treatment Recurrence
Item
4. Rezidiv Therapie von:
partialDate
C3173309 (UMLS CUI [1,1])
C2825055 (UMLS CUI [1,2])
Therapy End Date Recurrence
Item
4. Rezidiv Therapie bis:
partialDate
C2584899 (UMLS CUI [1,1])
C2711097 (UMLS CUI [1,2])
C2825055 (UMLS CUI [1,3])
protocol
Item
Protokoll, Anzahl Zyklen
text
C1507394 (UMLS CUI [1])
result therapy
Item
Therapieergebnis (CR, PR, SD, PD, NE)
text
C1274040 (UMLS CUI [1,1])
C0087111 (UMLS CUI [1,2])
Date of start of treatment Recurrence
Item
5. Rezidiv Therapie von:
partialDate
C3173309 (UMLS CUI [1,1])
C2825055 (UMLS CUI [1,2])
Therapy End Date Recurrence
Item
5. Rezidiv Therapie bis:
partialDate
C2584899 (UMLS CUI [1,1])
C2711097 (UMLS CUI [1,2])
C2825055 (UMLS CUI [1,3])
date
Item
Datum der Bearbeitung
date
C0011008 (UMLS CUI [1])
protocol
Item
Protokoll, Anzahl Zyklen
text
C1507394 (UMLS CUI [1])
name
Item
Name
text
C0027365 (UMLS CUI [1])
result therapy
Item
Therapieergebnis (CR, PR, SD, PD, NE)
text
C1274040 (UMLS CUI [1,1])
C0087111 (UMLS CUI [1,2])
signature
Item
Unterschrift
text
C1519316 (UMLS CUI [1])
Tillbaka till toppen 

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