German English

Toxicity during radiotherapy

1 forms  
Show identification of patient
Description

Show identification of patient

Dummy
Description

Dummy

Data type

text

Toxicity hematology
Description

Toxicity hematology

Hämoglobin
Description

Grade Hemoglobin

Data type

integer

Leukozyten
Description

Grade WBC

Data type

integer

Neutrophile
Description

Grade neutrophils

Data type

integer

Thrombozyten
Description

Grade platelets

Data type

integer

Blutung
Description

Grade hemorrhage

Data type

integer

Toxicity neurological
Description

Toxicity neurological

Kopfschmerzen
Description

Grade headache

Data type

integer

Krampfanfälle
Description

Grade peripheral neurotoxicity

Data type

integer

Zentrale Neurotoxizität
Description

Grade central neurotoxicity

Data type

integer

Periphere Neurotoxizität
Description

Grade peripheral neurotoxicity

Data type

integer

Epilepsie
Description

Grade epilepsy

Data type

integer

Toxicity infection
Description

Toxicity infection

Infektion
Description

Grade infection

Data type

integer

Fieber
Description

Grade fever

Data type

integer

Toxicity gastrointestinal
Description

Toxicity gastrointestinal

Ãœbelkeit
Description

Grade nausea

Data type

integer

Erbrechen
Description

Grade vomiting

Data type

integer

Mukosa (CTC-Version 2)
Description

Mucosa (CTC version 2)

Data type

integer

Toxicity skin
Description

Toxicity skin

Alopezie
Description

Grade alopecia

Data type

integer

Hautveränderungen
Description

Grade changes in the skin

Data type

integer

Erythema multiforme
Description

Grade erythema multiforme

Data type

integer

Ohr/Haut
Description

Ear/skin

Data type

integer

Toxicity other
Description

Toxicity other

Andere Toxizität aufgetreten
Description

Other toxicity occurred

Data type

integer

Grad andere Toxizität
Description

Other toxicity grade

Data type

integer

Beschreibung andere Toxizität
Description

Other toxicity specified

Data type

text

Further data on radiotherapy toxicity
Description

Further data on radiotherapy toxicity

War während der Radiotherapie ein Krankenhausaufenthalt erforderlich
Description

Hospitalisation during radiotherapy

Data type

integer

Kommentar zum Krankenhausaufenthalt
Description

Remarks about hospitalisation

Data type

text

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Similar models

Toxicity during radiotherapy

1 forms
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Dummy
Item
Dummy
text
Item
Hämoglobin
integer
Toxicity grade
Code List
Hämoglobin
CL Item
Grad 0 (0)
CL Item
Grad 1 (1)
CL Item
Grad 2 (2)
CL Item
Grad 3 (3)
CL Item
Grad 4 (4)
Item
Leukozyten
integer
Toxicity grade
Code List
Leukozyten
CL Item
Grad 0 (0)
CL Item
Grad 1 (1)
CL Item
Grad 2 (2)
CL Item
Grad 3 (3)
CL Item
Grad 4 (4)
Item
Neutrophile
integer
Toxicity grade
Code List
Neutrophile
CL Item
Grad 0 (0)
CL Item
Grad 1 (1)
CL Item
Grad 2 (2)
CL Item
Grad 3 (3)
CL Item
Grad 4 (4)
Item
Thrombozyten
integer
Toxicity grade
Code List
Thrombozyten
CL Item
Grad 0 (0)
CL Item
Grad 1 (1)
CL Item
Grad 2 (2)
CL Item
Grad 3 (3)
CL Item
Grad 4 (4)
Item
Blutung
integer
Toxicity grade
Code List
Blutung
CL Item
Grad 0 (0)
CL Item
Grad 1 (1)
CL Item
Grad 2 (2)
CL Item
Grad 3 (3)
CL Item
Grad 4 (4)
Item
Kopfschmerzen
integer
Toxicity grade
Code List
Kopfschmerzen
CL Item
Grad 0 (0)
CL Item
Grad 1 (1)
CL Item
Grad 2 (2)
CL Item
Grad 3 (3)
CL Item
Grad 4 (4)
Item
Krampfanfälle
integer
Toxicity grade
Code List
Krampfanfälle
CL Item
Grad 0 (0)
CL Item
Grad 1 (1)
CL Item
Grad 2 (2)
CL Item
Grad 3 (3)
CL Item
Grad 4 (4)
Item
Zentrale Neurotoxizität
integer
Toxicity grade
Code List
Zentrale Neurotoxizität
CL Item
Grad 0 (0)
CL Item
Grad 1 (1)
CL Item
Grad 2 (2)
CL Item
Grad 3 (3)
CL Item
Grad 4 (4)
Item
Periphere Neurotoxizität
integer
Toxicity grade
Code List
Periphere Neurotoxizität
CL Item
Grad 0 (0)
CL Item
Grad 1 (1)
CL Item
Grad 2 (2)
CL Item
Grad 3 (3)
CL Item
Grad 4 (4)
Item
Epilepsie
integer
Toxicity grade
Code List
Epilepsie
CL Item
Grad 0 (0)
CL Item
Grad 1 (1)
CL Item
Grad 2 (2)
CL Item
Grad 3 (3)
CL Item
Grad 4 (4)
Item
Infektion
integer
Toxicity grade
Code List
Infektion
CL Item
Grad 0 (0)
CL Item
Grad 1 (1)
CL Item
Grad 2 (2)
CL Item
Grad 3 (3)
CL Item
Grad 4 (4)
Item
Fieber
integer
Toxicity grade
Code List
Fieber
CL Item
Grad 0 (0)
CL Item
Grad 1 (1)
CL Item
Grad 2 (2)
CL Item
Grad 3 (3)
CL Item
Grad 4 (4)
Item
Ãœbelkeit
integer
Toxicity grade
Code List
Ãœbelkeit
CL Item
Grad 0 (0)
CL Item
Grad 1 (1)
CL Item
Grad 2 (2)
CL Item
Grad 3 (3)
CL Item
Grad 4 (4)
Item
Erbrechen
integer
Toxicity grade
Code List
Erbrechen
CL Item
Grad 0 (0)
CL Item
Grad 1 (1)
CL Item
Grad 2 (2)
CL Item
Grad 3 (3)
CL Item
Grad 4 (4)
Item
Mukosa (CTC-Version 2)
integer
Toxicity grade
Code List
Mukosa (CTC-Version 2)
CL Item
Grad 0 (0)
CL Item
Grad 1 (1)
CL Item
Grad 2 (2)
CL Item
Grad 3 (3)
CL Item
Grad 4 (4)
Item Group
Item
Alopezie
integer
Toxicity grade
Code List
Alopezie
CL Item
Grad 0 (0)
CL Item
Grad 1 (1)
CL Item
Grad 2 (2)
CL Item
Grad 3 (3)
CL Item
Grad 4 (4)
Item
Hautveränderungen
integer
Toxicity grade
Code List
Hautveränderungen
CL Item
Grad 0 (0)
CL Item
Grad 1 (1)
CL Item
Grad 2 (2)
CL Item
Grad 3 (3)
CL Item
Grad 4 (4)
Item
Erythema multiforme
integer
Toxicity grade
Code List
Erythema multiforme
CL Item
Grad 0 (0)
CL Item
Grad 1 (1)
CL Item
Grad 2 (2)
CL Item
Grad 3 (3)
CL Item
Grad 4 (4)
Item
Ohr/Haut
integer
Toxicity grade
Code List
Ohr/Haut
CL Item
Grad 0 (0)
CL Item
Grad 1 (1)
CL Item
Grad 2 (2)
CL Item
Grad 3 (3)
CL Item
Grad 4 (4)
Item Group
Item
Andere Toxizität aufgetreten
integer
NoYes
Code List
Andere Toxizität aufgetreten
CL Item
Nein (1)
CL Item
Ja (2)
Item
Grad andere Toxizität
integer
Toxicity grade
Code List
Grad andere Toxizität
CL Item
Grad 0 (0)
CL Item
Grad 1 (1)
CL Item
Grad 2 (2)
CL Item
Grad 3 (3)
CL Item
Grad 4 (4)
Other toxicity specified
Item
Beschreibung andere Toxizität
text
Item
War während der Radiotherapie ein Krankenhausaufenthalt erforderlich
integer
NoYes
Code List
War während der Radiotherapie ein Krankenhausaufenthalt erforderlich
CL Item
Nein (1)
CL Item
Ja (2)
Remarks about hospitalisation
Item
Kommentar zum Krankenhausaufenthalt
text
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