model
Detalles

Treatment for mature B-NHL and ALCL

1 formularios

StudyEvent: SE
1. Treatment for mature B-NHL and ALCL

Name

Tipo

Description | Question | Decode (Coded Value)

Tipo de datos

Alias

Chemotherapy

Item Group

1. element: course

Item

1. element: course

integer

ELE_B

Code List

1. element: course

CL Item

V (1)

CL Item

VZ (2)

CL Item

A4 (3)

CL Item

AM (4)

CL Item

B4 (6)

CL Item

BM (7)

CL Item

AA24 (10)

CL Item

AAZ1 (11)

CL Item

AAZ2 (12)

CL Item

BB24 (13)

CL Item

BBZ1 (14)

CL Item

BBZ2 (15)

CL Item

CC (17)

CL Item

DA-EPOCH-R (18)

CL Item

other treatment element (99)

Specify

Item

Specify

text

start 1. element

Item

start 1. element

date

2. element: course

Item

2. element: course

integer

ELE_B

Code List

2. element: course

CL Item

V (1)

CL Item

VZ (2)

CL Item

A4 (3)

CL Item

AM (4)

CL Item

B4 (6)

CL Item

BM (7)

CL Item

AA24 (10)

CL Item

AAZ1 (11)

CL Item

AAZ2 (12)

CL Item

BB24 (13)

CL Item

BBZ1 (14)

CL Item

BBZ2 (15)

CL Item

CC (17)

CL Item

DA-EPOCH-R (18)

CL Item

other treatment element (99)

Specify

Item

Specify

text

start 2. element

Item

start 2. element

date

3. element: course

Item

3. element: course

integer

ELE_B

Code List

3. element: course

CL Item

V (1)

CL Item

VZ (2)

CL Item

A4 (3)

CL Item

AM (4)

CL Item

B4 (6)

CL Item

BM (7)

CL Item

AA24 (10)

CL Item

AAZ1 (11)

CL Item

AAZ2 (12)

CL Item

BB24 (13)

CL Item

BBZ1 (14)

CL Item

BBZ2 (15)

CL Item

CC (17)

CL Item

DA-EPOCH-R (18)

CL Item

other treatment element (99)

Specify

Item

Specify

text

start 3. element

Item

start 3. element

date

4. element: course

Item

4. element: course

integer

ELE_B

Code List

4. element: course

CL Item

V (1)

CL Item

VZ (2)

CL Item

A4 (3)

CL Item

AM (4)

CL Item

B4 (6)

CL Item

BM (7)

CL Item

AA24 (10)

CL Item

AAZ1 (11)

CL Item

AAZ2 (12)

CL Item

BB24 (13)

CL Item

BBZ1 (14)

CL Item

BBZ2 (15)

CL Item

CC (17)

CL Item

DA-EPOCH-R (18)

CL Item

other treatment element (99)

Specify

Item

Specify

text

start 4. element

Item

start 4. element

date

5. element: course

Item

5. element: course

integer

ELE_B

Code List

5. element: course

CL Item

V (1)

CL Item

VZ (2)

CL Item

A4 (3)

CL Item

AM (4)

CL Item

B4 (6)

CL Item

BM (7)

CL Item

AA24 (10)

CL Item

AAZ1 (11)

CL Item

AAZ2 (12)

CL Item

BB24 (13)

CL Item

BBZ1 (14)

CL Item

BBZ2 (15)

CL Item

CC (17)

CL Item

DA-EPOCH-R (18)

CL Item

other treatment element (99)

Specify

Item

Specify

text

start 5. element

Item

start 5. element

date

6. element: course

Item

6. element: course

integer

ELE_B

Code List

6. element: course

CL Item

V (1)

CL Item

VZ (2)

CL Item

A4 (3)

CL Item

AM (4)

CL Item

B4 (6)

CL Item

BM (7)

CL Item

AA24 (10)

CL Item

AAZ1 (11)

CL Item

AAZ2 (12)

CL Item

BB24 (13)

CL Item

BBZ1 (14)

CL Item

BBZ2 (15)

CL Item

CC (17)

CL Item

DA-EPOCH-R (18)

CL Item

other treatment element (99)

Specify

Item

Specify

text

start 6. element

Item

start 6. element

date

7. element: course

Item

7. element: course

integer

ELE_B

Code List

7. element: course

CL Item

V (1)

CL Item

VZ (2)

CL Item

A4 (3)

CL Item

AM (4)

CL Item

B4 (6)

CL Item

BM (7)

CL Item

AA24 (10)

CL Item

AAZ1 (11)

CL Item

AAZ2 (12)

CL Item

BB24 (13)

CL Item

BBZ1 (14)

CL Item

BBZ2 (15)

CL Item

CC (17)

CL Item

DA-EPOCH-R (18)

CL Item

other treatment element (99)

Specify

Item

Specify

text

start 7. element

Item

start 7. element

date

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