Registration data SIOP CNS GCT II

Show identification of patient
Description

Show identification of patient

Dummy
Description

Dummy

Data type

text

Registration data SIOP CNS GCT II
Description

Registration data SIOP CNS GCT II

Date of informed consent
Description

Date when informed consent was signed

Data type

date

Inclusion criteria
Description

Inclusion criteria

Primary residence in one of the participating countries
Description

Primary residence in one of the participating countries

Data type

integer

Primary diagnosis of an intracranial germ cell tumor
Description

Primary diagnosis of an intracranial germ cell tumor

Data type

integer

Demographic data
Description

Demographic data

Nation
Description

Nation

Data type

integer

National patient ID
Description

National patient id

Data type

text

First name
Description

First name

Data type

text

Surname
Description

Surname

Data type

text

Name at birth
Description

Name at birth

Data type

text

Date of birth
Description

Date of birth

Data type

date

Sex
Description

Sex

Data type

integer

Exclusion criteria
Description

Exclusion criteria

Participation in another clinical trial
Description

Participation in another clinical trial

Data type

integer

Which trial
Description

Which other trial

Data type

text

Previous tumour or tumour therapy (incl. dermoid cyst or teratoma)
Description

Previous tumour or tumour therapy (incl. dermoid cyst or teratoma)

Data type

integer

Which previous tumour or tumour therapy
Description

Which previous tumour or tumour therapy

Data type

text

Classification by coordinating study center
Description

Previous tumour or tumour therapy, classification by study coordination center

Data type

integer

Therapy planned not according to SIOP CNS GCT II
Description

Therapy planned not according to SIOP CNS GCT II?

Data type

integer

Clinical indication for modified therapy
Description

Clinical indication for modified therapy

Data type

integer

Which clinical indication
Description

Which clinical indication

Data type

integer

Other clinical indication specified
Description

Other clinical indication specified

Data type

text

Pregancy or lactation
Description

Pregancy or lactation

Data type

integer

Any treatment not given according to protocol SIOP CNS GCT II prior to registration
Description

Any treatment not given according to protocol SIOP CNS GCT II prior to registration

Data type

integer

Similar models

Registration data SIOP CNS GCT II

Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Dummy
Item
Dummy
text
Date when informed consent was signed
Item
Date of informed consent
date
Item
Primary residence in one of the participating countries
integer
Code List
Primary residence in one of the participating countries
CL Item
No (1)
CL Item
Yes (2)
Item
Primary diagnosis of an intracranial germ cell tumor
integer
Code List
Primary diagnosis of an intracranial germ cell tumor
CL Item
No (1)
CL Item
Yes (2)
Item
Nation
integer
Code List
Nation
CL Item
Germany (1)
CL Item
Netherlands (2)
CL Item
France (3)
CL Item
Italy (4)
CL Item
United Kingdom (5)
CL Item
Norway (6)
CL Item
Denmark (7)
CL Item
Sweden (8)
CL Item
Spain (9)
CL Item
Finland (10)
CL Item
Austria (11)
CL Item
Switzerland (12)
CL Item
Czech Republic (13)
CL Item
Belgium (14)
National patient id
Item
National patient ID
text
First name
Item
First name
text
Surname
Item
Surname
text
Name at birth
Item
Name at birth
text
Date of birth
Item
Date of birth
date
Item
Sex
integer
Code List
Sex
CL Item
Male (1)
CL Item
Female (2)
Item
Participation in another clinical trial
integer
Code List
Participation in another clinical trial
CL Item
No (1)
CL Item
Yes (2)
Which other trial
Item
Which trial
text
Item
Previous tumour or tumour therapy (incl. dermoid cyst or teratoma)
integer
Code List
Previous tumour or tumour therapy (incl. dermoid cyst or teratoma)
CL Item
No (1)
CL Item
Yes (2)
Which previous tumour or tumour therapy
Item
Which previous tumour or tumour therapy
text
Item
Classification by coordinating study center
integer
Code List
Classification by coordinating study center
CL Item
Previous teratoma (1)
CL Item
Previous dermoid cyst (2)
CL Item
Other previous benign tumour (3)
CL Item
Other previous malignant disease (4)
Item
Therapy planned not according to SIOP CNS GCT II
integer
Code List
Therapy planned not according to SIOP CNS GCT II
CL Item
No (1)
CL Item
Yes (2)
Item
Clinical indication for modified therapy
integer
Code List
Clinical indication for modified therapy
CL Item
No (1)
CL Item
Yes (2)
Item
Which clinical indication
integer
Code List
Which clinical indication
CL Item
Pregnancy/lactation (1)
CL Item
Hearing impairment (2)
CL Item
Renal impairment (3)
CL Item
Other indication (4)
Other clinical indication specified
Item
Other clinical indication specified
text
Item
Pregancy or lactation
integer
Code List
Pregancy or lactation
CL Item
No (1)
CL Item
Yes (2)
Item
Any treatment not given according to protocol SIOP CNS GCT II prior to registration
integer
Code List
Any treatment not given according to protocol SIOP CNS GCT II prior to registration
CL Item
No (1)
CL Item
Yes (2)