Informationen:
Fehler:
ID
27311
Beschreibung
FDG-PET/CT for Simulation and Radiation Treatment Planning of Early Breast Cancer; ODM derived from: https://clinicaltrials.gov/show/NCT01432002
Link
https://clinicaltrials.gov/show/NCT01432002
Stichworte
Versionen (1)
- 07.11.17 07.11.17 -
Rechteinhaber
See clinicaltrials.gov
Hochgeladen am
7. November 2017
DOI
Für eine Beantragung loggen Sie sich ein.
Lizenz
Creative Commons BY 4.0
Modell Kommentare :
Hier können Sie das Modell kommentieren. Über die Sprechblasen an den Itemgruppen und Items können Sie diese spezifisch kommentieren.
Itemgroup Kommentare für :
Item Kommentare für :
Um Formulare herunterzuladen müssen Sie angemeldet sein. Bitte loggen Sie sich ein oder registrieren Sie sich kostenlos.
Eligibility Breast Neoplasm NCT01432002
Eligibility Breast Neoplasm NCT01432002
- StudyEvent: Eligibility
Ähnliche Modelle
Eligibility Breast Neoplasm NCT01432002
- StudyEvent: Eligibility
Name
Typ
Description | Question | Decode (Coded Value)
Datentyp
Alias
Breast Carcinoma
Item
histologically confirmed breast carcinoma
boolean
C0678222 (UMLS CUI [1])
TNM Breast tumor staging
Item
clinical stage t1-2 n0 m0
boolean
C0474926 (UMLS CUI [1])
Age
Item
age > 18 years
boolean
C0001779 (UMLS CUI [1])
Informed Consent
Item
signed informed consent
boolean
C0021430 (UMLS CUI [1])
WHO performance status scale
Item
who performance index 3
boolean
C1298650 (UMLS CUI [1])
Premenopausal state | Contraceptive methods Absent
Item
premenopausal women without contraception
boolean
C0232969 (UMLS CUI [1])
C0700589 (UMLS CUI [2,1])
C0332197 (UMLS CUI [2,2])
C0700589 (UMLS CUI [2,1])
C0332197 (UMLS CUI [2,2])
Pregnancy
Item
gestation
boolean
C0032961 (UMLS CUI [1])
Breast Feeding
Item
lactating
boolean
C0006147 (UMLS CUI [1])
Prior surgery Breast Same | Prior radiation therapy Breast Same
Item
prior surgery or radiotherapy on the same breast
boolean
C0455610 (UMLS CUI [1,1])
C0006141 (UMLS CUI [1,2])
C0445247 (UMLS CUI [1,3])
C0279134 (UMLS CUI [2,1])
C0006141 (UMLS CUI [2,2])
C0445247 (UMLS CUI [2,3])
C0006141 (UMLS CUI [1,2])
C0445247 (UMLS CUI [1,3])
C0279134 (UMLS CUI [2,1])
C0006141 (UMLS CUI [2,2])
C0445247 (UMLS CUI [2,3])
Study Protocol Comprehension Unable
Item
unable to understand study participation
boolean
C2348563 (UMLS CUI [1,1])
C0162340 (UMLS CUI [1,2])
C1299582 (UMLS CUI [1,3])
C0162340 (UMLS CUI [1,2])
C1299582 (UMLS CUI [1,3])
Bilateral breast cancer
Item
bilateral breast cancer
boolean
C0281267 (UMLS CUI [1])
CT of chest and abdomen | MRI of breast
Item
prior ct thorax-abdomen and breast mri within 4 months of interview
boolean
C1630402 (UMLS CUI [1])
C0344104 (UMLS CUI [2])
C0344104 (UMLS CUI [2])
Implanted Medical Device | Ferromagnet Materials
Item
presence of electromechanical implant and/or body ferromagnetic material
boolean
C2828363 (UMLS CUI [1])
C3178787 (UMLS CUI [2,1])
C0520510 (UMLS CUI [2,2])
C3178787 (UMLS CUI [2,1])
C0520510 (UMLS CUI [2,2])
Renal Insufficiency Requirement Dialysis | Renal Insufficiency Hospitalization Required
Item
previous history of renal insufficiency requiring dialysis and/or hospitalisation
boolean
C1565489 (UMLS CUI [1,1])
C1514873 (UMLS CUI [1,2])
C0011946 (UMLS CUI [1,3])
C1565489 (UMLS CUI [2,1])
C1708385 (UMLS CUI [2,2])
C1514873 (UMLS CUI [1,2])
C0011946 (UMLS CUI [1,3])
C1565489 (UMLS CUI [2,1])
C1708385 (UMLS CUI [2,2])
Urea increased | Creatinine increased
Item
ureum and/or creatinine within 2 weeks of interview above lab's reference limits
boolean
C0856880 (UMLS CUI [1])
C0151578 (UMLS CUI [2])
C0151578 (UMLS CUI [2])
Contrast media allergy
Item
history of contrast allergy
boolean
C0570562 (UMLS CUI [1])
Hyperthyroidism
Item
hyperthyroidy
boolean
C0020550 (UMLS CUI [1])
Claustrophobia
Item
claustrophobia.
boolean
C0008909 (UMLS CUI [1])