Name
Typ
Description | Question | Decode (Coded Value)
Datentyp
Alias
Item Group
Patientendaten
C2707520 (UMLS CUI 2011AB)
MTHU031990 (LOINC Version 232)
Pat. No.
Item
Pat.-Nr.: -
integer
C1830427 (UMLS CUI 2011AB)
MTHU021361 (LOINC Version 232)
Item Group
Klinischer Befund
C0037088 (UMLS CUI 2011AB)
404684003 (SNOMEDCT_2012_01_31)
Physical Examination Date
Item
Untersuchungsdatum:
date
C2826643 (UMLS CUI 2011AB)
Item
ECOG-Status
integer
C1828127 (UMLS CUI 2011AB)
424122007 (SNOMEDCT_2012_01_31)
CL Item
ECOG 0 (Normale Leistungsfähigkeit) (0)
C1828078 (UMLS CUI 2011AB)
425389002 (SNOMEDCT_2012_01_31)
CL Item
ECOG 1 (Ambulante Betreuung, leichte Arbeiten möglich) (1)
C1827388 (UMLS CUI 2011AB)
422512005 (SNOMEDCT_2012_01_31)
CL Item
ECOG 2 (Weniger als 50% am Tage bettlägerig, Selbstversorgung möglich, aber nicht arbeitsfähig) (2)
C1828242 (UMLS CUI 2011AB)
422894000 (SNOMEDCT_2012_01_31)
CL Item
ECOG 3 (Mehr als 50% am Tage bettlägerig, begrenzte Selbstversorgung noch möglich) (3)
C1827126 (UMLS CUI 2011AB)
423053003 (SNOMEDCT_2012_01_31)
CL Item
ECOG 4 (Ständig bettlägerig) (4)
C1827528 (UMLS CUI 2011AB)
423237006 (SNOMEDCT_2012_01_31)
Weight
Item
Gewicht [kg]:
float
Body Weight (Code-1)
27113001 (SNOMEDCT_2012_01_31)
MTHU001885 (LOINC Version 232)
C0005910 (UMLS CUI-1)
BSA
Item
Körperoberfläche [qm]:
float
Body Surface Area (Code-1)
301898006 (SNOMEDCT_2012_01_31)
10050311 (MedDRA 14.1)
C0005902 (UMLS CUI [1])
Item Group
Differentialblutbild
Differential Leukocyte Count (Code-1)
165511009 (SNOMEDCT_2012_01_31)
10012784 (MedDRA 14.1)
C0162401 (UMLS CUI-1)
Date
Item
Datum
date
410671006 (SNOMEDCT_2012_01_31)
MTHU021546 (LOINC Version 232)
Differential Leukocyte Count (Code-2)
165511009 (SNOMEDCT_2012_01_31)
10012784 (MedDRA 14.1)
C0011008 (UMLS CUI [1])
Hemoglobin
Item
Hämoglobin
float
Hemoglobin (Code-1)
10018876 (MedDRA 14.1)
C0019046 (UMLS CUI [1])
Leucocytes
Item
Leukozyten
float
Leukocytes:NCnc:Pt:Bld:Qn (Code-1)
26464-8 (LOINC Version 232)
C0023508 (UMLS CUI [1])
Prozentanteil Neutrophile
Item
Prozentanteil Neutrophile
integer
Neutrophils/100 leukocytes:NFr:Pt:Bld:Qn (Code-1)
C0942471 (UMLS CUI 2011AB)
26511-6 (LOINC Version 232)
Prozentanteil Stabkernige
Item
Prozentanteil Stabkernige
integer
Neutrophils.band form/100 leukocytes:NFr:Pt:Bld:Qn (Code-1)
C0942468 (UMLS CUI 2011AB)
26508-2 (LOINC Version 232)
[oder] Prozentanteil Segmentkernige
Item
[oder] Prozentanteil Segmentkernige
integer
Neutrophils.segmented/100 leukocytes:NFr:Pt:Bld:Qn (Code-1)
C0942466 (UMLS CUI 2011AB)
26505-8 (LOINC Version 232)
Prozentanteil Lymphozyten
Item
Prozentanteil Lymphozyten
integer
Lymphocytes/100 leukocytes:NFr:Pt:Bld:Qn (Code-1)
C0942440 (UMLS CUI 2011AB)
26478-8 (LOINC Version 232)
Prozentanteil Monozyten
Item
Prozentanteil Monozyten
integer
Monocytes/100 leukocytes:NFr:Pt:Bld:Qn (Code-1)
C0942447 (UMLS CUI 2011AB)
26485-3 (LOINC Version 232)
Prozentanteil Eosinophile
Item
Prozentanteil Eosinophile
integer
Eosinophils/100 leukocytes:NFr:Pt:Bld:Qn (Code-1)
C0945354 (UMLS CUI 2011AB)
26450-7 (LOINC Version 232)
Prozentanteil Basophile
Item
Prozentanteil Basophile
integer
Basophils/100 leukocytes:NFr:Pt:Bld:Qn (Code-1)
C1114065 (UMLS CUI 2011AB)
30180-4 (LOINC Version 232)
Prozentanteil Blasten
Item
Prozentanteil Blasten
integer
Blasts/100 leukocytes:NFr:Pt:Bld:Qn (Code-1)
C0942416 (UMLS CUI 2011AB)
26446-5 (LOINC Version 232)
Prozentanteil Promyelozyten
Item
Prozentanteil Promyelozyten
integer
Promyelocytes/100 leukocytes:Number Fraction:Point in time:Whole blood:Quantitative (Code-1)
C1114906 (UMLS CUI 2011AB)
26524-9 (LOINC Version 232)
Prozentanteil Myelozyten
Item
Prozentanteil Myelozyten
integer
Myelocytes/100 leukocytes:NFr:Pt:Bld:Qn (Code-1)
C0942460 (UMLS CUI 2011AB)
26498-6 (LOINC Version 232)
Prozentanteil Metamyelozyten
Item
Prozentanteil Metamyelozyten
integer
Metamyelocytes/100 leukocytes:NFr:Pt:Bld:Qn (Code-1)
C0944135 (UMLS CUI 2011AB)
28541-1 (LOINC Version 232)
Prozentanteil sonstige Zellen
Item
Prozentanteil sonstige Zellen
integer
Other cells/100 leukocytes (Code-1)
C1978275 (UMLS CUI 2011AB)
MTHU026796 (LOINC Version 232)
Platelets
Item
Thrombozyten
float
Platelets:NCnc:Pt:Bld:Qn (Code-1)
26515-7 (LOINC Version 232)
C0005821 (UMLS CUI [1])
Item Group
Klinische Chemie
C0008000 (UMLS CUI 2011AB)
Sodium
Item
Natrium
float
Sodium:SCnc:Pt:Bld:Qn (Code-1)
2947-0 (LOINC Version 232)
C0337443 (UMLS CUI [1])
Potassium
Item
Kalium
float
Potassium:SCnc:Pt:Bld:Qn (Code-1)
6298-4 (LOINC Version 232)
C0202194 (UMLS CUI [1])
Total Protein
Item
Gesamteiweiß
float
Total Protein Measurement (Code-1)
304383000 (SNOMEDCT_2012_01_31)
10050537 (MedDRA 14.1)
C0036836 (UMLS CUI [1])
Uric acid
Item
Harnsäure
float
Urate [Mass/volume] in Serum or Plasma (Code-1)
3084-1 (LOINC Version 232)
C0041980 (UMLS CUI [1])
BUN
Item
Harnstoff-N
float
Blood urea nitrogen measurement (Code-1)
250623007 (SNOMEDCT_2012_01_31)
10005845 (MedDRA 14.1)
C0005845 (UMLS CUI [1])
Creatinine, Serum
Item
Kreatinin
float
Creatinine Measurement (Code-1)
70901006 (SNOMEDCT_2012_01_31)
10005480 (MedDRA 14.1)
C0201976 (UMLS CUI [1])
Bilirubin, total
Item
Bilirubin (gesamt)
float
Total Bilirubin Measurement (Code-1)
359986008 (SNOMEDCT_2012_01_31)
10004696 (MedDRA 14.1)
C0201913 (UMLS CUI [1])
AST
Item
GOT/AST
float
Aspartate transaminase level (Code-1)
373679006 (SNOMEDCT_2012_01_31)
C0201899 (UMLS CUI [1])
ALT
Item
GPT/ALT
float
Alanine Transaminase (Code-1)
56935002 (SNOMEDCT_2012_01_31)
MTHU006766 (LOINC Version 232)
C0201836 (UMLS CUI [1])
Alkaline Phosphatase
Item
AP
float
Alkaline phosphatase level - finding (Code-1)
365771003 (SNOMEDCT_2012_01_31)
C0201850 (UMLS CUI [1])
LDH
Item
LDH
float
Lactate Dehydrogenase (Code-1)
259319003 (SNOMEDCT_2012_01_31)
MTHU002348 (LOINC Version 232)
C0202113 (UMLS CUI [1])
CRP
Item
CRP
float
C-reactive protein (Code-1)
61425002 (SNOMEDCT_2012_01_31)
MTHU002335 (LOINC Version 232)
C0201657 (UMLS CUI [1])
Quick
Item
Quick-Wert (in Prozent)
float
Prothrombin time ratio (Code-1)
10037064 (MedDRA 14.1)
C0483455 (UMLS CUI [1])
INR
Item
INR
float
International Normalized Ratio (Code-1)
C0525032 (UMLS CUI [1])
PTT
Item
PTT [sek]
float
Activated Partial Thromboplastin Time measurement (Code-1)
42525009 (SNOMEDCT_2012_01_31)
10000630 (MedDRA 14.1)
C0030605 (UMLS CUI [1])
Item
Randomisierung des Patienten in Studienarm:
integer
Protocol Treatment Arm (Code-1)
C1522541 (UMLS CUI 2011AB)
Code List
Randomisierung des Patienten in Studienarm:
CL Item
A (5-Azacytidin) (1)
A (Code-1)
C1706281 (UMLS CUI 2011AB)
422097006 (SNOMEDCT_2012_01_31)
5-Azacytidine (Code-2)
C0004475 (UMLS CUI 2011AB)
412329008 (SNOMEDCT_2012_01_31)
CL Item
B (Dokumentation weiter Seite 16) (2)
B (Code-1)
C0439105 (UMLS CUI 2011AB)
421151005 (SNOMEDCT_2012_01_31)
Item Group
5-Azacytidin
5-Azacytidine (Code-1)
C0004475 (UMLS CUI 2011AB)
412329008 (SNOMEDCT_2012_01_31)
Item
5-Azacytidin-Dosis:
integer
5-Azacytidine (Code-1)
C0004475 (UMLS CUI 2011AB)
412329008 (SNOMEDCT_2012_01_31)
Dose (Code-2)
C0178602 (UMLS CUI 2011AB)
260911001 (SNOMEDCT_2012_01_31)
Code List
5-Azacytidin-Dosis:
CL Item
DL 1: 37,5 mg/qm (1)
Dose (Code-1)
C0178602 (UMLS CUI 2011AB)
260911001 (SNOMEDCT_2012_01_31)
Level (Code-2)
C0456079 (UMLS CUI 2011AB)
260911001 (SNOMEDCT_2012_01_31)
One (Code-3)
C0205447 (UMLS CUI 2011AB)
421379005 (SNOMEDCT_2012_01_31)
Thirty (Code-4)
CL447153 (UMLS CUI 2011AB)
Seven (Code-5)
C0205453 (UMLS CUI 2011AB)
420359007 (SNOMEDCT_2012_01_31)
Point (Code-6)
CL415149 (UMLS CUI 2011AB)
CL Item
DL 2: 75 mg/qm (2)
Dose (Code-1)
C0178602 (UMLS CUI 2011AB)
260911001 (SNOMEDCT_2012_01_31)
Level (Code-2)
C0456079 (UMLS CUI 2011AB)
260911001 (SNOMEDCT_2012_01_31)
Seventy (Code-4)
CL447148 (UMLS CUI 2011AB)
Five (Code-5)
C0205451 (UMLS CUI 2011AB)
421820001 (SNOMEDCT_2012_01_31)
mg/m2 (Code-6)
C1319266 (UMLS CUI 2011AB)
396174004 (SNOMEDCT_2012_01_31)
Item Group
5-Azacytidin - Gabe-Nr. 1
5-Azacytidine (Code-1)
C0004475 (UMLS CUI 2011AB)
412329008 (SNOMEDCT_2012_01_31)
Administration procedure (Code-2)
C1533734 (UMLS CUI 2011AB)
416118004 (SNOMEDCT_2012_01_31)
First (Code-3)
C0205435 (UMLS CUI 2011AB)
255216001 (SNOMEDCT_2012_01_31)
Date
Item
Datum
date
Date (Code-1)
410671006 (SNOMEDCT_2012_01_31)
MTHU021546 (LOINC Version 232)
Administration procedure (Code-2)
416118004 (SNOMEDCT_2012_01_31)
First (Code-3)
255216001 (SNOMEDCT_2012_01_31)
C0011008 (UMLS CUI [1])
Dose absolute/day (mg)
Item
Dosis absolut/Tag (mg)
string
Dose (Code-1)
C0178602 (UMLS CUI 2011AB)
260911001 (SNOMEDCT_2012_01_31)
absolute (Code-2)
C0205344 (UMLS CUI 2011AB)
56136002 (SNOMEDCT_2012_01_31)
mg/day (Code-3)
C0439423 (UMLS CUI 2011AB)
258835005 (SNOMEDCT_2012_01_31)
Administration procedure (Code-4)
C1533734 (UMLS CUI 2011AB)
416118004 (SNOMEDCT_2012_01_31)
First (Code-5)
C0205435 (UMLS CUI 2011AB)
255216001 (SNOMEDCT_2012_01_31)
Item
Verabreichungsart
integer
Route of administration (Code-1)
C0013153 (UMLS CUI 2011AB)
410675002 (SNOMEDCT_2012_01_31)
MTHU008438 (LOINC Version 232)
Dose (Code-2)
C0178602 (UMLS CUI 2011AB)
260911001 (SNOMEDCT_2012_01_31)
First (Code-3)
C0205435 (UMLS CUI 2011AB)
255216001 (SNOMEDCT_2012_01_31)
Administration procedure (Code-4)
C1533734 (UMLS CUI 2011AB)
416118004 (SNOMEDCT_2012_01_31)
First (Code-5)
C0205435 (UMLS CUI 2011AB)
255216001 (SNOMEDCT_2012_01_31)
Code List
Verabreichungsart
CL Item
Kurzinf. (1)
Bolus Infusion Procedure (Code-1)
C1511237 (UMLS CUI 2011AB)
CL Item
nicht i.v. (2)
Medication administration: intravenous (Code-1)
C0812149 (UMLS CUI 2011AB)
386358000 (SNOMEDCT_2012_01_31)
Negation (Code-2)
C1518422 (UMLS CUI 2011AB)
Reason for not intravenous
Item
Grund für nicht i.v.
string
Indication of (contextual qualifier) (Code-1)
C0392360 (UMLS CUI 2011AB)
410666004 (SNOMEDCT_2012_01_31)
MTHU008862 (LOINC Version 232)
Medication administration: intravenous (Code-2)
C0812149 (UMLS CUI 2011AB)
386358000 (SNOMEDCT_2012_01_31)
Negation (Code-3)
C1518422 (UMLS CUI 2011AB)
Administration procedure (Code-4)
C1533734 (UMLS CUI 2011AB)
416118004 (SNOMEDCT_2012_01_31)
First (Code-5)
C0205435 (UMLS CUI 2011AB)
255216001 (SNOMEDCT_2012_01_31)
Item Group
5-Azacytidin - Gabe-Nr. 2
5-Azacytidine (Code-1)
C0004475 (UMLS CUI 2011AB)
412329008 (SNOMEDCT_2012_01_31)
Administration procedure (Code-2)
C1533734 (UMLS CUI 2011AB)
416118004 (SNOMEDCT_2012_01_31)
Second (Code-3)
C0205436 (UMLS CUI 2011AB)
81170007 (SNOMEDCT_2012_01_31)
Date
Item
Datum
date
Date (Code-1)
410671006 (SNOMEDCT_2012_01_31)
MTHU021546 (LOINC Version 232)
Administration procedure (Code-2)
416118004 (SNOMEDCT_2012_01_31)
Second (Code-3)
81170007 (SNOMEDCT_2012_01_31)
C0011008 (UMLS CUI [1])
Dose absolute/day
Item
Dosis absolut/Tag (mg)
float
Dose (Code-1)
260911001 (SNOMEDCT_2012_01_31)
absolute (Code-2)
56136002 (SNOMEDCT_2012_01_31)
mg/day (Code-3)
258835005 (SNOMEDCT_2012_01_31)
Administration procedure (Code-4)
416118004 (SNOMEDCT_2012_01_31)
Second (Code-5)
81170007 (SNOMEDCT_2012_01_31)
C0178602 (UMLS CUI [1])
Item
Verabreichungsart
integer
Route of administration (Code-1)
410675002 (SNOMEDCT_2012_01_31)
MTHU008438 (LOINC Version 232)
Dose (Code-2)
260911001 (SNOMEDCT_2012_01_31)
Second (Code-3)
81170007 (SNOMEDCT_2012_01_31)
Administration procedure (Code-4)
416118004 (SNOMEDCT_2012_01_31)
Second (Code-5)
81170007 (SNOMEDCT_2012_01_31)
C0013153 (UMLS CUI [1])
Code List
Verabreichungsart
CL Item
Kurzinf. (1)
Bolus Infusion Procedure (Code-1)
C1511237 (UMLS CUI 2011AB)
CL Item
nicht i.v. (2)
Medication administration: intravenous (Code-1)
C0812149 (UMLS CUI 2011AB)
386358000 (SNOMEDCT_2012_01_31)
Negation (Code-2)
C1518422 (UMLS CUI 2011AB)
Reason for not intravenous
Item
Grund für nicht i.v.
text
Indication of (contextual qualifier) (Code-1)
410666004 (SNOMEDCT_2012_01_31)
MTHU008862 (LOINC Version 232)
Medication administration: intravenous (Code-2)
386358000 (SNOMEDCT_2012_01_31)
Negation (Code-3)
Administration procedure (Code-4)
416118004 (SNOMEDCT_2012_01_31)
Second (Code-5)
81170007 (SNOMEDCT_2012_01_31)
C0392360 (UMLS CUI [1,1])
C0812149 (UMLS CUI [1,2])
C1518422 (UMLS CUI [1,3])
Item Group
5-Azacytidin - Gabe-Nr. 3
5-Azacytidine (Code-1)
C0004475 (UMLS CUI 2011AB)
412329008 (SNOMEDCT_2012_01_31)
Administration procedure (Code-2)
C1533734 (UMLS CUI 2011AB)
416118004 (SNOMEDCT_2012_01_31)
Third (Code-3)
C0205437 (UMLS CUI 2011AB)
70905002 (SNOMEDCT_2012_01_31)
Date
Item
Datum
date
Date (Code-1)
C0011008 (UMLS CUI 2011AB)
410671006 (SNOMEDCT_2012_01_31)
MTHU021546 (LOINC Version 232)
Administration procedure (Code-2)
C1533734 (UMLS CUI 2011AB)
416118004 (SNOMEDCT_2012_01_31)
Third (Code-3)
C0205437 (UMLS CUI 2011AB)
70905002 (SNOMEDCT_2012_01_31)
Dose absolute/day
Item
Dosis absolut/Tag (mg)
float
Dose (Code-1)
260911001 (SNOMEDCT_2012_01_31)
absolute (Code-2)
56136002 (SNOMEDCT_2012_01_31)
mg/day (Code-3)
258835005 (SNOMEDCT_2012_01_31)
Administration procedure (Code-4)
416118004 (SNOMEDCT_2012_01_31)
Third (Code-5)
70905002 (SNOMEDCT_2012_01_31)
C0178602 (UMLS CUI [1])
Item
Verabreichungsart
integer
Route of administration (Code-1)
C0013153 (UMLS CUI 2011AB)
410675002 (SNOMEDCT_2012_01_31)
MTHU008438 (LOINC Version 232)
Dose (Code-2)
C0178602 (UMLS CUI 2011AB)
260911001 (SNOMEDCT_2012_01_31)
Third (Code-3)
C0205437 (UMLS CUI 2011AB)
70905002 (SNOMEDCT_2012_01_31)
Administration procedure (Code-4)
C1533734 (UMLS CUI 2011AB)
416118004 (SNOMEDCT_2012_01_31)
Third (Code-5)
C0205437 (UMLS CUI 2011AB)
70905002 (SNOMEDCT_2012_01_31)
Code List
Verabreichungsart
CL Item
Kurzinf. (1)
Bolus Infusion Procedure (Code-1)
C1511237 (UMLS CUI 2011AB)
CL Item
nicht i.v. (2)
Medication administration: intravenous (Code-1)
C0812149 (UMLS CUI 2011AB)
386358000 (SNOMEDCT_2012_01_31)
Negation (Code-2)
C1518422 (UMLS CUI 2011AB)
Reason for not intravenous
Item
Grund für nicht i.v.
string
Indication of (contextual qualifier) (Code-1)
C0392360 (UMLS CUI 2011AB)
410666004 (SNOMEDCT_2012_01_31)
MTHU008862 (LOINC Version 232)
Medication administration: intravenous (Code-2)
C0812149 (UMLS CUI 2011AB)
386358000 (SNOMEDCT_2012_01_31)
Negation (Code-3)
C1518422 (UMLS CUI 2011AB)
Administration procedure (Code-4)
C1533734 (UMLS CUI 2011AB)
416118004 (SNOMEDCT_2012_01_31)
Third (Code-5)
C0205437 (UMLS CUI 2011AB)
70905002 (SNOMEDCT_2012_01_31)
Item Group
5-Azacytidin - Gabe-Nr. 4
5-Azacytidine (Code-1)
C0004475 (UMLS CUI 2011AB)
412329008 (SNOMEDCT_2012_01_31)
Administration procedure (Code-2)
C1533734 (UMLS CUI 2011AB)
416118004 (SNOMEDCT_2012_01_31)
Fourth (Code-3)
C0205438 (UMLS CUI 2011AB)
29970001 (SNOMEDCT_2012_01_31)
Date
Item
Datum
date
Date (Code-1)
C0011008 (UMLS CUI 2011AB)
410671006 (SNOMEDCT_2012_01_31)
MTHU021546 (LOINC Version 232)
Administration procedure (Code-2)
C1533734 (UMLS CUI 2011AB)
416118004 (SNOMEDCT_2012_01_31)
Fourth (Code-3)
C0205438 (UMLS CUI 2011AB)
29970001 (SNOMEDCT_2012_01_31)
Dose absolute/day
Item
Dosis absolut/Tag (mg)
float
Dose (Code-1)
260911001 (SNOMEDCT_2012_01_31)
absolute (Code-2)
56136002 (SNOMEDCT_2012_01_31)
mg/day (Code-3)
258835005 (SNOMEDCT_2012_01_31)
Administration procedure (Code-4)
416118004 (SNOMEDCT_2012_01_31)
Fourth (Code-5)
29970001 (SNOMEDCT_2012_01_31)
C0178602 (UMLS CUI [1])
Item
Verabreichungsart
integer
Route of administration (Code-1)
C0013153 (UMLS CUI 2011AB)
410675002 (SNOMEDCT_2012_01_31)
MTHU008438 (LOINC Version 232)
Dose (Code-2)
C0178602 (UMLS CUI 2011AB)
260911001 (SNOMEDCT_2012_01_31)
Fourth (Code-3)
C0205438 (UMLS CUI 2011AB)
29970001 (SNOMEDCT_2012_01_31)
Administration procedure (Code-4)
C1533734 (UMLS CUI 2011AB)
416118004 (SNOMEDCT_2012_01_31)
Fourth (Code-5)
C0205438 (UMLS CUI 2011AB)
29970001 (SNOMEDCT_2012_01_31)
Code List
Verabreichungsart
CL Item
Kurzinf. (1)
Bolus Infusion Procedure (Code-1)
C1511237 (UMLS CUI 2011AB)
CL Item
nicht i.v. (2)
Medication administration: intravenous (Code-1)
C0812149 (UMLS CUI 2011AB)
386358000 (SNOMEDCT_2012_01_31)
Negation (Code-2)
C1518422 (UMLS CUI 2011AB)
Reason for not intravenous
Item
Grund für nicht i.v.
string
Indication of (contextual qualifier) (Code-1)
C0392360 (UMLS CUI 2011AB)
410666004 (SNOMEDCT_2012_01_31)
MTHU008862 (LOINC Version 232)
Medication administration: intravenous (Code-2)
C0812149 (UMLS CUI 2011AB)
386358000 (SNOMEDCT_2012_01_31)
Negation (Code-3)
C1518422 (UMLS CUI 2011AB)
Administration procedure (Code-4)
C1533734 (UMLS CUI 2011AB)
416118004 (SNOMEDCT_2012_01_31)
Fourth (Code-5)
C0205438 (UMLS CUI 2011AB)
29970001 (SNOMEDCT_2012_01_31)
Item Group
5-Azacytidin - Gabe-Nr. 5
5-Azacytidine (Code-1)
C0004475 (UMLS CUI 2011AB)
412329008 (SNOMEDCT_2012_01_31)
Administration procedure (Code-2)
C1533734 (UMLS CUI 2011AB)
416118004 (SNOMEDCT_2012_01_31)
Fifth (Code-3)
C0205439 (UMLS CUI 2011AB)
32088001 (SNOMEDCT_2012_01_31)
Date
Item
Datum
date
Date (Code-1)
C0011008 (UMLS CUI 2011AB)
410671006 (SNOMEDCT_2012_01_31)
MTHU021546 (LOINC Version 232)
Administration procedure (Code-2)
C1533734 (UMLS CUI 2011AB)
416118004 (SNOMEDCT_2012_01_31)
Fifth (Code-3)
C0205439 (UMLS CUI 2011AB)
32088001 (SNOMEDCT_2012_01_31)
Dose absolute/day (mg)
Item
Dosis absolut/Tag (mg)
string
Dose (Code-1)
C0178602 (UMLS CUI 2011AB)
260911001 (SNOMEDCT_2012_01_31)
absolute (Code-2)
C0205344 (UMLS CUI 2011AB)
56136002 (SNOMEDCT_2012_01_31)
mg/day (Code-3)
C0439423 (UMLS CUI 2011AB)
258835005 (SNOMEDCT_2012_01_31)
Administration procedure (Code-4)
C1533734 (UMLS CUI 2011AB)
416118004 (SNOMEDCT_2012_01_31)
Fifth (Code-5)
C0205439 (UMLS CUI 2011AB)
32088001 (SNOMEDCT_2012_01_31)
Item
Verabreichungsart
integer
Route of administration (Code-1)
C0013153 (UMLS CUI 2011AB)
410675002 (SNOMEDCT_2012_01_31)
MTHU008438 (LOINC Version 232)
Dose (Code-2)
C0178602 (UMLS CUI 2011AB)
260911001 (SNOMEDCT_2012_01_31)
Fifth (Code-3)
C0205439 (UMLS CUI 2011AB)
32088001 (SNOMEDCT_2012_01_31)
Administration procedure (Code-4)
C1533734 (UMLS CUI 2011AB)
416118004 (SNOMEDCT_2012_01_31)
Fifth (Code-5)
C0205439 (UMLS CUI 2011AB)
32088001 (SNOMEDCT_2012_01_31)
Code List
Verabreichungsart
CL Item
Kurzinf. (1)
Bolus Infusion Procedure (Code-1)
C1511237 (UMLS CUI 2011AB)
CL Item
nicht i.v. (2)
Medication administration: intravenous (Code-1)
C0812149 (UMLS CUI 2011AB)
386358000 (SNOMEDCT_2012_01_31)
Negation (Code-2)
C1518422 (UMLS CUI 2011AB)
Reason for not intravenous
Item
Grund für nicht i.v.
string
Indication of (contextual qualifier) (Code-1)
C0392360 (UMLS CUI 2011AB)
410666004 (SNOMEDCT_2012_01_31)
MTHU008862 (LOINC Version 232)
Medication administration: intravenous (Code-2)
C0812149 (UMLS CUI 2011AB)
386358000 (SNOMEDCT_2012_01_31)
Negation (Code-3)
C1518422 (UMLS CUI 2011AB)
Administration procedure (Code-4)
C1533734 (UMLS CUI 2011AB)
416118004 (SNOMEDCT_2012_01_31)
Fifth (Code-5)
C0205439 (UMLS CUI 2011AB)
32088001 (SNOMEDCT_2012_01_31)
Item Group
5-Azacytidin-Dosisreduktion
Dose Reduced (Code-1)
C1707814 (UMLS CUI 2011AB)
5-Azacytidine (Code-2)
C0004475 (UMLS CUI 2011AB)
412329008 (SNOMEDCT_2012_01_31)
5-Azacytidine dose reduction
Item
5-Azacytidin-Dosisreduktion
boolean
Dose Reduced (Code-1)
C1707814 (UMLS CUI 2011AB)
5-Azacytidine (Code-2)
C0004475 (UMLS CUI 2011AB)
412329008 (SNOMEDCT_2012_01_31)
Item
ja, weil:
integer
Indication of (contextual qualifier) (Code-1)
C0392360 (UMLS CUI 2011AB)
410666004 (SNOMEDCT_2012_01_31)
MTHU008862 (LOINC Version 232)
CL Item
AE(s) im aktuellen Therapieblock (1)
Adverse event (Code-1)
C0877248 (UMLS CUI 2011AB)
10060933 (MedDRA 14.1)
MTHU014542 (LOINC Version 232)
Actual (Code-2)
C0237400 (UMLS CUI 2011AB)
Therapy (Code-3)
C0039798 (UMLS CUI 2011AB)
Block (Code-4)
C2828370 (UMLS CUI 2011AB)
CL Item
AE(s) in einem vorherigen Therapieblock (2)
Adverse event (Code-1)
C0877248 (UMLS CUI 2011AB)
10060933 (MedDRA 14.1)
MTHU014542 (LOINC Version 232)
Previous (Code-2)
C0205156 (UMLS CUI 2011AB)
9130008 (SNOMEDCT_2012_01_31)
Therapy (Code-3)
C0039798 (UMLS CUI 2011AB)
Block (Code-4)
C2828370 (UMLS CUI 2011AB)
CL Item
Therapiefehler (3)
treatment error (Code-1)
C0679862 (UMLS CUI 2011AB)
CL Item
Sonstiges (4)
C0205395 (UMLS CUI 2011AB)
49634009 (SNOMEDCT_2012_01_31)
MTHU000097 (LOINC Version 232)
Miscellaneous
Item
Sonstiges:
string
C0205395 (UMLS CUI 2011AB)
49634009 (SNOMEDCT_2012_01_31)
MTHU000097 (LOINC Version 232)
Free Text Format (Code-2)
C2348713 (UMLS CUI 2011AB)
AE-No
Item
AE-Nr:
integer
Adverse event (Code-1)
C0877248 (UMLS CUI 2011AB)
10060933 (MedDRA 14.1)
MTHU014542 (LOINC Version 232)
Number (Code-2)
C0237753 (UMLS CUI 2011AB)
260299005 (SNOMEDCT_2012_01_31)
MTHU024869 (LOINC Version 232)
Actual (Code-3)
C0237400 (UMLS CUI 2011AB)
Therapy (Code-4)
C0039798 (UMLS CUI 2011AB)
Block (Code-5)
C2828370 (UMLS CUI 2011AB)
AE-No
Item
AE-Nr:
integer
Adverse event (Code-1)
C0877248 (UMLS CUI 2011AB)
10060933 (MedDRA 14.1)
MTHU014542 (LOINC Version 232)
Number (Code-2)
C0237753 (UMLS CUI 2011AB)
260299005 (SNOMEDCT_2012_01_31)
MTHU024869 (LOINC Version 232)
Previous (Code-3)
C0205156 (UMLS CUI 2011AB)
9130008 (SNOMEDCT_2012_01_31)
Therapy (Code-4)
C0039798 (UMLS CUI 2011AB)
Block (Code-5)
C2828370 (UMLS CUI 2011AB)
Item Group
Transfusionen
C1879316 (UMLS CUI 2011AB)
5447007 (SNOMEDCT_2012_01_31)
10066152 (MedDRA 14.1)
Number of Transfusions
Item
Wieviel Transfusionen hat der Patient im Zeitraum zwischen Tag 1 der 1. Induktions-Chemotherapie und Tag 1 der 2. Induktions-Chemotherapie erhalten?
integer
Number (Code-1)
410681005 (SNOMEDCT_2012_01_31)
Transfusions (Code-2)
5447007 (SNOMEDCT_2012_01_31)
10066152 (MedDRA 14.1)
Between (Code-3)
day (Code-4)
258703001 (SNOMEDCT_2012_01_31)
D (HL7 V3 2006_05)
1 (Code-5)
38112003 (SNOMEDCT_2012_01_31)
1st (Code-6)
255216001 (SNOMEDCT_2012_01_31)
C1879316 (UMLS CUI [1])
Number of transfused erythrocyte concentrates
Item
Anzahl transfundierter Erythrozyten-Konzentrate:
integer
Number (Code-1)
410681005 (SNOMEDCT_2012_01_31)
Erythrocyte Transfusion (Code-2)
116863004 (SNOMEDCT_2012_01_31)
Concentrate (Code-3)
C0086252 (UMLS CUI [1])
Number of transfused platelet concentrates
Item
Anzahl transfundierter Thrombozyten-Konzentrate:
integer
Number (Code-1)
410681005 (SNOMEDCT_2012_01_31)
Platelet transfusion (Code-2)
12719002 (SNOMEDCT_2012_01_31)
10035543 (MedDRA 14.1)
99.05 (ICD-9-CM Version 2011)
Concentrate (Code-3)
C0086818 (UMLS CUI [1])
Item Group
Chemotherapie
C0392920 (UMLS CUI 2011AB)
150415003 (SNOMEDCT_2012_01_31)
Day 1
Item
Tag 1:
date
day (Code-1)
C0439228 (UMLS CUI 2011AB)
258703001 (SNOMEDCT_2012_01_31)
D (HL7 V3 2006_05)
1 (Code-2)
C0205447 (UMLS CUI 2011AB)
38112003 (SNOMEDCT_2012_01_31)
Item Group
Ara-C (100mg/qm über 24h i.v. Tag 1-7)
Ara-C (Code-1)
C0010711 (UMLS CUI 2011AB)
89265009 (SNOMEDCT_2012_01_31)
One Hundred (Code-2)
CL447292 (UMLS CUI 2011AB)
mg/m2/24.h (Code-3)
C1532575 (UMLS CUI 2011AB)
414734008 (SNOMEDCT_2012_01_31)
Intravenous (Code-4)
C0348016 (UMLS CUI 2011AB)
255560000 (SNOMEDCT_2012_01_31)
day (Code-5)
C0439228 (UMLS CUI 2011AB)
258703001 (SNOMEDCT_2012_01_31)
D (HL7 V3 2006_05)
1 (Code-6)
C0205447 (UMLS CUI 2011AB)
38112003 (SNOMEDCT_2012_01_31)
Ara-C - dose reduction
Item
Ara-C - Dosisreduktion
boolean
Ara-C (Code-1)
C0010711 (UMLS CUI 2011AB)
89265009 (SNOMEDCT_2012_01_31)
Dose Reduced (Code-2)
C1707814 (UMLS CUI 2011AB)
Reason
Item
(wenn ja:) a) Grund:
string
Reason (Code-1)
C0392360 (UMLS CUI 2011AB)
410666004 (SNOMEDCT_2012_01_31)
MTHU008862 (LOINC Version 232)
Ara-C (Code-2)
C0010711 (UMLS CUI 2011AB)
89265009 (SNOMEDCT_2012_01_31)
Dose Reduced (Code-3)
C1707814 (UMLS CUI 2011AB)
Absolute total dose
Item
(wenn ja:) b) Gesamtdosis absolut in diesem Therapieblock (mg):
integer
Absolute (Code-1)
C0205344 (UMLS CUI 2011AB)
56136002 (SNOMEDCT_2012_01_31)
Total Dose (Code-2)
C2986497 (UMLS CUI 2011AB)
Therapy (Code-3)
C0039798 (UMLS CUI 2011AB)
Block (Code-4)
C2828370 (UMLS CUI 2011AB)
mg (Code-5)
C0439210 (UMLS CUI 2011AB)
258684004 (SNOMEDCT_2012_01_31)
Ara-C (Code-6)
C0010711 (UMLS CUI 2011AB)
89265009 (SNOMEDCT_2012_01_31)
Item Group
Daunorubicin (60mg/qm über 1-2h i.v. Tag 3-5)
Daunorubicin (Code-1)
C0011015 (UMLS CUI 2011AB)
372715008 (SNOMEDCT_2012_01_31)
Sixty (Code-2)
CL447150 (UMLS CUI 2011AB)
mg/m2/24.h (Code-3)
C1532575 (UMLS CUI 2011AB)
414734008 (SNOMEDCT_2012_01_31)
Intravenous (Code-4)
C0348016 (UMLS CUI 2011AB)
255560000 (SNOMEDCT_2012_01_31)
day (Code-5)
C0439228 (UMLS CUI 2011AB)
258703001 (SNOMEDCT_2012_01_31)
D (HL7 V3 2006_05)
3 (Code-6)
C0205449 (UMLS CUI 2011AB)
421291004 (SNOMEDCT_2012_01_31)
Daunorubicin - dose reduction
Item
Daunorubicin (60mg/qm über 1-2h i.v. Tag 3-5) - Dosisreduktion
boolean
Daunorubicin (Code-1)
C0011015 (UMLS CUI 2011AB)
372715008 (SNOMEDCT_2012_01_31)
Dose Reduced (Code-2)
C1707814 (UMLS CUI 2011AB)
Reason
Item
(wenn ja:) a) Grund:
string
Reason (Code-1)
C0392360 (UMLS CUI 2011AB)
410666004 (SNOMEDCT_2012_01_31)
MTHU008862 (LOINC Version 232)
Daunorubicin (Code-2)
C0011015 (UMLS CUI 2011AB)
372715008 (SNOMEDCT_2012_01_31)
Dose Reduced (Code-3)
C1707814 (UMLS CUI 2011AB)
Absolute total dose
Item
(wenn ja:) b) Gesamtdosis absolut in diesem Therapieblock (mg):
integer
Absolute (Code-1)
C0205344 (UMLS CUI 2011AB)
56136002 (SNOMEDCT_2012_01_31)
Total Dose (Code-2)
C2986497 (UMLS CUI 2011AB)
Therapy (Code-3)
C0039798 (UMLS CUI 2011AB)
Block (Code-4)
C2828370 (UMLS CUI 2011AB)
mg (Code-5)
C0439210 (UMLS CUI 2011AB)
258684004 (SNOMEDCT_2012_01_31)
Daunorubicin (Code-6)
C0011015 (UMLS CUI 2011AB)
372715008 (SNOMEDCT_2012_01_31)
Item Group
G-CSF-Gabe
G-CSF (Code-1)
C0079459 (UMLS CUI 2011AB)
80572003 (SNOMEDCT_2012_01_31)
MTHU031847 (LOINC Version 232)
Administration procedure (Code-2)
C1533734 (UMLS CUI 2011AB)
416118004 (SNOMEDCT_2012_01_31)
Patient did receive G-CSF
Item
Patient hat G-CSF erhalten:
boolean
Patient (Code-1)
C0030705 (UMLS CUI 2011AB)
116154003 (SNOMEDCT_2012_01_31)
Receive (Code-2)
C1514756 (UMLS CUI 2011AB)
G-CSF (Code-3)
C0079459 (UMLS CUI 2011AB)
80572003 (SNOMEDCT_2012_01_31)
MTHU031847 (LOINC Version 232)
Begin
Item
(wenn ja:) Beginn:
date
C0808070 (UMLS CUI 2011AB)
MTHU008298 (LOINC Version 232)
G-CSF (Code-2)
C0079459 (UMLS CUI 2011AB)
80572003 (SNOMEDCT_2012_01_31)
MTHU031847 (LOINC Version 232)
End
Item
(wenn ja:) Ende:
date
C0806020 (UMLS CUI 2011AB)
MTHU008302 (LOINC Version 232)
G-CSF (Code-2)
C0079459 (UMLS CUI 2011AB)
80572003 (SNOMEDCT_2012_01_31)
MTHU031847 (LOINC Version 232)
Item
(wenn ja:) Präparat:
integer
C0013227 (UMLS CUI 2011AB)
MTHU038481 (LOINC Version 232)
Code List
(wenn ja:) Präparat:
CL Item
Neulasta (1)
C1171279 (UMLS CUI 2011AB)
388379009 (SNOMEDCT_2012_01_31)
CL Item
Neupogen (2)
C0210630 (UMLS CUI 2011AB)
108965009 (SNOMEDCT_2012_01_31)
CL Item
Granocyte (3)
C0218640 (UMLS CUI 2011AB)
327123007 (SNOMEDCT_2012_01_31)
CL Item
Sonstiges (4)
C0205394 (UMLS CUI 2011AB)
74964007 (SNOMEDCT_2012_01_31)
Item Group
Zytopeniedauer
Cytopenia (Code-1)
C0010828 (UMLS CUI 2011AB)
50820005 (SNOMEDCT_2012_01_31)
10066274 (MedDRA 14.1)
Duration (Code-2)
C0449238 (UMLS CUI 2011AB)
103335007 (SNOMEDCT_2012_01_31)
MTHU001938 (LOINC Version 232)
Item Group
Leukopenie
Leukocytes (Code-1)
52501007 (SNOMEDCT_2012_01_31)
10047955 (MedDRA 14.1)
MTHU001946 (LOINC Version 232)
Less Than (Code-2)
Thousand Cells per Microliter (Code-3)
One (Code-4)
421379005 (SNOMEDCT_2012_01_31)
Billion Cells per Liter (Code-5)
277199001 (SNOMEDCT_2012_01_31)
C0023530 (UMLS CUI-1)
start leukopenia
Item
Beginn (Leukozyten <1,0 GPt/l bzw. <1000 /ul)
date
Start Date (Code-1)
C0808070 (UMLS CUI 2011AB)
MTHU008298 (LOINC Version 232)
Leukopenia (Code-2)
C0023530 (UMLS CUI 2011AB)
D72.81 (ICD-10-CM Version 2010)
288.5 (ICD-9-CM Version 2011)
end leukopenia
Item
Ende (Leukozyten >=1,0 GPt/l or >=1000 /ul)
date
End Date (Code-1)
C0806020 (UMLS CUI 2011AB)
MTHU008302 (LOINC Version 232)
Leukopenia (Code-2)
C0023530 (UMLS CUI 2011AB)
D72.81 (ICD-10-CM Version 2010)
288.5 (ICD-9-CM Version 2011)
Ongoing cytopenia
Item
(oder) Zytopenie andauernd [Leukozyten <1,0 GPt/l bzw. <1000 /ul] am:
date
Leukopenia (Code-1)
C0023530 (UMLS CUI 2011AB)
D72.81 (ICD-10-CM Version 2010)
288.5 (ICD-9-CM Version 2011)
ongoing (Code-2)
C0549178 (UMLS CUI 2011AB)
Item Group
Neutropenie
Neutrophils (Code-1)
116712007 (SNOMEDCT_2012_01_31)
10029380 (MedDRA 14.1)
MTHU006207 (LOINC Version 232)
Less Than (Code-2)
Five (Code-3)
421820001 (SNOMEDCT_2012_01_31)
One Hundred (Code-4)
Thousand Cells per Microliter (Code-5)
Half (Code-6)
C0027947 (UMLS CUI-1)
start neutropenia
Item
Beginn (Neutrophile <0,5 GPt/l bzw. <500 /ul)
date
Start Date (Code-1)
C0808070 (UMLS CUI 2011AB)
MTHU008298 (LOINC Version 232)
Neutropenia (Code-2)
C0027947 (UMLS CUI 2011AB)
165517008 (SNOMEDCT_2012_01_31)
10029354 (MedDRA 14.1)
D70.9 (ICD-10-CM Version 2010)
288 (ICD-9-CM Version 2011)
end neutropenia
Item
Ende (Neutrophile >=0,5 GPt/l bzw. >=500 /ul)
date
End Date (Code-1)
C0806020 (UMLS CUI 2011AB)
MTHU008302 (LOINC Version 232)
Neutropenia (Code-2)
C0027947 (UMLS CUI 2011AB)
165517008 (SNOMEDCT_2012_01_31)
10029354 (MedDRA 14.1)
D70.9 (ICD-10-CM Version 2010)
288 (ICD-9-CM Version 2011)
Ongoing cytopenia
Item
(oder) Zytopenie andauernd [Neutrophile <0,5 GPt/l bzw. <500 /ul] am:
date
Neutropenia (Code-1)
C0027947 (UMLS CUI 2011AB)
165517008 (SNOMEDCT_2012_01_31)
10029354 (MedDRA 14.1)
D70.9 (ICD-10-CM Version 2010)
288.00 (ICD-9-CM Version 2011)
ongoing (Code-2)
C0549178 (UMLS CUI 2011AB)
Item Group
Thrombopenie
platelets (Code-1)
16378004 (SNOMEDCT_2012_01_31)
MTHU002432 (LOINC Version 232)
Less Than (Code-2)
Twenty (Code-3)
Five (Code-4)
421820001 (SNOMEDCT_2012_01_31)
Thousand Cells per Microliter (Code-5)
Twenty (Code-6)
C0040034 (UMLS CUI-1)
start thrombopenia
Item
Beginn (Thrombozyten <25 GPt/l bzw. <25000 /ul)
date
Start Date (Code-1)
C0808070 (UMLS CUI 2011AB)
MTHU008298 (LOINC Version 232)
Thrombocytopenia (Code-2)
C0040034 (UMLS CUI 2011AB)
415116008 (SNOMEDCT_2012_01_31)
10043554 (MedDRA 14.1)
D69.6 (ICD-10-CM Version 2010)
287.5 (ICD-9-CM Version 2011)
end thrombopenia
Item
Ende (Thrombozyten >=25 GPt/l bzw. >=25000 /ul - ansteigend, unabhängig von Thrombozyten-substitution)
date
End Date (Code-1)
C0806020 (UMLS CUI 2011AB)
MTHU008302 (LOINC Version 232)
Thrombocytopenia (Code-2)
C0040034 (UMLS CUI 2011AB)
415116008 (SNOMEDCT_2012_01_31)
10043554 (MedDRA 14.1)
D69.6 (ICD-10-CM Version 2010)
287.5 (ICD-9-CM Version 2011)
Ongoing cytopenia
Item
(oder) Zytopenie andauernd [Thrombozyten <25 GPt/l bzw. <25000 /ul] am:
date
Thrombocytopenia (Code-1)
C0040034 (UMLS CUI 2011AB)
415116008 (SNOMEDCT_2012_01_31)
10043554 (MedDRA 14.1)
D69.6 (ICD-10-CM Version 2010)
287.5 (ICD-9-CM Version 2011)
ongoing (Code-2)
C0549178 (UMLS CUI 2011AB)
Item Group
Unterschrift
C1519316 (UMLS CUI 2011AB)
Datum
Item
Datum:
date
C0011008 (UMLS CUI 2011AB)
410671006 (SNOMEDCT_2012_01_31)
MTHU021546 (LOINC Version 232)
Name/Unterschrift Prüfarzt
Item
Name/Unterschrift Prüfarzt
string
Name (Code-1)
C0027365 (UMLS CUI 2011AB)
MTHU008539 (LOINC Version 232)
Signature (Code-2)
C1519316 (UMLS CUI 2011AB)
Study (Code-3)
C0008976 (UMLS CUI 2011AB)
110465008 (SNOMEDCT_2012_01_31)
Physician (Code-4)
C0031831 (UMLS CUI 2011AB)
309343006 (SNOMEDCT_2012_01_31)
MTHU010489 (LOINC Version 232)
PHYS (HL7 V3 2006_05)