ID

5398

Description

Genetische und immunologische Charakterisierung der schweren aplastischen Anaemie (SAA) bei Kindern und Jugendlichen (EWOG-SAA) http://ewog-mds.org/

Link

http://ewog-mds.org/

Keywords

Versions (1)
  1. 8/6/14 8/6/14 - Martin Dugas
Uploaded on

August 6, 2014

DOI

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License

Creative Commons BY-NC 3.0 Legacy
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EWOG SAA Medical history

German English

Medical history

1 forms  
  1. StudyEvent: SE
    1. Medical history
Show identification of patient
Description

Show identification of patient

Dummy
Description

Dummy

Data type

text

Previous history
Description

Previous history

Mental retardation
Description

Mental retardation

Data type

integer

Birth weight < third percentile
Description

Birth weight < third percentile

Data type

integer

Height < third percentile (at diagnosis)
Description

Height < third percentile (at diagnosis)

Data type

integer

Weight < third percentile (at diagnosis)
Description

Weight < third percentile (at diagnosis)

Data type

integer

Head circumference < third percentile (at diagnosis)
Description

Head circumference < third percentile (at diagnosis)

Data type

integer

Clinical evidence of PNH
Description

Clinical evidence of PNH

Data type

integer

Other abnormalities
Description

Other abnormalities

Data type

integer

Type of other abnormalties
Description

Type of other abnormalties

Type of other abnormalities
Description

Type of other abnormalities

Data type

text

Family history
Description

Family history

Parents are consanguineous
Description

Parents are consanguineous

Data type

integer

History of malignancies in family (1° relatives)
Description

History of malignancies in family (1° relatives)

Data type

integer

History of hemato-/immunological diseases
Description

History of Hemato-/ Immunological diseases

Data type

integer

History of other possibly relevant diseases
Description

History of other possibly relevant diseases

Data type

integer

Family history of malignancies
Description

Family history of malignancies

Mother
Description

Mother

Data type

integer

Father
Description

Father

Data type

integer

Sister
Description

Sister

Data type

integer

Brother
Description

Brother

Data type

integer

Mother affected
Description

Mother affected

Type of mother's malignancy
Description

Type of mother's malignancy

Data type

text

Father affected
Description

Father affected

Type of father's malignancy
Description

Type of father's malignancy

Data type

text

Sister affected
Description

Sister affected

Type of sister's malignancy
Description

Type of sister's malignancy

Data type

text

Brother affected
Description

Brother affected

Type of brother's malignancy
Description

Type of brother's malignancy

Data type

text

Hemato/Immunological diseases in the family
Description

Hemato/Immunological diseases in the family

Type of hemato-/immunological diseases
Description

Type of Hemato-/ Immunological diseases

Data type

text

Type of other diseases in the family
Description

Type of other diseases in the family

Type of other possibly relevant diseases
Description

Type of other possibly relevant diseases

Data type

text

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Similar models

Medical history

1 forms
  1. StudyEvent: SE
    1. Medical history
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Dummy
Item
Dummy
text
Item
Mental retardation
integer
NoYes
Code List
Mental retardation
CL Item
No (1)
CL Item
Yes (2)
Item
Birth weight < third percentile
integer
NoYes
Code List
Birth weight < third percentile
CL Item
No (1)
CL Item
Yes (2)
Item
Height < third percentile (at diagnosis)
integer
NoYes
Code List
Height < third percentile (at diagnosis)
CL Item
No (1)
CL Item
Yes (2)
Item
Weight < third percentile (at diagnosis)
integer
NoYes
Code List
Weight < third percentile (at diagnosis)
CL Item
No (1)
CL Item
Yes (2)
Item
Head circumference < third percentile (at diagnosis)
integer
NoYes
Code List
Head circumference < third percentile (at diagnosis)
CL Item
No (1)
CL Item
Yes (2)
Item
Clinical evidence of PNH
integer
NoYes
Code List
Clinical evidence of PNH
CL Item
No (1)
CL Item
Yes (2)
Item
Other abnormalities
integer
NoYes
Code List
Other abnormalities
CL Item
No (1)
CL Item
Yes (2)
Type of other abnormalities
Item
Type of other abnormalities
text
Item Group
Item
Parents are consanguineous
integer
NoYes
Code List
Parents are consanguineous
CL Item
No (1)
CL Item
Yes (2)
Item
History of malignancies in family (1° relatives)
integer
NoYes
Code List
History of malignancies in family (1° relatives)
CL Item
No (1)
CL Item
Yes (2)
Item
History of hemato-/immunological diseases
integer
NoYes
Code List
History of hemato-/immunological diseases
CL Item
No (1)
CL Item
Yes (2)
Item
History of other possibly relevant diseases
integer
NoYes
Code List
History of other possibly relevant diseases
CL Item
No (1)
CL Item
Yes (2)
Item
Mother
integer
NoYes
Code List
Mother
CL Item
No (1)
CL Item
Yes (2)
Item
Father
integer
NoYes
Code List
Father
CL Item
No (1)
CL Item
Yes (2)
Item
Sister
integer
NoYes
Code List
Sister
CL Item
No (1)
CL Item
Yes (2)
Item
Brother
integer
NoYes
Code List
Brother
CL Item
No (1)
CL Item
Yes (2)
Type of mother's malignancy
Item
Type of mother's malignancy
text
Type of father's malignancy
Item
Type of father's malignancy
text
Type of sister's malignancy
Item
Type of sister's malignancy
text
Type of brother's malignancy
Item
Type of brother's malignancy
text
Type of Hemato-/ Immunological diseases
Item
Type of hemato-/immunological diseases
text
Type of other possibly relevant diseases
Item
Type of other possibly relevant diseases
text
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