Englisch

Staging GOAL Trial B-cell Lymphoma NCT02499003

1 Formulare  
Admininstrative data
Beschreibung

Admininstrative data

Subject ID
Beschreibung

Subject ID

Datentyp

text

Visit
Beschreibung

Visit

Datentyp

text

Staging
Beschreibung

Staging

Staging date
Beschreibung

Staging date

Datentyp

date

Method
Beschreibung

Method

Datentyp

text

If applicable: Reason for not using contrast agent
Beschreibung

Reason for not using contrast agent

Datentyp

text

PET Scan performed?
Beschreibung

PET Scan performed

Datentyp

boolean

If "yes": PET Scan is
Beschreibung

PET scan result

Datentyp

text

If PET Scan is positive: please specify
Beschreibung

PET scan result specification

Datentyp

text

Target Lesions
Beschreibung

Target Lesions

No.
Beschreibung

Target lesion number

Datentyp

integer

Localisation
Beschreibung

N = Node, O = Organ

Datentyp

integer

Specification localisation
Beschreibung

specification localisation

Datentyp

text

Side
Beschreibung

Side target lesion

Datentyp

text

Measurable?
Beschreibung

Measurable target lesion

Datentyp

text

Size
Beschreibung

Size target lesion

Datentyp

integer

Maßeinheiten
  • mm
mm
Size
Beschreibung

Size target lesion

Datentyp

integer

Maßeinheiten
  • mm
mm
Target lesions: Sum of sizes
Beschreibung

Target lesions: Sum of sizes

Sum
Beschreibung

sum target lesion sizes

Datentyp

integer

Maßeinheiten
  • mm2
mm2
Other lesions: Pre-existing non-target lesions
Beschreibung

Other lesions: Pre-existing non-target lesions

No.
Beschreibung

lesion number

Datentyp

integer

Localisation
Beschreibung

N = Node, O = Organ

Datentyp

integer

Specification localisation
Beschreibung

Specification lesion localisation

Datentyp

text

Still present?
Beschreibung

lesion still present

Datentyp

boolean

Progression?
Beschreibung

lesion progression

Datentyp

boolean

Other lesions: New lesions
Beschreibung

Other lesions: New lesions

Have any new lesions been identified?
Beschreibung

new lesions

Datentyp

boolean

Other lesions: Localisation of new lesions
Beschreibung

Other lesions: Localisation of new lesions

Localisation
Beschreibung

N=Node, O=Organ

Datentyp

integer

If necessary, specify localisation:
Beschreibung

specification localisation new lesion

Datentyp

text

Tumor Assessment
Beschreibung

Tumor Assessment

CR
Beschreibung

tumor assessment CR

Datentyp

boolean

CRu
Beschreibung

tumor assessment CRu

Datentyp

boolean

PR
Beschreibung

tumor assessment PR

Datentyp

boolean

SD
Beschreibung

tumor assessment SD

Datentyp

boolean

PD
Beschreibung

tumor assessment PD

Datentyp

boolean

Unknown
Beschreibung

tumor assessment Unknown

Datentyp

boolean

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Ähnliche Modelle

Staging GOAL Trial B-cell Lymphoma NCT02499003

1 Formulare
Name
Typ
Description | Question | Decode (Coded Value)
Datentyp
Alias
Item Group
Admininstrative data
Subject ID
Item
Subject ID
text
Item
Visit
text
Visit
Code List
Visit
CL Item
Interim Staging (Interim Staging)
CL Item
End of Treatment (End of Treatment)
CL Item
Follow Up 2 (Follow Up 2)
CL Item
Follow Up 4 (Follow Up 4)
CL Item
Follow Up 6 (Follow Up 6)
CL Item
Follow Up 8 (Follow Up 8)
Item Group
Staging
Staging date
Item
Staging date
date
Item
Method
text
Method
Code List
Method
CL Item
Contrast CT (Contrast CT)
CL Item
Non-contrast CT (Non-contrast CT)
CL Item
MRI (MRI)
CL Item
Not done (Not done)
Reason for not using contrast agent
Item
If applicable: Reason for not using contrast agent
text
PET Scan performed
Item
PET Scan performed?
boolean
Item
If "yes": PET Scan is
text
PET scan result
Code List
If "yes": PET Scan is
CL Item
Positive (Positive)
CL Item
Negative (Negative)
PET scan result specification
Item
If PET Scan is positive: please specify
text
Item Group
Target Lesions
Item
No.
integer
Target lesion number
Code List
No.
CL Item
01 (1)
CL Item
02 (2)
CL Item
03 (3)
CL Item
04 (4)
CL Item
05 (5)
CL Item
06 (6)
Item
Localisation
integer
Localisation target lesion
Code List
Localisation
CL Item
N: Waldeyer Ring (1)
CL Item
N: cervical (2)
CL Item
N: supraclavicular (3)
CL Item
N: infraclavicular (4)
CL Item
N: axillar (5)
CL Item
N: mediastinal (6)
CL Item
N: hilar (7)
CL Item
N: porta hepatic (8)
CL Item
N: retroperitoneal (9)
CL Item
N: retrocrural (10)
CL Item
N: paraaortic (11)
CL Item
N: mesenteric (12)
CL Item
N: iliac (13)
CL Item
N: inguinal/femoral (14)
CL Item
O: tonsils (15)
CL Item
O: thymus (16)
CL Item
O: lung (17)
CL Item
O: liver (18)
CL Item
O: spleen (19)
CL Item
O: digestive tract (20)
CL Item
O: bone marrow (21)
CL Item
Other (22)
specification localisation
Item
Specification localisation
text
Item
Side
text
Side target lesion
Code List
Side
CL Item
Left (Left)
CL Item
Right (Right)
CL Item
N.a. (N.a.)
Item
Measurable?
text
Measurable target lesion
Code List
Measurable?
CL Item
Measurable (Measurable)
CL Item
Not Measurable (Not Measurable)
CL Item
Not Done (Not Done)
Size target lesion
Item
Size
integer
Size target lesion
Item
Size
integer
Item Group
Target lesions: Sum of sizes
sum target lesion sizes
Item
Sum
integer
Item Group
Other lesions: Pre-existing non-target lesions
Item
No.
integer
lesion number
Code List
No.
CL Item
01 (1)
CL Item
02 (2)
CL Item
03 (3)
CL Item
04 (4)
CL Item
05 (5)
Item
Localisation
integer
Localisation target lesion
Code List
Localisation
CL Item
N: Waldeyer Ring (1)
CL Item
N: cervical (2)
CL Item
N: supraclavicular (3)
CL Item
N: infraclavicular (4)
CL Item
N: axillar (5)
CL Item
N: mediastinal (6)
CL Item
N: hilar (7)
CL Item
N: porta hepatic (8)
CL Item
N: retroperitoneal (9)
CL Item
N: retrocrural (10)
CL Item
N: paraaortic (11)
CL Item
N: mesenteric (12)
CL Item
N: iliac (13)
CL Item
N: inguinal/femoral (14)
CL Item
O: tonsils (15)
CL Item
O: thymus (16)
CL Item
O: lung (17)
CL Item
O: liver (18)
CL Item
O: spleen (19)
CL Item
O: digestive tract (20)
CL Item
O: bone marrow (21)
CL Item
Other (22)
Specification lesion localisation
Item
Specification localisation
text
lesion still present
Item
Still present?
boolean
lesion progression
Item
Progression?
boolean
Item Group
Other lesions: New lesions
new lesions
Item
Have any new lesions been identified?
boolean
Item Group
Other lesions: Localisation of new lesions
Item
Localisation
integer
Localisation target lesion
Code List
Localisation
CL Item
N: Waldeyer Ring (1)
CL Item
N: cervical (2)
CL Item
N: supraclavicular (3)
CL Item
N: infraclavicular (4)
CL Item
N: axillar (5)
CL Item
N: mediastinal (6)
CL Item
N: hilar (7)
CL Item
N: porta hepatic (8)
CL Item
N: retroperitoneal (9)
CL Item
N: retrocrural (10)
CL Item
N: paraaortic (11)
CL Item
N: mesenteric (12)
CL Item
N: iliac (13)
CL Item
N: inguinal/femoral (14)
CL Item
O: tonsils (15)
CL Item
O: thymus (16)
CL Item
O: lung (17)
CL Item
O: liver (18)
CL Item
O: spleen (19)
CL Item
O: digestive tract (20)
CL Item
O: bone marrow (21)
CL Item
Other (22)
specification localisation new lesion
Item
If necessary, specify localisation:
text
Item Group
Tumor Assessment
tumor assessment CR
Item
CR
boolean
tumor assessment CRu
Item
CRu
boolean
tumor assessment PR
Item
PR
boolean
tumor assessment SD
Item
SD
boolean
tumor assessment PD
Item
PD
boolean
tumor assessment Unknown
Item
Unknown
boolean
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