ID

42002

Beschrijving

Study ID: 104450 Clinical Study ID: VEG104450 Study Title: This study is a non-randomized, open-label, multi-center Phase II study of GW786034 to evaluate the administration of oral GW786034 in subjects with ovarian cancer. Clinicaltrials.gov Identifier: NCT00281632 Sponsor: GlaxoSmithKline Collaborators: N/A Phase: Phase 2 Study Recruitment Status: Completed Generic Name: pazopanib Trade Name: Votrient Study Indication: Neoplasms, Ovarian CRF Pages: 722-853

Trefwoorden

  1. 14-04-18 14-04-18 -
  2. 15-03-21 15-03-21 - Dr. rer. medic Philipp Neuhaus
Houder van rechten

GlaxoSmithKline

Geüploaded op

15 maart 2021

DOI

Voor een aanvraag inloggen.

Licentie

Creative Commons BY-NC 3.0

Model Commentaren :

Hier kunt u commentaar leveren op het model. U kunt de tekstballonnen bij de itemgroepen en items gebruiken om er specifiek commentaar op te geven.

Itemgroep Commentaren voor :

Item Commentaren voor :

U moet ingelogd zijn om formulieren te downloaden. AUB inloggen of schrijf u gratis in.

Oral GW786034 treatment for ovarian cancer NCT00281632

  1. StudyEvent: ODM
    1. Screening
Header
Beschrijving

Header

Alias
UMLS CUI-1
C1320722
Subject Identifier
Beschrijving

Subject Identifier

Datatype

text

Alias
UMLS CUI [1]
C2348585
Visit Date
Beschrijving

Visit Date

Datatype

date

Alias
UMLS CUI [1]
C1320303
Eligibility Question
Beschrijving

Eligibility Question

Alias
UMLS CUI-1
C1516637
Did the subject meet all the entry criteria? If No, check all boxes corresponding to violations of any inclusion/exclusion criteria. Do NOT enter the subject into the study if this failed any inclusion or exclusion criteria below.
Beschrijving

Entry criteria

Datatype

boolean

Alias
UMLS CUI [1]
C1516637
Demography
Beschrijving

Demography

Alias
UMLS CUI-1
C0011298
Date of Birth
Beschrijving

Date of Birth

Datatype

date

Alias
UMLS CUI [1]
C0421451
Gender
Beschrijving

Must be Female

Datatype

text

Alias
UMLS CUI [1]
C0079399
Ethnicity
Beschrijving

Race

Datatype

text

Alias
UMLS CUI [1]
C0034510
Geographic Ancestry
Beschrijving

Geographic Ancestry

Datatype

text

Alias
UMLS CUI [1]
C0034510
Child-bearing Potential: Check one
Beschrijving

Child-bearing Potential: Check one

Datatype

text

Alias
UMLS CUI [1,1]
C1960468
UMLS CUI [1,2]
C0015895
Physical examination
Beschrijving

Physical examination

Alias
UMLS CUI-1
C0031809
Has a physical examination been performed on the subject?
Beschrijving

physical examination

Datatype

boolean

Alias
UMLS CUI [1]
C0031809
Examination Status
Beschrijving

Examination Status

Datatype

integer

Alias
UMLS CUI [1,1]
C0031809
UMLS CUI [1,2]
C0449438
Abnormal examination findings
Beschrijving

physical examination findings

Datatype

text

Alias
UMLS CUI [1,1]
C0031809
UMLS CUI [1,2]
C0243095
If abnormal record below
Beschrijving

abnormal physical examination

Datatype

text

Alias
UMLS CUI [1,1]
C0031809
UMLS CUI [1,2]
C0459424
Disease Characteristics
Beschrijving

Disease Characteristics

Alias
UMLS CUI-1
C1705348
Primary Tumor type at Initial Diagnosis
Beschrijving

type of primary tumor

Datatype

text

Alias
UMLS CUI [1,1]
C0449522
UMLS CUI [1,2]
C0677930
Specify other
Beschrijving

other primary tumor

Datatype

text

Alias
UMLS CUI [1,1]
C0449522
UMLS CUI [1,2]
C0677930
UMLS CUI [1,3]
C0205394
Date of initial diagnosis
Beschrijving

Date of initial diagnosis

Datatype

date

Alias
UMLS CUI [1]
C2316983
Stage at initial diagnosis
Beschrijving

pick one

Datatype

text

Alias
UMLS CUI [1,1]
C0474935
UMLS CUI [1,2]
C4071762
Histology at Initial Diagnosis
Beschrijving

Histology at initial diagnosis

Datatype

text

Alias
UMLS CUI [1,1]
C0019638
UMLS CUI [1,2]
C3172269
specify other histology
Beschrijving

Histology other

Datatype

text

Alias
UMLS CUI [1,1]
C0019638
UMLS CUI [1,2]
C0205394
Histological Grade at Initial Diagnosis
Beschrijving

Histological Grade at Initial Diagnosis

Datatype

text

Alias
UMLS CUI [1]
C0919553
Date of last recurrence
Beschrijving

Date of recurrence

Datatype

date

Alias
UMLS CUI [1]
C3173322
Stage at screening
Beschrijving

pick one

Datatype

text

Alias
UMLS CUI [1,1]
C0474935
UMLS CUI [1,2]
C1710477
T Stage
Beschrijving

TNM T-Stage ovarian cancer

Datatype

text

Alias
UMLS CUI [1,1]
C0475455
UMLS CUI [1,2]
C0029925
N Stage
Beschrijving

TNM N-Stage ovarian cancer

Datatype

text

Alias
UMLS CUI [1,1]
C0456532
UMLS CUI [1,2]
C0029925
M Stage
Beschrijving

TNM M-Stage ovarian cancer

Datatype

text

Alias
UMLS CUI [1,1]
C0456533
UMLS CUI [1,2]
C0029925
Lines of Therapy Completed at Screening
Beschrijving

Lines of therapy completed at screening

Datatype

text

Alias
UMLS CUI [1]
C1514463
Response to Most Recent Prior Therapy
Beschrijving

Response to Most Recent Prior Therapy

Datatype

text

Alias
UMLS CUI [1,1]
C0332152
UMLS CUI [1,2]
C0871261
Relapsed or Refractory Disease
Beschrijving

Relapsed or Refractory Disease

Datatype

text

Alias
UMLS CUI [1]
C0205269
UMLS CUI [2]
C0277556
Metastatic Disease at Screening
Beschrijving

If yes, complete below

Datatype

boolean

Alias
UMLS CUI [1]
C0027627
Date Metastatic Disease First Diagnosed
Beschrijving

Date Metastatic Disease First Diagnosed

Datatype

date

Alias
UMLS CUI [1,1]
C0011008
UMLS CUI [1,2]
C0034897
UMLS CUI [1,3]
C0012634
Metastatic Disease Site
Beschrijving

Metastatic Disease Site

Alias
UMLS CUI-1
C0807944
Metastatic Site
Beschrijving

Metastatic Site

Datatype

text

Alias
UMLS CUI [1]
C0807944
Is metastatic site?
Beschrijving

Is metastatic site

Datatype

text

Local Laboratory [Previous CA-125 Values] - Multiple Assessment
Beschrijving

Local Laboratory [Previous CA-125 Values] - Multiple Assessment

Alias
UMLS CUI-1
C1254595
Laboratory name
Beschrijving

Laboratory name

Datatype

text

Alias
UMLS CUI [1]
C3258037
Address
Beschrijving

Laboratory Address

Datatype

text

Alias
UMLS CUI [1,1]
C1301826
UMLS CUI [1,2]
C1882331
Lab ID
Beschrijving

For GSK use only

Datatype

text

Alias
UMLS CUI [1,1]
C0022877
UMLS CUI [1,2]
C0600091
Date sample taken
Beschrijving

Date sample taken

Datatype

date

Alias
UMLS CUI [1]
C1302413
CA 125
Beschrijving

CA 125

Datatype

float

Maateenheden
  • kU/l
Alias
UMLS CUI [1]
C0201549
kU/l
Residual toxicities related to previous therapy for cancer
Beschrijving

Residual toxicities related to previous therapy for cancer

Alias
UMLS CUI-1
C0920425
UMLS CUI-2
C0013221
Does the subject have any residual toxicities related to previous therapy for cancer?
Beschrijving

If yes, complete below.

Datatype

boolean

Alias
UMLS CUI [1,1]
C0920425
UMLS CUI [1,2]
C0013221
Residual toxicities
Beschrijving

Residual toxicities

Alias
UMLS CUI-1
C0013221
UMLS CUI-2
C0220825
Diagnosis
Beschrijving

If absent, record the signs and symptoms on seperate lines

Datatype

text

Alias
UMLS CUI [1]
C0011900
NCI CTCAE v.3 Grade
Beschrijving

NCI CTCAE

Datatype

text

Alias
UMLS CUI [1]
C3887242
Cancer related current medical conditions
Beschrijving

Cancer related current medical conditions

Alias
UMLS CUI-1
C3899485
Does the subject have any cancer related current medical conditions
Beschrijving

Cancer related current medical conditions

Datatype

boolean

Alias
UMLS CUI [1,1]
C3899485
UMLS CUI [1,2]
C0678226
UMLS CUI [1,3]
C0006826
Medical Conditions
Beschrijving

Medical Conditions

Alias
UMLS CUI-1
C0205476
UMLS CUI-2
C0348080
Diagnosis
Beschrijving

If absent, record the signs and symptoms on seperate lines

Datatype

text

Alias
UMLS CUI [1]
C0011900
NCI CTCAE v.3 Grade
Beschrijving

NCI CTCAE

Datatype

text

Alias
UMLS CUI [1]
C3887242
non-cancer related medical conditions
Beschrijving

non-cancer related medical conditions

Alias
UMLS CUI-1
C0262926
UMLS CUI-2
C1518422
UMLS CUI-3
C0006826
UMLS CUI-4
C0332281
Does the subject have any non-cancer related current medical conditions
Beschrijving

non-cancer related current medical conditions

Datatype

boolean

Alias
UMLS CUI [1,1]
C3899485
UMLS CUI [1,2]
C3640974
UMLS CUI [1,3]
C0678226
UMLS CUI [1,4]
C0006826
Medical Conditions
Beschrijving

Medical Conditions

Alias
UMLS CUI-1
C0012634
Diagnosis
Beschrijving

If absent, record the signs and symptoms on seperate lines

Datatype

text

Alias
UMLS CUI [1]
C0011900
NCI CTCAE v.3 Grade
Beschrijving

NCI CTCAE

Datatype

text

Alias
UMLS CUI [1]
C3887242
Prior Anti-Cancer Therapy
Beschrijving

Prior Anti-Cancer Therapy

Alias
UMLS CUI-1
C0920425
UMLS CUI-2
C1514463
Has the subject received prior chemotherapy, hormonal, immunotherapy and/or biologic therapy for the cancer under study?
Beschrijving

If yes, record each drug

Datatype

boolean

Alias
UMLS CUI [1]
C0392920
UMLS CUI [2]
C0279025
UMLS CUI [3]
C1531518
UMLS CUI [4]
C0021083
Has the subject received prior radiotherapy for the cancer under study?
Beschrijving

If yes, record details

Datatype

boolean

Alias
UMLS CUI [1]
C1522449
Prior Anti-Cancer therapy: chemotherapy, hormonal, immunotherapy and/or biologic therapy for the cancer under study?
Beschrijving

Prior Anti-Cancer therapy: chemotherapy, hormonal, immunotherapy and/or biologic therapy for the cancer under study?

Alias
UMLS CUI-1
C0920425
UMLS CUI-2
C0205373
Drug Name
Beschrijving

Drug Name

Datatype

text

Alias
UMLS CUI [1]
C0013227
Regimen Sequence
Beschrijving

Regimen Sequence

Datatype

integer

Alias
NCI Thesaurus ObjectClass
C19464
NCI Thesaurus ValueDomain
C25463
NCI Thesaurus ObjectClass-2
C49153
NCI Thesaurus Property
C25694
UMLS CUI [1,1]
C2348184
UMLS CUI [1,2]
C0392920
Therapy Type
Beschrijving

Therapy Type

Datatype

text

Alias
UMLS CUI [1,1]
C0087111
UMLS CUI [1,2]
C0332307
UMLS CUI [2]
C1514463
Number of Cycles/Doses
Beschrijving

Total number of cycles

Datatype

integer

Alias
UMLS CUI [1]
C2045831
Cycles or Doses
Beschrijving

Cycles or Doses

Datatype

text

Alias
UMLS CUI [1]
C1302181
UMLS CUI [2]
C0178602
Cumulative Dose
Beschrijving

Total Dose

Datatype

float

Alias
UMLS CUI [1]
C2986497
Dose Units
Beschrijving

dose units

Datatype

text

Alias
UMLS CUI [1,1]
C1519795
UMLS CUI [1,2]
C3174092
Intent
Beschrijving

anti-cancer therapy intent

Datatype

text

Alias
UMLS CUI [1,1]
C0920425
UMLS CUI [1,2]
C1283828
Start Date
Beschrijving

Therapy start date

Datatype

date

Alias
UMLS CUI [1]
C3173309
Stop Date
Beschrijving

Therapy stop date

Datatype

date

Alias
UMLS CUI [1]
C1531784
Best Response
Beschrijving

Best Tumor Response

Datatype

text

Alias
UMLS CUI [1]
C2986560
Duration of Response
Beschrijving

Overall Response Duration

Datatype

integer

Maateenheden
  • weeks
Alias
UMLS CUI [1]
C0237585
weeks
Prior anti-cancer therapy - radiotherapy
Beschrijving

Prior anti-cancer therapy - radiotherapy

Alias
UMLS CUI-1
C1522449
UMLS CUI-2
C0920425
Site
Beschrijving

Anatomic Site

Datatype

text

Alias
UMLS CUI [1]
C1515974
Cumulative Dose
Beschrijving

Total Dose

Datatype

float

Alias
UMLS CUI [1]
C2986497
Units
Beschrijving

dose units

Datatype

text

Alias
UMLS CUI [1,1]
C1519795
UMLS CUI [1,2]
C0034553
Intent
Beschrijving

anti-cancer therapy intent

Datatype

text

Alias
UMLS CUI [1,1]
C0920425
UMLS CUI [1,2]
C1283828
Start Date
Beschrijving

Therapy start date

Datatype

date

Alias
UMLS CUI [1]
C3173309
Stop Date
Beschrijving

Therapy stop date

Datatype

date

Alias
UMLS CUI [1]
C1531784
Best Response
Beschrijving

Best Tumor Response

Datatype

text

Alias
UMLS CUI [1]
C2986560
Duration of Response
Beschrijving

Overall Response Duration

Datatype

integer

Maateenheden
  • weeks
Alias
UMLS CUI [1]
C0237585
weeks
Vital signs
Beschrijving

Vital signs

Heart rate
Beschrijving

Heart rate

Datatype

integer

Maateenheden
  • bpm
Alias
UMLS CUI [1]
C0018810
bpm
Blood pressure, systolic
Beschrijving

Blood pressure

Datatype

integer

Maateenheden
  • mmHg
Alias
UMLS CUI [1]
C0005823
mmHg
Blood pressure, diastolic
Beschrijving

Blood pressure

Datatype

integer

Maateenheden
  • mmHg
Alias
UMLS CUI [1]
C0005823
mmHg
Body weight
Beschrijving

Body weight

Datatype

float

Maateenheden
  • kg
Alias
UMLS CUI [1]
C0005910
kg
Body Height
Beschrijving

Body Height

Datatype

integer

Maateenheden
  • cm
Alias
UMLS CUI [1]
C0005890
cm
ECOG Performance Status Scale
Beschrijving

ECOG Performance Status Scale

Alias
UMLS CUI-1
C1520224
12 LEAD ECG MONITORING
Beschrijving

12 LEAD ECG MONITORING

Alias
UMLS CUI-1
C0430456
Start time of ECG
Beschrijving

Time

Datatype

time

Alias
UMLS CUI [1]
C0040223
Start Date of ECG
Beschrijving

Date

Datatype

date

Alias
UMLS CUI [1]
C0011008
Heart rate
Beschrijving

Heart rate

Datatype

integer

Maateenheden
  • bpm
Alias
UMLS CUI [1]
C0018810
bpm
PR
Beschrijving

PR

Datatype

float

Maateenheden
  • msec
Alias
UMLS CUI [1]
C0429087
msec
QRS
Beschrijving

QRS

Datatype

float

Maateenheden
  • msec
Alias
UMLS CUI [1]
C1880451
msec
QT
Beschrijving

QT

Datatype

float

Maateenheden
  • msec
Alias
UMLS CUI [1]
C1287082
msec
QTc
Beschrijving

QTc

Datatype

float

Maateenheden
  • msec
Alias
UMLS CUI [1]
C0489625
msec
Result of the ECG
Beschrijving

Result of the ECG

Datatype

text

Alias
UMLS CUI [1]
C0438154
12-lead ECG Abnormalities
Beschrijving

12-lead ECG Abnormalities

Alias
UMLS CUI-1
C0522055
UMLS CUI-2
C0430456
Date of ECG
Beschrijving

Date of ECG

Datatype

date

Alias
UMLS CUI [1,1]
C2826640
UMLS CUI [1,2]
C0430456
Time of ECG
Beschrijving

Time of ECG

Datatype

time

Alias
UMLS CUI [1,1]
C0430456
UMLS CUI [1,2]
C1301880
Other abnormal rhythm, enter comment
Beschrijving

Rhythm Abnormalities

Datatype

text

Alias
UMLS CUI [1,1]
C0430456
UMLS CUI [1,2]
C1704258
UMLS CUI [1,3]
C0199556
Record clinically significant abnormalities: P Wave Morphology
Beschrijving

P Wave Morphology Abnormalities

Datatype

integer

Alias
UMLS CUI [1,1]
C2216025
UMLS CUI [1,2]
C0429098
UMLS CUI [1,3]
C0430456
Other morphology, enter comment
Beschrijving

P Wave Morphology Abnormalities

Datatype

text

Alias
UMLS CUI [1,1]
C2216025
UMLS CUI [1,2]
C0429098
UMLS CUI [1,3]
C0430456
Other conduction, enter comment
Beschrijving

Conduction Abnormalities

Datatype

text

Alias
UMLS CUI [1,1]
C0232219
UMLS CUI [1,2]
C0430456
Record clinically significant abnormalities: Myocardial Infarction
Beschrijving

Myocardial Infarction ECG

Datatype

integer

Alias
UMLS CUI [1,1]
C3854475
UMLS CUI [1,2]
C0430456
Other myocardial infarction, enter comment
Beschrijving

Myocardial Infarction ECG

Datatype

text

Alias
UMLS CUI [1,1]
C3854475
UMLS CUI [1,2]
C0430456
Other depolarisation/repolarisation, enter comment
Beschrijving

Depolarisation/Repolarisation Abnormalities

Datatype

text

Alias
UMLS CUI [1]
C0948857
Other abnormalities
Beschrijving

12-lead ECG Abnormalities

Datatype

text

Alias
UMLS CUI [1,1]
C0522055
UMLS CUI [1,2]
C0430456
Record clinically significant abnormalities: Rhythm
Beschrijving

Rhythm Abnormalities

Datatype

integer

Alias
UMLS CUI [1,1]
C0430456
UMLS CUI [1,2]
C1704258
UMLS CUI [1,3]
C0199556
Record clinically significant abnormalities: Conduction
Beschrijving

Conduction Abnormalities

Datatype

integer

Alias
UMLS CUI [1,1]
C0232219
UMLS CUI [1,2]
C0430456
Record clinically significant abnormalities: Depolarisation/Repolarisation (QRS-T)
Beschrijving

Depolarisation/Repolarisation Abnormalities

Datatype

integer

Alias
UMLS CUI [1]
C0948857
Local Laboratory - Haematology
Beschrijving

Local Laboratory - Haematology

Alias
UMLS CUI-1
C0474523
UMLS CUI-2
C0022885
Lab ID
Beschrijving

Lab ID

Datatype

text

Alias
UMLS CUI [1,1]
C0022877
UMLS CUI [1,2]
C0600091
Date Sample taken Haematology
Beschrijving

Date Sample taken Haematology

Datatype

date

Alias
UMLS CUI [1,1]
C0005834
UMLS CUI [1,2]
C0018941
UMLS CUI [1,3]
C1302413
Haematocrit (HCT)
Beschrijving

Haematocrit (HCT)

Datatype

float

Alias
UMLS CUI [1]
C0018935
Haemoglobin (Hb)
Beschrijving

Haemoglobin (Hb)

Datatype

float

Alias
UMLS CUI [1]
C0518015
Platelet count (absolute)
Beschrijving

Platelet count (absolute)

Datatype

float

Alias
UMLS CUI [1]
C0032181
White blood cell count (WBC) (Absolute)
Beschrijving

White blood cell count (WBC) (Absolute)

Datatype

float

Alias
UMLS CUI [1]
C0023508
Neutrophil count (absolute)
Beschrijving

Neutrophil count (absolute)

Datatype

float

Alias
UMLS CUI [1]
C0948762
Lymphocyte count (absolute)
Beschrijving

Lymphocyte count (absolute)

Datatype

float

Alias
UMLS CUI [1]
C3544087
Activated Partial Thromboplastin Time (PTT)
Beschrijving

PTT

Datatype

float

Maateenheden
  • s
Alias
UMLS CUI [1]
C0030605
s
International Normalized Ratio
Beschrijving

International Normalized Ratio

Datatype

float

Alias
UMLS CUI [1]
C0525032
Prothrombin time
Beschrijving

Prothrombin time

Datatype

float

Alias
UMLS CUI [1]
C0033707
Local Laboratory - Clinical Chemistry
Beschrijving

Local Laboratory - Clinical Chemistry

Alias
UMLS CUI-1
C0008000
UMLS CUI-2
C0022885
Lab ID
Beschrijving

Lab ID

Datatype

integer

Alias
UMLS CUI [1,1]
C0022877
UMLS CUI [1,2]
C0600091
Date sample taken clinical chemistry
Beschrijving

Date sample taken

Datatype

date

Alias
UMLS CUI [1,1]
C0005834
UMLS CUI [1,2]
C0008000
UMLS CUI [1,3]
C1302413
Alkaline phosphatase
Beschrijving

Alkaline phosphatase

Datatype

float

Alias
UMLS CUI [1]
C0201850
AST (SGOT)
Beschrijving

AST (SGOT)

Datatype

float

Alias
UMLS CUI [1]
C0201899
ALT (SGPT)
Beschrijving

ALT (SGPT)

Datatype

float

Alias
UMLS CUI [1]
C0201836
Albumin
Beschrijving

Albumin

Datatype

float

Alias
UMLS CUI [1]
C0201838
Total bilirubin
Beschrijving

Total bilirubin

Datatype

float

Alias
UMLS CUI [1]
C0201913
Blood Urea Nitrogen
Beschrijving

BUN

Datatype

float

Alias
UMLS CUI [1]
C0005845
Calcium
Beschrijving

Calcium

Datatype

float

Alias
UMLS CUI [1]
C0201925
Serum Creatinine
Beschrijving

Serum Creatinine

Datatype

float

Alias
UMLS CUI [1]
C0201976
Glucose (fasting)
Beschrijving

Glucose (fasting)

Datatype

float

Alias
UMLS CUI [1]
C0583513
LDH
Beschrijving

LDH

Datatype

float

Alias
UMLS CUI [1]
C0202113
Potassium
Beschrijving

Potassium

Datatype

float

Alias
UMLS CUI [1]
C0202194
Sodium
Beschrijving

Sodium

Datatype

float

Alias
UMLS CUI [1]
C0337443
Serum lipase
Beschrijving

Lipase

Datatype

float

Alias
UMLS CUI [1]
C0373670
Serum Amylase
Beschrijving

Amylase

Datatype

float

Maateenheden
  • U/L
Alias
UMLS CUI [1]
C0201883
U/L
T4 (only if TSH abnormal)
Beschrijving

T4

Datatype

float

Alias
UMLS CUI [1]
C0202231
TSH
Beschrijving

TSH

Datatype

float

Maateenheden
  • µU/ml
Alias
UMLS CUI [1]
C0202230
µU/ml
Urinalysis
Beschrijving

Urinalysis

Alias
UMLS CUI-1
C0042014
Date sample taken
Beschrijving

Date sample taken

Datatype

date

Alias
UMLS CUI [1]
C1302413
Laboratory name
Beschrijving

Laboratory name

Datatype

text

Alias
UMLS CUI [1]
C3258037
Address
Beschrijving

Address

Datatype

text

Alias
UMLS CUI [1,1]
C1442065
UMLS CUI [1,2]
C0022877
UPC ratio
Beschrijving

UPC ratio

Datatype

float

Alias
UMLS CUI [1,1]
C1524119
UMLS CUI [1,2]
C0033684
UMLS CUI [1,3]
C1522609
Lab ID
Beschrijving

Lab ID

Datatype

text

Alias
UMLS CUI [1,1]
C0022877
UMLS CUI [1,2]
C0600091
Electronically transferred laboratory data
Beschrijving

Electronically transferred laboratory data

Alias
UMLS CUI-1
C0200345
UMLS CUI-2
C0022885
UMLS CUI-3
C1320722
Date of first CA-125 sample
Beschrijving

Date of first CA-125 sample

Datatype

date

Alias
UMLS CUI [1,1]
C0011008
UMLS CUI [1,2]
C0201549
Date of second CA-125 sample
Beschrijving

Date of second CA-125 sample

Datatype

date

Alias
UMLS CUI [1,1]
C0011008
UMLS CUI [1,2]
C0201549

Similar models

Screening

  1. StudyEvent: ODM
    1. Screening
Name
Type
Description | Question | Decode (Coded Value)
Datatype
Alias
Item Group
Header
C1320722 (UMLS CUI-1)
Subject Identifier
Item
Subject Identifier
text
C2348585 (UMLS CUI [1])
Visit Date
Item
Visit Date
date
C1320303 (UMLS CUI [1])
Item Group
Eligibility Question
C1516637 (UMLS CUI-1)
Entry criteria
Item
Did the subject meet all the entry criteria? If No, check all boxes corresponding to violations of any inclusion/exclusion criteria. Do NOT enter the subject into the study if this failed any inclusion or exclusion criteria below.
boolean
C1516637 (UMLS CUI [1])
Item Group
Demography
C0011298 (UMLS CUI-1)
Date of Birth
Item
Date of Birth
date
C0421451 (UMLS CUI [1])
Item
Gender
text
C0079399 (UMLS CUI [1])
Code List
Gender
CL Item
Female (F)
CL Item
Male (M)
Item
Ethnicity
text
C0034510 (UMLS CUI [1])
Code List
Ethnicity
CL Item
Hispanic or Latino (1)
CL Item
Not Hispanic or Latino (2)
Item
Geographic Ancestry
text
C0034510 (UMLS CUI [1])
Code List
Geographic Ancestry
CL Item
African American/African Heritage (11)
CL Item
American Indian or Alaskan Native (12)
CL Item
Asian - Central/South Asian Heritage (13)
CL Item
Asian - East Asian Heritage (14)
CL Item
Asian - Japanese Heritage (15)
CL Item
Asian - South East Asian Heritage (16)
CL Item
Native Hawaiian or Other Pacific Islander (17)
CL Item
White - Arabic/North African Heritage (18)
CL Item
White - White/Caucasian/European Heritage (19)
Item
Child-bearing Potential: Check one
text
C1960468 (UMLS CUI [1,1])
C0015895 (UMLS CUI [1,2])
Code List
Child-bearing Potential: Check one
CL Item
Post-menopausal (2)
CL Item
Sterile (of child-bearing age) (3)
CL Item
Potentially able to bear children (4)
Item Group
Physical examination
C0031809 (UMLS CUI-1)
physical examination
Item
Has a physical examination been performed on the subject?
boolean
C0031809 (UMLS CUI [1])
Item
Examination Status
integer
C0031809 (UMLS CUI [1,1])
C0449438 (UMLS CUI [1,2])
Code List
Examination Status
CL Item
Normal (N)
(Comment:en)
CL Item
Abnormal (please specify) (A)
(Comment:en)
physical examination findings
Item
Abnormal examination findings
text
C0031809 (UMLS CUI [1,1])
C0243095 (UMLS CUI [1,2])
abnormal physical examination
Item
If abnormal record below
text
C0031809 (UMLS CUI [1,1])
C0459424 (UMLS CUI [1,2])
Item Group
Disease Characteristics
C1705348 (UMLS CUI-1)
Item
Primary Tumor type at Initial Diagnosis
text
C0449522 (UMLS CUI [1,1])
C0677930 (UMLS CUI [1,2])
Code List
Primary Tumor type at Initial Diagnosis
CL Item
Fallopian Tube (42)
CL Item
Ovary (27)
CL Item
Primary Peritoneal (43)
CL Item
Other, specify (OT)
other primary tumor
Item
Specify other
text
C0449522 (UMLS CUI [1,1])
C0677930 (UMLS CUI [1,2])
C0205394 (UMLS CUI [1,3])
Date of initial diagnosis
Item
Date of initial diagnosis
date
C2316983 (UMLS CUI [1])
Item
Stage at initial diagnosis
text
C0474935 (UMLS CUI [1,1])
C4071762 (UMLS CUI [1,2])
Code List
Stage at initial diagnosis
CL Item
I (1)
CL Item
II (2)
CL Item
IIIa (3A)
CL Item
IIIb (3B)
CL Item
IIIc (3C)
CL Item
IVa (4A)
CL Item
IVb (4B)
CL Item
IVc (4C)
Item
Histology at Initial Diagnosis
text
C0019638 (UMLS CUI [1,1])
C3172269 (UMLS CUI [1,2])
Code List
Histology at Initial Diagnosis
CL Item
Malignant serous tumours (2)
CL Item
Malignant mucinous tumours (3)
CL Item
Malignant endometrioid tumours (4)
CL Item
Clear cell (13)
CL Item
Mixed epithelial cell (14)
CL Item
Undifferentiated adenocarcinoma (15)
CL Item
Unknown (U)
CL Item
Other, specify! (OT)
Histology other
Item
specify other histology
text
C0019638 (UMLS CUI [1,1])
C0205394 (UMLS CUI [1,2])
Item
Histological Grade at Initial Diagnosis
text
C0919553 (UMLS CUI [1])
Code List
Histological Grade at Initial Diagnosis
CL Item
Grade cannot be assessed (0)
CL Item
Well differentiated (1)
CL Item
Moderately differentiated (2)
CL Item
Poorly differentiated (3)
CL Item
Undifferentiated (4)
Date of recurrence
Item
Date of last recurrence
date
C3173322 (UMLS CUI [1])
Item
Stage at screening
text
C0474935 (UMLS CUI [1,1])
C1710477 (UMLS CUI [1,2])
Code List
Stage at screening
CL Item
I (1)
CL Item
II (2)
CL Item
IIIa (3A)
CL Item
IIIb (3B)
CL Item
IIIc (3C)
CL Item
IVa (4A)
CL Item
IVb (4B)
CL Item
IVc (4C)
Item
T Stage
text
C0475455 (UMLS CUI [1,1])
C0029925 (UMLS CUI [1,2])
CL Item
Primary tumor cannot be assessed. (TX)
(Comment:en)
CL Item
No primary tumor is seen. (T0)
(Comment:en)
CL Item
(Stage I). Ovarian cancer (carcinoma) is limited to one or both ovaries. (T1)
(Comment:en)
CL Item
(Stage IA). Tumor is limited to one ovary. The ovarian capsule is intact and there is no tumor on the surface of the ovary. There are no cancer cells in the body fluid (peritoneal fluid) around the ovary. (T1a)
(Comment:en)
CL Item
(Stage IB). Tumor is limited to both ovaries. The ovarian capsule is intact and there is no tumor on the surface of the ovaries. There are no cancer cells in the body fluid (peritoneal fluid) around the ovaries. (T1b)
(Comment:en)
CL Item
(Stage IC). Tumor is limited to one or both ovaries AND the ovarian capsule is ruptured orthere is tumor on the surface of the ovaries or there are cancer cells in the body fluid (peritoneal fluid) around the ovaries. (T1c)
(Comment:en)
CL Item
(Stage II). Tumor involves one or both ovaries and extends into the pelvis or has implanted into the uterus. (T2)
(Comment:en)
CL Item
(Stage IIA). Tumor has extended or implanted into the uterus or fallopian tube but there are no cancer cells in the body fluid (peritoneal fluid) around the ovaries. (T2a)
(Comment:en)
CL Item
(Stage IIB). Tumor has extended or implanted into other pelvic tissues but there are no cancer cells in the body fluid (peritoneal fluid) around the ovaries. (T2b)
(Comment:en)
CL Item
(Stage IIC). Tumor has extended or implanted into other pelvic tissues (T23 or T2b) AND there are cancer cells in the body fluid (peritoneal fluid) around the ovaries. (T2c)
CL Item
(Stage III). Tumor involves one or both ovaries and there are cancer cells in body fluid outside the pelvis (peritoneal metastasis) identified in a sample of fluid under the microscope. (T3)
(Comment:en)
CL Item
(Stage IIIA). Cancer cells are identified microscopically in body fluid outside the pelvis (peritoneal metastasis) or on abdominal peritoneal surfaces. (T3a)
(Comment:en)
CL Item
(Stage IIIB). Tumor involves one or both ovaries and implants on abdominal peritoneal surfaces measure 2 cm (0.8 in.) or less in size. (T3b)
(Comment:en)
CL Item
(Stage IIIC) and Any T, N1M0 (Stage IIIC). Tumor implants on abdominal peritoneal surfaces measure 2 cm (0.8 in.) in size and cancer involves lymph nodes in the abdominal area. (T3c)
(Comment:en)
Item
N Stage
text
C0456532 (UMLS CUI [1,1])
C0029925 (UMLS CUI [1,2])
CL Item
Lymph nodes near the primary tumor cannot be evaluated. (NX)
CL Item
Cancer has not spread to lymph nodes nearthe primary tumor. (N0)
CL Item
Cancer has spread to lymph nodes near the primary tumor. (N1)
Item
M Stage
text
C0456533 (UMLS CUI [1,1])
C0029925 (UMLS CUI [1,2])
CL Item
Distant metastasis cannot be assessed. (MX)
CL Item
No distant metastasis is found. (M0)
CL Item
Metastasis to another part of the body has occurred. (M1)
Item
Lines of Therapy Completed at Screening
text
C1514463 (UMLS CUI [1])
Code List
Lines of Therapy Completed at Screening
CL Item
1 Line (1)
CL Item
Unknown (U)
Item
Response to Most Recent Prior Therapy
text
C0332152 (UMLS CUI [1,1])
C0871261 (UMLS CUI [1,2])
Code List
Response to Most Recent Prior Therapy
CL Item
Platinum - refractory (6)
CL Item
Platinum - resistant (7)
CL Item
Platinum sensitive relapsed (8)
Item
Relapsed or Refractory Disease
text
C0205269 (UMLS CUI [1])
C0277556 (UMLS CUI [2])
Code List
Relapsed or Refractory Disease
CL Item
Relapsed < 6 months (5)
CL Item
Relapsed 6-12 months (6)
CL Item
Relapsed >12 months (7)
CL Item
Relapsed (time period unknown) (8)
CL Item
Refractory (2)
metastatic disease
Item
Metastatic Disease at Screening
boolean
C0027627 (UMLS CUI [1])
Date Metastatic Disease First Diagnosed
Item
Date Metastatic Disease First Diagnosed
date
C0011008 (UMLS CUI [1,1])
C0034897 (UMLS CUI [1,2])
C0012634 (UMLS CUI [1,3])
Item Group
Metastatic Disease Site
C0807944 (UMLS CUI-1)
Item
Metastatic Site
text
C0807944 (UMLS CUI [1])
Code List
Metastatic Site
CL Item
Abdomen/abdominal wall (Abdomen/abdominal wall)
CL Item
Adrenals (Adrenals)
CL Item
Blood (Blood)
CL Item
Bladder (Bladder)
CL Item
Bone (Bone)
CL Item
Bone marrow (Bone marrow)
CL Item
Breast (Breast)
CL Item
Cervix (Cervix)
CL Item
Chest wall (Chest wall)
CL Item
CNS (CNS)
CL Item
Colon (Colon)
CL Item
Esophagus/oesophagus (Esophagus/oesophagus)
CL Item
Head and neck (Head and neck)
CL Item
Head (Head)
CL Item
Kidney (Kidney)
CL Item
Liver (Liver)
CL Item
Lung (Lung)
CL Item
Lymph nodes (Lymph nodes)
CL Item
Oral cavity (Oral cavity)
CL Item
Ovary (Ovary)
CL Item
Pancreas (Pancreas)
CL Item
Peritoneum (Peritoneum)
CL Item
Pleura (Pleura)
CL Item
Rectum (Rectum)
CL Item
Skin (Skin)
CL Item
Small intestine (Small intestine)
CL Item
Spleen (Spleen)
CL Item
Stomach (Stomach)
CL Item
Thyroid (Thyroid)
CL Item
Other, specify (Other, specify)
Item
Is metastatic site?
text
Code List
Is metastatic site?
CL Item
Yes (Y)
(Comment:en)
CL Item
No (N)
(Comment:en)
CL Item
Not Assessed (NA)
(Comment:en)
Item Group
Local Laboratory [Previous CA-125 Values] - Multiple Assessment
C1254595 (UMLS CUI-1)
Laboratory name
Item
Laboratory name
text
C3258037 (UMLS CUI [1])
Laboratory Address
Item
Address
text
C1301826 (UMLS CUI [1,1])
C1882331 (UMLS CUI [1,2])
GSK Lab ID
Item
Lab ID
text
C0022877 (UMLS CUI [1,1])
C0600091 (UMLS CUI [1,2])
Date sample taken
Item
Date sample taken
date
C1302413 (UMLS CUI [1])
CA 125
Item
float
C0201549 (UMLS CUI [1])
Item Group
Residual toxicities related to previous therapy for cancer
C0920425 (UMLS CUI-1)
C0013221 (UMLS CUI-2)
residual toxicity
Item
Does the subject have any residual toxicities related to previous therapy for cancer?
boolean
C0920425 (UMLS CUI [1,1])
C0013221 (UMLS CUI [1,2])
Item Group
Residual toxicities
C0013221 (UMLS CUI-1)
C0220825 (UMLS CUI-2)
Diagnosis
Item
Diagnosis
text
C0011900 (UMLS CUI [1])
Item
NCI CTCAE v.3 Grade
text
C3887242 (UMLS CUI [1])
Code List
NCI CTCAE v.3 Grade
CL Item
Grade 1 (1)
CL Item
Grade 2 (2)
CL Item
Grade 3 (3)
CL Item
Grade 4 (4)
Item Group
Cancer related current medical conditions
C3899485 (UMLS CUI-1)
Cancer related current medical conditions
Item
Does the subject have any cancer related current medical conditions
boolean
C3899485 (UMLS CUI [1,1])
C0678226 (UMLS CUI [1,2])
C0006826 (UMLS CUI [1,3])
Item Group
Medical Conditions
C0205476 (UMLS CUI-1)
C0348080 (UMLS CUI-2)
Diagnosis
Item
Diagnosis
text
C0011900 (UMLS CUI [1])
Item
NCI CTCAE v.3 Grade
text
C3887242 (UMLS CUI [1])
Code List
NCI CTCAE v.3 Grade
CL Item
Grade 1 (1)
CL Item
Grade 2 (2)
CL Item
Grade 3 (3)
CL Item
Grade 4 (4)
Item Group
non-cancer related medical conditions
C0262926 (UMLS CUI-1)
C1518422 (UMLS CUI-2)
C0006826 (UMLS CUI-3)
C0332281 (UMLS CUI-4)
non-cancer related current medical conditions
Item
Does the subject have any non-cancer related current medical conditions
boolean
C3899485 (UMLS CUI [1,1])
C3640974 (UMLS CUI [1,2])
C0678226 (UMLS CUI [1,3])
C0006826 (UMLS CUI [1,4])
Item Group
Medical Conditions
C0012634 (UMLS CUI-1)
Diagnosis
Item
Diagnosis
text
C0011900 (UMLS CUI [1])
Item
NCI CTCAE v.3 Grade
text
C3887242 (UMLS CUI [1])
Code List
NCI CTCAE v.3 Grade
CL Item
Grade 1 (1)
CL Item
Grade 2 (2)
CL Item
Grade 3 (3)
CL Item
Grade 4 (4)
Item Group
Prior Anti-Cancer Therapy
C0920425 (UMLS CUI-1)
C1514463 (UMLS CUI-2)
chemotherapy, hormonal therapy, immunotherapy, biologic therapy
Item
Has the subject received prior chemotherapy, hormonal, immunotherapy and/or biologic therapy for the cancer under study?
boolean
C0392920 (UMLS CUI [1])
C0279025 (UMLS CUI [2])
C1531518 (UMLS CUI [3])
C0021083 (UMLS CUI [4])
Radiotherapy
Item
Has the subject received prior radiotherapy for the cancer under study?
boolean
C1522449 (UMLS CUI [1])
Item Group
Prior Anti-Cancer therapy: chemotherapy, hormonal, immunotherapy and/or biologic therapy for the cancer under study?
C0920425 (UMLS CUI-1)
C0205373 (UMLS CUI-2)
Drug Name
Item
Drug Name
text
C0013227 (UMLS CUI [1])
Regimen Sequence
Item
Regimen Sequence
integer
C19464 (NCI Thesaurus ObjectClass)
C25463 (NCI Thesaurus ValueDomain)
C49153 (NCI Thesaurus ObjectClass-2)
C25694 (NCI Thesaurus Property)
C2348184 (UMLS CUI [1,1])
C0392920 (UMLS CUI [1,2])
Item
Therapy Type
text
C0087111 (UMLS CUI [1,1])
C0332307 (UMLS CUI [1,2])
C1514463 (UMLS CUI [2])
Code List
Therapy Type
CL Item
Chemotherapy (cytotoxics, non-cytotoxics) (C)
CL Item
Hormone Therapy (H)
CL Item
Immunotherapy (I)
CL Item
Biological Therapy (antibodys, cytokines) (B)
Total number of cycles
Item
Number of Cycles/Doses
integer
C2045831 (UMLS CUI [1])
Item
Cycles or Doses
text
C1302181 (UMLS CUI [1])
C0178602 (UMLS CUI [2])
Code List
Cycles or Doses
CL Item
Cycles (1)
CL Item
Doses (2)
Total Dose
Item
Cumulative Dose
float
C2986497 (UMLS CUI [1])
dose units
Item
Dose Units
text
C1519795 (UMLS CUI [1,1])
C3174092 (UMLS CUI [1,2])
Item
Intent
text
C0920425 (UMLS CUI [1,1])
C1283828 (UMLS CUI [1,2])
CL Item
Neoadjuvant (1)
CL Item
Adjuvant (2)
CL Item
Advanced or Metastatic (3)
CL Item
Local/Regional (4)
CL Item
Prophylactic (5)
CL Item
Radiosensitizer (6)
CL Item
Induction (10)
CL Item
Consolidation (11)
CL Item
Maintenance (12)
CL Item
Not Applicable (X)
Therapy start date
Item
Start Date
date
C3173309 (UMLS CUI [1])
Therapy stop date
Item
Stop Date
date
C1531784 (UMLS CUI [1])
Item
Best Response
text
C2986560 (UMLS CUI [1])
Code List
Best Response
CL Item
Complete Response (1)
CL Item
Partial Response (2)
CL Item
Stable Disease (3)
CL Item
Progressive Disease (4)
CL Item
Unknown (U)
Overall Response Duration
Item
Duration of Response
integer
C0237585 (UMLS CUI [1])
Item Group
Prior anti-cancer therapy - radiotherapy
C1522449 (UMLS CUI-1)
C0920425 (UMLS CUI-2)
Anatomic Site
Item
Site
text
C1515974 (UMLS CUI [1])
Total Dose
Item
Cumulative Dose
float
C2986497 (UMLS CUI [1])
Item
Units
text
C1519795 (UMLS CUI [1,1])
C0034553 (UMLS CUI [1,2])
Code List
Units
CL Item
Gy (1)
CL Item
cGy (2)
CL Item
x100 RAD (3)
Item
Intent
text
C0920425 (UMLS CUI [1,1])
C1283828 (UMLS CUI [1,2])
CL Item
Neoadjuvant (1)
(Comment:en)
CL Item
Adjuvant (2)
(Comment:en)
CL Item
Advanced or Metastatic (3)
(Comment:en)
CL Item
Local/Regional (4)
(Comment:en)
CL Item
Prophylactic (5)
(Comment:en)
CL Item
Palliative (7)
(Comment:en)
CL Item
Curative (9)
(Comment:en)
CL Item
Other (OT)
(Comment:en)
Therapy start date
Item
Start Date
date
C3173309 (UMLS CUI [1])
Therapy stop date
Item
Stop Date
date
C1531784 (UMLS CUI [1])
Item
Best Response
text
C2986560 (UMLS CUI [1])
Code List
Best Response
CL Item
Complete Response (1)
CL Item
Partial Response (2)
CL Item
Stable Disease (3)
CL Item
Progressive Disease (4)
CL Item
Unknown (U)
Overall Response Duration
Item
Duration of Response
integer
C0237585 (UMLS CUI [1])
Item Group
Vital signs
Heart rate
Item
Heart rate
integer
C0018810 (UMLS CUI [1])
Blood pressure
Item
Blood pressure, systolic
integer
C0005823 (UMLS CUI [1])
Blood pressure
Item
Blood pressure, diastolic
integer
C0005823 (UMLS CUI [1])
Body weight
Item
Body weight
float
C0005910 (UMLS CUI [1])
Body Height
Item
Body Height
integer
C0005890 (UMLS CUI [1])
Item Group
ECOG Performance Status Scale
C1520224 (UMLS CUI-1)
Item Group
12 LEAD ECG MONITORING
C0430456 (UMLS CUI-1)
Time
Item
Start time of ECG
time
C0040223 (UMLS CUI [1])
Date
Item
Start Date of ECG
date
C0011008 (UMLS CUI [1])
Heart rate
Item
Heart rate
integer
C0018810 (UMLS CUI [1])
PR
Item
PR
float
C0429087 (UMLS CUI [1])
QRS
Item
QRS
float
C1880451 (UMLS CUI [1])
QT
Item
QT
float
C1287082 (UMLS CUI [1])
QTc
Item
QTc
float
C0489625 (UMLS CUI [1])
Item
Result of the ECG
text
C0438154 (UMLS CUI [1])
Code List
Result of the ECG
CL Item
Normal (1)
CL Item
Abnormal - not clinically significant (2)
CL Item
Abnormal - clinically significant (3)
CL Item
No result (not available) (4)
Item Group
12-lead ECG Abnormalities
C0522055 (UMLS CUI-1)
C0430456 (UMLS CUI-2)
Date of ECG
Item
Date of ECG
date
C2826640 (UMLS CUI [1,1])
C0430456 (UMLS CUI [1,2])
Time of ECG
Item
Time of ECG
time
C0430456 (UMLS CUI [1,1])
C1301880 (UMLS CUI [1,2])
Rhythm Abnormalities
Item
Other abnormal rhythm, enter comment
text
C0430456 (UMLS CUI [1,1])
C1704258 (UMLS CUI [1,2])
C0199556 (UMLS CUI [1,3])
Item
Record clinically significant abnormalities: P Wave Morphology
integer
C2216025 (UMLS CUI [1,1])
C0429098 (UMLS CUI [1,2])
C0430456 (UMLS CUI [1,3])
Code List
Record clinically significant abnormalities: P Wave Morphology
CL Item
Left atrial abnormality (P mltrale) (1)
CL Item
Right atrial abnormality (P pulmonale) (2)
CL Item
Right ventricular hypertrophy (3)
CL Item
Intraatrial conduction delay (4)
CL Item
Increased voltage consistent with left ventricular hypertrophy (5)
CL Item
Other morphology, enter comment (6)
P Wave Morphology Abnormalities
Item
Other morphology, enter comment
text
C2216025 (UMLS CUI [1,1])
C0429098 (UMLS CUI [1,2])
C0430456 (UMLS CUI [1,3])
Conduction Abnormalities
Item
Other conduction, enter comment
text
C0232219 (UMLS CUI [1,1])
C0430456 (UMLS CUI [1,2])
Item
Record clinically significant abnormalities: Myocardial Infarction
integer
C3854475 (UMLS CUI [1,1])
C0430456 (UMLS CUI [1,2])
Code List
Record clinically significant abnormalities: Myocardial Infarction
CL Item
Myocardial infarction, old  (1)
CL Item
Myocardial infarction, anterior (2)
CL Item
Myocardial infarction, lateral (3)
CL Item
Myocardial infarction, posterior (4)
CL Item
Myocardial infarction, inferior (5)
CL Item
Myocardial infarction, septal (6)
CL Item
Myocardial infarction, non Q-wave (7)
CL Item
Other myocardial infarction, enter comment (8)
Myocardial Infarction ECG
Item
Other myocardial infarction, enter comment
text
C3854475 (UMLS CUI [1,1])
C0430456 (UMLS CUI [1,2])
Depolarisation/Repolarisation Abnormalities
Item
Other depolarisation/repolarisation, enter comment
text
C0948857 (UMLS CUI [1])
12-lead ECG Abnormalities
Item
Other abnormalities
text
C0522055 (UMLS CUI [1,1])
C0430456 (UMLS CUI [1,2])
Item
Record clinically significant abnormalities: Rhythm
integer
C0430456 (UMLS CUI [1,1])
C1704258 (UMLS CUI [1,2])
C0199556 (UMLS CUI [1,3])
Code List
Record clinically significant abnormalities: Rhythm
CL Item
Sinus bradycardia (heart rate 40-50 beats/min) (1)
CL Item
Sinus bradycardia (heart rate 30-39 beats/min) (2)
CL Item
Sinus bradycardia (heart rate < 30 beats/min) (3)
CL Item
Sinus pause (4)
CL Item
Sinus tachycardia (heart rate >100 beats/min) (5)
CL Item
Ectopic supraventricular beats (6)
CL Item
Ectopic supraventricular rhythm (7)
CL Item
Wandering atrial pacemaker (8)
CL Item
Multifocal atrial tachycardia (Wandering atrial pacemaker with heart rate >100 beats/min) (9)
CL Item
Supraventricular tachycardia (heart rate >100 beats/min) (10)
CL Item
Atrial flutter (11)
CL Item
Atrial fibrillation (12)
CL Item
unctional rhythm (heart rate ≤100 beats/min) (13)
CL Item
Junctional rhythm (14)
CL Item
Junctional tachycardia (heart rate > 100 beats/min) (15)
CL Item
Ectopic ventricular beats (16)
CL Item
Ventricular couplets (17)
CL Item
Bigeminy (18)
CL Item
Trigeminy (19)
CL Item
Electrical alternans (20)
CL Item
R on T phenomenon (21)
CL Item
Ventricular fibrillation (22)
CL Item
Idioventricular rhythm (heart rate < 100 beats/min) (23)
CL Item
Sustained ventricular tachycardia (24)
CL Item
Non-sustained ventricular tachycardia (25)
CL Item
Ventricular tachycardia (26)
CL Item
Monomorphic ventricular tachycardia (27)
CL Item
Torsades de Pointes (Polymorphic ventricular tachycardia with prolonged QT) (28)
CL Item
Polymorphic (sustained and non-sustained) ventricular tachycardia (29)
CL Item
Artificial pacemaker (30)
CL Item
Other abnormal rhythm (31)
Item
Record clinically significant abnormalities: Conduction
integer
C0232219 (UMLS CUI [1,1])
C0430456 (UMLS CUI [1,2])
Code List
Record clinically significant abnormalities: Conduction
CL Item
First degree AV block (PR interval > 200 msec) (1)
CL Item
Second degree AV block (Mobitz type 1) (2)
CL Item
Second degree AV block (Mobitz type 2) (3)
CL Item
2:1 AV block (4)
CL Item
Third degree AV block (5)
CL Item
Left axis deviation (QRS axis more negative than -30°) (6)
CL Item
Right axis deviation (QRS axis more positive than +110°) (7)
CL Item
Incomplete right bundle branch block (8)
CL Item
Incomplete left bundle branch block (9)
CL Item
Right bundle branch block (10)
CL Item
Left anterior hemiblock (synonymous to left anterior fascicular block) (11)
CL Item
Left posterior hemiblock (synonymous to left posterior fascicular block) (12)
CL Item
Left bundle branch block (13)
CL Item
Bifascicular block (14)
CL Item
Non-specific intraventricular conduction delay (QRS ≥ 120 msec) (15)
CL Item
QT/QTc prolongation ≥ 500 msec (17)
CL Item
AV dissociation (18)
CL Item
Other conduction (19)
Item
Record clinically significant abnormalities: Depolarisation/Repolarisation (QRS-T)
integer
C0948857 (UMLS CUI [1])
Code List
Record clinically significant abnormalities: Depolarisation/Repolarisation (QRS-T)
CL Item
Non-specific ST-T changes (1)
CL Item
J point elevation (2)
CL Item
ST elevation (3)
CL Item
ST elevation-pericarditis (4)
CL Item
ST depression (5)
CL Item
U waves abnormal (6)
CL Item
T wave inversion (7)
CL Item
T wave peaked (8)
CL Item
T waves flat (9)
CL Item
T waves biphasic (10)
CL Item
Notched T-waves (11)
CL Item
Low QRS voltage (12)
CL Item
T-wave flattening/inversion (13)
CL Item
Other depolarisation/repolarisation (14)
Item Group
Local Laboratory - Haematology
C0474523 (UMLS CUI-1)
C0022885 (UMLS CUI-2)
Lab ID
Item
Lab ID
text
C0022877 (UMLS CUI [1,1])
C0600091 (UMLS CUI [1,2])
Date Sample taken Haematology
Item
Date Sample taken Haematology
date
C0005834 (UMLS CUI [1,1])
C0018941 (UMLS CUI [1,2])
C1302413 (UMLS CUI [1,3])
Haematocrit (HCT)
Item
Haematocrit (HCT)
float
C0018935 (UMLS CUI [1])
Haemoglobin (Hb)
Item
Haemoglobin (Hb)
float
C0518015 (UMLS CUI [1])
Platelet count (absolute)
Item
Platelet count (absolute)
float
C0032181 (UMLS CUI [1])
White blood cell count (WBC) (Absolute)
Item
White blood cell count (WBC) (Absolute)
float
C0023508 (UMLS CUI [1])
Neutrophil count (absolute)
Item
Neutrophil count (absolute)
float
C0948762 (UMLS CUI [1])
Lymphocyte count (absolute)
Item
Lymphocyte count (absolute)
float
C3544087 (UMLS CUI [1])
PTT
Item
Activated Partial Thromboplastin Time (PTT)
float
C0030605 (UMLS CUI [1])
INR
Item
International Normalized Ratio
float
C0525032 (UMLS CUI [1])
Prothrombin time
Item
Prothrombin time
float
C0033707 (UMLS CUI [1])
Item Group
Local Laboratory - Clinical Chemistry
C0008000 (UMLS CUI-1)
C0022885 (UMLS CUI-2)
Lab ID
Item
Lab ID
integer
C0022877 (UMLS CUI [1,1])
C0600091 (UMLS CUI [1,2])
Date sample taken
Item
Date sample taken clinical chemistry
date
C0005834 (UMLS CUI [1,1])
C0008000 (UMLS CUI [1,2])
C1302413 (UMLS CUI [1,3])
Alkaline phosphatase
Item
Alkaline phosphatase
float
C0201850 (UMLS CUI [1])
AST (SGOT)
Item
AST (SGOT)
float
C0201899 (UMLS CUI [1])
ALT (SGPT)
Item
ALT (SGPT)
float
C0201836 (UMLS CUI [1])
Albumin
Item
Albumin
float
C0201838 (UMLS CUI [1])
Total bilirubin
Item
Total bilirubin
float
C0201913 (UMLS CUI [1])
BUN
Item
Blood Urea Nitrogen
float
C0005845 (UMLS CUI [1])
Calcium
Item
Calcium
float
C0201925 (UMLS CUI [1])
Serum Creatinine
Item
Serum Creatinine
float
C0201976 (UMLS CUI [1])
Glucose (fasting)
Item
Glucose (fasting)
float
C0583513 (UMLS CUI [1])
LDH
Item
LDH
float
C0202113 (UMLS CUI [1])
Potassium
Item
Potassium
float
C0202194 (UMLS CUI [1])
Sodium
Item
Sodium
float
C0337443 (UMLS CUI [1])
Lipase
Item
Serum lipase
float
C0373670 (UMLS CUI [1])
Amylase
Item
Serum Amylase
float
C0201883 (UMLS CUI [1])
T4
Item
T4 (only if TSH abnormal)
float
C0202231 (UMLS CUI [1])
TSH
Item
TSH
float
C0202230 (UMLS CUI [1])
Item Group
Urinalysis
C0042014 (UMLS CUI-1)
Date sample taken
Item
Date sample taken
date
C1302413 (UMLS CUI [1])
Laboratory name
Item
Laboratory name
text
C3258037 (UMLS CUI [1])
Address
Item
Address
text
C1442065 (UMLS CUI [1,1])
C0022877 (UMLS CUI [1,2])
UPC ratio
Item
UPC ratio
float
C1524119 (UMLS CUI [1,1])
C0033684 (UMLS CUI [1,2])
C1522609 (UMLS CUI [1,3])
Lab ID
Item
Lab ID
text
C0022877 (UMLS CUI [1,1])
C0600091 (UMLS CUI [1,2])
Item Group
Electronically transferred laboratory data
C0200345 (UMLS CUI-1)
C0022885 (UMLS CUI-2)
C1320722 (UMLS CUI-3)
Date of first CA-125 sample
Item
Date of first CA-125 sample
date
C0011008 (UMLS CUI [1,1])
C0201549 (UMLS CUI [1,2])
Date of second CA-125 sample
Item
Date of second CA-125 sample
date
C0011008 (UMLS CUI [1,1])
C0201549 (UMLS CUI [1,2])

Gebruik dit formulier voor feedback, vragen en verbeteringsvoorstellen.

Velden gemarkeerd met een * zijn verplicht.

Do you need help on how to use the search function? Please watch the corresponding tutorial video for more details and learn how to use the search function most efficiently.

Watch Tutorial