German

nach 2. Postremissionstherapie

25 forms  
Blutbild
Description

Blutbild

Alias
UMLS CUI-1
C0005771
Klinik-Nr.:
Description

Hospital number

Data type

integer

Alias
UMLS CUI [1]
C0806432
Patienten-Nr.:
Description

Patient number

Data type

integer

Alias
UMLS CUI [1]
C1830427
Patienten-Initialen:
Description

Patient initials

Data type

text

Alias
UMLS CUI [1]
C2986440
Datum
Description

Date

Data type

date

Alias
UMLS CUI [1]
C0011008
Leukozyten
Description

Leukocytes

Data type

float

Alias
UMLS CUI [1]
C0023508
Verwendete Einheit
Description

Unit of measure

Data type

integer

Alias
UMLS CUI [1]
C1519795
Hämoglobin
Description

Hemoglobin

Data type

integer

Alias
UMLS CUI [1]
C0518015
Verwendete Einheit
Description

Unit of measure

Data type

integer

Alias
UMLS CUI [1]
C1519795
Thrombozyten
Description

Blood platelets

Data type

float

Alias
UMLS CUI [1]
C0032181
Verwendete Einheit
Description

Unit of measure

Data type

integer

Alias
UMLS CUI [1]
C1519795
Neutrophile
Description

Neutrophils

Data type

float

Measurement units
  • %
Alias
UMLS CUI [1]
C0948762
%
Segmentkernige
Description

Segmented neutrophils

Data type

float

Measurement units
  • %
%
Stabkernige
Description

Band neutrophils

Data type

integer

Measurement units
  • %
Alias
UMLS CUI [1]
C1882076
%
Lymphozyten
Description

Lymphocytes

Data type

float

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

Monocytes

Data type

float

Measurement units
  • %
Alias
UMLS CUI [1]
C0200637
%
Eosinophile
Description

Eosinophils

Data type

float

Measurement units
  • %
Alias
UMLS CUI [1]
C0200638
%
Basophile
Description

Basophils

Data type

float

Measurement units
  • %
Alias
UMLS CUI [1]
C0200641
%
Myeloblasten
Description

Myeloblasts

Data type

text

Measurement units
  • %
Alias
UMLS CUI [1]
C0229633
%
Promyelozyten
Description

Promyelocyte count

Data type

float

Measurement units
  • %
Alias
UMLS CUI [1]
C0455279
%
Myelozyten
Description

Myelocyte count

Data type

float

Measurement units
  • %
Alias
UMLS CUI [1]
C0455284
%
Metamyelozyten
Description

Metamyelocyte count

Data type

float

Measurement units
  • %
Alias
UMLS CUI [1]
C0455285
%
Klinische Chemie
Description

Klinische Chemie

Alias
UMLS CUI-1
C0008000
Datum
Description

Date

Data type

date

Alias
UMLS CUI [1]
C0011008
Kreatinin
Description

Creatinine measurement

Data type

integer

Alias
UMLS CUI [1]
C0201975
Verwendete Einheit
Description

Unit of measure

Data type

integer

Alias
UMLS CUI [1]
C1519795
Bilirubin
Description

Bilirubin measurement

Data type

integer

Alias
UMLS CUI [1]
C0344395
Verwendete Einheit
Description

Unit of measure

Data type

integer

Alias
UMLS CUI [1]
C1519795
KM-Morphologie
Description

KM-Morphologie

Alias
UMLS CUI-1
C2704380
KM-Morphologie durchgeführt?
Description

Bone marrow examination done?

Data type

boolean

Alias
UMLS CUI [1,1]
C0005957
UMLS CUI [1,2]
C0884358
Datum
Description

Date

Data type

date

Alias
UMLS CUI [1]
C0011008
Grund für Nichtdurchführung
Description

Not done reason

Data type

text

Alias
UMLS CUI [1]
C2826287
Blastenanteil im KM
Description

Blasts in Bone marrow

Data type

integer

Measurement units
  • %
Alias
UMLS CUI [1]
C1982687
%
Labor
Description

Laboratory Name

Data type

text

Alias
UMLS CUI [1]
C1882331
Beurteilung des Therapieerfolges
Description

Beurteilung des Therapieerfolges

Alias
UMLS CUI-1
C0085565
Beurteilung des Therapieerfolges
Description

Treatment outcome

Data type

integer

Alias
UMLS CUI [1]
C0085565
Grund für keine Beurteilung möglich
Description

Specify reason for evaluation impossible

Data type

text

Alias
UMLS CUI [1,1]
C1521902
UMLS CUI [1,2]
C0220825
UMLS CUI [1,3]
C1272705
Datum
Description

Date of completion

Data type

date

Alias
UMLS CUI [1]
C0011008
Name des Studienarztes
Description

Investigator name

Data type

text

Alias
UMLS CUI [1]
C2826892
Unterschrift
Description

Investigator signature

Data type

text

Alias
UMLS CUI [1]
C2346576
Geplante 3. Postremissionstherapie
Description

Geplante 3. Postremissionstherapie

Alias
UMLS CUI-1
C1511484
UMLS CUI-2
C1301732
Geplante 3. Postremissionstherapie Behandlungsarm Niedrigrisiko
Description

Planned third consolidation treatment trial arms

Data type

integer

Alias
UMLS CUI [1,1]
C1511484
UMLS CUI [1,2]
C1522541
UMLS CUI [1,3]
C3538919
Geplante 3. Postremissionstherapie Niedrigrisiko Behandlungsarm B
Description

Planned Consolidation treatment trial arm B

Data type

integer

Alias
UMLS CUI [1,1]
C3538919
UMLS CUI [1,2]
C1522541
Geplante 3. Postremissionstherapie Niedrigrisiko Behandlungsarm D
Description

Planned Consolidation treatment trial arm D

Data type

integer

Alias
UMLS CUI [1,1]
C3538919
UMLS CUI [1,2]
C1522541
Geplante 3. Postremissionstherapie Behandlungsarm Standartrisiko
Description

Planned third consolidation treatment trial arms

Data type

integer

Alias
UMLS CUI [1,1]
C1511484
UMLS CUI [1,2]
C1522541
UMLS CUI [1,3]
C1998074
Standartrisiko Behandlungsarm B P3
Description

Standart risk trial arm B P3

Data type

integer

Alias
UMLS CUI [1,1]
C1998074
UMLS CUI [1,2]
C1522541
Standartrisiko Behandlungsarm D P3
Description

Standart risk trial arm D P3

Data type

integer

Alias
UMLS CUI [1,1]
C1998074
UMLS CUI [1,2]
C1522541
Geplante 3. Postremissionstherapie Behandlungsarm Hochrisiko
Description

Planned third consolidation treatment trial arms

Data type

integer

Alias
UMLS CUI [1,1]
C1511484
UMLS CUI [1,2]
C1522541
UMLS CUI [1,3]
C0684030
Hochrisiko Behandlungsarm B P4
Description

High risk trial arm B P4

Data type

integer

Alias
UMLS CUI [1,1]
C0684030
UMLS CUI [1,2]
C1522541
Hochrisiko Behandlungsarm D P4
Description

High risk trial arm D P4

Data type

integer

Alias
UMLS CUI [1,1]
C0684030
UMLS CUI [1,2]
C1522541
Geplante 3. Postremissionstherapie
Description

Geplante 3. Postremissionstherapie

Alias
UMLS CUI-1
C1511484
UMLS CUI-2
C1301732
Geplante 3. Postremissionstherapie Behandlungsarm
Description

planned third consolidation treatment trial arm

Data type

integer

Alias
UMLS CUI [1,1]
C1511484
UMLS CUI [1,2]
C1522541
Geplante 3. Postremissionstherapie t(8;21) Behandlungsarm A
Description

Planned third consolidation treatment t(8;21) trial arm A

Data type

integer

Alias
UMLS CUI [1,1]
C1522541
UMLS CUI [1,2]
C0333683
Geplante 3. Postremissionstherapie t(8;21) Behandlungsarm C
Description

Planned third consolidation treatment t(8;21) trial arm C

Data type

integer

Alias
UMLS CUI [1,1]
C1522541
UMLS CUI [1,2]
C0333683
Ohne t(8;21), kein komplexer Karyotyp Behandlungsarm A +C
Description

without t(8;21) no complex caryotype trial arm A +C

Data type

integer

Alias
UMLS CUI [1,1]
C1522541
UMLS CUI [1,2]
C0333683
Geplante 3. Postremissionstherapie ohne t(8;21), kein komplexer Karyotyp mit FamSpender beide Arme
Description

Planned third consolidation treatment without t(8;21) no complex karyotype family donor available both arms

Data type

integer

Alias
UMLS CUI [1,1]
C0333683
UMLS CUI [1,2]
C0375877
UMLS CUI [1,3]
C0470187
Geplante 3. Postremissionstherapie ohne t(8;21), kein komplexer Karyotyp ohne FamSpender Behandlungsarm A
Description

Planned third consolidation treatment without t(8;21) no complex karyotype without family donor trial arm A

Data type

integer

Alias
UMLS CUI [1,1]
C1522541
UMLS CUI [1,2]
C0333683
UMLS CUI [1,3]
C0375877
UMLS CUI [1,4]
C0686905
Geplante 3. Postremissionstherapie ohne t(8;21), kein komplexer Karyotyp ohne FamSpender Behandlungsarm C
Description

Planned third consolidation treatment without t(8;21) no complex karyotype without family donor trial arm C

Data type

integer

Alias
UMLS CUI [1,1]
C1522541
UMLS CUI [1,2]
C0333683
UMLS CUI [1,3]
C0375877
UMLS CUI [1,4]
C0686905
Geplante 2. Postremissionstherapie komplexer Karyotyp Behandlungsarm A +C
Description

Planned Consolidation treatment complex caryotype trial arm A +C

Data type

integer

Alias
UMLS CUI [1,1]
C1511484
UMLS CUI [1,2]
C3273253
Geplante 3. Postremissionstherapie, komplexer Karyotyp, Stammzellspender verfügbar, beide Arme
Description

planned consolidation treatment Complex karyotype stem cell donor available both arms

Data type

integer

Alias
UMLS CUI [1,1]
C3273253
UMLS CUI [1,2]
C0375877
UMLS CUI [1,3]
C0470187
Geplante 3. Postremissionstherapie komplexer Karyotyp ohne Stammzellspender Behandlungsarm A
Description

Planned third consolidation treatment complex karyotype no stem cell donor available trail arm A

Data type

integer

Alias
UMLS CUI [1,1]
C1522541
UMLS CUI [1,2]
C0333683
UMLS CUI [1,3]
C0375877
UMLS CUI [1,4]
C0686905
Geplante 3. Postremissionstherapie komplexer Karyotyp ohne Stammzellspender Behandlungsarm C
Description

Planned third consolidation treatment complex karyotype no stem cell donor available trail arm C

Data type

integer

Alias
UMLS CUI [1,1]
C1522541
UMLS CUI [1,2]
C0333683
UMLS CUI [1,3]
C0375877
UMLS CUI [1,4]
C0686905
Datum
Description

Date of completion

Data type

date

Alias
UMLS CUI [1]
C0011008
Name des Studienarztes
Description

Investigator name

Data type

text

Alias
UMLS CUI [1]
C2826892
Unterschrift
Description

Investigator Signature

Data type

text

Alias
UMLS CUI [1]
C2346576
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Similar models

nach 2. Postremissionstherapie

25 forms
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Blutbild
C0005771 (UMLS CUI-1)
Hospital number
Item
Klinik-Nr.:
integer
C0806432 (UMLS CUI [1])
Patient number
Item
Patienten-Nr.:
integer
C1830427 (UMLS CUI [1])
Patient initials
Item
Patienten-Initialen:
text
C2986440 (UMLS CUI [1])
Date
Item
Datum
date
C0011008 (UMLS CUI [1])
Leukocytes
Item
Leukozyten
float
C0023508 (UMLS CUI [1])
Item
Verwendete Einheit
integer
C1519795 (UMLS CUI [1])
Unit of measure
Code List
Verwendete Einheit
CL Item
GPt/l (1)
CL Item
/μl (2)
Hemoglobin
Item
Hämoglobin
integer
C0518015 (UMLS CUI [1])
Item
Verwendete Einheit
integer
C1519795 (UMLS CUI [1])
Unit of measure
Code List
Verwendete Einheit
CL Item
mmol/l (1)
CL Item
g/dl (2)
Blood platelets
Item
Thrombozyten
float
C0032181 (UMLS CUI [1])
Item
Verwendete Einheit
integer
C1519795 (UMLS CUI [1])
Unit of measure
Code List
Verwendete Einheit
CL Item
GPt/l (1)
CL Item
/μl (2)
Neutrophils
Item
Neutrophile
float
C0948762 (UMLS CUI [1])
Segmented neutrophils
Item
Segmentkernige
float
Band neutrophils
Item
Stabkernige
integer
C1882076 (UMLS CUI [1])
Lymphocytes
Item
Lymphozyten
float
C0200635 (UMLS CUI [1])
Monocytes
Item
Monozyten
float
C0200637 (UMLS CUI [1])
Eosinophils
Item
Eosinophile
float
C0200638 (UMLS CUI [1])
Basophils
Item
Basophile
float
C0200641 (UMLS CUI [1])
Myeloblasts
Item
Myeloblasten
text
C0229633 (UMLS CUI [1])
Promyelocyte count
Item
Promyelozyten
float
C0455279 (UMLS CUI [1])
Myelocyte count
Item
Myelozyten
float
C0455284 (UMLS CUI [1])
Metamyelocyte count
Item
Metamyelozyten
float
C0455285 (UMLS CUI [1])
Item Group
Klinische Chemie
C0008000 (UMLS CUI-1)
Date
Item
Datum
date
C0011008 (UMLS CUI [1])
Creatinine measurement
Item
Kreatinin
integer
C0201975 (UMLS CUI [1])
Item
Verwendete Einheit
integer
C1519795 (UMLS CUI [1])
Unit of measure
Code List
Verwendete Einheit
CL Item
mg/dl (1)
CL Item
μmol/l (2)
Bilirubin measurement
Item
Bilirubin
integer
C0344395 (UMLS CUI [1])
Item
Verwendete Einheit
integer
C1519795 (UMLS CUI [1])
Unit of measure
Code List
Verwendete Einheit
CL Item
mg/dl (1)
CL Item
μmol/l (2)
Item Group
KM-Morphologie
C2704380 (UMLS CUI-1)
Bone marrow examination done?
Item
KM-Morphologie durchgeführt?
boolean
C0005957 (UMLS CUI [1,1])
C0884358 (UMLS CUI [1,2])
Date
Item
Datum
date
C0011008 (UMLS CUI [1])
Not done reason
Item
Grund für Nichtdurchführung
text
C2826287 (UMLS CUI [1])
Blasts in Bone marrow
Item
Blastenanteil im KM
integer
C1982687 (UMLS CUI [1])
Laboratory Name
Item
Labor
text
C1882331 (UMLS CUI [1])
Item Group
Beurteilung des Therapieerfolges
C0085565 (UMLS CUI-1)
Item
Beurteilung des Therapieerfolges
integer
C0085565 (UMLS CUI [1])
Treatment outcome
Code List
Beurteilung des Therapieerfolges
CL Item
komplette Remission (1)
CL Item
Rezidiv (Therapieabbruch, bitte Follow-up-Bogen ausfüllen!) (2)
CL Item
Todesfall (Therapieabbruch, bitte Follow-up-Bogen ausfüllen!) (3)
CL Item
keine Beurteilung möglich (4)
Specify reason for evaluation impossible
Item
Grund für keine Beurteilung möglich
text
C1521902 (UMLS CUI [1,1])
C0220825 (UMLS CUI [1,2])
C1272705 (UMLS CUI [1,3])
Date of completion
Item
Datum
date
C0011008 (UMLS CUI [1])
Investigator name
Item
Name des Studienarztes
text
C2826892 (UMLS CUI [1])
Investigator signature
Item
Unterschrift
text
C2346576 (UMLS CUI [1])
Item Group
Geplante 3. Postremissionstherapie
C1511484 (UMLS CUI-1)
C1301732 (UMLS CUI-2)
Item
Geplante 3. Postremissionstherapie Behandlungsarm Niedrigrisiko
integer
C1511484 (UMLS CUI [1,1])
C1522541 (UMLS CUI [1,2])
C3538919 (UMLS CUI [1,3])
2. Induction treatment trial arm low risk
Code List
Geplante 3. Postremissionstherapie Behandlungsarm Niedrigrisiko
CL Item
B (1)
CL Item
D (2)
Item
Geplante 3. Postremissionstherapie Niedrigrisiko Behandlungsarm B
integer
C3538919 (UMLS CUI [1,1])
C1522541 (UMLS CUI [1,2])
Planned Consolidation treatment trial arm B
Code List
Geplante 3. Postremissionstherapie Niedrigrisiko Behandlungsarm B
CL Item
Ara-C (1)
Item
Geplante 3. Postremissionstherapie Niedrigrisiko Behandlungsarm D
integer
C3538919 (UMLS CUI [1,1])
C1522541 (UMLS CUI [1,2])
Planned Consolidation treatment trial arm D
Code List
Geplante 3. Postremissionstherapie Niedrigrisiko Behandlungsarm D
CL Item
MAC (1)
Item
Geplante 3. Postremissionstherapie Behandlungsarm Standartrisiko
integer
C1511484 (UMLS CUI [1,1])
C1522541 (UMLS CUI [1,2])
C1998074 (UMLS CUI [1,3])
2. Induction treatment trial arm low risk
Code List
Geplante 3. Postremissionstherapie Behandlungsarm Standartrisiko
CL Item
B (1)
CL Item
D (2)
Item
Standartrisiko Behandlungsarm B P3
integer
C1998074 (UMLS CUI [1,1])
C1522541 (UMLS CUI [1,2])
Planned Consolidation treatment trial arm B
Code List
Standartrisiko Behandlungsarm B P3
CL Item
Ara-C (1)
Item
Standartrisiko Behandlungsarm D P3
integer
C1998074 (UMLS CUI [1,1])
C1522541 (UMLS CUI [1,2])
Planned Consolidation treatment trial arm D
Code List
Standartrisiko Behandlungsarm D P3
CL Item
MAC (1)
Item
Geplante 3. Postremissionstherapie Behandlungsarm Hochrisiko
integer
C1511484 (UMLS CUI [1,1])
C1522541 (UMLS CUI [1,2])
C0684030 (UMLS CUI [1,3])
2. Induction treatment trial arm low risk
Code List
Geplante 3. Postremissionstherapie Behandlungsarm Hochrisiko
CL Item
B (1)
CL Item
D (2)
Item
Hochrisiko Behandlungsarm B P4
integer
C0684030 (UMLS CUI [1,1])
C1522541 (UMLS CUI [1,2])
Planned Consolidation treatment trial arm B
Code List
Hochrisiko Behandlungsarm B P4
CL Item
Ara-C (1)
Item
Hochrisiko Behandlungsarm D P4
integer
C0684030 (UMLS CUI [1,1])
C1522541 (UMLS CUI [1,2])
Planned Consolidation treatment trial arm D
Code List
Hochrisiko Behandlungsarm D P4
CL Item
MAC (1)
Item Group
Geplante 3. Postremissionstherapie
C1511484 (UMLS CUI-1)
C1301732 (UMLS CUI-2)
Item
Geplante 3. Postremissionstherapie Behandlungsarm
integer
C1511484 (UMLS CUI [1,1])
C1522541 (UMLS CUI [1,2])
Low risk trial arm B
Code List
Geplante 3. Postremissionstherapie Behandlungsarm
CL Item
A (1)
CL Item
C (2)
Item
Geplante 3. Postremissionstherapie t(8;21) Behandlungsarm A
integer
C1522541 (UMLS CUI [1,1])
C0333683 (UMLS CUI [1,2])
Planned Consolidation treatment trial arm B
Code List
Geplante 3. Postremissionstherapie t(8;21) Behandlungsarm A
CL Item
Ara-C (1)
Item
Geplante 3. Postremissionstherapie t(8;21) Behandlungsarm C
integer
C1522541 (UMLS CUI [1,1])
C0333683 (UMLS CUI [1,2])
Planned Consolidation treatment trial arm D
Code List
Geplante 3. Postremissionstherapie t(8;21) Behandlungsarm C
CL Item
MAC (1)
Item
Ohne t(8;21), kein komplexer Karyotyp Behandlungsarm A +C
integer
C1522541 (UMLS CUI [1,1])
C0333683 (UMLS CUI [1,2])
Without t(8;21), no complex karyotype
Code List
Ohne t(8;21), kein komplexer Karyotyp Behandlungsarm A +C
CL Item
mit FamSpender (1)
CL Item
ohne FamSpender (2)
Item
Geplante 3. Postremissionstherapie ohne t(8;21), kein komplexer Karyotyp mit FamSpender beide Arme
integer
C0333683 (UMLS CUI [1,1])
C0375877 (UMLS CUI [1,2])
C0470187 (UMLS CUI [1,3])
Planned first consolidation treatment without t(8;21) no complex karyotype family donor available both arms
Code List
Geplante 3. Postremissionstherapie ohne t(8;21), kein komplexer Karyotyp mit FamSpender beide Arme
CL Item
Pause (1)
Item
Geplante 3. Postremissionstherapie ohne t(8;21), kein komplexer Karyotyp ohne FamSpender Behandlungsarm A
integer
C1522541 (UMLS CUI [1,1])
C0333683 (UMLS CUI [1,2])
C0375877 (UMLS CUI [1,3])
C0686905 (UMLS CUI [1,4])
Planned Consolidation treatment trial arm B
Code List
Geplante 3. Postremissionstherapie ohne t(8;21), kein komplexer Karyotyp ohne FamSpender Behandlungsarm A
CL Item
Ara-C (1)
Item
Geplante 3. Postremissionstherapie ohne t(8;21), kein komplexer Karyotyp ohne FamSpender Behandlungsarm C
integer
C1522541 (UMLS CUI [1,1])
C0333683 (UMLS CUI [1,2])
C0375877 (UMLS CUI [1,3])
C0686905 (UMLS CUI [1,4])
Planned Consolidation treatment trial arm D
Code List
Geplante 3. Postremissionstherapie ohne t(8;21), kein komplexer Karyotyp ohne FamSpender Behandlungsarm C
CL Item
MAC (1)
Item
Geplante 2. Postremissionstherapie komplexer Karyotyp Behandlungsarm A +C
integer
C1511484 (UMLS CUI [1,1])
C3273253 (UMLS CUI [1,2])
2. planned induction treatment Complex karyotype
Code List
Geplante 2. Postremissionstherapie komplexer Karyotyp Behandlungsarm A +C
CL Item
mit FamSpender (1)
CL Item
mit FremdSpender (2)
CL Item
ohne Spender (3)
Item
Geplante 3. Postremissionstherapie, komplexer Karyotyp, Stammzellspender verfügbar, beide Arme
integer
C3273253 (UMLS CUI [1,1])
C0375877 (UMLS CUI [1,2])
C0470187 (UMLS CUI [1,3])
Planned first consolidation treatment without t(8;21) no complex karyotype family donor available both arms
Code List
Geplante 3. Postremissionstherapie, komplexer Karyotyp, Stammzellspender verfügbar, beide Arme
CL Item
Pause (1)
Item
Geplante 3. Postremissionstherapie komplexer Karyotyp ohne Stammzellspender Behandlungsarm A
integer
C1522541 (UMLS CUI [1,1])
C0333683 (UMLS CUI [1,2])
C0375877 (UMLS CUI [1,3])
C0686905 (UMLS CUI [1,4])
Planned Consolidation treatment trial arm B
Code List
Geplante 3. Postremissionstherapie komplexer Karyotyp ohne Stammzellspender Behandlungsarm A
CL Item
Ara-C (1)
Item
Geplante 3. Postremissionstherapie komplexer Karyotyp ohne Stammzellspender Behandlungsarm C
integer
C1522541 (UMLS CUI [1,1])
C0333683 (UMLS CUI [1,2])
C0375877 (UMLS CUI [1,3])
C0686905 (UMLS CUI [1,4])
Planned Consolidation treatment trial arm D
Code List
Geplante 3. Postremissionstherapie komplexer Karyotyp ohne Stammzellspender Behandlungsarm C
CL Item
MAC (1)
Date of completion
Item
Datum
date
C0011008 (UMLS CUI [1])
Investigator name
Item
Name des Studienarztes
text
C2826892 (UMLS CUI [1])
Investigator Signature
Item
Unterschrift
text
C2346576 (UMLS CUI [1])
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