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Physical examination GOAL Trial B-cell Lymphoma NCT02499003

1 Formulär  
Administrative data
Beskrivning

Administrative data

Subject ID
Beskrivning

Subject ID

Datatyp

text

Visit
Beskrivning

Visit

Datatyp

text

Physical examination
Beskrivning

Physical examination

Date
Beskrivning

Date

Datatyp

date

General Appearance
Beskrivning

General Appearance

Datatyp

text

Alias
UMLS CUI [1]
C1148438
HEENT
Beskrivning

HEENT

Datatyp

text

Alias
UMLS CUI [1,1]
C1512338
UMLS CUI [1,2]
C0031809
Lung/Thorax
Beskrivning

Lung Thorax

Datatyp

text

Cardiac
Beskrivning

Cardiac examination

Datatyp

text

Abdomen
Beskrivning

Abdomen

Datatyp

text

Extremities
Beskrivning

Extremities

Datatyp

text

Muscosceletal
Beskrivning

Muscosceletal examination

Datatyp

text

Neurological
Beskrivning

Neurological examination

Datatyp

text

Skin
Beskrivning

Skin

Datatyp

text

Lymph nodes
Beskrivning

Lymph nodes

Datatyp

text

Other
Beskrivning

Other region examination

Datatyp

text

If "Other", please specify examined region
Beskrivning

Other region

Datatyp

text

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Similar models

Physical examination GOAL Trial B-cell Lymphoma NCT02499003

1 Formulär
Name
Typ
Description | Question | Decode (Coded Value)
Datatyp
Alias
Item Group
Administrative data
Subject ID
Item
Subject ID
text
Item
Visit
text
Visit
Code List
Visit
CL Item
Screening (Screening)
CL Item
Cycle 1 Day 1 (Cycle 1 Day 1)
CL Item
Cycle 2 Day 1 (Cycle 2 Day 1)
CL Item
Cycle 3 Day 1 (Cycle 3 Day 1)
CL Item
Interim Staging (Interim Staging)
CL Item
Cycle 4 Day 1 (Cycle 4 Day 1)
CL Item
Cycle 5 Day 1 (Cycle 5 Day 1)
CL Item
Cycle 6 Day 1 (Cycle 6 Day 1)
CL Item
End of treatment (End of treatment)
CL Item
Follow Up 1 (Follow Up 1)
CL Item
Follow Up 2 (Follow Up 2)
CL Item
Follow Up 3 (Follow Up 3)
CL Item
Follow Up 4 (Follow Up 4)
CL Item
Follow Up 6 (Follow Up 6)
CL Item
Follow Up 7 (Follow Up 7)
CL Item
Follow Up 8 (Follow Up 8)
Item Group
Physical examination
Date
Item
Date
date
Item
General Appearance
text
C1148438 (UMLS CUI [1])
General Appearance
Code List
General Appearance
CL Item
Normal (Normal)
CL Item
Abnormal, NCS (Abnormal, NCS)
CL Item
Abnormal, CS (Abnormal, CS)
CL Item
Not done (Not done)
Item
HEENT
text
C1512338 (UMLS CUI [1,1])
C0031809 (UMLS CUI [1,2])
General Appearance
Code List
HEENT
CL Item
Normal (Normal)
CL Item
Abnormal, NCS (Abnormal, NCS)
CL Item
Abnormal, CS (Abnormal, CS)
CL Item
Not done (Not done)
Item
Lung/Thorax
text
General Appearance
Code List
Lung/Thorax
CL Item
Normal (Normal)
CL Item
Abnormal, NCS (Abnormal, NCS)
CL Item
Abnormal, CS (Abnormal, CS)
CL Item
Not done (Not done)
Item
Cardiac
text
General Appearance
Code List
Cardiac
CL Item
Normal (Normal)
CL Item
Abnormal, NCS (Abnormal, NCS)
CL Item
Abnormal, CS (Abnormal, CS)
CL Item
Not done (Not done)
Item
Abdomen
text
General Appearance
Code List
Abdomen
CL Item
Normal (Normal)
CL Item
Abnormal, NCS (Abnormal, NCS)
CL Item
Abnormal, CS (Abnormal, CS)
CL Item
Not done (Not done)
Item
Extremities
text
General Appearance
Code List
Extremities
CL Item
Normal (Normal)
CL Item
Abnormal, NCS (Abnormal, NCS)
CL Item
Abnormal, CS (Abnormal, CS)
CL Item
Not done (Not done)
Item
Muscosceletal
text
General Appearance
Code List
Muscosceletal
CL Item
Normal (Normal)
CL Item
Abnormal, NCS (Abnormal, NCS)
CL Item
Abnormal, CS (Abnormal, CS)
CL Item
Not done (Not done)
Item
Neurological
text
General Appearance
Code List
Neurological
CL Item
Normal (Normal)
CL Item
Abnormal, NCS (Abnormal, NCS)
CL Item
Abnormal, CS (Abnormal, CS)
CL Item
Not done (Not done)
Item
Skin
text
General Appearance
Code List
Skin
CL Item
Normal (Normal)
CL Item
Abnormal, NCS (Abnormal, NCS)
CL Item
Abnormal, CS (Abnormal, CS)
CL Item
Not done (Not done)
Item
Lymph nodes
text
General Appearance
Code List
Lymph nodes
CL Item
Normal (Normal)
CL Item
Abnormal, NCS (Abnormal, NCS)
CL Item
Abnormal, CS (Abnormal, CS)
CL Item
Not done (Not done)
General Appearance
Code List
Other
CL Item
Normal (Normal)
CL Item
Abnormal, NCS (Abnormal, NCS)
CL Item
Abnormal, CS (Abnormal, CS)
CL Item
Not done (Not done)
Other region
Item
If "Other", please specify examined region
text
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