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Physical examination GOAL Trial B-cell Lymphoma NCT02499003

1 forms  
Administrative data
Description

Administrative data

Subject ID
Description

Subject ID

Data type

text

Visit
Description

Visit

Data type

text

Physical examination
Description

Physical examination

Date
Description

Date

Data type

date

General Appearance
Description

General Appearance

Data type

text

Alias
UMLS CUI [1]
C1148438
HEENT
Description

HEENT

Data type

text

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

Lung Thorax

Data type

text

Cardiac
Description

Cardiac examination

Data type

text

Abdomen
Description

Abdomen

Data type

text

Extremities
Description

Extremities

Data type

text

Muscosceletal
Description

Muscosceletal examination

Data type

text

Neurological
Description

Neurological examination

Data type

text

Skin
Description

Skin

Data type

text

Lymph nodes
Description

Lymph nodes

Data type

text

Other
Description

Other region examination

Data type

text

If "Other", please specify examined region
Description

Other region

Data type

text

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Similar models

Physical examination GOAL Trial B-cell Lymphoma NCT02499003

1 forms
Name
Type
Description | Question | Decode (Coded Value)
Data type
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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