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ID

27695

Beschrijving

Study part: Vital Signs and ECOG Screening Day -7 to 0. A Randomized Phase II Trial of Transarterial Radioembolisation With Yttrium-90 (SIRT) in Comparison to Transarterial Chemoembolisation With Cisplatin (TACE) in Patients With Liver Metastases From Uveal Melanoma. Provided by Prof. Dr. Ulrich Keilholz, Charité – University of medicine Berlin. EudraCT-Nummer: 2014-002439-32. NCT02936388.

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  1. 26-11-17 26-11-17 -
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Charité – University of medicine Berlin

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26 november 2017

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Creative Commons BY-NC 3.0
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    Vital Signs and ECOG Screening Day -7 to 0 SirTac NCT02936388

    Duits

    Vital Signs and ECOG Screening Day -7 to 0

    1 Formulieren  
    Vitalparameter
    Beschrijving

    Vitalparameter

    Alias
    UMLS CUI-1
    C0518766 (Vital signs)
    LOINC
    LP30605-7
    Patienten-ID
    Beschrijving

    Patienten-ID

    Datatype

    text

    Alias
    UMLS CUI [1]
    C2348585 (Clinical Trial Subject Unique Identifier)
    Visite durchgeführt am
    Beschrijving

    visit date

    Datatype

    date

    Alias
    UMLS CUI [1]
    C1320303 (Date of visit)
    SNOMED
    406543005
    Alter
    Beschrijving

    age

    Datatype

    integer

    Maateenheden
    • Jahre
    Alias
    UMLS CUI [1]
    C0001779 (Age)
    SNOMED
    424144002
    LOINC
    LP28815-6
    Jahre
    Körpergröße
    Beschrijving

    Body height

    Datatype

    integer

    Maateenheden
    • cm
    Alias
    UMLS CUI [1]
    C0005890 (Body Height)
    SNOMED
    50373000
    cm
    Systolisch Blutdruck
    Beschrijving

    Systolic pressure

    Datatype

    integer

    Maateenheden
    • mmHg
    Alias
    UMLS CUI [1]
    C0871470 (Systolic Pressure)
    SNOMED
    271649006
    mmHg
    Diastolisch Blutdruck
    Beschrijving

    diastolic pressure

    Datatype

    integer

    Maateenheden
    • mmHg
    Alias
    UMLS CUI [1]
    C0428883 (Diastolic blood pressure)
    SNOMED
    271650006
    mmHg
    Temperatur
    Beschrijving

    Temperature

    Datatype

    float

    Maateenheden
    • °C
    Alias
    UMLS CUI [1]
    C0039476 (Temperature)
    SNOMED
    703421000
    LOINC
    MTHU009008
    °C
    Geschlecht
    Beschrijving

    Gender

    Datatype

    integer

    Alias
    UMLS CUI [1]
    C0079399 (Gender)
    SNOMED
    263495000
    LOINC
    LP61312-2
    Körpergewicht
    Beschrijving

    Body weight

    Datatype

    float

    Maateenheden
    • kg
    Alias
    UMLS CUI [1]
    C0005910 (Body Weight)
    SNOMED
    27113001
    kg
    Herzfrequenz
    Beschrijving

    heart beat

    Datatype

    integer

    Maateenheden
    • / min
    Alias
    UMLS CUI [1]
    C0425583 (Heart beat)
    SNOMED
    248646004
    LOINC
    LP19467-7
    / min
    ECOG Performance Status
    Beschrijving

    ECOG Performance Status

    Datatype

    integer

    Alias
    UMLS CUI [1]
    C1520224 (ECOG performance status)
    SNOMED
    423740007
    Schwangerschaftstest durchgeführt am
    Beschrijving

    date pregnancy test

    Datatype

    date

    Alias
    UMLS CUI [1,1]
    C0032976 (Pregnancy Tests)
    SNOMED
    74036000
    UMLS CUI [1,2]
    C0011008 (Date in time)
    SNOMED
    410671006
    Schwangerschaftstest
    Beschrijving

    Pregnancy test

    Datatype

    text

    Alias
    UMLS CUI [1]
    C0032976 (Pregnancy Tests)
    SNOMED
    74036000
    Befragung zur Lebensqualität nach EORTC QLQ-C30 Version 3 und EORTC QLQ-LMC21
    Beschrijving

    Befragung zur Lebensqualität nach EORTC QLQ-C30 Version 3 und EORTC QLQ-LMC21

    Alias
    UMLS CUI-1
    C0034380 (Quality of life)
    Hat der/die Patient/in den Fragebogen EORTC QLQ-30 ausgefüllt?
    Beschrijving

    EORTC QLQ-30

    Datatype

    boolean

    Alias
    UMLS CUI [1,1]
    C0451149 (EORTC - Quality of life questionnaire)
    SNOMED
    273446001
    UMLS CUI [1,2]
    C4055104 (EORTC QLQ-C30 Health and Quality of Life Rating Scale)
    Hat der/die Patient/in den Fragebogen EORTC QLQ-LMC21 ausgefüllt?
    Beschrijving

    EORTC QLQ-LMC21

    Datatype

    boolean

    Alias
    UMLS CUI [1,1]
    C0451149 (EORTC - Quality of life questionnaire)
    SNOMED
    273446001
    UMLS CUI [1,2]
    C4055104 (EORTC QLQ-C30 Health and Quality of Life Rating Scale)
    Datum
    Beschrijving

    Date

    Datatype

    date

    Alias
    UMLS CUI [1]
    C0011008 (Date in time)
    SNOMED
    410671006
    Name Prüfarzt
    Beschrijving

    investigator name

    Datatype

    text

    Alias
    UMLS CUI [1]
    C2826892 (Investigator Name)
    Unterschrift Prüfarzt
    Beschrijving

    investigator signature

    Datatype

    text

    Alias
    UMLS CUI [1]
    C2346576 (Investigator Signature)
    Terug naar het begin van de pagina

    Similar models

    Vital Signs and ECOG Screening Day -7 to 0

    1 Formulieren
    Name
    Type
    Description | Question | Decode (Coded Value)
    Datatype
    Alias
    Item Group
    Vitalparameter
    C0518766 (UMLS CUI-1)
    Patienten-ID
    Item
    Patienten-ID
    text
    C2348585 (UMLS CUI [1])
    visit date
    Item
    Visite durchgeführt am
    date
    C1320303 (UMLS CUI [1])
    age
    Item
    Alter
    integer
    C0001779 (UMLS CUI [1])
    Body height
    Item
    Körpergröße
    integer
    C0005890 (UMLS CUI [1])
    Systolic pressure
    Item
    Systolisch Blutdruck
    integer
    C0871470 (UMLS CUI [1])
    diastolic pressure
    Item
    Diastolisch Blutdruck
    integer
    C0428883 (UMLS CUI [1])
    Temperature
    Item
    Temperatur
    float
    C0039476 (UMLS CUI [1])
    Item
    Geschlecht
    integer
    C0079399 (UMLS CUI [1])
    Gender
    Code List
    Geschlecht
    CL Item
    männlich (1)
    CL Item
    weiblich (2)
    Body weight
    Item
    Körpergewicht
    float
    C0005910 (UMLS CUI [1])
    heart beat
    Item
    Herzfrequenz
    integer
    C0425583 (UMLS CUI [1])
    ECOG Performance Status
    Item
    ECOG Performance Status
    integer
    C1520224 (UMLS CUI [1])
    date pregnancy test
    Item
    Schwangerschaftstest durchgeführt am
    date
    C0032976 (UMLS CUI [1,1])
    C0011008 (UMLS CUI [1,2])
    Item
    Schwangerschaftstest
    text
    C0032976 (UMLS CUI [1])
    Pregnancy test
    Code List
    Schwangerschaftstest
    CL Item
    positiv (positiv)
    CL Item
    negativ (negativ)
    Item Group
    Befragung zur Lebensqualität nach EORTC QLQ-C30 Version 3 und EORTC QLQ-LMC21
    C0034380 (UMLS CUI-1)
    EORTC QLQ-30
    Item
    Hat der/die Patient/in den Fragebogen EORTC QLQ-30 ausgefüllt?
    boolean
    C0451149 (UMLS CUI [1,1])
    C4055104 (UMLS CUI [1,2])
    EORTC QLQ-LMC21
    Item
    Hat der/die Patient/in den Fragebogen EORTC QLQ-LMC21 ausgefüllt?
    boolean
    C0451149 (UMLS CUI [1,1])
    C4055104 (UMLS CUI [1,2])
    Date
    Item
    Datum
    date
    C0011008 (UMLS CUI [1])
    investigator name
    Item
    Name Prüfarzt
    text
    C2826892 (UMLS CUI [1])
    investigator signature
    Item
    Unterschrift Prüfarzt
    text
    C2346576 (UMLS CUI [1])
    Terug naar het begin van de pagina 

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