Engelsk

Diseases GOAL Trial B-cell Lymphoma NCT02499003

1 Formulär  
Patient data
Beskrivning

Patient data

Subject-ID
Beskrivning

Subject ID

Datatyp

text

Alias
UMLS CUI [1]
C2348585
Are there any relevant medical conditions?
Beskrivning

relevant medical conditions

Datatyp

boolean

Prior + Concomitant Diseases
Beskrivning

Prior + Concomitant Diseases

No.
Beskrivning

Disease number

Datatyp

integer

Disease, specify term:
Beskrivning

Disease specification

Datatyp

text

Start date
Beskrivning

Start date

Datatyp

date

Stop date
Beskrivning

Stop date

Datatyp

date

Ongoing at End of Treatment?
Beskrivning

Ongoing disease at End of Treatment

Datatyp

boolean

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Similar models

Diseases GOAL Trial B-cell Lymphoma NCT02499003

1 Formulär
Name
Typ
Description | Question | Decode (Coded Value)
Datatyp
Alias
Item Group
Patient data
Subject ID
Item
Subject-ID
text
C2348585 (UMLS CUI [1])
relevant medical conditions
Item
Are there any relevant medical conditions?
boolean
Item Group
Prior + Concomitant Diseases
Disease number
Item
No.
integer
Disease specification
Item
Disease, specify term:
text
Start date
Item
Start date
date
Stop date
Item
Stop date
date
Ongoing disease at End of Treatment
Item
Ongoing at End of Treatment?
boolean
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