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ID

27724

Description

Study part: Medical History Visit 08. 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

Uploaded on

November 26, 2017

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License

Creative Commons BY-NC 3.0
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    Medical History Visit 08 SirTac NCT02936388

    German

    Medical History Visit 08

    1 forms  
    Visite 08 (Woche 12 nach Behandlung)
    Description

    Visite 08 (Woche 12 nach Behandlung)

    Alias
    UMLS CUI-1
    C0545082
    Patienten-ID:
    Description

    Patienten-ID

    Data type

    text

    Alias
    UMLS CUI [1]
    C2348585
    Random. Nr.:
    Description

    randomization number

    Data type

    text

    Alias
    UMLS CUI [1,1]
    C1300638
    UMLS CUI [1,2]
    C0034656
    Visite durchgeführt am
    Description

    date of visit

    Data type

    date

    Alias
    UMLS CUI [1]
    C1320303
    Krankheitszeichen und –symptome:
    Description

    symptoms

    Data type

    text

    Alias
    UMLS CUI [1]
    C1457887
    Klinischer Anhalt für Progress?
    Description

    wenn ja, Bildgebung zur Bestätigung durchführen

    Data type

    boolean

    Alias
    UMLS CUI [1]
    C0242656
    Unerwünschtes Ereignis
    Description

    Adverse event

    Data type

    boolean

    Alias
    UMLS CUI [1]
    C0877248
    Befragung zur Lebensqualität nach EORTC QLQ-C30 Version 3 und EORTC QLQ-LMC21
    Description

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

    Alias
    UMLS CUI-1
    C0034380
    Hat der/die Patient/in den Fragebogen EORTC QLQ-30 ausgefüllt?
    Description

    EORTC QLQ-30

    Data type

    boolean

    Alias
    UMLS CUI [1,1]
    C0451149
    UMLS CUI [1,2]
    C4055104
    Hat der/die Patient/in den Fragebogen EORTC QLQ-LMC21 ausgefüllt?
    Description

    EORTC QLQ-LMC21

    Data type

    boolean

    Alias
    UMLS CUI [1,1]
    C0451149
    UMLS CUI [1,2]
    C4055104
    Ausgefüllt/bestätigt am:
    Description

    date

    Data type

    date

    Alias
    UMLS CUI [1]
    C0011008
    Name Prüfarzt
    Description

    Investigator name

    Data type

    text

    Alias
    UMLS CUI [1]
    C2826892
    Unterschrift Prüfarzt
    Description

    Investigator signature

    Data type

    text

    Alias
    UMLS CUI [1]
    C2346576
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    Similar models

    Medical History Visit 08

    1 forms
    Name
    Type
    Description | Question | Decode (Coded Value)
    Data type
    Alias
    Item Group
    Visite 08 (Woche 12 nach Behandlung)
    C0545082 (UMLS CUI-1)
    Patienten-ID
    Item
    Patienten-ID:
    text
    C2348585 (UMLS CUI [1])
    randomization number
    Item
    Random. Nr.:
    text
    C1300638 (UMLS CUI [1,1])
    C0034656 (UMLS CUI [1,2])
    date of visit
    Item
    Visite durchgeführt am
    date
    C1320303 (UMLS CUI [1])
    symptoms
    Item
    Krankheitszeichen und –symptome:
    text
    C1457887 (UMLS CUI [1])
    disease progression
    Item
    Klinischer Anhalt für Progress?
    boolean
    C0242656 (UMLS CUI [1])
    Adverse event
    Item
    Unerwünschtes Ereignis
    boolean
    C0877248 (UMLS CUI [1])
    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
    Ausgefüllt/bestätigt am:
    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])
    Back to the top of the page 

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