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Maintenance therapy R2 AIEOP-BFM ALL 2009 NCT01117441

1 forms  
Patient Information
Description

Patient Information

Alias
UMLS CUI-1
C1955348
Patient Study ID
Description

Patient Study ID

Data type

text

Alias
UMLS CUI [1]
C2348585
Patient bith date
Description

Patient Date of birth

Data type

text

Alias
UMLS CUI [1]
C0421451
Examinations
Description

Examinations

Alias
UMLS CUI-1
C0582103
Date of examination
Description

Date of examination

Data type

date

Alias
UMLS CUI [1]
C2826643
White Blood Count
Description

White Blood Count

Data type

float

Measurement units
  • /μl
Alias
UMLS CUI [1]
C0023508
/μl
White Blood Count
Description

White Blood Count

Data type

float

Measurement units
  • Gpt/L
Alias
UMLS CUI [1]
C0023508
Gpt/L
Neutrophil count
Description

Neutrophil count

Data type

float

Measurement units
  • %
Alias
UMLS CUI [1]
C0200633
%
Lymphocyte count
Description

Lymphocyte count

Data type

float

Measurement units
  • %
Alias
UMLS CUI [1]
C0200635
%
Hemoglobin
Description

Hemoglobin

Data type

float

Measurement units
  • g/dL
Alias
UMLS CUI [1]
C0518015
g/dL
Hemoglobin
Description

Hemoglobin

Data type

float

Measurement units
  • mmol/L
Alias
UMLS CUI [1]
C0518015
mmol/L
Platelet count
Description

Platelet count

Data type

float

Measurement units
  • /μl
Alias
UMLS CUI [1]
C0032181
/μl
Weight
Description

Weight

Data type

float

Measurement units
  • kg
Alias
UMLS CUI [1]
C0005910
kg
Height
Description

Height

Data type

float

Measurement units
  • cm
Alias
UMLS CUI [1]
C0005890
cm
Therapy start date
Description

Therapy start date

Data type

date

Alias
UMLS CUI [1]
C3173309
Therapy end date
Description

Therapy end date

Data type

date

Alias
UMLS CUI [1]
C1531784
6-MP: Cumulative dose (Given during the above mentioned period of time)
Description

6-MP: Cumulative dose

Data type

float

Measurement units
  • mg
Alias
UMLS CUI [1,1]
C0000618
UMLS CUI [1,2]
C2986497
mg
MTX: Cumulative dose (Given during the above mentioned period of time)
Description

MTX: Cumulative dose

Data type

float

Measurement units
  • mg
Alias
UMLS CUI [1,1]
C0025677
UMLS CUI [1,2]
C2986497
mg
Therapy pauses: number of days (during the above mentioned period of time)
Description

Therapy pauses: number of days

Data type

float

Alias
UMLS CUI [1,1]
C0489607
UMLS CUI [1,2]
C0237753
Comorbidity: Infections, reasons to stop the therapy
Description

Comorbidity

Data type

text

Alias
UMLS CUI [1]
C0009488
Identification and Signature
Description

Identification and Signature

Alias
UMLS CUI-1
C0205396
UMLS CUI-3
C1519316
Doctor's name
Description

Doctor's name

Data type

text

Alias
UMLS CUI [1,1]
C0027365
UMLS CUI [1,2]
C0031831
Date of report
Description

Date of report

Data type

date

Alias
UMLS CUI [1]
C1302584
Signature
Description

Signature

Data type

text

Alias
UMLS CUI [1]
C1519316
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Similar models

Maintenance therapy R2 AIEOP-BFM ALL 2009 NCT01117441

1 forms
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Patient Information
C1955348 (UMLS CUI-1)
Patient Study ID
Item
Patient Study ID
text
C2348585 (UMLS CUI [1])
Patient Date of birth
Item
Patient bith date
text
C0421451 (UMLS CUI [1])
Item Group
Examinations
C0582103 (UMLS CUI-1)
Date of examination
Item
Date of examination
date
C2826643 (UMLS CUI [1])
White Blood Count
Item
White Blood Count
float
C0023508 (UMLS CUI [1])
White Blood Count
Item
White Blood Count
float
C0023508 (UMLS CUI [1])
Neutrophil count
Item
Neutrophil count
float
C0200633 (UMLS CUI [1])
Lymphocyte count
Item
Lymphocyte count
float
C0200635 (UMLS CUI [1])
Hemoglobin
Item
Hemoglobin
float
C0518015 (UMLS CUI [1])
Hemoglobin
Item
Hemoglobin
float
C0518015 (UMLS CUI [1])
Platelet count
Item
Platelet count
float
C0032181 (UMLS CUI [1])
Weight
Item
Weight
float
C0005910 (UMLS CUI [1])
Height
Item
Height
float
C0005890 (UMLS CUI [1])
Therapy start date
Item
Therapy start date
date
C3173309 (UMLS CUI [1])
Therapy end date
Item
Therapy end date
date
C1531784 (UMLS CUI [1])
6-MP: Cumulative dose
Item
6-MP: Cumulative dose (Given during the above mentioned period of time)
float
C0000618 (UMLS CUI [1,1])
C2986497 (UMLS CUI [1,2])
MTX: Cumulative dose
Item
MTX: Cumulative dose (Given during the above mentioned period of time)
float
C0025677 (UMLS CUI [1,1])
C2986497 (UMLS CUI [1,2])
Therapy pauses: number of days
Item
Therapy pauses: number of days (during the above mentioned period of time)
float
C0489607 (UMLS CUI [1,1])
C0237753 (UMLS CUI [1,2])
Comorbidity
Item
Comorbidity: Infections, reasons to stop the therapy
text
C0009488 (UMLS CUI [1])
Item Group
Identification and Signature
C0205396 (UMLS CUI-1)
C1519316 (UMLS CUI-3)
Doctor's name
Item
Doctor's name
text
C0027365 (UMLS CUI [1,1])
C0031831 (UMLS CUI [1,2])
Date of report
Item
Date of report
date
C1302584 (UMLS CUI [1])
Signature
Item
Signature
text
C1519316 (UMLS CUI [1])
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