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Pre-phase Therapy

1 formularios  
  1. StudyEvent: ODM
    1. Pre-phase Therapy
Patient demographics
Descripción

Patient demographics

Examination date
Descripción

Examination date

Tipo de datos

date

Alias
UMLS CUI [1]
C2826643
Patient height
Descripción

Patient height

Tipo de datos

float

Unidades de medida
  • cm
Alias
UMLS CUI [1]
C0489786
cm
Patient weight
Descripción

Patient weight

Tipo de datos

float

Alias
UMLS CUI [1]
C0005910
Body surface
Descripción

Body surface

Tipo de datos

float

Alias
UMLS CUI [1]
C0005902
Therapy
Descripción

Therapy

Date of Therapy
Descripción

Date of Therapy

Tipo de datos

date

Alias
UMLS CUI [1]
C1707637
Duration of treatment
Descripción

Duration of treatment

Tipo de datos

integer

Unidades de medida
  • Tage
Alias
UMLS CUI [1]
C0444921
Tage
Chemotherapy Regimen
Descripción

Chemotherapy Regimen

Alias
UMLS CUI-1
C0392920
UMLS CUI-2
C0178602
Prednison
Descripción

Prednison

Tipo de datos

integer

Unidades de medida
  • mg
Alias
UMLS CUI [1]
C0032952
mg
Vincristin
Descripción

Vincristin

Tipo de datos

integer

Unidades de medida
  • mg
Alias
UMLS CUI [1]
C0042679
mg
Intrathecal therapy
Descripción

Intrathecal therapy

Alias
UMLS CUI-1
C1831734
MTX i.th., Dosis
Descripción

MTX

Tipo de datos

integer

Unidades de medida
  • mg
Alias
UMLS CUI [1]
C0025677
mg
MTX i.th. am
Descripción

MTX date of application

Tipo de datos

date

Alias
UMLS CUI [1,1]
C0025677
UMLS CUI [1,2]
C0011008
Cytarabin i.th., Dosis
Descripción

Cytarabin

Tipo de datos

integer

Unidades de medida
  • mg
Alias
UMLS CUI [1]
C0010711
mg
Cytarabin i.th. am
Descripción

Cytarabin

Tipo de datos

date

Alias
UMLS CUI [1,1]
C0010711
UMLS CUI [1,2]
C0011008
Supportive therapy
Descripción

Supportive therapy

Antibiotic Prophylaxis
Descripción

Antibiotic Prophylaxis

Tipo de datos

boolean

Alias
UMLS CUI [1]
C0282638
Pre-operative antibiotic prophylaxis administered
Descripción

Pre-operative antibiotic prophylaxis administered

Tipo de datos

integer

Unidades de medida
  • Tage
Alias
UMLS CUI [1]
C2114165
Tage
Antibiotic therapy
Descripción

Antibiotic therapy

Tipo de datos

boolean

Alias
UMLS CUI [1]
C0338237
Antibiotic therapy duration
Descripción

Antibiotic therapy duration

Tipo de datos

integer

Unidades de medida
  • Tage
Alias
UMLS CUI [1,1]
C0338237
UMLS CUI [1,2]
C0444917
Tage
Platelet function
Descripción

Platelet function

Tipo de datos

boolean

Alias
UMLS CUI [1]
C1254881
Platelet concentrate
Descripción

Platelet concentrate

Tipo de datos

integer

Alias
UMLS CUI [1]
C1294041
Red Blood Cell Transfusion
Descripción

Red Blood Cell Transfusion

Tipo de datos

boolean

Alias
UMLS CUI [1]
C0086252
Blood erythrocyte concentration
Descripción

Blood erythrocyte concentration

Tipo de datos

integer

Alias
UMLS CUI [1]
C0522048
Erythropoetin
Descripción

Erythropoetin

Tipo de datos

boolean

Alias
UMLS CUI [1]
C0014822
Erythropoetin, Dosage
Descripción

Erythropoetin, Dosage

Tipo de datos

integer

Alias
UMLS CUI [1]
C0014822
Parenteral Nutrition
Descripción

Parenteral Nutrition

Tipo de datos

boolean

Alias
UMLS CUI [1]
C0030547
Parenteral Nutrition, Total
Descripción

Parenteral Nutrition, Total

Tipo de datos

integer

Unidades de medida
  • Tage
Alias
UMLS CUI [1]
C0030548
Tage
Analgesics
Descripción

Analgesics

Tipo de datos

boolean

Alias
UMLS CUI [1]
C0002771
Analgesics duration
Descripción

Analgesics duration

Tipo de datos

integer

Unidades de medida
  • Tage
Alias
UMLS CUI [1,1]
C0002771
UMLS CUI [1,2]
C0444917
Tage
Other
Descripción

Other

Tipo de datos

text

Alias
UMLS CUI [1]
C0205394
Administration of medication
Descripción

Administration of medication

Alias
UMLS CUI-1
C3469597
Outpatients
Descripción

Outpatients

Tipo de datos

boolean

Alias
UMLS CUI [1]
C0029921
Duration of therapy outpatient
Descripción

Duration of therapy outpatient

Tipo de datos

integer

Unidades de medida
  • Tage
Alias
UMLS CUI [1,1]
C0029921
UMLS CUI [1,2]
C0444917
Tage
Stationary
Descripción

Stationary

Tipo de datos

boolean

Alias
UMLS CUI [1]
C0439835
Stationary duration
Descripción

Stationary duration

Tipo de datos

integer

Unidades de medida
  • Tage
Alias
UMLS CUI [1,1]
C0444917
UMLS CUI [1,2]
C0444917
Tage
Comorbidity at the therapy begin
Descripción

Comorbidity at the therapy begin

Number Comorbidity
Descripción

Number Comorbidity

Tipo de datos

integer

Alias
UMLS CUI [1]
C0009488
Description Comorbidity
Descripción

Description Comorbidity

Tipo de datos

text

Alias
UMLS CUI [1,1]
C0678257
UMLS CUI [1,2]
C0009488
Comorbidity length
Descripción

Comorbidity length

Tipo de datos

text

Alias
UMLS CUI [1,1]
C0009488
UMLS CUI [1,2]
C0872146
Medication duration
Descripción

Medication duration

Alias
UMLS CUI-1
C2826814
Number of medication
Descripción

Number of medication

Tipo de datos

integer

Alias
UMLS CUI [1,1]
C0013227
UMLS CUI [1,2]
C0449788
Medication Name
Descripción

Medication Name

Tipo de datos

text

Alias
UMLS CUI [1]
C2360065
Indication
Descripción

Indication

Tipo de datos

text

Alias
UMLS CUI [1]
C3146298
Intercurrent disease
Descripción

Intercurrent disease

Alias
UMLS CUI-1
C0277557
Intercurrent disease
Descripción

Intercurrent disease

Tipo de datos

boolean

Alias
UMLS CUI [1]
C0277557
Footer module
Descripción

Footer module

Comment
Descripción

Comment

Tipo de datos

text

Alias
UMLS CUI [1]
C0947611
Date of processing
Descripción

Date of processing

Tipo de datos

date

Alias
UMLS CUI [1]
C1709694
Signature clinical investigator
Descripción

Signature clinical investigator

Tipo de datos

boolean

Alias
UMLS CUI [1]
C0008961
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Similar models

Pre-phase Therapy

1 formularios
  1. StudyEvent: ODM
    1. Pre-phase Therapy
Name
Tipo
Description | Question | Decode (Coded Value)
Tipo de datos
Alias
Item Group
Patient demographics
Examination date
Item
Examination date
date
C2826643 (UMLS CUI [1])
Patient height
Item
Patient height
float
C0489786 (UMLS CUI [1])
Patient weight
Item
Patient weight
float
C0005910 (UMLS CUI [1])
Body surface
Item
Body surface
float
C0005902 (UMLS CUI [1])
Item Group
Therapy
Date of Therapy
Item
Date of Therapy
date
C1707637 (UMLS CUI [1])
Duration of treatment
Item
Duration of treatment
integer
C0444921 (UMLS CUI [1])
Item Group
Chemotherapy Regimen
C0392920 (UMLS CUI-1)
C0178602 (UMLS CUI-2)
Prednison
Item
Prednison
integer
C0032952 (UMLS CUI [1])
Vincristin
Item
Vincristin
integer
C0042679 (UMLS CUI [1])
Item Group
Intrathecal therapy
C1831734 (UMLS CUI-1)
MTX
Item
MTX i.th., Dosis
integer
C0025677 (UMLS CUI [1])
MTX date of application
Item
MTX i.th. am
date
C0025677 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
Cytarabin
Item
Cytarabin i.th., Dosis
integer
C0010711 (UMLS CUI [1])
Cytarabin
Item
Cytarabin i.th. am
date
C0010711 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
Item Group
Supportive therapy
Antibiotic Prophylaxis
Item
Antibiotic Prophylaxis
boolean
C0282638 (UMLS CUI [1])
Pre-operative antibiotic prophylaxis administered
Item
Pre-operative antibiotic prophylaxis administered
integer
C2114165 (UMLS CUI [1])
Antibiotic therapy
Item
Antibiotic therapy
boolean
C0338237 (UMLS CUI [1])
Antibiotic therapy duration
Item
Antibiotic therapy duration
integer
C0338237 (UMLS CUI [1,1])
C0444917 (UMLS CUI [1,2])
Platelet function
Item
Platelet function
boolean
C1254881 (UMLS CUI [1])
Platelet concentrate
Item
Platelet concentrate
integer
C1294041 (UMLS CUI [1])
Red Blood Cell Transfusion
Item
Red Blood Cell Transfusion
boolean
C0086252 (UMLS CUI [1])
Blood erythrocyte concentration
Item
Blood erythrocyte concentration
integer
C0522048 (UMLS CUI [1])
Erythropoetin
Item
Erythropoetin
boolean
C0014822 (UMLS CUI [1])
Erythropoetin, Dosage
Item
Erythropoetin, Dosage
integer
C0014822 (UMLS CUI [1])
Parenteral Nutrition
Item
Parenteral Nutrition
boolean
C0030547 (UMLS CUI [1])
Parenteral Nutrition, Total
Item
Parenteral Nutrition, Total
integer
C0030548 (UMLS CUI [1])
Analgesics
Item
Analgesics
boolean
C0002771 (UMLS CUI [1])
Analgesics duration
Item
Analgesics duration
integer
C0002771 (UMLS CUI [1,1])
C0444917 (UMLS CUI [1,2])
Other
Item
Other
text
C0205394 (UMLS CUI [1])
Item Group
Administration of medication
C3469597 (UMLS CUI-1)
Outpatients
Item
Outpatients
boolean
C0029921 (UMLS CUI [1])
Duration of therapy outpatient
Item
Duration of therapy outpatient
integer
C0029921 (UMLS CUI [1,1])
C0444917 (UMLS CUI [1,2])
Stationary
Item
Stationary
boolean
C0439835 (UMLS CUI [1])
Stationary duration
Item
Stationary duration
integer
C0444917 (UMLS CUI [1,1])
C0444917 (UMLS CUI [1,2])
Item Group
Comorbidity at the therapy begin
Number Comorbidity
Item
Number Comorbidity
integer
C0009488 (UMLS CUI [1])
Description Comorbidity
Item
Description Comorbidity
text
C0678257 (UMLS CUI [1,1])
C0009488 (UMLS CUI [1,2])
Comorbidity length
Item
Comorbidity length
text
C0009488 (UMLS CUI [1,1])
C0872146 (UMLS CUI [1,2])
Item Group
Medication duration
C2826814 (UMLS CUI-1)
Number of medication
Item
Number of medication
integer
C0013227 (UMLS CUI [1,1])
C0449788 (UMLS CUI [1,2])
Medication Name
Item
Medication Name
text
C2360065 (UMLS CUI [1])
Indication
Item
Indication
text
C3146298 (UMLS CUI [1])
Item Group
Intercurrent disease
C0277557 (UMLS CUI-1)
Intercurrent disease
Item
Intercurrent disease
boolean
C0277557 (UMLS CUI [1])
Item Group
Footer module
Comment
Item
Comment
text
C0947611 (UMLS CUI [1])
Date of processing
Item
Date of processing
date
C1709694 (UMLS CUI [1])
Signature clinical investigator
Item
Signature clinical investigator
boolean
C0008961 (UMLS CUI [1])
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