ID

4604

Beschrijving

NCT01657604

Trefwoorden

  1. 07-01-14 07-01-14 -
  2. 15-03-21 15-03-21 - Dr. rer. medic Philipp Neuhaus
  3. 20-09-21 20-09-21 -
Geüploaded op

7 januari 2014

DOI

Voor een aanvraag inloggen.

Licentie

Creative Commons BY-NC 3.0 Legacy

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.

Bogen 2 Verlaufsbogen Seite 1 von 2 TIGER Studie Version 23052012 Condition DRKS00005243

Bogen 2 Verlaufsbogen Seite 1 von 2

  1. StudyEvent: Bogen 2 Verlaufsbogen Seite 1 von 2
    1. Bogen 2 Verlaufsbogen Seite 1 von 2
Administrative Items
Beschrijving

Administrative Items

Hospital Identifier
Beschrijving

Klinik-Nr.

Datatype

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
Beschrijving

Patienten-Nr.

Datatype

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
Beschrijving

Date of birth

Month of birth
Beschrijving

Geburtsmonat

Datatype

integer

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

Geburtstag

Datatype

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
Beschrijving

Administrative Items

Date of Evaluation
Beschrijving

Beurteilungsdatum

Datatype

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
Number Follow-Up Report
Beschrijving

Nummer des Verlaufsbogen

Datatype

integer

Alias
Code-1
Follow-Up Report
UMLS CUI 2011AB
C1704685
Code-2
Numbers
UMLS CUI 2011AB
C0237753
SNOMEDCT_2012_01_31
410680006
LOINC Version 232
MTHU024869
Sex
Beschrijving

Geschlecht

Datatype

integer

Alias
Code-1
Patient sex
UMLS CUI 2011AB
C0150831
SNOMEDCT_2012_01_31
184100006
Therapy Phase
Beschrijving

Therapy Phase

Achievement goal of therapy of induction phase (after min. 2 years treatment) - date
Beschrijving

Erreichen des Therapiezieles der Induktionsphase (nach mindestens 24 Monaten Behandlung und 2-facher MMR) am:

Datatype

date

Alias
Code-1
Achievement
UMLS CUI 2011AB
C0001072
Code-2
treatment goals
UMLS CUI 2011AB
C0679840
Code-3
Induction
UMLS CUI 2011AB
C0857127
MedDRA 14.1
10021721
Code-4
Phase
UMLS CUI 2011AB
C0205390
SNOMEDCT_2012_01_31
21191007
Code-5
Post
UMLS CUI 2011AB
C0231290
SNOMEDCT_2012_01_31
255234002
Code-6
Minimum
UMLS CUI 2011AB
C1524031
Date Nilotinib treatment stopped in combination treatment arm
Beschrijving

Absetzdatum von Nilotinib im Kombinationsarm am:

Datatype

date

Alias
Code-1
Date treatment stopped (observable entity)
UMLS CUI 2011AB
C1531784
SNOMEDCT_2012_01_31
413947000
Code-2
Nilotinib
UMLS CUI 2011AB
C1721377
SNOMEDCT_2012_01_31
428468009
Code-3
Combination
UMLS CUI 2011AB
C1947911
Code-4
Protocol Treatment Arm
UMLS CUI 2011AB
C1522541
Achievement main phase (after min. 1 year treatment) - date
Beschrijving

Erreichen der Hauptphase (nach mindestens 12 Monaten Behandlung und mindestens 12 Monaten kontinuierlicher MR4) am:

Datatype

date

Alias
Code-1
Achievement
UMLS CUI 2011AB
C0001072
Code-2
Main
UMLS CUI 2011AB
C1542147
Code-3
Phase
UMLS CUI 2011AB
C0205390
SNOMEDCT_2012_01_31
21191007
Code-4
Post
UMLS CUI 2011AB
C0231290
SNOMEDCT_2012_01_31
255234002
Code-5
Minimum
UMLS CUI 2011AB
C1524031
Code-6
One
UMLS CUI 2011AB
C0205447
SNOMEDCT_2012_01_31
421379005
Date main phase treatment stopped
Beschrijving

Absetzdatum der Hauptphasentherapie am:

Datatype

date

Alias
Code-1
Date treatment stopped (observable entity)
UMLS CUI 2011AB
C1531784
SNOMEDCT_2012_01_31
413947000
Code-2
Main
UMLS CUI 2011AB
C1542147
Code-3
Phase
UMLS CUI 2011AB
C0205390
SNOMEDCT_2012_01_31
21191007
Code-4
Therapeutic procedure
UMLS CUI 2011AB
C0087111
SNOMEDCT_2012_01_31
277132007
MedDRA 14.1
10053757
LOINC Version 232
MTHU021209
Previous therapy within the interval
Beschrijving

Previous therapy within the interval

Nilotinib 2*300mg
Beschrijving

Nilotinib 2*300mg

other dosage (mg)
Beschrijving

andere Dosis (mg)

Datatype

integer

Alias
Code-1
Other
UMLS CUI 2011AB
C0205394
SNOMEDCT_2012_01_31
74964007
Code-2
Dosage
UMLS CUI 2011AB
C0178602
SNOMEDCT_2012_01_31
260911001
Code-3
Milligram
UMLS CUI 2011AB
C0439210
SNOMEDCT_2012_01_31
258684004
Start
Beschrijving

Beginn

Datatype

date

Alias
Code-1
Date treatment started (observable entity)
UMLS CUI 2011AB
C1531783
SNOMEDCT_2012_01_31
413946009
Code-2
Nilotinib
UMLS CUI 2011AB
C1721377
SNOMEDCT_2012_01_31
427941004
Code-3
Twice
UMLS CUI 2011AB
C1948050
Code-4
Three
UMLS CUI 2011AB
C0205449
SNOMEDCT_2012_01_31
421291004
Code-5
One Hundred
UMLS CUI 2011AB
CL447292
Code-6
Milligram
UMLS CUI 2011AB
C0439210
SNOMEDCT_2012_01_31
258684004
End
Beschrijving

Ende

Datatype

date

Alias
Code-1
Date treatment stopped (observable entity)
UMLS CUI 2011AB
C1531784
SNOMEDCT_2012_01_31
413947000
Code-2
Nilotinib
UMLS CUI 2011AB
C1721377
SNOMEDCT_2012_01_31
427941004
Code-3
Twice
UMLS CUI 2011AB
C1948050
Code-4
Three
UMLS CUI 2011AB
C0205449
SNOMEDCT_2012_01_31
421291004
Code-5
One Hundred
UMLS CUI 2011AB
CL447292
Code-6
Milligram
UMLS CUI 2011AB
C0439210
SNOMEDCT_2012_01_31
258684004
Days of treatment
Beschrijving

Therapietage

Datatype

integer

Alias
Code-1
Number
UMLS CUI 2011AB
C0449788
SNOMEDCT_2012_01_31
410681005
Code-2
Therapeutic procedure
UMLS CUI 2011AB
C0087111
SNOMEDCT_2012_01_31
277132007
MedDRA 14.1
10053757
LOINC Version 232
MTHU021209
Code-3
day
UMLS CUI 2011AB
C0439228
SNOMEDCT_2012_01_31
258703001
LOINC Version 232
MTHU039849
HL7 V3 2006_05
D
Code-4
Nilotinib
UMLS CUI 2011AB
C1721377
SNOMEDCT_2012_01_31
427941004
Code-5
Twice
UMLS CUI 2011AB
C1948050
Code-6
Three
UMLS CUI 2011AB
C0205449
SNOMEDCT_2012_01_31
421291004
Cumulative Dose (mg)
Beschrijving

Gesamtdosis (mg)

Datatype

integer

Alias
Code-1
Cumulative Dose
UMLS CUI 2011AB
C2986497
Code-2
Milligram
UMLS CUI 2011AB
C0439210
SNOMEDCT_2012_01_31
258684004
Code-3
Nilotinib
UMLS CUI 2011AB
C1721377
SNOMEDCT_2012_01_31
427941004
Code-4
Twice
UMLS CUI 2011AB
C1948050
Code-5
Three
UMLS CUI 2011AB
C0205449
SNOMEDCT_2012_01_31
421291004
Code-6
One Hundred
UMLS CUI 2011AB
CL447292
Treatment stop
Beschrijving

Absetzen

Datatype

integer

Alias
Code-1
Stop
UMLS CUI 2011AB
C1947925
Code-2
Nilotinib
UMLS CUI 2011AB
C1721377
SNOMEDCT_2012_01_31
427941004
Code-3
Twice
UMLS CUI 2011AB
C1948050
Code-4
Three
UMLS CUI 2011AB
C0205449
SNOMEDCT_2012_01_31
421291004
Code-5
One Hundred
UMLS CUI 2011AB
CL447292
Code-6
Milligram
UMLS CUI 2011AB
C0439210
SNOMEDCT_2012_01_31
258684004
Reason for treatment stop
Beschrijving

Grund für Absetzen

Datatype

string

Alias
Code-1
Indication of (contextual qualifier)
UMLS CUI 2011AB
C0392360
SNOMEDCT_2012_01_31
410666004
LOINC Version 232
MTHU008319
Code-2
Stop
UMLS CUI 2011AB
C1947925
Code-3
Nilotinib
UMLS CUI 2011AB
C1721377
SNOMEDCT_2012_01_31
427941004
Code-4
Twice
UMLS CUI 2011AB
C1948050
Code-5
Three
UMLS CUI 2011AB
C0205449
SNOMEDCT_2012_01_31
421291004
Code-6
One Hundred
UMLS CUI 2011AB
CL447292
Nilotinib - Rest
Beschrijving

Nilotinib - Rest

Start
Beschrijving

Beginn

Datatype

date

Alias
Code-1
Start Date
UMLS CUI 2011AB
C0808070
LOINC Version 232
MTHU008298
End
Beschrijving

Ende

Datatype

date

Alias
Code-1
End Date
UMLS CUI 2011AB
C0806020
LOINC Version 232
MTHU008302
PEG-IFN
Beschrijving

PEG-IFN

Start
Beschrijving

Beginn

Datatype

date

Alias
Code-1
Date treatment started (observable entity)
UMLS CUI 2011AB
C1531783
SNOMEDCT_2012_01_31
413946009
Code-2
Pegylated Interferon Alfa
UMLS CUI 2011AB
C0907160
End
Beschrijving

Ende

Datatype

date

Alias
Code-1
Date treatment stopped (observable entity)
UMLS CUI 2011AB
C1531784
SNOMEDCT_2012_01_31
413947000
Code-2
Pegylated Interferon Alfa
UMLS CUI 2011AB
C0907160
Single dose (μg)
Beschrijving

Einzeldosis (μg)

Datatype

integer

Alias
Code-1
Single dose characteristic (observable entity)
UMLS CUI 2011AB
C1960417
SNOMEDCT_2012_01_31
426146003
Code-2
Microgram
UMLS CUI 2011AB
C0439211
SNOMEDCT_2012_01_31
258685003
Intervall (days)
Beschrijving

Intervall (Tage)

Datatype

integer

Alias
Code-1
Interval
UMLS CUI 2011AB
C1272706
SNOMEDCT_2012_01_31
385673002
Number of Injections
Beschrijving

Anzahl Injektionen

Datatype

integer

Alias
Code-1
Number
UMLS CUI 2011AB
C0449788
SNOMEDCT_2012_01_31
410681005
Code-2
Injection procedure
UMLS CUI 2011AB
C1533685
SNOMEDCT_2012_01_31
129326001
MedDRA 14.1
10052995
Treatment stop
Beschrijving

Absetzen

Datatype

integer

Alias
Code-1
Stop
UMLS CUI 2011AB
C1947925
Code-2
Pegylated Interferon Alfa
UMLS CUI 2011AB
C0907160
Reason for treatment stop
Beschrijving

Grund für Absetzen

Datatype

string

Alias
Code-1
Indication of (contextual qualifier)
UMLS CUI 2011AB
C0392360
SNOMEDCT_2012_01_31
410666004
LOINC Version 232
MTHU008319
Code-2
Stop
UMLS CUI 2011AB
C1947925
Code-3
Pegylated Interferon Alfa
UMLS CUI 2011AB
C0907160
PEG-IFN - Rest
Beschrijving

PEG-IFN - Rest

Start
Beschrijving

Beginn

Datatype

date

Alias
Code-1
Start Date
UMLS CUI 2011AB
C0808070
LOINC Version 232
MTHU008298
Code-2
Pegylated Interferon Alfa
UMLS CUI 2011AB
C0907160
Code-3
Rest
UMLS CUI 2011AB
C0035253
SNOMEDCT_2012_01_31
258157001
End
Beschrijving

Ende

Datatype

date

Alias
Code-1
End Date
UMLS CUI 2011AB
C0806020
LOINC Version 232
MTHU008302
Code-2
Pegylated Interferon Alfa
UMLS CUI 2011AB
C0907160
Code-3
Rest
UMLS CUI 2011AB
C0035253
SNOMEDCT_2012_01_31
258157001
further drugs
Beschrijving

further drugs

Reason for further drug
Beschrijving

Grund

Datatype

string

Alias
Code-1
Indication of (contextual qualifier)
UMLS CUI 2011AB
C0392360
SNOMEDCT_2012_01_31
410666004
LOINC Version 232
MTHU008319
Code-2
Further
UMLS CUI 2011AB
C1517331
Code-3
Pharmaceutical Preparations
UMLS CUI 2011AB
C0013227
SNOMEDCT_2012_01_31
410942007
Drug
Beschrijving

Medikament

Datatype

string

Alias
Code-1
Pharmaceutical Preparations
UMLS CUI 2011AB
C0013227
SNOMEDCT_2012_01_31
410942007
Dosage
Beschrijving

Dosis

Datatype

integer

Alias
Code-1
Dosage
UMLS CUI 2011AB
C0178602
SNOMEDCT_2012_01_31
277406006
Unit
Beschrijving

Einheit

Datatype

string

Alias
Code-1
Dosage Form Unit
UMLS CUI 2011AB
C2348328
Start
Beschrijving

Beginn

Datatype

date

Alias
Code-1
Date treatment started (observable entity)
UMLS CUI 2011AB
C1531783
SNOMEDCT_2012_01_31
413946009
Code-2
Further
UMLS CUI 2011AB
C1517331
Code-3
Pharmaceutical Preparations
UMLS CUI 2011AB
C0013227
SNOMEDCT_2012_01_31
410942007
End
Beschrijving

Ende

Datatype

date

Alias
Code-1
Date treatment stopped (observable entity)
UMLS CUI 2011AB
C1531784
SNOMEDCT_2012_01_31
413947000
Code-2
Further
UMLS CUI 2011AB
C1517331
Code-3
Pharmaceutical Preparations
UMLS CUI 2011AB
C0013227
SNOMEDCT_2012_01_31
410942007
Signature
Beschrijving

Signature

Comment
Beschrijving

Kommentar

Datatype

string

Alias
Code-1
Comment
UMLS CUI 2011AB
C0947611
LOINC Version 232
MTHU013736
Hospital
Beschrijving

Klinik

Datatype

string

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

Datum

Datatype

date

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

Unterschrift

Datatype

string

Alias
Code-1
Investigator Signature
UMLS CUI 2011AB
C2346576

Similar models

Bogen 2 Verlaufsbogen Seite 1 von 2

  1. StudyEvent: Bogen 2 Verlaufsbogen Seite 1 von 2
    1. Bogen 2 Verlaufsbogen Seite 1 von 2
Name
Type
Description | Question | Decode (Coded Value)
Datatype
Alias
Item Group
Administrative Items
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
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
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)
Nummer des Verlaufsbogen
Item
Number Follow-Up Report
integer
Follow-Up Report (Code-1)
C1704685 (UMLS CUI 2011AB)
Numbers (Code-2)
C0237753 (UMLS CUI 2011AB)
410680006 (SNOMEDCT_2012_01_31)
MTHU024869 (LOINC Version 232)
Item
Sex
integer
Patient sex (Code-1)
C0150831 (UMLS CUI 2011AB)
184100006 (SNOMEDCT_2012_01_31)
Code List
Sex
CL Item
Male (männlich)
Male gender (Code-1)
C0024554 (UMLS CUI 2011AB)
10052007 (SNOMEDCT_2012_01_31)
CL Item
Female (weiblich)
C0015780 (UMLS CUI 2011AB)
1086007 (SNOMEDCT_2012_01_31)
Item Group
Therapy Phase
Erreichen des Therapiezieles der Induktionsphase (nach mindestens 24 Monaten Behandlung und 2-facher MMR) am:
Item
Achievement goal of therapy of induction phase (after min. 2 years treatment) - date
date
Achievement (Code-1)
C0001072 (UMLS CUI 2011AB)
treatment goals (Code-2)
C0679840 (UMLS CUI 2011AB)
Induction (Code-3)
C0857127 (UMLS CUI 2011AB)
10021721 (MedDRA 14.1)
Phase (Code-4)
C0205390 (UMLS CUI 2011AB)
21191007 (SNOMEDCT_2012_01_31)
Post (Code-5)
C0231290 (UMLS CUI 2011AB)
255234002 (SNOMEDCT_2012_01_31)
Minimum (Code-6)
C1524031 (UMLS CUI 2011AB)
Absetzdatum von Nilotinib im Kombinationsarm am:
Item
Date Nilotinib treatment stopped in combination treatment arm
date
Date treatment stopped (observable entity) (Code-1)
C1531784 (UMLS CUI 2011AB)
413947000 (SNOMEDCT_2012_01_31)
Nilotinib (Code-2)
C1721377 (UMLS CUI 2011AB)
428468009 (SNOMEDCT_2012_01_31)
Combination (Code-3)
C1947911 (UMLS CUI 2011AB)
Protocol Treatment Arm (Code-4)
C1522541 (UMLS CUI 2011AB)
Erreichen der Hauptphase (nach mindestens 12 Monaten Behandlung und mindestens 12 Monaten kontinuierlicher MR4) am:
Item
Achievement main phase (after min. 1 year treatment) - date
date
Achievement (Code-1)
C0001072 (UMLS CUI 2011AB)
Main (Code-2)
C1542147 (UMLS CUI 2011AB)
Phase (Code-3)
C0205390 (UMLS CUI 2011AB)
21191007 (SNOMEDCT_2012_01_31)
Post (Code-4)
C0231290 (UMLS CUI 2011AB)
255234002 (SNOMEDCT_2012_01_31)
Minimum (Code-5)
C1524031 (UMLS CUI 2011AB)
One (Code-6)
C0205447 (UMLS CUI 2011AB)
421379005 (SNOMEDCT_2012_01_31)
Absetzdatum der Hauptphasentherapie am:
Item
Date main phase treatment stopped
date
Date treatment stopped (observable entity) (Code-1)
C1531784 (UMLS CUI 2011AB)
413947000 (SNOMEDCT_2012_01_31)
Main (Code-2)
C1542147 (UMLS CUI 2011AB)
Phase (Code-3)
C0205390 (UMLS CUI 2011AB)
21191007 (SNOMEDCT_2012_01_31)
Therapeutic procedure (Code-4)
C0087111 (UMLS CUI 2011AB)
277132007 (SNOMEDCT_2012_01_31)
10053757 (MedDRA 14.1)
MTHU021209 (LOINC Version 232)
Item Group
Previous therapy within the interval
Item Group
Nilotinib 2*300mg
andere Dosis (mg)
Item
other dosage (mg)
integer
Other (Code-1)
C0205394 (UMLS CUI 2011AB)
74964007 (SNOMEDCT_2012_01_31)
Dosage (Code-2)
C0178602 (UMLS CUI 2011AB)
260911001 (SNOMEDCT_2012_01_31)
Milligram (Code-3)
C0439210 (UMLS CUI 2011AB)
258684004 (SNOMEDCT_2012_01_31)
Beginn
Item
Start
date
Date treatment started (observable entity) (Code-1)
C1531783 (UMLS CUI 2011AB)
413946009 (SNOMEDCT_2012_01_31)
Nilotinib (Code-2)
C1721377 (UMLS CUI 2011AB)
427941004 (SNOMEDCT_2012_01_31)
Twice (Code-3)
C1948050 (UMLS CUI 2011AB)
Three (Code-4)
C0205449 (UMLS CUI 2011AB)
421291004 (SNOMEDCT_2012_01_31)
One Hundred (Code-5)
CL447292 (UMLS CUI 2011AB)
Milligram (Code-6)
C0439210 (UMLS CUI 2011AB)
258684004 (SNOMEDCT_2012_01_31)
Ende
Item
End
date
Date treatment stopped (observable entity) (Code-1)
C1531784 (UMLS CUI 2011AB)
413947000 (SNOMEDCT_2012_01_31)
Nilotinib (Code-2)
C1721377 (UMLS CUI 2011AB)
427941004 (SNOMEDCT_2012_01_31)
Twice (Code-3)
C1948050 (UMLS CUI 2011AB)
Three (Code-4)
C0205449 (UMLS CUI 2011AB)
421291004 (SNOMEDCT_2012_01_31)
One Hundred (Code-5)
CL447292 (UMLS CUI 2011AB)
Milligram (Code-6)
C0439210 (UMLS CUI 2011AB)
258684004 (SNOMEDCT_2012_01_31)
Therapietage
Item
Days of treatment
integer
Number (Code-1)
C0449788 (UMLS CUI 2011AB)
410681005 (SNOMEDCT_2012_01_31)
Therapeutic procedure (Code-2)
C0087111 (UMLS CUI 2011AB)
277132007 (SNOMEDCT_2012_01_31)
10053757 (MedDRA 14.1)
MTHU021209 (LOINC Version 232)
day (Code-3)
C0439228 (UMLS CUI 2011AB)
258703001 (SNOMEDCT_2012_01_31)
MTHU039849 (LOINC Version 232)
D (HL7 V3 2006_05)
Nilotinib (Code-4)
C1721377 (UMLS CUI 2011AB)
427941004 (SNOMEDCT_2012_01_31)
Twice (Code-5)
C1948050 (UMLS CUI 2011AB)
Three (Code-6)
C0205449 (UMLS CUI 2011AB)
421291004 (SNOMEDCT_2012_01_31)
Gesamtdosis (mg)
Item
Cumulative Dose (mg)
integer
Cumulative Dose (Code-1)
C2986497 (UMLS CUI 2011AB)
Milligram (Code-2)
C0439210 (UMLS CUI 2011AB)
258684004 (SNOMEDCT_2012_01_31)
Nilotinib (Code-3)
C1721377 (UMLS CUI 2011AB)
427941004 (SNOMEDCT_2012_01_31)
Twice (Code-4)
C1948050 (UMLS CUI 2011AB)
Three (Code-5)
C0205449 (UMLS CUI 2011AB)
421291004 (SNOMEDCT_2012_01_31)
One Hundred (Code-6)
CL447292 (UMLS CUI 2011AB)
Item
Treatment stop
integer
Stop (Code-1)
C1947925 (UMLS CUI 2011AB)
Nilotinib (Code-2)
C1721377 (UMLS CUI 2011AB)
427941004 (SNOMEDCT_2012_01_31)
Twice (Code-3)
C1948050 (UMLS CUI 2011AB)
Three (Code-4)
C0205449 (UMLS CUI 2011AB)
421291004 (SNOMEDCT_2012_01_31)
One Hundred (Code-5)
CL447292 (UMLS CUI 2011AB)
Milligram (Code-6)
C0439210 (UMLS CUI 2011AB)
258684004 (SNOMEDCT_2012_01_31)
Code List
Treatment stop
CL Item
No (nein)
No (Code-1)
C1298908 (UMLS CUI 2011AB)
373067005 (SNOMEDCT_2012_01_31)
CL Item
Yes (ja)
Yes (Code-1)
C1298907 (UMLS CUI 2011AB)
373066001 (SNOMEDCT_2012_01_31)
CL Item
G (G)
not_coded (Code-1)
CL Item
U (U)
not_coded (Code-1)
CL Item
A (A)
not_coded (Code-1)
CL Item
S (S)
not_coded (Code-1)
Grund für Absetzen
Item
Reason for treatment stop
string
Indication of (contextual qualifier) (Code-1)
C0392360 (UMLS CUI 2011AB)
410666004 (SNOMEDCT_2012_01_31)
MTHU008319 (LOINC Version 232)
Stop (Code-2)
C1947925 (UMLS CUI 2011AB)
Nilotinib (Code-3)
C1721377 (UMLS CUI 2011AB)
427941004 (SNOMEDCT_2012_01_31)
Twice (Code-4)
C1948050 (UMLS CUI 2011AB)
Three (Code-5)
C0205449 (UMLS CUI 2011AB)
421291004 (SNOMEDCT_2012_01_31)
One Hundred (Code-6)
CL447292 (UMLS CUI 2011AB)
Item Group
Nilotinib - Rest
Beginn
Item
Start
date
Start Date (Code-1)
C0808070 (UMLS CUI 2011AB)
MTHU008298 (LOINC Version 232)
Ende
Item
End
date
End Date (Code-1)
C0806020 (UMLS CUI 2011AB)
MTHU008302 (LOINC Version 232)
Item Group
PEG-IFN
Beginn
Item
Start
date
Date treatment started (observable entity) (Code-1)
C1531783 (UMLS CUI 2011AB)
413946009 (SNOMEDCT_2012_01_31)
Pegylated Interferon Alfa (Code-2)
C0907160 (UMLS CUI 2011AB)
Ende
Item
End
date
Date treatment stopped (observable entity) (Code-1)
C1531784 (UMLS CUI 2011AB)
413947000 (SNOMEDCT_2012_01_31)
Pegylated Interferon Alfa (Code-2)
C0907160 (UMLS CUI 2011AB)
Einzeldosis (μg)
Item
Single dose (μg)
integer
Single dose characteristic (observable entity) (Code-1)
C1960417 (UMLS CUI 2011AB)
426146003 (SNOMEDCT_2012_01_31)
Microgram (Code-2)
C0439211 (UMLS CUI 2011AB)
258685003 (SNOMEDCT_2012_01_31)
Intervall (Tage)
Item
Intervall (days)
integer
Interval (Code-1)
C1272706 (UMLS CUI 2011AB)
385673002 (SNOMEDCT_2012_01_31)
Anzahl Injektionen
Item
Number of Injections
integer
Number (Code-1)
C0449788 (UMLS CUI 2011AB)
410681005 (SNOMEDCT_2012_01_31)
Injection procedure (Code-2)
C1533685 (UMLS CUI 2011AB)
129326001 (SNOMEDCT_2012_01_31)
10052995 (MedDRA 14.1)
Item
Treatment stop
integer
Stop (Code-1)
C1947925 (UMLS CUI 2011AB)
Pegylated Interferon Alfa (Code-2)
C0907160 (UMLS CUI 2011AB)
Code List
Treatment stop
CL Item
No (nein)
No (Code-1)
C1298908 (UMLS CUI 2011AB)
373067005 (SNOMEDCT_2012_01_31)
CL Item
Yes (ja)
Yes (Code-1)
C1298907 (UMLS CUI 2011AB)
373066001 (SNOMEDCT_2012_01_31)
CL Item
G (G)
not_coded (Code-1)
CL Item
U (U)
not_coded (Code-1)
CL Item
A (A)
not_coded (Code-1)
CL Item
S (S)
not_coded (Code-1)
Grund für Absetzen
Item
Reason for treatment stop
string
Indication of (contextual qualifier) (Code-1)
C0392360 (UMLS CUI 2011AB)
410666004 (SNOMEDCT_2012_01_31)
MTHU008319 (LOINC Version 232)
Stop (Code-2)
C1947925 (UMLS CUI 2011AB)
Pegylated Interferon Alfa (Code-3)
C0907160 (UMLS CUI 2011AB)
Item Group
PEG-IFN - Rest
Beginn
Item
Start
date
Start Date (Code-1)
C0808070 (UMLS CUI 2011AB)
MTHU008298 (LOINC Version 232)
Pegylated Interferon Alfa (Code-2)
C0907160 (UMLS CUI 2011AB)
Rest (Code-3)
C0035253 (UMLS CUI 2011AB)
258157001 (SNOMEDCT_2012_01_31)
Ende
Item
End
date
End Date (Code-1)
C0806020 (UMLS CUI 2011AB)
MTHU008302 (LOINC Version 232)
Pegylated Interferon Alfa (Code-2)
C0907160 (UMLS CUI 2011AB)
Rest (Code-3)
C0035253 (UMLS CUI 2011AB)
258157001 (SNOMEDCT_2012_01_31)
Item Group
further drugs
Grund
Item
Reason for further drug
string
Indication of (contextual qualifier) (Code-1)
C0392360 (UMLS CUI 2011AB)
410666004 (SNOMEDCT_2012_01_31)
MTHU008319 (LOINC Version 232)
Further (Code-2)
C1517331 (UMLS CUI 2011AB)
Pharmaceutical Preparations (Code-3)
C0013227 (UMLS CUI 2011AB)
410942007 (SNOMEDCT_2012_01_31)
Medikament
Item
Drug
string
Pharmaceutical Preparations (Code-1)
C0013227 (UMLS CUI 2011AB)
410942007 (SNOMEDCT_2012_01_31)
Dosis
Item
Dosage
integer
Dosage (Code-1)
C0178602 (UMLS CUI 2011AB)
277406006 (SNOMEDCT_2012_01_31)
Einheit
Item
Unit
string
Dosage Form Unit (Code-1)
C2348328 (UMLS CUI 2011AB)
Beginn
Item
Start
date
Date treatment started (observable entity) (Code-1)
C1531783 (UMLS CUI 2011AB)
413946009 (SNOMEDCT_2012_01_31)
Further (Code-2)
C1517331 (UMLS CUI 2011AB)
Pharmaceutical Preparations (Code-3)
C0013227 (UMLS CUI 2011AB)
410942007 (SNOMEDCT_2012_01_31)
Ende
Item
End
date
Date treatment stopped (observable entity) (Code-1)
C1531784 (UMLS CUI 2011AB)
413947000 (SNOMEDCT_2012_01_31)
Further (Code-2)
C1517331 (UMLS CUI 2011AB)
Pharmaceutical Preparations (Code-3)
C0013227 (UMLS CUI 2011AB)
410942007 (SNOMEDCT_2012_01_31)
Item Group
Signature
Kommentar
Item
Comment
string
Comment (Code-1)
C0947611 (UMLS CUI 2011AB)
MTHU013736 (LOINC Version 232)
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)

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