ID

32435

Descripción

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

Palabras clave

Versiones (2)
  1. 19/5/17 19/5/17 -
  2. 1/11/18 1/11/18 - Sarah Riepenhausen
Titular de derechos de autor

German Hodgkin Study Group

Subido en

1 de noviembre de 2018

DOI

Para solicitar uno, por favor iniciar sesión.

Licencia

Creative Commons BY-NC 3.0
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German Hodgkin Study Group Study HD16/HD17/HD18 Radiotherapy form G6RX DRKS00003455 DRKS00003457

Alemán

Deutsche Hodgkin Studiengruppe: G6RX Radiotherapiebogen

1 formularios  
Formularkopf
Descripción

Formularkopf

Alias
UMLS CUI-1
C0600661
Stempel des einsendenden Instituts
Descripción

Stamp of participating institution

Tipo de datos

text

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

Phone number of participating institution

Tipo de datos

integer

Alias
UMLS CUI [1,1]
C2347449
UMLS CUI [1,2]
C1515258
Adresse der durchführenden Nuklearmedizin
Descripción

Address of nuclear medicine department

Tipo de datos

text

Alias
UMLS CUI [1,1]
C0028583
UMLS CUI [1,2]
C1442065
Patientenname
Descripción

Patient Name

Tipo de datos

text

Alias
UMLS CUI [1]
C1299487
Geburtsname
Descripción

Patient birth name

Tipo de datos

text

Alias
UMLS CUI [1]
C1549652
Geburtsdatum
Descripción

Birth Date

Tipo de datos

date

Alias
UMLS CUI [1]
C0421451
Adresse des Patienten
Descripción

Patient address

Tipo de datos

text

Alias
UMLS CUI [1]
C0421449
Studien ID
Descripción

Study ID

Tipo de datos

integer

Alias
UMLS CUI [1]
C2826693
Bogen ID
Descripción

CRF Indentificator

Tipo de datos

integer

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

Case ID

Tipo de datos

integer

Alias
UMLS CUI [1,1]
C1698493
UMLS CUI [1,2]
C0600091
Lokalisation der Bestrahlungsfelder
Descripción

Lokalisation der Bestrahlungsfelder

Alias
UMLS CUI-1
C2169147
UMLS CUI-2
C0475264
Bestrahlungsfelder supradiaphragmal
Descripción

Ziffern siehe Bestrahlungsfelder Bis zu 4 Einträge möglich.

Tipo de datos

integer

Alias
UMLS CUI [1,1]
C1517562
UMLS CUI [1,2]
C2169147
Bestrahlungsfelder Infradiaphragmal
Descripción

Ziffern siehe Bestrahlungsfelder Bis zu 4 Einträge möglich.

Tipo de datos

integer

Alias
UMLS CUI [1,1]
C2169147
UMLS CUI [1,2]
C0588058
Bestrahlungswerte
Descripción

Bestrahlungswerte

Alias
UMLS CUI-1
C1522449
Strahlenqualität
Descripción

Irradiation quality

Tipo de datos

integer

Alias
UMLS CUI [1]
C2169146
Strahlenenergie
Descripción

Irradiation energy

Tipo de datos

integer

Unidades de medida
  • MeV
Alias
UMLS CUI [1,1]
C1522449
UMLS CUI [1,2]
C0556642
MeV
Bestrahlungsdosis Einzel
Descripción

Single Irradiation dose

Tipo de datos

float

Unidades de medida
  • Gy
Alias
UMLS CUI [1]
C2169144
Gy
Bestrahlungsdosis Woche
Descripción

Weekly Irradiation dose

Tipo de datos

float

Unidades de medida
  • Gy
Alias
UMLS CUI [1,1]
C2169144
UMLS CUI [1,2]
C0332174
Gy
Gesamtdosis
Descripción

Total dose

Tipo de datos

float

Unidades de medida
  • Gy
Alias
UMLS CUI [1]
C2169193
Gy
Erste Bestrahlung
Descripción

Start date of radiation therapy

Tipo de datos

date

Alias
UMLS CUI [1,1]
C0808070
UMLS CUI [1,2]
C1522449
Letzte Bestrahlung
Descripción

End Date of radiation therapy

Tipo de datos

date

Alias
UMLS CUI [1,1]
C0806020
UMLS CUI [1,2]
C1522449
Kontroll- und Verifikationsfilme eingeschickt?
Descripción

Obligat für HD 16-17 Studie.

Tipo de datos

boolean

Alias
UMLS CUI [1]
C0203526
Moulage verwendet?
Descripción

Moulage used

Tipo de datos

boolean

Alias
UMLS CUI [1]
C0260016
Moulage Ort Nummer
Descripción

Moulage localization

Tipo de datos

integer

Alias
UMLS CUI [1,1]
C0260016
UMLS CUI [1,2]
C0475264
Bestrahlungsfelder
Descripción

Bestrahlungsfelder

Alias
UMLS CUI-1
C2169147
Waldeyer Ring rechts (Feld 1)
Descripción

Waldeyers ring right

Tipo de datos

boolean

Alias
UMLS CUI [1,1]
C0459892
UMLS CUI [1,2]
C0205090
Hochzer./nuch./subm. Lymphknoten rechts (Feld 3)
Descripción

Lymphnodes upper cervical, nuchal, submandibular right

Tipo de datos

boolean

Alias
UMLS CUI [1,1]
C3641267
UMLS CUI [1,2]
C0205090
UMLS CUI [2,1]
C0024204
UMLS CUI [2,2]
C0581758
UMLS CUI [2,3]
C0205090
UMLS CUI [3,1]
C1280307
UMLS CUI [3,2]
C0205090
Zervikale Lymphknoten rechts (Feld 5)
Descripción

Cervical lymph nodes right

Tipo de datos

boolean

Alias
UMLS CUI [1,1]
C0588054
UMLS CUI [1,2]
C0205090
Supraklavikuläre Lymphknoten rechts (Feld 7a)
Descripción

Lymph nodes supraclavicular right

Tipo de datos

boolean

Alias
UMLS CUI [1,1]
C0229730
UMLS CUI [1,2]
C0205090
Infraklavikuläre Lymphknoten rechts (Feld 7b)
Descripción

Lymph nodes infraclavicular right

Tipo de datos

boolean

Alias
UMLS CUI [1,1]
C0229743
UMLS CUI [1,2]
C0205090
Axilläre Lymphknoten rechts (Feld 9)
Descripción

Axillary lymph nodes right

Tipo de datos

boolean

Alias
UMLS CUI [1,1]
C0729594
UMLS CUI [1,2]
C0205090
Lymphknoten oberes Mediastinum (Feld 11a)
Descripción

Superior mediastinum lymph nodes

Tipo de datos

boolean

Alias
UMLS CUI [1,1]
C0230147
UMLS CUI [1,2]
C0024204
Lymphknoten Lungenhilus rechts (Feld 12)
Descripción

Hilus of lung lymph nodes right

Tipo de datos

boolean

Alias
UMLS CUI [1,1]
C0545678
UMLS CUI [1,2]
C0024204
UMLS CUI [1,3]
C0205090
Lymphknoten Leberhilus (Feld 17a)
Descripción

Hepatoportal lymph nodes

Tipo de datos

boolean

Alias
UMLS CUI [1]
C3897880
Zöliakale Lymphknoten (Feld 17b)
Descripción

Celiac lymph nodes

Tipo de datos

boolean

Alias
UMLS CUI [1]
C0229766
Mesenteriale Lymphknoten (Feld 18)
Descripción

Lymph node of mesentery

Tipo de datos

boolean

Alias
UMLS CUI [1]
C0229792
Iliakale Lymphknoten rechts (Feld 22)
Descripción

Iliac lymph node group right

Tipo de datos

boolean

Alias
UMLS CUI [1,1]
C1282335
UMLS CUI [1,2]
C0205090
Inguinale/femorale Lymphknoten rechts (Feld 24)
Descripción

Inguinal/femoral lymph nodes right

Tipo de datos

boolean

Alias
UMLS CUI [1,1]
C0729596
UMLS CUI [1,2]
C0205090
UMLS CUI [2,1]
C0877794
UMLS CUI [2,2]
C0205090
Waldeyer Ring links (Feld 2)
Descripción

Waldeyers ring left

Tipo de datos

boolean

Alias
UMLS CUI [1,1]
C0459892
UMLS CUI [1,2]
C0205091
Hochzer./nuch./subm. Lymphknoten links (Feld 4)
Descripción

Lymphnodes upper cervical, nuchal, submandibular left

Tipo de datos

boolean

Alias
UMLS CUI [1,1]
C3641267
UMLS CUI [1,2]
C0205091
UMLS CUI [2,1]
C0024204
UMLS CUI [2,2]
C0581758
UMLS CUI [2,3]
C0205091
UMLS CUI [3,1]
C1280307
UMLS CUI [3,2]
C0205091
Zervikale Lymphknoten links (Feld 6)
Descripción

Cervical lymph nodes left

Tipo de datos

boolean

Alias
UMLS CUI [1,1]
C0588054
UMLS CUI [1,2]
C0205091
Supraklavikuläre Lymphknoten links (Feld 8a)
Descripción

Lymph nodes supraclavicular left

Tipo de datos

boolean

Alias
UMLS CUI [1,1]
C0229730
UMLS CUI [1,2]
C0205091
Infraklavikuläre Lymphknoten links (Feld 8b)
Descripción

Lymph nodes infraclavicular left

Tipo de datos

boolean

Alias
UMLS CUI [1,1]
C0229743
UMLS CUI [1,2]
C0205091
Axilläre Lymphknoten links (Feld 10)
Descripción

Axillary lymph nodes left

Tipo de datos

boolean

Alias
UMLS CUI [1,1]
C0729594
UMLS CUI [1,2]
C0205091
Lymphknoten unteres Mediastinum (Feld 11b)
Descripción

Inferior mediastinum lymph nodes

Tipo de datos

boolean

Alias
UMLS CUI [1,1]
C0446619
UMLS CUI [1,2]
C0024204
Lymphknoten Lungenhilus links (Feld 13)
Descripción

Hilus of lung lymph nodes left

Tipo de datos

boolean

Alias
UMLS CUI [1,1]
C0545678
UMLS CUI [1,2]
C0024204
UMLS CUI [1,3]
C0205091
Lymphknoten der Milz (Feld 19)
Descripción

Spleenic lymph nodes

Tipo de datos

boolean

Alias
UMLS CUI [1]
C0229782
Lymphknoten Milzhilus (Feld 20)
Descripción

Hilus of spleen lymph nodes

Tipo de datos

boolean

Alias
UMLS CUI [1,1]
C0545580
UMLS CUI [1,2]
C0024204
Paraaortale Lymphknoten (Feld 21)
Descripción

Para-aortic lymph node

Tipo de datos

boolean

Alias
UMLS CUI [1,1]
C0229789
UMLS CUI [1,2]
C0024204
Iliakale Lymphknoten links (Feld 23)
Descripción

Iliac lymph node group left

Tipo de datos

boolean

Alias
UMLS CUI [1,1]
C1282335
UMLS CUI [1,2]
C0205091
Inguinale/femorale Lymphknoten links (Feld 25)
Descripción

Inguinal/femoral lymph nodes left

Tipo de datos

boolean

Alias
UMLS CUI [1,1]
C0729596
UMLS CUI [1,2]
C0205091
UMLS CUI [2,1]
C0877794
UMLS CUI [2,2]
C0205091
Sonstige nodale Lokalisation (Feld 30)
Descripción

Other nodal involvement

Tipo de datos

boolean

Alias
UMLS CUI [1,1]
C0441949
UMLS CUI [1,2]
C0205394
Falls Sonstige nodale Lokalisation (Feld 30), welche
Descripción

Other nodal involvement, specify

Tipo de datos

text

Alias
UMLS CUI [1,1]
C0441949
UMLS CUI [1,2]
C0205394
UMLS CUI [1,3]
C1521902
Skelett (Feld 26)
Descripción

Skeletal

Tipo de datos

boolean

Alias
UMLS CUI [1]
C0037253
Toxizitäten unter Radiotherapie
Descripción

Toxizitäten unter Radiotherapie

Alias
UMLS CUI-1
C1302210
Toxizität unter Radiotherapie CTC Grad 3/4
Descripción

Falls ja, bitte genaue Angeben nach CTC-Score

Tipo de datos

boolean

Alias
UMLS CUI [1,1]
C1516728
UMLS CUI [1,2]
C1522449
Anämie
Descripción

Anemia

Tipo de datos

integer

Alias
UMLS CUI [1]
C0002871
Leukopenie
Descripción

Leukopenia

Tipo de datos

integer

Alias
UMLS CUI [1]
C0023530
Thrombopenie
Descripción

Thrombocytopenia

Tipo de datos

integer

Alias
UMLS CUI [1]
C0040034
Übelkeit/Erbrechen
Descripción

Nausea/Vomiting

Tipo de datos

integer

Alias
UMLS CUI [1]
C0027498
Dysphagie
Descripción

Dysphagia

Tipo de datos

integer

Alias
UMLS CUI [1]
C0011168
Schleimhäute
Descripción

Mucositis

Tipo de datos

integer

Alias
UMLS CUI [1]
C0038362
Herz
Descripción

Heart

Tipo de datos

integer

Alias
UMLS CUI [1]
C0018787
Respirationstrakt
Descripción

Respiratory system

Tipo de datos

integer

Alias
UMLS CUI [1]
C0035237
Kehlkopf
Descripción

Larynx

Tipo de datos

integer

Alias
UMLS CUI [1]
C0023078
Urogenitaltrakt
Descripción

Genitourinary system

Tipo de datos

integer

Alias
UMLS CUI [1]
C0042066
Nervensystem
Descripción

Nervous system

Tipo de datos

integer

Alias
UMLS CUI [1]
C0027763
Haut lokal/ RT-Feld
Descripción

Skin local reaction /irradiation field

Tipo de datos

integer

Alias
UMLS CUI [1,1]
C1406013
UMLS CUI [1,2]
C0037284
Blutungen
Descripción

Bleeding

Tipo de datos

integer

Alias
UMLS CUI [1]
C0019080
Alopezie
Descripción

Alopecia

Tipo de datos

integer

Alias
UMLS CUI [1]
C1559115
Infektion
Descripción

Infection

Tipo de datos

integer

Alias
UMLS CUI [1]
C3714514
Abweichungen vom Therapieprotokoll
Descripción

Abweichungen vom Therapieprotokoll

Alias
UMLS CUI-1
C0392747
UMLS CUI-2
C0040808
Abweichungen vom Therapieprotokoll
Descripción

Treatment changes

Tipo de datos

boolean

Alias
UMLS CUI [1]
C3665894
Abweichungen vom Therapieprotokoll:Begründung
Descripción

Treatment changes

Tipo de datos

text

Alias
UMLS CUI [1]
C3665894
Progreß unter Therapie
Descripción

Progressive Disease

Tipo de datos

boolean

Alias
UMLS CUI [1]
C1335499
Toxizität
Descripción

Toxicity

Tipo de datos

boolean

Alias
UMLS CUI [1]
C1302210
Toxizität: wenn ja, welche:
Descripción

Toxicity

Tipo de datos

text

Alias
UMLS CUI [1]
C1302210
Patientenwunsch
Descripción

Patient wish

Tipo de datos

boolean

Alias
UMLS CUI [1]
C0747309
HL unabhängige Erkrankung
Descripción

Other condition than Hodgkin lymphoma

Tipo de datos

boolean

Alias
UMLS CUI [1,1]
C2707304
UMLS CUI [1,2]
C0332300
UMLS CUI [1,3]
C0019829
HL unabhängige Erkrankung: wenn ja, welche:
Descripción

Other condition than Hodgkin lymphoma

Tipo de datos

text

Alias
UMLS CUI [1,1]
C2707304
UMLS CUI [1,2]
C0332300
UMLS CUI [1,3]
C0019829
Bemerkungen
Descripción

Bemerkungen

Alias
UMLS CUI-1
C0947611
Bemerkungen
Descripción

Comments

Tipo de datos

text

Alias
UMLS CUI [1]
C0947611
Datum
Descripción

Date of completion

Tipo de datos

date

Alias
UMLS CUI [1]
C0011008
Unterschrift
Descripción

Signature

Tipo de datos

text

Alias
UMLS CUI [1]
C1519316
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Similar models

Deutsche Hodgkin Studiengruppe: G6RX Radiotherapiebogen

1 formularios
Name
Tipo
Description | Question | Decode (Coded Value)
Tipo de datos
Alias
Item Group
Formularkopf
C0600661 (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 nuclear medicine department
Item
Adresse der durchführenden Nuklearmedizin
text
C0028583 (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
Lokalisation der Bestrahlungsfelder
C2169147 (UMLS CUI-1)
C0475264 (UMLS CUI-2)
Supradiaphragmatic irradiation fields
Item
Bestrahlungsfelder supradiaphragmal
integer
C1517562 (UMLS CUI [1,1])
C2169147 (UMLS CUI [1,2])
Infradiaphragmatic irradiation fields
Item
Bestrahlungsfelder Infradiaphragmal
integer
C2169147 (UMLS CUI [1,1])
C0588058 (UMLS CUI [1,2])
Item Group
Bestrahlungswerte
C1522449 (UMLS CUI-1)
Item
Strahlenqualität
integer
C2169146 (UMLS CUI [1])
Irradiation quality
Code List
Strahlenqualität
CL Item
Phot. (1)
C0854652 (UMLS CUI-1)
CL Item
Elektr. (2)
C0854650 (UMLS CUI-1)
Irradiation energy
Item
Strahlenenergie
integer
C1522449 (UMLS CUI [1,1])
C0556642 (UMLS CUI [1,2])
Single Irradiation dose
Item
Bestrahlungsdosis Einzel
float
C2169144 (UMLS CUI [1])
Weekly Irradiation dose
Item
Bestrahlungsdosis Woche
float
C2169144 (UMLS CUI [1,1])
C0332174 (UMLS CUI [1,2])
Total dose
Item
Gesamtdosis
float
C2169193 (UMLS CUI [1])
Start date of radiation therapy
Item
Erste Bestrahlung
date
C0808070 (UMLS CUI [1,1])
C1522449 (UMLS CUI [1,2])
End Date of radiation therapy
Item
Letzte Bestrahlung
date
C0806020 (UMLS CUI [1,1])
C1522449 (UMLS CUI [1,2])
Control and verification film
Item
Kontroll- und Verifikationsfilme eingeschickt?
boolean
C0203526 (UMLS CUI [1])
Moulage used
Item
Moulage verwendet?
boolean
C0260016 (UMLS CUI [1])
Moulage localization
Item
Moulage Ort Nummer
integer
C0260016 (UMLS CUI [1,1])
C0475264 (UMLS CUI [1,2])
Item Group
Bestrahlungsfelder
C2169147 (UMLS CUI-1)
Waldeyers ring right
Item
Waldeyer Ring rechts (Feld 1)
boolean
C0459892 (UMLS CUI [1,1])
C0205090 (UMLS CUI [1,2])
Lymphnodes upper cervical, nuchal, submandibular right
Item
Hochzer./nuch./subm. Lymphknoten rechts (Feld 3)
boolean
C3641267 (UMLS CUI [1,1])
C0205090 (UMLS CUI [1,2])
C0024204 (UMLS CUI [2,1])
C0581758 (UMLS CUI [2,2])
C0205090 (UMLS CUI [2,3])
C1280307 (UMLS CUI [3,1])
C0205090 (UMLS CUI [3,2])
Cervical lymph nodes right
Item
Zervikale Lymphknoten rechts (Feld 5)
boolean
C0588054 (UMLS CUI [1,1])
C0205090 (UMLS CUI [1,2])
Lymph nodes supraclavicular right
Item
Supraklavikuläre Lymphknoten rechts (Feld 7a)
boolean
C0229730 (UMLS CUI [1,1])
C0205090 (UMLS CUI [1,2])
Lymph nodes infraclavicular right
Item
Infraklavikuläre Lymphknoten rechts (Feld 7b)
boolean
C0229743 (UMLS CUI [1,1])
C0205090 (UMLS CUI [1,2])
Axillary lymph nodes right
Item
Axilläre Lymphknoten rechts (Feld 9)
boolean
C0729594 (UMLS CUI [1,1])
C0205090 (UMLS CUI [1,2])
Superior mediastinum lymph nodes
Item
Lymphknoten oberes Mediastinum (Feld 11a)
boolean
C0230147 (UMLS CUI [1,1])
C0024204 (UMLS CUI [1,2])
Hilus of lung lymph nodes right
Item
Lymphknoten Lungenhilus rechts (Feld 12)
boolean
C0545678 (UMLS CUI [1,1])
C0024204 (UMLS CUI [1,2])
C0205090 (UMLS CUI [1,3])
Hepatoportal lymph nodes
Item
Lymphknoten Leberhilus (Feld 17a)
boolean
C3897880 (UMLS CUI [1])
Celiac lymph nodes
Item
Zöliakale Lymphknoten (Feld 17b)
boolean
C0229766 (UMLS CUI [1])
Lymph node of mesentery
Item
Mesenteriale Lymphknoten (Feld 18)
boolean
C0229792 (UMLS CUI [1])
Iliac lymph node group right
Item
Iliakale Lymphknoten rechts (Feld 22)
boolean
C1282335 (UMLS CUI [1,1])
C0205090 (UMLS CUI [1,2])
Inguinal/femoral lymph nodes right
Item
Inguinale/femorale Lymphknoten rechts (Feld 24)
boolean
C0729596 (UMLS CUI [1,1])
C0205090 (UMLS CUI [1,2])
C0877794 (UMLS CUI [2,1])
C0205090 (UMLS CUI [2,2])
Waldeyers ring left
Item
Waldeyer Ring links (Feld 2)
boolean
C0459892 (UMLS CUI [1,1])
C0205091 (UMLS CUI [1,2])
Lymphnodes upper cervical, nuchal, submandibular left
Item
Hochzer./nuch./subm. Lymphknoten links (Feld 4)
boolean
C3641267 (UMLS CUI [1,1])
C0205091 (UMLS CUI [1,2])
C0024204 (UMLS CUI [2,1])
C0581758 (UMLS CUI [2,2])
C0205091 (UMLS CUI [2,3])
C1280307 (UMLS CUI [3,1])
C0205091 (UMLS CUI [3,2])
Cervical lymph nodes left
Item
Zervikale Lymphknoten links (Feld 6)
boolean
C0588054 (UMLS CUI [1,1])
C0205091 (UMLS CUI [1,2])
Lymph nodes supraclavicular left
Item
Supraklavikuläre Lymphknoten links (Feld 8a)
boolean
C0229730 (UMLS CUI [1,1])
C0205091 (UMLS CUI [1,2])
Lymph nodes infraclavicular left
Item
Infraklavikuläre Lymphknoten links (Feld 8b)
boolean
C0229743 (UMLS CUI [1,1])
C0205091 (UMLS CUI [1,2])
Axillary lymph nodes left
Item
Axilläre Lymphknoten links (Feld 10)
boolean
C0729594 (UMLS CUI [1,1])
C0205091 (UMLS CUI [1,2])
Inferior mediastinum lymph nodes
Item
Lymphknoten unteres Mediastinum (Feld 11b)
boolean
C0446619 (UMLS CUI [1,1])
C0024204 (UMLS CUI [1,2])
Hilus of lung lymph nodes left
Item
Lymphknoten Lungenhilus links (Feld 13)
boolean
C0545678 (UMLS CUI [1,1])
C0024204 (UMLS CUI [1,2])
C0205091 (UMLS CUI [1,3])
Spleenic lymph nodes
Item
Lymphknoten der Milz (Feld 19)
boolean
C0229782 (UMLS CUI [1])
Hilus of spleen lymph nodes
Item
Lymphknoten Milzhilus (Feld 20)
boolean
C0545580 (UMLS CUI [1,1])
C0024204 (UMLS CUI [1,2])
Para-aortic lymph node
Item
Paraaortale Lymphknoten (Feld 21)
boolean
C0229789 (UMLS CUI [1,1])
C0024204 (UMLS CUI [1,2])
Iliac lymph node group left
Item
Iliakale Lymphknoten links (Feld 23)
boolean
C1282335 (UMLS CUI [1,1])
C0205091 (UMLS CUI [1,2])
Inguinal/femoral lymph nodes left
Item
Inguinale/femorale Lymphknoten links (Feld 25)
boolean
C0729596 (UMLS CUI [1,1])
C0205091 (UMLS CUI [1,2])
C0877794 (UMLS CUI [2,1])
C0205091 (UMLS CUI [2,2])
Other nodal involvement
Item
Sonstige nodale Lokalisation (Feld 30)
boolean
C0441949 (UMLS CUI [1,1])
C0205394 (UMLS CUI [1,2])
Other nodal involvement, specify
Item
Falls Sonstige nodale Lokalisation (Feld 30), welche
text
C0441949 (UMLS CUI [1,1])
C0205394 (UMLS CUI [1,2])
C1521902 (UMLS CUI [1,3])
Skeletal
Item
Skelett (Feld 26)
boolean
C0037253 (UMLS CUI [1])
Item Group
Toxizitäten unter Radiotherapie
C1302210 (UMLS CUI-1)
CTC Grade 3/4
Item
Toxizität unter Radiotherapie CTC Grad 3/4
boolean
C1516728 (UMLS CUI [1,1])
C1522449 (UMLS CUI [1,2])
Item
Anämie
integer
C0002871 (UMLS CUI [1])
Anemia
Code List
Anämie
CL Item
CTC3 (1)
C1519275 (UMLS CUI-1)
CL Item
CTC4 (2)
C1517874 (UMLS CUI-1)
Item
Leukopenie
integer
C0023530 (UMLS CUI [1])
Leukopenia
Code List
Leukopenie
CL Item
CTC3 (1)
C1519275 (UMLS CUI-1)
CL Item
CTC4 (2)
C1517874 (UMLS CUI-1)
Item
Thrombopenie
integer
C0040034 (UMLS CUI [1])
Thrombocytopenia
Code List
Thrombopenie
CL Item
CTC3 (1)
C1519275 (UMLS CUI-1)
CL Item
CTC4 (2)
C1517874 (UMLS CUI-1)
Item
Übelkeit/Erbrechen
integer
C0027498 (UMLS CUI [1])
Nausea/Vomiting
Code List
Übelkeit/Erbrechen
CL Item
CTC3 (1)
C1519275 (UMLS CUI-1)
CL Item
CTC4 (2)
C1517874 (UMLS CUI-1)
Item
Dysphagie
integer
C0011168 (UMLS CUI [1])
Anemia
Code List
Dysphagie
CL Item
CTC3 (1)
C1519275 (UMLS CUI-1)
CL Item
CTC4 (2)
C1517874 (UMLS CUI-1)
Item
Schleimhäute
integer
C0038362 (UMLS CUI [1])
Anemia
Code List
Schleimhäute
CL Item
CTC3 (1)
C1519275 (UMLS CUI-1)
CL Item
CTC4 (2)
C1517874 (UMLS CUI-1)
Item
Herz
integer
C0018787 (UMLS CUI [1])
Anemia
Code List
Herz
CL Item
CTC3 (1)
C1519275 (UMLS CUI-1)
CL Item
CTC4 (2)
C1517874 (UMLS CUI-1)
Item
Respirationstrakt
integer
C0035237 (UMLS CUI [1])
Anemia
Code List
Respirationstrakt
CL Item
CTC3 (1)
C1519275 (UMLS CUI-1)
CL Item
CTC4 (2)
C1517874 (UMLS CUI-1)
Item
Kehlkopf
integer
C0023078 (UMLS CUI [1])
Anemia
Code List
Kehlkopf
CL Item
CTC3 (1)
C1519275 (UMLS CUI-1)
CL Item
CTC4 (2)
C1517874 (UMLS CUI-1)
Item
Urogenitaltrakt
integer
C0042066 (UMLS CUI [1])
Anemia
Code List
Urogenitaltrakt
CL Item
CTC3 (1)
C1519275 (UMLS CUI-1)
CL Item
CTC4 (2)
C1517874 (UMLS CUI-1)
Item
Nervensystem
integer
C0027763 (UMLS CUI [1])
Anemia
Code List
Nervensystem
CL Item
CTC3 (1)
C1519275 (UMLS CUI-1)
CL Item
CTC4 (2)
C1517874 (UMLS CUI-1)
Item
Haut lokal/ RT-Feld
integer
C1406013 (UMLS CUI [1,1])
C0037284 (UMLS CUI [1,2])
Anemia
Code List
Haut lokal/ RT-Feld
CL Item
CTC3 (1)
C1519275 (UMLS CUI-1)
CL Item
CTC4 (2)
C1517874 (UMLS CUI-1)
Item
Blutungen
integer
C0019080 (UMLS CUI [1])
Anemia
Code List
Blutungen
CL Item
CTC3 (1)
C1519275 (UMLS CUI-1)
CL Item
CTC4 (2)
C1517874 (UMLS CUI-1)
Item
Alopezie
integer
C1559115 (UMLS CUI [1])
Anemia
Code List
Alopezie
CL Item
CTC3 (1)
C1519275 (UMLS CUI-1)
CL Item
CTC4 (2)
C1517874 (UMLS CUI-1)
Item
Infektion
integer
C3714514 (UMLS CUI [1])
Anemia
Code List
Infektion
CL Item
CTC3 (1)
C1519275 (UMLS CUI-1)
CL Item
CTC4 (2)
C1517874 (UMLS CUI-1)
Item Group
Abweichungen vom Therapieprotokoll
C0392747 (UMLS CUI-1)
C0040808 (UMLS CUI-2)
Treatment changes
Item
Abweichungen vom Therapieprotokoll
boolean
C3665894 (UMLS CUI [1])
Treatment changes
Item
Abweichungen vom Therapieprotokoll:Begründung
text
C3665894 (UMLS CUI [1])
Progressive Disease
Item
Progreß unter Therapie
boolean
C1335499 (UMLS CUI [1])
Toxicity
Item
Toxizität
boolean
C1302210 (UMLS CUI [1])
Toxicity
Item
Toxizität: wenn ja, welche:
text
C1302210 (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])
Other condition than Hodgkin lymphoma
Item
HL unabhängige Erkrankung: wenn ja, welche:
text
C2707304 (UMLS CUI [1,1])
C0332300 (UMLS CUI [1,2])
C0019829 (UMLS CUI [1,3])
Item Group
Bemerkungen
C0947611 (UMLS CUI-1)
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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