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ID

27709

Description

Study part: Vital Signs and Physical Examination Visit 03. 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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Versions (1)
  1. 11/26/17 11/26/17 -
Copyright Holder

Charité – University of medicine Berlin

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November 26, 2017

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Creative Commons BY-NC 3.0
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    Vital Signs and Physical Examination Visit 03 SirTac NCT02936388

    German

    Vital Signs and Physical Examination Visit 03

    1 forms  
    Vitalparameter
    Description

    Vitalparameter

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

    Patienten-ID

    Data type

    text

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

    visit date

    Data type

    date

    Alias
    UMLS CUI [1]
    C1320303 (Date of visit)
    SNOMED
    406543005
    Systolisch Blutdruck
    Description

    Systolic pressure

    Data type

    integer

    Measurement units
    • mmHg
    Alias
    UMLS CUI [1]
    C0871470 (Systolic Pressure)
    SNOMED
    271649006
    mmHg
    Diastolisch Blutdruck
    Description

    diastolic pressure

    Data type

    integer

    Measurement units
    • mmHg
    Alias
    UMLS CUI [1]
    C0428883 (Diastolic blood pressure)
    SNOMED
    271650006
    mmHg
    Temperatur
    Description

    Temperature

    Data type

    float

    Measurement units
    • °C
    Alias
    UMLS CUI [1]
    C0039476 (Temperature)
    SNOMED
    703421000
    LOINC
    MTHU009008
    °C
    Körpergewicht
    Description

    Body weight

    Data type

    float

    Measurement units
    • kg
    Alias
    UMLS CUI [1]
    C0005910 (Body Weight)
    SNOMED
    27113001
    kg
    Herzfrequenz
    Description

    heart beat

    Data type

    integer

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

    ECOG Performance Status

    Data type

    integer

    Alias
    UMLS CUI [1]
    C1520224 (ECOG performance status)
    SNOMED
    423740007
    Klinische Untersuchung:
    Description

    Klinische Untersuchung:

    Alias
    UMLS CUI-1
    C0031809 (Physical Examination)
    SNOMED
    5880005
    LOINC
    MTHU028014
    Allgemeinzustand
    Description

    General condition

    Data type

    text

    Alias
    UMLS CUI [1]
    C1142435 (General physical condition)
    LOINC
    LP172762-9
    Kommentar
    Description

    Comments

    Data type

    text

    Alias
    UMLS CUI [1]
    C0947611 (Comment)
    LOINC
    LP72293-1
    Haut / Schleimhäute
    Description

    skin; Mucous Membrane

    Data type

    text

    Alias
    UMLS CUI [1]
    C1123023 (Skin)
    SNOMED
    39937001
    LOINC
    LP76007-1
    UMLS CUI [2]
    C0026724 (Mucous Membrane)
    SNOMED
    313268005
    LOINC
    LA9438-8
    Kommentar
    Description

    Comment

    Data type

    text

    Alias
    UMLS CUI [1]
    C0947611 (Comment)
    LOINC
    LP72293-1
    Kopf / Hals
    Description

    Head neck

    Data type

    text

    Alias
    UMLS CUI [1]
    C0460004 (Head and neck structure)
    SNOMED
    774007
    Kommentar
    Description

    Comment

    Data type

    text

    Alias
    UMLS CUI [1]
    C0947611 (Comment)
    LOINC
    LP72293-1
    Lymphknotenstatus
    Description

    lymph nodes

    Data type

    text

    Alias
    UMLS CUI [1]
    C0024204 (lymph nodes)
    SNOMED
    59441001
    Kommentar
    Description

    Comment

    Data type

    text

    Alias
    UMLS CUI [1]
    C0947611 (Comment)
    LOINC
    LP72293-1
    Thorax / Lunge
    Description

    chest; lungs

    Data type

    text

    Alias
    UMLS CUI [1]
    C0817096 (Chest)
    SNOMED
    261179002
    LOINC
    LP7630-9
    UMLS CUI [2]
    C0024109 (Lung)
    SNOMED
    39607008
    LOINC
    LP7407-2
    Kommentar
    Description

    Comment

    Data type

    text

    Alias
    UMLS CUI [1]
    C0947611 (Comment)
    LOINC
    LP72293-1
    Herz
    Description

    Heart

    Data type

    integer

    Alias
    UMLS CUI [1]
    C0018787 (Heart)
    SNOMED
    80891009
    LOINC
    LP7289-4
    Kommentar
    Description

    Comment

    Data type

    text

    Alias
    UMLS CUI [1]
    C0947611 (Comment)
    LOINC
    LP72293-1
    Abdomen
    Description

    Abdomen

    Data type

    text

    Alias
    UMLS CUI [1]
    C0000726 (Abdomen)
    SNOMED
    818983003
    LOINC
    LP6990-8
    Kommentar
    Description

    Comment

    Data type

    text

    Alias
    UMLS CUI [1]
    C0947611 (Comment)
    LOINC
    LP72293-1
    Wirbelsäule / Extremitäten
    Description

    spinal column; Limb structure

    Data type

    text

    Alias
    UMLS CUI [1]
    C0037949 (Vertebral column)
    SNOMED
    421060004
    LOINC
    LP7596-2
    UMLS CUI [2]
    C0015385 (Limb structure)
    SNOMED
    66019005
    LOINC
    LP7395-9
    Kommentar
    Description

    Comment

    Data type

    text

    Alias
    UMLS CUI [1]
    C0947611 (Comment)
    LOINC
    LP72293-1
    Neurologie
    Description

    Neurology

    Data type

    text

    Alias
    UMLS CUI [1]
    C0027765 (nervous system disorder)
    SNOMED
    118940003
    LOINC
    LA10590-0
    Kommentar
    Description

    Comment

    Data type

    text

    Alias
    UMLS CUI [1]
    C0947611 (Comment)
    LOINC
    LP72293-1
    Sonstiges
    Description

    other

    Data type

    text

    Alias
    UMLS CUI [1]
    C0205394 (Other)
    SNOMED
    74964007
    LOINC
    LP21049-9
    Kommentar
    Description

    Comment

    Data type

    text

    Alias
    UMLS CUI [1]
    C0947611 (Comment)
    LOINC
    LP72293-1
    Datum
    Description

    date

    Data type

    date

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

    investigator name

    Data type

    text

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

    Investigator signature

    Data type

    text

    Alias
    UMLS CUI [1]
    C2346576 (Investigator Signature)
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    Similar models

    Vital Signs and Physical Examination Visit 03

    1 forms
    Name
    Type
    Description | Question | Decode (Coded Value)
    Data type
    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])
    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])
    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])
    Item Group
    Klinische Untersuchung:
    C0031809 (UMLS CUI-1)
    Item
    Allgemeinzustand
    text
    C1142435 (UMLS CUI [1])
    General condition
    Code List
    Allgemeinzustand
    CL Item
    normal (normal)
    CL Item
    pathologisch (pathologisch)
    Comments
    Item
    Kommentar
    text
    C0947611 (UMLS CUI [1])
    Item
    Haut / Schleimhäute
    text
    C1123023 (UMLS CUI [1])
    C0026724 (UMLS CUI [2])
    General condition
    Code List
    Haut / Schleimhäute
    CL Item
    normal (normal)
    CL Item
    pathologisch (pathologisch)
    Comment
    Item
    Kommentar
    text
    C0947611 (UMLS CUI [1])
    Item
    Kopf / Hals
    text
    C0460004 (UMLS CUI [1])
    General condition
    Code List
    Kopf / Hals
    CL Item
    normal (normal)
    CL Item
    pathologisch (pathologisch)
    Comment
    Item
    Kommentar
    text
    C0947611 (UMLS CUI [1])
    Item
    Lymphknotenstatus
    text
    C0024204 (UMLS CUI [1])
    General condition
    Code List
    Lymphknotenstatus
    CL Item
    normal (normal)
    CL Item
    pathologisch (pathologisch)
    Comment
    Item
    Kommentar
    text
    C0947611 (UMLS CUI [1])
    Item
    Thorax / Lunge
    text
    C0817096 (UMLS CUI [1])
    C0024109 (UMLS CUI [2])
    General condition
    Code List
    Thorax / Lunge
    CL Item
    normal (normal)
    CL Item
    pathologisch (pathologisch)
    Comment
    Item
    Kommentar
    text
    C0947611 (UMLS CUI [1])
    Item
    Herz
    integer
    C0018787 (UMLS CUI [1])
    Gender
    Code List
    Herz
    CL Item
    männlich (1)
    CL Item
    weiblich (2)
    Comment
    Item
    Kommentar
    text
    C0947611 (UMLS CUI [1])
    Item
    Abdomen
    text
    C0000726 (UMLS CUI [1])
    General condition
    Code List
    Abdomen
    CL Item
    normal (normal)
    CL Item
    pathologisch (pathologisch)
    Comment
    Item
    Kommentar
    text
    C0947611 (UMLS CUI [1])
    Item
    Wirbelsäule / Extremitäten
    text
    C0037949 (UMLS CUI [1])
    C0015385 (UMLS CUI [2])
    General condition
    Code List
    Wirbelsäule / Extremitäten
    CL Item
    normal (normal)
    CL Item
    pathologisch (pathologisch)
    Comment
    Item
    Kommentar
    text
    C0947611 (UMLS CUI [1])
    Item
    Neurologie
    text
    C0027765 (UMLS CUI [1])
    General condition
    Code List
    Neurologie
    CL Item
    normal (normal)
    CL Item
    pathologisch (pathologisch)
    Comment
    Item
    Kommentar
    text
    C0947611 (UMLS CUI [1])
    Item
    Sonstiges
    text
    C0205394 (UMLS CUI [1])
    General condition
    Code List
    Sonstiges
    CL Item
    normal (normal)
    CL Item
    pathologisch (pathologisch)
    Comment
    Item
    Kommentar
    text
    C0947611 (UMLS CUI [1])
    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])
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