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Status Day 30

1 Formulare  
  1. StudyEvent: SE
    1. Status Day 30
Show identification of patient
Beschreibung

Show identification of patient

Dummy
Beschreibung

Dummy

Datentyp

text

Complications - Infection
Beschreibung

Complications - Infection

Infection
Beschreibung

Infection

Datentyp

integer

Bacterial > CTCAE grade 2
Beschreibung

Bacterial > CTCAE grade 2

Datentyp

integer

Bacterial organism
Beschreibung

Bacterial organism

Datentyp

text

Fungal > CTCAE grade 2
Beschreibung

Fungal > CTCAE grade 2

Datentyp

integer

Fungal organism
Beschreibung

Fungal organism

Datentyp

text

Parasitic > CTCAE grade 2
Beschreibung

Parasitic > CTCAE grade 2

Datentyp

integer

Parasitic organism
Beschreibung

Parasitic organism

Datentyp

text

Viral > CTCAE grade 2
Beschreibung

Viral > CTCAE grade 2

Datentyp

integer

Virus
Beschreibung

Virus

Datentyp

text

Unknown > CTCAE grade 2
Beschreibung

Unknown > CTCAE grade 2

Datentyp

integer

Organism of unknown infection
Beschreibung

Organism of unknown infection

Datentyp

text

Complications - EBV PCR
Beschreibung

Complications - EBV PCR

EBV PCR performed
Beschreibung

EBV PCR performed

Datentyp

integer

EBV PCR date
Beschreibung

EBV PCR date

Datentyp

date

EBV PCR value
Beschreibung

EBV PCR value

Datentyp

integer

Maßeinheiten
  • Copies/ml PB
Copies/ml PB
Complications - EBV LPD
Beschreibung

Complications - EBV LPD

EBV LPD
Beschreibung

EBV LPD

Datentyp

integer

Complications - EBV LPD symptoms
Beschreibung

Complications - EBV LPD symptoms

Fever
Beschreibung

Fever

Datentyp

integer

Malaise
Beschreibung

Malaise

Datentyp

integer

Weight loss
Beschreibung

Weight loss

Datentyp

integer

Complications - EBV LPD stie
Beschreibung

Complications - EBV LPD stie

Mediastinal lymphnodes
Beschreibung

Mediastinal lymphnodes

Datentyp

integer

Abdominal lymphnodes
Beschreibung

Abdominal lymphnodes

Datentyp

integer

Inguinal lymphnodes
Beschreibung

Inguinal lymphnodes

Datentyp

integer

Axillary lymphnodes
Beschreibung

Axillary lymphnodes

Datentyp

integer

Cervical lymphnodes
Beschreibung

Cervical lymphnodes

Datentyp

integer

Gut
Beschreibung

Gut

Datentyp

integer

Lung
Beschreibung

Lung

Datentyp

integer

Tonsils
Beschreibung

Tonsils

Datentyp

integer

Other
Beschreibung

Other

Datentyp

integer

Other site
Beschreibung

Other site

Datentyp

text

Complications - EBV PCR
Beschreibung

Complications - EBV PCR

Anti CD20 antibodies
Beschreibung

Anti CD20 antibodies

Datentyp

integer

Virustatic therapy
Beschreibung

Virustatic therapy

Datentyp

integer

Chemo therapy
Beschreibung

Chemo therapy

Datentyp

integer

Steroids
Beschreibung

Steroids

Datentyp

integer

Reduction of IST
Beschreibung

Reduction of IST

Datentyp

integer

Stop of IST
Beschreibung

Stop of IST

Datentyp

integer

Other
Beschreibung

Other

Datentyp

integer

Other type of treatment
Beschreibung

Other type of treatment

Datentyp

text

Complications - Hemorrhage
Beschreibung

Complications - Hemorrhage

Hemorrhage > CTCAE grade 2
Beschreibung

Hemorrhage

Datentyp

integer

Severe renal complications
Beschreibung

Severe renal complications

Relevant creatinine elevation > CTCAE grade 2
Beschreibung

Relevant creatinine elevation

Datentyp

integer

Hemodialysis or hemofiltration
Beschreibung

Hemodialysis or hemofiltration

Datentyp

integer

Fanconi syndrome
Beschreibung

Fanconi syndrome

Datentyp

integer

Nephrotic syndrome
Beschreibung

Nephrotic syndrome

Datentyp

integer

Complications - Other type of complication
Beschreibung

Complications - Other type of complication

Other type of complication > CTCAE grade 2
Beschreibung

Other type of complication

Datentyp

integer

Type
Beschreibung

Type

Datentyp

text

Transfusions
Beschreibung

Transfusions

Still regular PLT transfusions neccessary
Beschreibung

Still PLT transfusion dependent

Datentyp

integer

Still regular RBC transfusions neccessary
Beschreibung

Still RBC transfusion dependent

Datentyp

integer

Transfusion PLT
Beschreibung

Transfusion PLT

Date of last transfusion
Beschreibung

Date of last transfusion

Datentyp

date

Transfusion RBC
Beschreibung

Transfusion RBC

Date of last transfusion
Beschreibung

Date of last transfusion

Datentyp

date

Hemtological data
Beschreibung

Hemtological data

Date of specimen collection
Beschreibung

Date of specimen collection

Datentyp

date

Erythrocytes
Beschreibung

Erythrocytes

Datentyp

float

Maßeinheiten
  • x 10E6 / µl
x 10E6 / µl
MCV
Beschreibung

MCV

Datentyp

integer

Maßeinheiten
  • fL
fL
Hb value
Beschreibung

Hb value

Datentyp

float

Maßeinheiten
  • g/dl
g/dl
Reticulocytes
Beschreibung

Reticulocytes

Datentyp

float

Maßeinheiten
  • ‰
‰
WBC
Beschreibung

WBC

Datentyp

float

Maßeinheiten
  • x 10E9/l
x 10E9/l
Absolute neutrophil count (ANC)
Beschreibung

ANC absolute

Datentyp

integer

Maßeinheiten
  • /mm³
/mm³
Platelets
Beschreibung

Platelets

Datentyp

integer

Maßeinheiten
  • x 10E9/l
x 10E9/l
Response
Beschreibung

Response

CSC
Beschreibung

Response

Datentyp

integer

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Ähnliche Modelle

Status Day 30

1 Formulare
  1. StudyEvent: SE
    1. Status Day 30
Name
Typ
Description | Question | Decode (Coded Value)
Datentyp
Alias
Dummy
Item
Dummy
text
Item
Infection
integer
NoYes
Code List
Infection
CL Item
No (1)
CL Item
Yes (2)
Item
Bacterial > CTCAE grade 2
integer
CTCAE grade
Code List
Bacterial > CTCAE grade 2
CL Item
No (1)
CL Item
CTCAE grade 3 (3)
CL Item
CTCAE grade 4 (4)
Bacterial organism
Item
Bacterial organism
text
Item
Fungal > CTCAE grade 2
integer
CTCAE grade
Code List
Fungal > CTCAE grade 2
CL Item
No (1)
CL Item
CTCAE grade 3 (3)
CL Item
CTCAE grade 4 (4)
Fungal organism
Item
Fungal organism
text
Item
Parasitic > CTCAE grade 2
integer
CTCAE grade
Code List
Parasitic > CTCAE grade 2
CL Item
No (1)
CL Item
CTCAE grade 3 (3)
CL Item
CTCAE grade 4 (4)
Parasitic organism
Item
Parasitic organism
text
Item
Viral > CTCAE grade 2
integer
CTCAE grade
Code List
Viral > CTCAE grade 2
CL Item
No (1)
CL Item
CTCAE grade 3 (3)
CL Item
CTCAE grade 4 (4)
Virus
Item
Virus
text
Item
Unknown > CTCAE grade 2
integer
CTCAE grade
Code List
Unknown > CTCAE grade 2
CL Item
No (1)
CL Item
CTCAE grade 3 (3)
CL Item
CTCAE grade 4 (4)
Organism of unknown infection
Item
Organism of unknown infection
text
Item
EBV PCR performed
integer
NoYes
Code List
EBV PCR performed
CL Item
No (1)
CL Item
Yes (2)
EBV PCR date
Item
EBV PCR date
date
EBV PCR value
Item
EBV PCR value
integer
Item
EBV LPD
integer
NoYes
Code List
EBV LPD
CL Item
No (1)
CL Item
Yes (2)
Item
Fever
integer
NoYes
Code List
Fever
CL Item
No (1)
CL Item
Yes (2)
Item
Malaise
integer
NoYes
Code List
Malaise
CL Item
No (1)
CL Item
Yes (2)
Item
Weight loss
integer
NoYes
Code List
Weight loss
CL Item
No (1)
CL Item
Yes (2)
Item
Mediastinal lymphnodes
integer
NoYes
Code List
Mediastinal lymphnodes
CL Item
No (1)
CL Item
Yes (2)
Item
Abdominal lymphnodes
integer
NoYes
Code List
Abdominal lymphnodes
CL Item
No (1)
CL Item
Yes (2)
Item
Inguinal lymphnodes
integer
NoYes
Code List
Inguinal lymphnodes
CL Item
No (1)
CL Item
Yes (2)
Item
Axillary lymphnodes
integer
NoYes
Code List
Axillary lymphnodes
CL Item
No (1)
CL Item
Yes (2)
Item
Cervical lymphnodes
integer
NoYes
Code List
Cervical lymphnodes
CL Item
No (1)
CL Item
Yes (2)
Item
Gut
integer
NoYes
Code List
Gut
CL Item
No (1)
CL Item
Yes (2)
Item
Lung
integer
NoYes
Code List
Lung
CL Item
No (1)
CL Item
Yes (2)
Item
Tonsils
integer
NoYes
Code List
Tonsils
CL Item
No (1)
CL Item
Yes (2)
Item
Other
integer
NoYes
Code List
Other
CL Item
No (1)
CL Item
Yes (2)
Other site
Item
Other site
text
Item
Anti CD20 antibodies
integer
NoYes
Code List
Anti CD20 antibodies
CL Item
No (1)
CL Item
Yes (2)
Item
Virustatic therapy
integer
NoYes
Code List
Virustatic therapy
CL Item
No (1)
CL Item
Yes (2)
Item
Chemo therapy
integer
NoYes
Code List
Chemo therapy
CL Item
No (1)
CL Item
Yes (2)
Item
Steroids
integer
NoYes
Code List
Steroids
CL Item
No (1)
CL Item
Yes (2)
Item
Reduction of IST
integer
NoYes
Code List
Reduction of IST
CL Item
No (1)
CL Item
Yes (2)
Item
Stop of IST
integer
NoYes
Code List
Stop of IST
CL Item
No (1)
CL Item
Yes (2)
Item
Other
integer
NoYes
Code List
Other
CL Item
No (1)
CL Item
Yes (2)
Other type of treatment
Item
Other type of treatment
text
Item
Hemorrhage > CTCAE grade 2
integer
CTCAE grade
Code List
Hemorrhage > CTCAE grade 2
CL Item
No (1)
CL Item
CTCAE grade 3 (3)
CL Item
CTCAE grade 4 (4)
Item
Relevant creatinine elevation > CTCAE grade 2
integer
CTCAE grade
Code List
Relevant creatinine elevation > CTCAE grade 2
CL Item
No (1)
CL Item
CTCAE grade 3 (3)
CL Item
CTCAE grade 4 (4)
Item
Hemodialysis or hemofiltration
integer
NoYes
Code List
Hemodialysis or hemofiltration
CL Item
No (1)
CL Item
Yes (2)
Item
Fanconi syndrome
integer
NoYes
Code List
Fanconi syndrome
CL Item
No (1)
CL Item
Yes (2)
Item
Nephrotic syndrome
integer
NoYes
Code List
Nephrotic syndrome
CL Item
No (1)
CL Item
Yes (2)
Item
Other type of complication > CTCAE grade 2
integer
CTCAE grade
Code List
Other type of complication > CTCAE grade 2
CL Item
No (1)
CL Item
CTCAE grade 3 (3)
CL Item
CTCAE grade 4 (4)
Type
Item
Type
text
Item Group
Item
Still regular PLT transfusions neccessary
integer
NoYes
Code List
Still regular PLT transfusions neccessary
CL Item
No (1)
CL Item
Yes (2)
Item
Still regular RBC transfusions neccessary
integer
NoYes
Code List
Still regular RBC transfusions neccessary
CL Item
No (1)
CL Item
Yes (2)
Date of last transfusion
Item
Date of last transfusion
date
Date of last transfusion
Item
Date of last transfusion
date
Date of specimen collection
Item
Date of specimen collection
date
Erythrocytes
Item
Erythrocytes
float
MCV
Item
MCV
integer
Hb value
Item
Hb value
float
Reticulocytes
Item
Reticulocytes
float
WBC
Item
WBC
float
ANC absolute
Item
Absolute neutrophil count (ANC)
integer
Platelets
Item
Platelets
integer
Item Group
Item
CSC
integer
Response
Code List
CSC
CL Item
Complete remission (1)
CL Item
GPR (3)
CL Item
PPR (4)
CL Item
NR (5)
CL Item
Relapse (7)
CL Item
Progression (9)
CL Item
PNH disease (8)
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