ID

42904

Beskrivning

http://clinicaltrials.gov/ct2/show/NCT01657604

Länk

http://clinicaltrials.gov/ct2/show/NCT01657604

Nyckelord

Versioner (2)
  1. 2014-01-18 2014-01-18 -
  2. 2021-09-17 2021-09-17 -
Uppladdad den

17 september 2021

DOI

För en begäran logga in.

Licens

Creative Commons BY 4.0
Modellkommentarer :

Här kan du kommentera modellen. Med hjälp av pratbubblor i Item-grupperna och Item kan du lägga in specifika kommentarer.

Tillbaka till modellkommentarer
Itemgroup-kommentar för :

Item-kommentar för :

Du måste vara inloggad för att kunna ladda ner formulär. Var vänlig logga in eller registrera dig utan kostnad.

Einschlusskriterien DRKS00005243 NCT01657604 Chronic Myeloid Leukemia

Tysk Engelsk

Einschlusskriterien

1 Formulär  
  1. StudyEvent: Chronic Myeloid Leukemia
    1. Einschlusskriterien
Administrative Items
Beskrivning

Administrative Items

Alias
Code-1
Administrative Items
UMLS CUI 2011AB
C2598108
LOINC Version 232
MTHU029788
Hospital Identifier
Beskrivning

Klinik-Nr.

Datatyp

integer

Alias
Code-1
Identifier
UMLS CUI 2011AB
C0600091
SNOMEDCT_2012_01_31
118522005
Code-2
Hospitals
UMLS CUI 2011AB
C0019994
LOINC Version 232
MTHU002722
Patient identifier
Beskrivning

Patienten-Nr.

Datatyp

integer

Alias
Code-1
Identifier
UMLS CUI 2011AB
C0600091
SNOMEDCT_2012_01_31
118522005
Code-2
Patients
UMLS CUI 2011AB
C0030705
SNOMEDCT_2012_01_31
116154003
Date of birth
Beskrivning

Date of birth

Alias
Code-1
Patient date of birth
UMLS CUI 2011AB
C0421451
SNOMEDCT_2012_01_31
184099003
LOINC Version 232
MTHU009540
Month of birth
Beskrivning

Geburtsmonat

Datatyp

integer

Alias
Code-1
month
UMLS CUI 2011AB
C0439231
SNOMEDCT_2012_01_31
258706009
HL7 V3 2006_05
MO
Day of birth
Beskrivning

Geburtstag

Datatyp

integer

Alias
Code-1
day
UMLS CUI 2011AB
C0439228
SNOMEDCT_2012_01_31
258703001
LOINC Version 232
MTHU039849
HL7 V3 2006_05
D
Administrative Items
Beskrivning

Administrative Items

Alias
Code-1
Administrative Items
UMLS CUI 2011AB
C2598108
LOINC Version 232
MTHU029788
Date of Evaluation
Beskrivning

Beurteilungsdatum

Datatyp

date

Alias
Code-1
Evaluation
UMLS CUI 2011AB
C0220825
Code-2
Date in time
UMLS CUI 2011AB
C0011008
SNOMEDCT_2012_01_31
410671006
LOINC Version 232
MTHU021546
Date of diagnosis
Beskrivning

Diagnosedatum

Datatyp

date

Alias
Code-1
Date of diagnosis
UMLS CUI 2011AB
C2316983
SNOMEDCT_2012_01_31
432213005
LOINC Version 232
MTHU038128
Sex
Beskrivning

Geschlecht

Datatyp

integer

Alias
Code-1
Patient sex
UMLS CUI 2011AB
C0150831
SNOMEDCT_2012_01_31
184100006
Inclusion Criterion
Beskrivning

Inclusion Criterion

Alias
Code-1
Inclusion Criteria
UMLS CUI 2011AB
C1512693
CML in chronic phase with cytogenetic proof of philadelphia-chromosome or variant translocation (BCR-ABL positive in multiplex-PCR)
Beskrivning

CML in chronischer Phase mit zytogenetischem Nachweis des Philadelphia-Chromosoms oder vatiante Translokation (BCR-ABL-positiv in Multiplex-PCR)

Datatyp

boolean

Alias
Code-1
Chronic Phase Chronic Myelogenous Leukemia, BCR-ABL1 Positive
UMLS CUI 2011AB
C0023474
SNOMEDCT_2012_01_31
413847001
MedDRA 14.1
10054352
Date of Diagnosis not older than six months
Beskrivning

Datum der Diagnose nicht älter als sechs Monate

Datatyp

boolean

Alias
Code-1
Date of diagnosis
UMLS CUI 2011AB
C2316983
SNOMEDCT_2012_01_31
432213005
LOINC Version 232
MTHU038128
Code-2
Age
UMLS CUI 2011AB
C0001779
SNOMEDCT_2012_01_31
397669002
LOINC Version 232
MTHU010047
Code-3
Negation
UMLS CUI 2011AB
C1518422
Code-4
Greater Than
UMLS CUI 2011AB
C0439093
SNOMEDCT_2012_01_31
276140008
HL7 V3 2006_05
GT
Code-5
Six
UMLS CUI 2011AB
C0205452
SNOMEDCT_2012_01_31
422218008
Code-6
month
UMLS CUI 2011AB
C0439231
SNOMEDCT_2012_01_31
258706009
CML so far untreated (Exception up to six months Hydroxyurea and/or up to six weeks Imatinib or Nilotinib)
Beskrivning

CML bislang unbehandelt (Ausnahme bis zu sechs Monate Hydroxyurea und/oder bis zu sechs Wochen Imatinib oder Nilotinib)

Datatyp

boolean

Alias
Code-1
Myeloid Leukemia, Chronic
UMLS CUI 2011AB
C0023473
SNOMEDCT_2012_01_31
63364005
MedDRA 14.1
10009700
ICD-10-CM Version 2010
C92.1
ICD-9-CM Version 2011
205.1
Code-2
Without
UMLS CUI 2011AB
C0332288
SNOMEDCT_2012_01_31
45169001
Code-3
Therapeutic procedure
UMLS CUI 2011AB
C0087111
SNOMEDCT_2012_01_31
277132007
MedDRA 14.1
10053757
LOINC Version 232
MTHU021209
Code-4
exception - ResponseLevel
UMLS CUI 2011AB
C1554961
HL7 V3 2006_05
E
Code-5
Six
UMLS CUI 2011AB
C0205452
SNOMEDCT_2012_01_31
422218008
Code-6
month
UMLS CUI 2011AB
C0439231
SNOMEDCT_2012_01_31
258706009
Age at Inclusion minimum 18 years
Beskrivning

Alter bei Studieneinschluss mindestens 18 Jahre

Datatyp

boolean

Alias
Code-1
patient age
UMLS CUI 2011AB
CL386174
Code-2
Enrollment
UMLS CUI 2011AB
C1516879
Code-3
Minimum
UMLS CUI 2011AB
C1524031
Code-4
Eight
UMLS CUI 2011AB
C0205454
SNOMEDCT_2012_01_31
421825006
Code-5
Ten
UMLS CUI 2011AB
C0205456
SNOMEDCT_2012_01_31
420258001
Code-6
year
UMLS CUI 2011AB
C0439234
SNOMEDCT_2012_01_31
258707000
Serum-values Potassium, Magnesium and Calcium greater or equal LLN respectively within normal range under supplementation
Beskrivning

Serum-Werte Kalium, Magnesium und Kalzium größer oder gleich LLN (untere Normschranke) bzw. innerhalb des Normbereichs unter Supplementation

Datatyp

boolean

Alias
Code-1
Potassium [Mass or Molecules/volume] in Serum or Plasma
UMLS CUI 2011AB
C2363391
LOINC Version 232
42569-4
Code-2
Magnesium [Mass or Molecules/volume] in Serum or Plasma
UMLS CUI 2011AB
C2607855
LOINC Version 232
35249-2
Code-3
Calcium:MCnc:Pt:Ser/Plas:Qn
UMLS CUI 2011AB
C0800968
LOINC Version 232
35246-8
Code-4
Greater Than or Equal To
UMLS CUI 2011AB
C0439091
SNOMEDCT_2012_01_31
276138003
HL7 V3 2006_05
GE
Code-5
Lower Limit of Normal
UMLS CUI 2011AB
C1518030
Code-6
Normal Values
UMLS CUI 2011AB
C0086715
SNOMEDCT_2012_01_31
260395002
ASAT and ALAT less than or equal to 2.5 times UNL respectively less than or equal to 5 times ULN, if induced by leukemia
Beskrivning

ASAT und ALAT kleiner oder gleich 2.5 x UNL (obere Normschranke) bzw. kleiner oder gleich 5 x ULN, falls durch die Leukämie induziert.

Datatyp

boolean

Alias
Code-1
Aspartate Transaminase
UMLS CUI 2011AB
C0004002
SNOMEDCT_2012_01_31
26091008
LOINC Version 232
MTHU004883
Code-2
And
UMLS CUI 2011AB
C1515981
Code-3
Alanine Transaminase
UMLS CUI 2011AB
C0001899
SNOMEDCT_2012_01_31
56935002
LOINC Version 232
MTHU006766
Code-4
Less Than or Equal to
UMLS CUI 2011AB
C0439090
SNOMEDCT_2012_01_31
276137008
HL7 V3 2006_05
LE
Code-5
Two
UMLS CUI 2011AB
C0205448
SNOMEDCT_2012_01_31
420797005
Code-6
Half
UMLS CUI 2011AB
C2825407
Alkaline Phosphatase less than or equal to 2.5 times UNL, if not induced by leukemia
Beskrivning

Alkalische Phosphatase kleiner oder gleich 2.5 x UNL, falls nicht durch die Leukämie induziert.

Datatyp

boolean

Alias
Code-1
Alkaline phosphatase level - finding
UMLS CUI 2011AB
C0428332
SNOMEDCT_2012_01_31
365771003
Code-2
Less Than or Equal to
UMLS CUI 2011AB
C0439090
SNOMEDCT_2012_01_31
276137008
HL7 V3 2006_05
LE
Code-3
Two
UMLS CUI 2011AB
C0205448
SNOMEDCT_2012_01_31
420797005
Code-4
Half
UMLS CUI 2011AB
C2825407
Code-5
Times
UMLS CUI 2011AB
C1632851
SNOMEDCT_2012_01_31
417929005
Code-6
Upper Limit of Normal
UMLS CUI 2011AB
C1519815
Bilirubin total less than oder equal to 1.5 times ULN, if no Gilbert's syndrome known
Beskrivning

Gesamt-Bilirubin kleiner oder gleich 1.5 x ULN, sofern kein bekannter Morbus Gilbert (Meulengracht)

Datatyp

boolean

Alias
Code-1
Total Bilirubin Measurement
UMLS CUI 2011AB
C0201913
SNOMEDCT_2012_01_31
359986008
MedDRA 14.1
10004696
Code-2
Less Than or Equal to
UMLS CUI 2011AB
C0439090
SNOMEDCT_2012_01_31
276137008
HL7 V3 2006_05
LE
Code-3
One
UMLS CUI 2011AB
C0205447
SNOMEDCT_2012_01_31
421379005
Code-4
Half
UMLS CUI 2011AB
C2825407
Code-5
Times
UMLS CUI 2011AB
C1632851
SNOMEDCT_2012_01_31
417929005
Code-6
Upper Limit of Normal
UMLS CUI 2011AB
C1519815
Serum-Lipase and Amylase less than or equal to 1.5 times ULN
Beskrivning

Serum-Lipase und Amylase kleiner oder gleich 1.5 ULN

Datatyp

boolean

Alias
Code-1
Triacylglycerol lipase:CCnc:Pt:Ser/Plas:Qn
UMLS CUI 2011AB
C0365184
LOINC Version 232
3040-3
Code-2
Amylase:CCnc:Pt:Ser/Plas:Qn
UMLS CUI 2011AB
C0484652
LOINC Version 232
1798-8
Code-3
Less Than or Equal to
UMLS CUI 2011AB
C0439090
SNOMEDCT_2012_01_31
276137008
HL7 V3 2006_05
LE
Code-4
One
UMLS CUI 2011AB
C0205447
SNOMEDCT_2012_01_31
421379005
Code-5
Half
UMLS CUI 2011AB
C2825407
Code-6
Times
UMLS CUI 2011AB
C1632851
SNOMEDCT_2012_01_31
417929005
Serum-Creatinine less than or equal to 2 times ULN
Beskrivning

Serum-Kreatinin kleiner oder gleich 2 x ULN

Datatyp

boolean

Alias
Code-1
Creatinine:Mass Concentration:Point in time:Serum/Plasma:Quantitative
UMLS CUI 2011AB
C2739805
LOINC Version 232
35203-9
Code-2
Less Than or Equal to
UMLS CUI 2011AB
C0439090
SNOMEDCT_2012_01_31
276137008
HL7 V3 2006_05
LE
Code-3
Two
UMLS CUI 2011AB
C0205448
SNOMEDCT_2012_01_31
420797005
Code-4
Times
UMLS CUI 2011AB
C1632851
SNOMEDCT_2012_01_31
417929005
Code-5
Upper Limit of Normal
UMLS CUI 2011AB
C1519815
ECOG Status within the range of 0 to 2
Beskrivning

ECOG-Status im Bereich von 0 bis 2

Datatyp

boolean

Alias
Code-1
ECOG performance status - grade 0
UMLS CUI 2011AB
C1828078
SNOMEDCT_2012_01_31
425389002
Code-2
ECOG performance status - grade 1
UMLS CUI 2011AB
C1827388
SNOMEDCT_2012_01_31
422512005
Code-3
ECOG performance status - grade 2
UMLS CUI 2011AB
C1828242
SNOMEDCT_2012_01_31
422894000
Written informed consent obtained for each study intervention
Beskrivning

Schriftliche Einwilligungserklärung des aufgeklärten Patienten vor jeglicher Studienintervention erhalten

Datatyp

boolean

Alias
Code-1
Informed consent obtained
UMLS CUI 2011AB
C0514044
LOINC Version 232
MTHU008888
Code-2
written - ParticipationMode
UMLS CUI 2011AB
C1576874
HL7 V3 2006_05
WRITTEN
Code-3
Intervention Studies
UMLS CUI 2011AB
C1096775
Code-4
Each
UMLS CUI 2011AB
C1457900
SNOMEDCT_2012_01_31
419473009
Signature
Beskrivning

Signature

Alias
Code-1
Signature
UMLS CUI 2011AB
C1519316
Code-2
Bone Marrow Examination
UMLS CUI 2011AB
C0005957
SNOMEDCT_2012_01_31
167907006
MedDRA 14.1
10005988
Hospital
Beskrivning

Klinik

Datatyp

string

Alias
Code-1
Hospitals
UMLS CUI 2011AB
C0019994
LOINC Version 232
MTHU002722
Date
Beskrivning

Datum

Datatyp

date

Alias
Code-1
Signature date
UMLS CUI 2011AB
C0807937
LOINC Version 232
MTHU008294
Signature
Beskrivning

Unterschrift

Datatyp

string

Alias
Code-1
Investigator Signature
UMLS CUI 2011AB
C2346576
Tillbaka till toppen

Similar models

Einschlusskriterien

1 Formulär
  1. StudyEvent: Chronic Myeloid Leukemia
    1. Einschlusskriterien
Name
Typ
Description | Question | Decode (Coded Value)
Datatyp
Alias
Item Group
Administrative Items
Administrative Items (Code-1)
C2598108 (UMLS CUI 2011AB)
MTHU029788 (LOINC Version 232)
Klinik-Nr.
Item
Hospital Identifier
integer
Identifier (Code-1)
C0600091 (UMLS CUI 2011AB)
118522005 (SNOMEDCT_2012_01_31)
Hospitals (Code-2)
C0019994 (UMLS CUI 2011AB)
MTHU002722 (LOINC Version 232)
Patienten-Nr.
Item
Patient identifier
integer
Identifier (Code-1)
C0600091 (UMLS CUI 2011AB)
118522005 (SNOMEDCT_2012_01_31)
Patients (Code-2)
C0030705 (UMLS CUI 2011AB)
116154003 (SNOMEDCT_2012_01_31)
Item Group
Date of birth
Patient date of birth (Code-1)
C0421451 (UMLS CUI 2011AB)
184099003 (SNOMEDCT_2012_01_31)
MTHU009540 (LOINC Version 232)
Geburtsmonat
Item
Month of birth
integer
month (Code-1)
C0439231 (UMLS CUI 2011AB)
258706009 (SNOMEDCT_2012_01_31)
MO (HL7 V3 2006_05)
Geburtstag
Item
Day of birth
integer
day (Code-1)
C0439228 (UMLS CUI 2011AB)
258703001 (SNOMEDCT_2012_01_31)
MTHU039849 (LOINC Version 232)
D (HL7 V3 2006_05)
Item Group
Administrative Items
Administrative Items (Code-1)
C2598108 (UMLS CUI 2011AB)
MTHU029788 (LOINC Version 232)
Beurteilungsdatum
Item
Date of Evaluation
date
Evaluation (Code-1)
C0220825 (UMLS CUI 2011AB)
Date in time (Code-2)
C0011008 (UMLS CUI 2011AB)
410671006 (SNOMEDCT_2012_01_31)
MTHU021546 (LOINC Version 232)
Diagnosedatum
Item
Date of diagnosis
date
Date of diagnosis (Code-1)
C2316983 (UMLS CUI 2011AB)
432213005 (SNOMEDCT_2012_01_31)
MTHU038128 (LOINC Version 232)
Item
Sex
integer
Patient sex (Code-1)
C0150831 (UMLS CUI 2011AB)
184100006 (SNOMEDCT_2012_01_31)
Geschlecht
Code List
Sex
CL Item
Male (männlich)
Male gender (Code-1)
C0086582 (UMLS CUI 2011AB)
10052007 (SNOMEDCT_2012_01_31)
CL Item
Female (weiblich)
C0086287 (UMLS CUI 2011AB)
1086007 (SNOMEDCT_2012_01_31)
Item Group
Inclusion Criterion
Inclusion Criteria (Code-1)
C1512693 (UMLS CUI 2011AB)
CML in chronischer Phase mit zytogenetischem Nachweis des Philadelphia-Chromosoms oder vatiante Translokation (BCR-ABL-positiv in Multiplex-PCR)
Item
CML in chronic phase with cytogenetic proof of philadelphia-chromosome or variant translocation (BCR-ABL positive in multiplex-PCR)
boolean
Chronic Phase Chronic Myelogenous Leukemia, BCR-ABL1 Positive (Code-1)
C0023474 (UMLS CUI 2011AB)
413847001 (SNOMEDCT_2012_01_31)
10054352 (MedDRA 14.1)
Datum der Diagnose nicht älter als sechs Monate
Item
Date of Diagnosis not older than six months
boolean
Date of diagnosis (Code-1)
C2316983 (UMLS CUI 2011AB)
432213005 (SNOMEDCT_2012_01_31)
MTHU038128 (LOINC Version 232)
Age (Code-2)
C0001779 (UMLS CUI 2011AB)
397669002 (SNOMEDCT_2012_01_31)
MTHU010047 (LOINC Version 232)
Negation (Code-3)
C1518422 (UMLS CUI 2011AB)
Greater Than (Code-4)
C0439093 (UMLS CUI 2011AB)
276140008 (SNOMEDCT_2012_01_31)
GT (HL7 V3 2006_05)
Six (Code-5)
C0205452 (UMLS CUI 2011AB)
422218008 (SNOMEDCT_2012_01_31)
month (Code-6)
C0439231 (UMLS CUI 2011AB)
258706009 (SNOMEDCT_2012_01_31)
CML bislang unbehandelt (Ausnahme bis zu sechs Monate Hydroxyurea und/oder bis zu sechs Wochen Imatinib oder Nilotinib)
Item
CML so far untreated (Exception up to six months Hydroxyurea and/or up to six weeks Imatinib or Nilotinib)
boolean
Myeloid Leukemia, Chronic (Code-1)
C0023473 (UMLS CUI 2011AB)
63364005 (SNOMEDCT_2012_01_31)
10009700 (MedDRA 14.1)
C92.1 (ICD-10-CM Version 2010)
205.1 (ICD-9-CM Version 2011)
Without (Code-2)
C0332288 (UMLS CUI 2011AB)
45169001 (SNOMEDCT_2012_01_31)
Therapeutic procedure (Code-3)
C0087111 (UMLS CUI 2011AB)
277132007 (SNOMEDCT_2012_01_31)
10053757 (MedDRA 14.1)
MTHU021209 (LOINC Version 232)
exception - ResponseLevel (Code-4)
C1554961 (UMLS CUI 2011AB)
E (HL7 V3 2006_05)
Six (Code-5)
C0205452 (UMLS CUI 2011AB)
422218008 (SNOMEDCT_2012_01_31)
month (Code-6)
C0439231 (UMLS CUI 2011AB)
258706009 (SNOMEDCT_2012_01_31)
Alter bei Studieneinschluss mindestens 18 Jahre
Item
Age at Inclusion minimum 18 years
boolean
patient age (Code-1)
CL386174 (UMLS CUI 2011AB)
Enrollment (Code-2)
C1516879 (UMLS CUI 2011AB)
Minimum (Code-3)
C1524031 (UMLS CUI 2011AB)
Eight (Code-4)
C0205454 (UMLS CUI 2011AB)
421825006 (SNOMEDCT_2012_01_31)
Ten (Code-5)
C0205456 (UMLS CUI 2011AB)
420258001 (SNOMEDCT_2012_01_31)
year (Code-6)
C0439234 (UMLS CUI 2011AB)
258707000 (SNOMEDCT_2012_01_31)
Serum-Werte Kalium, Magnesium und Kalzium größer oder gleich LLN (untere Normschranke) bzw. innerhalb des Normbereichs unter Supplementation
Item
Serum-values Potassium, Magnesium and Calcium greater or equal LLN respectively within normal range under supplementation
boolean
Potassium [Mass or Molecules/volume] in Serum or Plasma (Code-1)
C2363391 (UMLS CUI 2011AB)
42569-4 (LOINC Version 232)
Magnesium [Mass or Molecules/volume] in Serum or Plasma (Code-2)
C2607855 (UMLS CUI 2011AB)
35249-2 (LOINC Version 232)
Calcium:MCnc:Pt:Ser/Plas:Qn (Code-3)
C0800968 (UMLS CUI 2011AB)
35246-8 (LOINC Version 232)
Greater Than or Equal To (Code-4)
C0439091 (UMLS CUI 2011AB)
276138003 (SNOMEDCT_2012_01_31)
GE (HL7 V3 2006_05)
Lower Limit of Normal (Code-5)
C1518030 (UMLS CUI 2011AB)
Normal Values (Code-6)
C0086715 (UMLS CUI 2011AB)
260395002 (SNOMEDCT_2012_01_31)
ASAT und ALAT kleiner oder gleich 2.5 x UNL (obere Normschranke) bzw. kleiner oder gleich 5 x ULN, falls durch die Leukämie induziert.
Item
ASAT and ALAT less than or equal to 2.5 times UNL respectively less than or equal to 5 times ULN, if induced by leukemia
boolean
Aspartate Transaminase (Code-1)
C0004002 (UMLS CUI 2011AB)
26091008 (SNOMEDCT_2012_01_31)
MTHU004883 (LOINC Version 232)
And (Code-2)
C1515981 (UMLS CUI 2011AB)
Alanine Transaminase (Code-3)
C0001899 (UMLS CUI 2011AB)
56935002 (SNOMEDCT_2012_01_31)
MTHU006766 (LOINC Version 232)
Less Than or Equal to (Code-4)
C0439090 (UMLS CUI 2011AB)
276137008 (SNOMEDCT_2012_01_31)
LE (HL7 V3 2006_05)
Two (Code-5)
C0205448 (UMLS CUI 2011AB)
420797005 (SNOMEDCT_2012_01_31)
Half (Code-6)
C2825407 (UMLS CUI 2011AB)
Alkalische Phosphatase kleiner oder gleich 2.5 x UNL, falls nicht durch die Leukämie induziert.
Item
Alkaline Phosphatase less than or equal to 2.5 times UNL, if not induced by leukemia
boolean
Alkaline phosphatase level - finding (Code-1)
C0428332 (UMLS CUI 2011AB)
365771003 (SNOMEDCT_2012_01_31)
Less Than or Equal to (Code-2)
C0439090 (UMLS CUI 2011AB)
276137008 (SNOMEDCT_2012_01_31)
LE (HL7 V3 2006_05)
Two (Code-3)
C0205448 (UMLS CUI 2011AB)
420797005 (SNOMEDCT_2012_01_31)
Half (Code-4)
C2825407 (UMLS CUI 2011AB)
Times (Code-5)
C1632851 (UMLS CUI 2011AB)
417929005 (SNOMEDCT_2012_01_31)
Upper Limit of Normal (Code-6)
C1519815 (UMLS CUI 2011AB)
Gesamt-Bilirubin kleiner oder gleich 1.5 x ULN, sofern kein bekannter Morbus Gilbert (Meulengracht)
Item
Bilirubin total less than oder equal to 1.5 times ULN, if no Gilbert's syndrome known
boolean
Total Bilirubin Measurement (Code-1)
C0201913 (UMLS CUI 2011AB)
359986008 (SNOMEDCT_2012_01_31)
10004696 (MedDRA 14.1)
Less Than or Equal to (Code-2)
C0439090 (UMLS CUI 2011AB)
276137008 (SNOMEDCT_2012_01_31)
LE (HL7 V3 2006_05)
One (Code-3)
C0205447 (UMLS CUI 2011AB)
421379005 (SNOMEDCT_2012_01_31)
Half (Code-4)
C2825407 (UMLS CUI 2011AB)
Times (Code-5)
C1632851 (UMLS CUI 2011AB)
417929005 (SNOMEDCT_2012_01_31)
Upper Limit of Normal (Code-6)
C1519815 (UMLS CUI 2011AB)
Serum-Lipase und Amylase kleiner oder gleich 1.5 ULN
Item
Serum-Lipase and Amylase less than or equal to 1.5 times ULN
boolean
Triacylglycerol lipase:CCnc:Pt:Ser/Plas:Qn (Code-1)
C0365184 (UMLS CUI 2011AB)
3040-3 (LOINC Version 232)
Amylase:CCnc:Pt:Ser/Plas:Qn (Code-2)
C0484652 (UMLS CUI 2011AB)
1798-8 (LOINC Version 232)
Less Than or Equal to (Code-3)
C0439090 (UMLS CUI 2011AB)
276137008 (SNOMEDCT_2012_01_31)
LE (HL7 V3 2006_05)
One (Code-4)
C0205447 (UMLS CUI 2011AB)
421379005 (SNOMEDCT_2012_01_31)
Half (Code-5)
C2825407 (UMLS CUI 2011AB)
Times (Code-6)
C1632851 (UMLS CUI 2011AB)
417929005 (SNOMEDCT_2012_01_31)
Serum-Kreatinin kleiner oder gleich 2 x ULN
Item
Serum-Creatinine less than or equal to 2 times ULN
boolean
Creatinine:Mass Concentration:Point in time:Serum/Plasma:Quantitative (Code-1)
C2739805 (UMLS CUI 2011AB)
35203-9 (LOINC Version 232)
Less Than or Equal to (Code-2)
C0439090 (UMLS CUI 2011AB)
276137008 (SNOMEDCT_2012_01_31)
LE (HL7 V3 2006_05)
Two (Code-3)
C0205448 (UMLS CUI 2011AB)
420797005 (SNOMEDCT_2012_01_31)
Times (Code-4)
C1632851 (UMLS CUI 2011AB)
417929005 (SNOMEDCT_2012_01_31)
Upper Limit of Normal (Code-5)
C1519815 (UMLS CUI 2011AB)
ECOG-Status im Bereich von 0 bis 2
Item
ECOG Status within the range of 0 to 2
boolean
ECOG performance status - grade 0 (Code-1)
C1828078 (UMLS CUI 2011AB)
425389002 (SNOMEDCT_2012_01_31)
ECOG performance status - grade 1 (Code-2)
C1827388 (UMLS CUI 2011AB)
422512005 (SNOMEDCT_2012_01_31)
ECOG performance status - grade 2 (Code-3)
C1828242 (UMLS CUI 2011AB)
422894000 (SNOMEDCT_2012_01_31)
Schriftliche Einwilligungserklärung des aufgeklärten Patienten vor jeglicher Studienintervention erhalten
Item
Written informed consent obtained for each study intervention
boolean
Informed consent obtained (Code-1)
C0514044 (UMLS CUI 2011AB)
MTHU008888 (LOINC Version 232)
written - ParticipationMode (Code-2)
C1576874 (UMLS CUI 2011AB)
WRITTEN (HL7 V3 2006_05)
Intervention Studies (Code-3)
C1096775 (UMLS CUI 2011AB)
Each (Code-4)
C1457900 (UMLS CUI 2011AB)
419473009 (SNOMEDCT_2012_01_31)
Item Group
Signature
Signature (Code-1)
C1519316 (UMLS CUI 2011AB)
Bone Marrow Examination (Code-2)
C0005957 (UMLS CUI 2011AB)
167907006 (SNOMEDCT_2012_01_31)
10005988 (MedDRA 14.1)
Klinik
Item
Hospital
string
Hospitals (Code-1)
C0019994 (UMLS CUI 2011AB)
MTHU002722 (LOINC Version 232)
Datum
Item
Date
date
Signature date (Code-1)
C0807937 (UMLS CUI 2011AB)
MTHU008294 (LOINC Version 232)
Unterschrift
Item
Signature
string
Investigator Signature (Code-1)
C2346576 (UMLS CUI 2011AB)
Tillbaka till toppen 

Kontakt

Använd detta formulär för feedback, frågor och förslag på förbättringar.

Fält markerade med * är obligatoriska.

Hjälp

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