ID

32434

Description

HD16 NCT Nr.: NCT00736320 HD16 for Early Stages - Treatment Optimization Trial in the First-line Treatment of Early Stage Hodgkin Lymphoma; Treatment Stratification by Means of FDG-PET. This study is designed to test the non-inferiority of the experimental arm compared to the standard arm in terms of Progression free survival (PFS). HD17 NCT Nr.: NCT01356680 HD17 for Intermediate Stages - Treatment Optimization Trial in the First-Line Treatment of Intermediate Stage Hodgkin Lymphoma.This study is designed to test the non-inferiority of the experimental arm compared to the standard arm in terms of progression free survival (PFS). HD18 NCT Nr.: NCT00515554 HD18 for Advanced Stages in Hodgkins Lymphoma. This study is designed to test: in patients with negative positron-emission tomography (PET) after 2 cycles of BEACOPPesc chemotherapy: whether the number of cycles can be reduced without compromising progression free survival (PFS) (2 further cycles vs. 6 further cycles) for patients with positive PET after 2 cycles: whether intensifying BEACOPPesc chemotherapy by adding Rituximab improves PFS. Permission granted by: Andreas Engert, M.D. Chairman, German Hodgkin Study Group Professor for Internal Medicine Hematology & Oncology University Hospital of Cologne Department of Internal Medicine I Kerpener Str. 62 D-50924 Köln Phone: +49-221-478-5933/5966 Fax: +49-221-478-3778 a.engert@uni-koeln.de

Keywords

Versions (5)
  1. 4/25/17 4/25/17 -
  2. 4/25/17 4/25/17 -
  3. 5/3/17 5/3/17 -
  4. 5/19/17 5/19/17 -
  5. 11/1/18 11/1/18 - Sarah Riepenhausen
Copyright Holder

German Hodgkin Study Group

Uploaded on

November 1, 2018

DOI

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License

Creative Commons BY-NC 3.0
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German Hodgkin Study Group Study HD16/HD17/HD18 Chemotherapy regimen G6C DRKS00003455

German

Deutsche Hodgkin Studiengruppe: G6C Chemotherapiebogen

1 forms  
Formularkopf
Description

Formularkopf

Alias
UMLS CUI-1
C1320722
Stempel des einsendenden Instituts
Description

Stamp of participating institution

Data type

text

Alias
UMLS CUI [1]
C2347449
Telefonnummer des einsendenden Instituts (bitte mit Durchwahl)
Description

Phone number of participating institution

Data type

integer

Alias
UMLS CUI [1,1]
C2347449
UMLS CUI [1,2]
C1515258
Adresse der verantwortlichen Studienzentrale
Description

Address of responsible study center

Data type

text

Alias
UMLS CUI [1,1]
C2825181
UMLS CUI [1,2]
C1442065
Patientenname
Description

Patient Name

Data type

text

Alias
UMLS CUI [1]
C1299487
Geburtsname
Description

Patient birth name

Data type

text

Alias
UMLS CUI [1]
C1549652
Geburtsdatum
Description

Birth Date

Data type

date

Alias
UMLS CUI [1]
C0421451
Adresse des Patienten
Description

Patient address

Data type

text

Alias
UMLS CUI [1]
C0421449
Studien ID
Description

Study ID

Data type

integer

Alias
UMLS CUI [1]
C2826693
Bogen ID
Description

CRF Indentificator

Data type

integer

Alias
UMLS CUI [1,1]
C1516308
UMLS CUI [1,2]
C0600091
Case ID
Description

Case ID

Data type

integer

Alias
UMLS CUI [1,1]
C1698493
UMLS CUI [1,2]
C0600091
Chemotherapiebogen
Description

Chemotherapiebogen

Alias
UMLS CUI-1
C0392920
Vorphase mit Dexamethason
Description

Nur vor Kurs 1: 4 Tage à 40mg

Data type

boolean

Alias
UMLS CUI [1,1]
C0011777
UMLS CUI [1,2]
C1880049
Kurs-Nr.
Description

Cycle Number

Data type

integer

Alias
UMLS CUI [1]
C2045829
Erster Therapietag
Description

Treatment start date

Data type

date

Alias
UMLS CUI [1]
C3173309
Letzter Therapietag
Description

Treatment End date

Data type

date

Alias
UMLS CUI [1]
C1531784
Rituximab Gesamtdosis in mg/Zyklus
Description

375mg/m2 i.v im 4.Zyklus Tag 0+3; ab 5.Zyklus Tag 1

Data type

integer

Measurement units
  • mg
Alias
UMLS CUI [1,1]
C0393022
UMLS CUI [1,2]
C2986497
UMLS CUI [1,3]
C1302181
mg
Cyclophosphamid Gesamtdosis in mg/Zyklus (Zyklus angeben)
Description

1250mg/m2 i.v Tag 1

Data type

integer

Measurement units
  • mg
Alias
UMLS CUI [1,1]
C0010583
UMLS CUI [1,2]
C2986497
UMLS CUI [1,3]
C1302181
mg
Adriamycin Gesamtdosis in mg/Zyklus (Zyklus angeben)
Description

35mg/m2 i.v Tag 1

Data type

integer

Measurement units
  • mg
Alias
UMLS CUI [1,1]
C0085752
UMLS CUI [1,2]
C2986497
UMLS CUI [1,3]
C1302181
mg
Etoposid/Etopophos. Gesamtdosis in mg/Zyklus
Description

200mg/m2 i.v Tag 1-3

Data type

integer

Measurement units
  • mg
Alias
UMLS CUI [1,1]
C0904036
UMLS CUI [1,2]
C2986497
UMLS CUI [1,3]
C1302181
mg
Procarbazin Gesamtdosis in mg/Zyklus
Description

100mg/m2 p.o Tag 1-7

Data type

integer

Measurement units
  • mg
Alias
UMLS CUI [1,1]
C0033223
UMLS CUI [1,2]
C2986497
UMLS CUI [1,3]
C1302181
mg
Prednison Gesamtdosis in mg/Zyklus
Description

40mg/m2 p.o Tag 1-14

Data type

integer

Measurement units
  • mg
Alias
UMLS CUI [1,1]
C0032952
UMLS CUI [1,2]
C2986497
UMLS CUI [1,3]
C1302181
mg
Vincristin Gesamtdosis in mg/Zyklus
Description

1,4mg/m2 i.v (max. 2mg) Tag 8

Data type

integer

Measurement units
  • mg
Alias
UMLS CUI [1,1]
C0042679
UMLS CUI [1,2]
C2986497
UMLS CUI [1,3]
C1302181
mg
Bleomycin Gesamtdosis in mg/Zyklus
Description

10mg/m2 i.v Tag 8

Data type

integer

Measurement units
  • mg
Alias
UMLS CUI [1,1]
C1589326
UMLS CUI [1,2]
C2986497
UMLS CUI [1,3]
C1302181
mg
G-CSF verabreicht
Description

GCSF

Data type

boolean

Alias
UMLS CUI [1]
C0376562
G-CSF Tage
Description

GCSF number of days

Data type

integer

Alias
UMLS CUI [1,1]
C0376562
UMLS CUI [1,2]
C0556971
Neupogen
Description

Neupogen

Data type

boolean

Alias
UMLS CUI [1]
C0733468
Neulasta
Description

Neulasta

Data type

boolean

Alias
UMLS CUI [1]
C1171279
Granocyte
Description

Granocyte

Data type

boolean

Alias
UMLS CUI [1]
C0218640
Andere GCSF
Description

Other GCSF

Data type

boolean

Alias
UMLS CUI [1,1]
C0079459
UMLS CUI [1,2]
C0205394
Erythropoetin
Description

Erythropoetin

Data type

boolean

Alias
UMLS CUI [1]
C0014822
Falls Erythropoetin: Anzahl
Description

Erythropoetin, Count of Doses

Data type

integer

Alias
UMLS CUI [1,1]
C0014822
UMLS CUI [1,2]
C0178602
UMLS CUI [1,3]
C0750480
Thrombozytenkonzentrat
Description

Platelet Concentrate

Data type

boolean

Alias
UMLS CUI [1]
C1293886
Falls Thrombozytenkonzentrat: Anzahl
Description

Count of Platelet Concentrates

Data type

integer

Alias
UMLS CUI [1,1]
C1293886
UMLS CUI [1,2]
C0449788
Erythrozytenkonzentrat
Description

Red blood cell concentrate

Data type

boolean

Alias
UMLS CUI [1]
C0086252
Falls Erythrozytenkonzentrate: Anzahl
Description

Count of Red blood cell concentrates

Data type

integer

Alias
UMLS CUI [1,1]
C0086252
UMLS CUI [1,2]
C0449788
Febrile Neutropenie
Description

Febrile Neutropenia

Data type

boolean

Alias
UMLS CUI [1]
C0746883
Tage stationär wg. febriler Neutropenie
Description

Days of inpatient care because of febrile neutropenia

Data type

integer

Measurement units
  • Tage
Alias
UMLS CUI [1,1]
C0449238
UMLS CUI [1,2]
C0019993
UMLS CUI [1,3]
C0746883
Tage
Leukos < 1000
Description

Leukopenia

Data type

boolean

Alias
UMLS CUI [1]
C0023530
Anzahl der Tage Leukos < 1000
Description

Days of Leukopenia

Data type

integer

Measurement units
  • Tage
Alias
UMLS CUI [1,1]
C0023530
UMLS CUI [1,2]
C0449238
Tage
Davon Tage mit Fieber größer oder gleich 38°C
Description

Days with fever equal or higher 38°C

Data type

integer

Measurement units
  • Tage
Alias
UMLS CUI [1,1]
C1959900
UMLS CUI [1,2]
C0449238
Tage
Labor vor Therapiebeginn
Description

Labor vor Therapiebeginn

Alias
UMLS CUI-1
C0022877
UMLS CUI-2
C0332152
UMLS CUI-3
C3173309
Kurs-Nr.
Description

Chemotherapy cycle

Data type

integer

Alias
UMLS CUI [1]
C2045829
Hämoglobin
Description

Hemoglobin

Data type

float

Measurement units
  • g/dL
Alias
UMLS CUI [1]
C0019046
g/dL
Hämoglobin
Description

Hemoglobin

Data type

float

Measurement units
  • mmol/l
Alias
UMLS CUI [1]
C0019046
mmol/l
Leukozyten
Description

WBC

Data type

float

Measurement units
  • x10^3/µl
Alias
UMLS CUI [1]
C0023508
x10^3/µl
Thrombozyten
Description

Platelets

Data type

integer

Measurement units
  • x10^3/µl
Alias
UMLS CUI [1]
C0005821
x10^3/µl
Toxizitäten
Description

Toxizitäten

Kurs Nummer
Description

Cycle number

Data type

integer

Alias
UMLS CUI [1]
C2045829
Systemische Therapie Nebenwirkungen CTC Grad 3/4
Description

Bei Toxizitäten CTC Grad 3/4 bitte volständig dokumentieren

Data type

boolean

Alias
UMLS CUI [1,1]
C1516728
UMLS CUI [1,2]
C1883256
Anämie
Description

Anemia

Data type

integer

Alias
UMLS CUI [1]
C0002871
Thrombopenie
Description

Thrombocytopenia

Data type

integer

Alias
UMLS CUI [1]
C0040034
Leukopenie
Description

Leukopenia

Data type

integer

Alias
UMLS CUI [1]
C0023530
Übelkeit/Erbrechen
Description

Nausea/Vomiting

Data type

integer

Alias
UMLS CUI [1]
C0027498
Mukositis
Description

Mucositis

Data type

integer

Alias
UMLS CUI [1]
C0038362
Verdauungstrakt
Description

Intestines

Data type

integer

Alias
UMLS CUI [1]
C0021853
Urogenitaltrakt
Description

Genitourinary system

Data type

integer

Alias
UMLS CUI [1]
C0042066
Respirationstrakt
Description

Respiratory system

Data type

integer

Alias
UMLS CUI [1]
C0035237
Medikam. Fieber
Description

Fever, drug induced

Data type

integer

Alias
UMLS CUI [1]
C2830448
Allergie
Description

Hypersensitivity

Data type

integer

Alias
UMLS CUI [1]
C0020517
Herz
Description

Heart

Data type

integer

Alias
UMLS CUI [1]
C0018787
Infektion
Description

Infection

Data type

integer

Alias
UMLS CUI [1]
C0009450
Haut
Description

Skin

Data type

integer

Alias
UMLS CUI [1]
C1123023
Nerven
Description

Nervous system

Data type

integer

Alias
UMLS CUI [1]
C1269560
Therapieänderungen
Description

Therapieänderungen

Gab es jeweils in einem der beiden Kurse eine Änderung?
Description

Treatment changes during one of two cycles

Data type

boolean

Alias
UMLS CUI [1]
C3665894
Dosisreduktion
Description

Dose reduction

Data type

boolean

Alias
UMLS CUI [1]
C1707814
Therapieverzögerung
Description

>14 Tage

Data type

boolean

Alias
UMLS CUI [1]
C1299700
Abbruch
Description

bei Abbruch bitte Abbruchbogen ausfüllen

Data type

boolean

Alias
UMLS CUI [1]
C0457454
Falls ja, Begründung
Description

If discontinued, reason

Data type

text

Alias
UMLS CUI [1,1]
C0566251
UMLS CUI [1,2]
C0457454
Progreß unter Therapie
Description

Progressive Disease

Data type

boolean

Alias
UMLS CUI [1]
C1335499
Toxizität
Description

Toxicity

Data type

boolean

Alias
UMLS CUI [1]
C0013221
Patientenwunsch
Description

Patient wish

Data type

boolean

Alias
UMLS CUI [1]
C0747309
HL unabhängige Erkrankung
Description

Other condition than Hodgkin lymphoma

Data type

boolean

Alias
UMLS CUI [1,1]
C2707304
UMLS CUI [1,2]
C0332300
UMLS CUI [1,3]
C0019829
Wenn ja, welche?
Description

If other condition, please specify

Data type

text

Alias
UMLS CUI [1,1]
C2707304
UMLS CUI [1,2]
C1521902
Bemerkungen
Description

Comments

Data type

text

Alias
UMLS CUI [1]
C0947611
Datum
Description

Date of completion

Data type

date

Alias
UMLS CUI [1]
C0011008
Unterschrift
Description

Signature

Data type

text

Alias
UMLS CUI [1]
C1519316
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Similar models

Deutsche Hodgkin Studiengruppe: G6C Chemotherapiebogen

1 forms
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Formularkopf
C1320722 (UMLS CUI-1)
Stamp of participating institution
Item
Stempel des einsendenden Instituts
text
C2347449 (UMLS CUI [1])
Phone number of participating institution
Item
Telefonnummer des einsendenden Instituts (bitte mit Durchwahl)
integer
C2347449 (UMLS CUI [1,1])
C1515258 (UMLS CUI [1,2])
Address of responsible study center
Item
Adresse der verantwortlichen Studienzentrale
text
C2825181 (UMLS CUI [1,1])
C1442065 (UMLS CUI [1,2])
Patient Name
Item
Patientenname
text
C1299487 (UMLS CUI [1])
Patient birth name
Item
Geburtsname
text
C1549652 (UMLS CUI [1])
Birth Date
Item
Geburtsdatum
date
C0421451 (UMLS CUI [1])
Patient address
Item
Adresse des Patienten
text
C0421449 (UMLS CUI [1])
Item
Studien ID
integer
C2826693 (UMLS CUI [1])
Study ID
Code List
Studien ID
CL Item
HD16 (1)
CL Item
HD17 (2)
CL Item
HD18 (3)
CRF Indentificator
Item
Bogen ID
integer
C1516308 (UMLS CUI [1,1])
C0600091 (UMLS CUI [1,2])
Case ID
Item
Case ID
integer
C1698493 (UMLS CUI [1,1])
C0600091 (UMLS CUI [1,2])
Item Group
Chemotherapiebogen
C0392920 (UMLS CUI-1)
Pre-cycle with dexamethasone
Item
Vorphase mit Dexamethason
boolean
C0011777 (UMLS CUI [1,1])
C1880049 (UMLS CUI [1,2])
Cycle Number
Item
Kurs-Nr.
integer
C2045829 (UMLS CUI [1])
Treatment start date
Item
Erster Therapietag
date
C3173309 (UMLS CUI [1])
Treatment End date
Item
Letzter Therapietag
date
C1531784 (UMLS CUI [1])
Rituximab total dose per cycle
Item
Rituximab Gesamtdosis in mg/Zyklus
integer
C0393022 (UMLS CUI [1,1])
C2986497 (UMLS CUI [1,2])
C1302181 (UMLS CUI [1,3])
Cyclophosphamide total dose per cycle
Item
Cyclophosphamid Gesamtdosis in mg/Zyklus (Zyklus angeben)
integer
C0010583 (UMLS CUI [1,1])
C2986497 (UMLS CUI [1,2])
C1302181 (UMLS CUI [1,3])
Adriamycin total dose per cycle
Item
Adriamycin Gesamtdosis in mg/Zyklus (Zyklus angeben)
integer
C0085752 (UMLS CUI [1,1])
C2986497 (UMLS CUI [1,2])
C1302181 (UMLS CUI [1,3])
Etoposide/Etopophos. total dose per cycle
Item
Etoposid/Etopophos. Gesamtdosis in mg/Zyklus
integer
C0904036 (UMLS CUI [1,1])
C2986497 (UMLS CUI [1,2])
C1302181 (UMLS CUI [1,3])
Procarbazine total dose per cycle
Item
Procarbazin Gesamtdosis in mg/Zyklus
integer
C0033223 (UMLS CUI [1,1])
C2986497 (UMLS CUI [1,2])
C1302181 (UMLS CUI [1,3])
Prednisone total dose per cycle
Item
Prednison Gesamtdosis in mg/Zyklus
integer
C0032952 (UMLS CUI [1,1])
C2986497 (UMLS CUI [1,2])
C1302181 (UMLS CUI [1,3])
Vincristine total dose per cycle
Item
Vincristin Gesamtdosis in mg/Zyklus
integer
C0042679 (UMLS CUI [1,1])
C2986497 (UMLS CUI [1,2])
C1302181 (UMLS CUI [1,3])
Bleomycine total dose per cycle
Item
Bleomycin Gesamtdosis in mg/Zyklus
integer
C1589326 (UMLS CUI [1,1])
C2986497 (UMLS CUI [1,2])
C1302181 (UMLS CUI [1,3])
GCSF
Item
G-CSF verabreicht
boolean
C0376562 (UMLS CUI [1])
GCSF number of days
Item
G-CSF Tage
integer
C0376562 (UMLS CUI [1,1])
C0556971 (UMLS CUI [1,2])
Neupogen
Item
Neupogen
boolean
C0733468 (UMLS CUI [1])
Neulasta
Item
Neulasta
boolean
C1171279 (UMLS CUI [1])
Granocyte
Item
Granocyte
boolean
C0218640 (UMLS CUI [1])
Other GCSF
Item
Andere GCSF
boolean
C0079459 (UMLS CUI [1,1])
C0205394 (UMLS CUI [1,2])
Erythropoetin
Item
Erythropoetin
boolean
C0014822 (UMLS CUI [1])
Erythropoetin, Count of Doses
Item
Falls Erythropoetin: Anzahl
integer
C0014822 (UMLS CUI [1,1])
C0178602 (UMLS CUI [1,2])
C0750480 (UMLS CUI [1,3])
Platelet Concentrate
Item
Thrombozytenkonzentrat
boolean
C1293886 (UMLS CUI [1])
Count of Platelet Concentrates
Item
Falls Thrombozytenkonzentrat: Anzahl
integer
C1293886 (UMLS CUI [1,1])
C0449788 (UMLS CUI [1,2])
Red blood cell concentrate
Item
Erythrozytenkonzentrat
boolean
C0086252 (UMLS CUI [1])
Count of Red blood cell concentrates
Item
Falls Erythrozytenkonzentrate: Anzahl
integer
C0086252 (UMLS CUI [1,1])
C0449788 (UMLS CUI [1,2])
Febrile Neutropenia
Item
Febrile Neutropenie
boolean
C0746883 (UMLS CUI [1])
Days of inpatient care because of febrile neutropenia
Item
Tage stationär wg. febriler Neutropenie
integer
C0449238 (UMLS CUI [1,1])
C0019993 (UMLS CUI [1,2])
C0746883 (UMLS CUI [1,3])
Leukopenia
Item
Leukos < 1000
boolean
C0023530 (UMLS CUI [1])
Days of Leukopenia
Item
Anzahl der Tage Leukos < 1000
integer
C0023530 (UMLS CUI [1,1])
C0449238 (UMLS CUI [1,2])
Days with fever equal or higher 38°C
Item
Davon Tage mit Fieber größer oder gleich 38°C
integer
C1959900 (UMLS CUI [1,1])
C0449238 (UMLS CUI [1,2])
Item Group
Labor vor Therapiebeginn
C0022877 (UMLS CUI-1)
C0332152 (UMLS CUI-2)
C3173309 (UMLS CUI-3)
Chemotherapy cycle
Item
Kurs-Nr.
integer
C2045829 (UMLS CUI [1])
Hemoglobin
Item
Hämoglobin
float
C0019046 (UMLS CUI [1])
Hemoglobin
Item
Hämoglobin
float
C0019046 (UMLS CUI [1])
WBC
Item
Leukozyten
float
C0023508 (UMLS CUI [1])
Platelets
Item
Thrombozyten
integer
C0005821 (UMLS CUI [1])
Item Group
Toxizitäten
Cycle number
Item
Kurs Nummer
integer
C2045829 (UMLS CUI [1])
CTC Grade 3/4
Item
Systemische Therapie Nebenwirkungen CTC Grad 3/4
boolean
C1516728 (UMLS CUI [1,1])
C1883256 (UMLS CUI [1,2])
Item
Anämie
integer
C0002871 (UMLS CUI [1])
Anemia
Code List
Anämie
CL Item
CTC3 (1)
CL Item
CTC4 (2)
Item
Thrombopenie
integer
C0040034 (UMLS CUI [1])
Anemia
Code List
Thrombopenie
CL Item
CTC3 (1)
CL Item
CTC4 (2)
Item
Leukopenie
integer
C0023530 (UMLS CUI [1])
Anemia
Code List
Leukopenie
CL Item
CTC3 (1)
CL Item
CTC4 (2)
Item
Übelkeit/Erbrechen
integer
C0027498 (UMLS CUI [1])
Anemia
Code List
Übelkeit/Erbrechen
CL Item
CTC3 (1)
CL Item
CTC4 (2)
Item
Mukositis
integer
C0038362 (UMLS CUI [1])
Anemia
Code List
Mukositis
CL Item
CTC3 (1)
CL Item
CTC4 (2)
Item
Verdauungstrakt
integer
C0021853 (UMLS CUI [1])
Anemia
Code List
Verdauungstrakt
CL Item
CTC3 (1)
CL Item
CTC4 (2)
Item
Urogenitaltrakt
integer
C0042066 (UMLS CUI [1])
Anemia
Code List
Urogenitaltrakt
CL Item
CTC3 (1)
CL Item
CTC4 (2)
Item
Respirationstrakt
integer
C0035237 (UMLS CUI [1])
Anemia
Code List
Respirationstrakt
CL Item
CTC3 (1)
CL Item
CTC4 (2)
Item
Medikam. Fieber
integer
C2830448 (UMLS CUI [1])
Anemia
Code List
Medikam. Fieber
CL Item
CTC3 (1)
CL Item
CTC4 (2)
Item
Allergie
integer
C0020517 (UMLS CUI [1])
Anemia
Code List
Allergie
CL Item
CTC3 (1)
CL Item
CTC4 (2)
Item
Herz
integer
C0018787 (UMLS CUI [1])
Anemia
Code List
Herz
CL Item
CTC3 (1)
CL Item
CTC4 (2)
Item
Infektion
integer
C0009450 (UMLS CUI [1])
Anemia
Code List
Infektion
CL Item
CTC3 (1)
CL Item
CTC4 (2)
Item
Haut
integer
C1123023 (UMLS CUI [1])
Anemia
Code List
Haut
CL Item
CTC3 (1)
CL Item
CTC4 (2)
Item
Nerven
integer
C1269560 (UMLS CUI [1])
Anemia
Code List
Nerven
CL Item
CTC3 (1)
CL Item
CTC4 (2)
Item Group
Therapieänderungen
Treatment changes during one of two cycles
Item
Gab es jeweils in einem der beiden Kurse eine Änderung?
boolean
C3665894 (UMLS CUI [1])
Dose reduction
Item
Dosisreduktion
boolean
C1707814 (UMLS CUI [1])
Therapy delay
Item
Therapieverzögerung
boolean
C1299700 (UMLS CUI [1])
Discontinuation
Item
Abbruch
boolean
C0457454 (UMLS CUI [1])
If discontinued, reason
Item
Falls ja, Begründung
text
C0566251 (UMLS CUI [1,1])
C0457454 (UMLS CUI [1,2])
Progressive Disease
Item
Progreß unter Therapie
boolean
C1335499 (UMLS CUI [1])
Toxicity
Item
Toxizität
boolean
C0013221 (UMLS CUI [1])
Patient wish
Item
Patientenwunsch
boolean
C0747309 (UMLS CUI [1])
Other condition than Hodgkin lymphoma
Item
HL unabhängige Erkrankung
boolean
C2707304 (UMLS CUI [1,1])
C0332300 (UMLS CUI [1,2])
C0019829 (UMLS CUI [1,3])
If other condition, please specify
Item
Wenn ja, welche?
text
C2707304 (UMLS CUI [1,1])
C1521902 (UMLS CUI [1,2])
Comments
Item
Bemerkungen
text
C0947611 (UMLS CUI [1])
Date of completion
Item
Datum
date
C0011008 (UMLS CUI [1])
Signature
Item
Unterschrift
text
C1519316 (UMLS CUI [1])
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