Item
Please mark the number of months that have passed since the last performed cycle up to this follow-up report.
text
C1522577 (UMLS CUI [1,1])
C0439231 (UMLS CUI [1,2])
Code List
Please mark the number of months that have passed since the last performed cycle up to this follow-up report.
CL Item
Other, please specify (9)
Follow-up, Month
Item
Please specify
text
C1522577 (UMLS CUI [1,1])
C0439231 (UMLS CUI [1,2])
Clinical Trials, Result, Lost to Follow-Up
Item
Is the patient "lost to follow-up"?
boolean
C0008976 (UMLS CUI [1,1])
C1274040 (UMLS CUI [1,2])
C1302313 (UMLS CUI [1,3])
Clinical Trials, Result, Follow-Up visit Date
Item
If "no", please record date of follow-up
date
C0008976 (UMLS CUI [1,1])
C1274040 (UMLS CUI [1,2])
C3694716 (UMLS CUI [1,3])
Clinical Trials, Result, Cessation of life
Item
Has the patient died?
boolean
C0008976 (UMLS CUI [1,1])
C1274040 (UMLS CUI [1,2])
C0011065 (UMLS CUI [1,3])
Clinical Trials, Result, Date last contact
Item
If "no", please record the date of the last contact with the patient (e.g. visit, phone call)
date
C0008976 (UMLS CUI [1,1])
C1274040 (UMLS CUI [1,2])
C0805839 (UMLS CUI [1,3])
X-Ray Computed Tomography, Performed
Item
CT performed?
boolean
C0040405 (UMLS CUI [1,1])
C0884358 (UMLS CUI [1,2])
Item
Finding in CT
text
C0040405 (UMLS CUI [1,1])
C0243095 (UMLS CUI [1,2])
X-Ray Computed Tomography, Finding
Item
Findings in CT - Please specify
text
C0040405 (UMLS CUI [1,1])
C0243095 (UMLS CUI [1,2])
X-Ray Computed Tomography, Date in time
Item
Date of examination
date
C0040405 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
Item
Tumor marker
text
C0041365 (UMLS CUI [1])
Tumor Markers, Assessment Date
Item
Date
date
C0041365 (UMLS CUI [1,1])
C2985720 (UMLS CUI [1,2])
Tumor Markers, Numerical value
Item
Value
integer
C0041365 (UMLS CUI [1,1])
C1522609 (UMLS CUI [1,2])
Tumor Markers, Unit of Measure
Item
Unit
text
C0041365 (UMLS CUI [1,1])
C1519795 (UMLS CUI [1,2])
Tumor Markers, Comment
Item
if applicable, please comment
text
C0041365 (UMLS CUI [1,1])
C0947611 (UMLS CUI [1,2])
Response to treatment, Evaluation, Performed
Item
Assessment of response performed?
boolean
C0521982 (UMLS CUI [1,1])
C0220825 (UMLS CUI [1,2])
C0884358 (UMLS CUI [1,3])
Item
Please mark one of the following
text
C0521982 (UMLS CUI [1,1])
C0220825 (UMLS CUI [1,2])
C0884358 (UMLS CUI [1,3])
Code List
Please mark one of the following
CL Item
complete response (1)
CL Item
partial response (2)
CL Item
stable disease (3)
CL Item
no evidence of disease (4)
CL Item
progression of disease (5)
CL Item
not evaluable (6)
Item
Which method was applied for the assessment of response? Please mark the applicable one
text
C0521982 (UMLS CUI [1,1])
C2911685 (UMLS CUI [1,2])
Code List
Which method was applied for the assessment of response? Please mark the applicable one
Response to treatment, Evaluation, Date in time
Item
Date of examination
date
C0521982 (UMLS CUI [1,1])
C0220825 (UMLS CUI [1,2])
C0011008 (UMLS CUI [1,3])
Response to treatment, Evaluation, Malignant Neoplasms
Item
Presence of an evaluable/measurable tumor?
boolean
C0521982 (UMLS CUI [1,1])
C0220825 (UMLS CUI [1,2])
C0006826 (UMLS CUI [1,3])
Therapeutic procedure, Other
Item
Did the patient receive a further therapy?
boolean
C0087111 (UMLS CUI [1,1])
C0205394 (UMLS CUI [1,2])
Item
If "yes", please specify
text
C0087111 (UMLS CUI [1,1])
C0205394 (UMLS CUI [1,2])
Code List
If "yes", please specify
CL Item
Hormonal therapy (4)
CL Item
Immunotherapy (5)
Therapeutic procedure, Other, Start Date
Item
Date of treatment start
date
C0087111 (UMLS CUI [1,1])
C0205394 (UMLS CUI [1,2])
C0808070 (UMLS CUI [1,3])
Therapeutic procedure, Other
Item
Please specify
text
C0087111 (UMLS CUI [1,1])
C0205394 (UMLS CUI [1,2])
C0808070 (UMLS CUI [1,3])
Investigator Signature
Item
Confirmation of the correctness and completeness of the data of the follow-up visit
text
C2346576 (UMLS CUI [1])
Investigator Name
Item
Name
text
C2826892 (UMLS CUI [1])
Investigator Signature, Date in time
Item
Date
date
C2346576 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])