Evaluation AMLSG 21-13 NCT02013648 Akute myeloische Leukämie (AML)

Evaluation
Descrizione

Evaluation

Point in time
Descrizione

Point in time

Tipo di dati

integer

Alias
UMLS CUI-1
C1442880
If in Maintenance: Month
Descrizione

Maintenance Month

Tipo di dati

integer

Alias
UMLS CUI-1
C0481504
UMLS CUI-2
C0439231
If Follow-up: consecutive Follow-up number
Descrizione

Follow up number

Tipo di dati

integer

Alias
UMLS CUI-1
C1704685
UMLS CUI-2
C0237753
Status
Descrizione

Status

Is the patient alive?
Descrizione

Status of patient

Tipo di dati

boolean

Alias
UMLS CUI-1
C3844896
Date of last information/death
Descrizione

Date of last information/death

Tipo di dati

date

Alias
UMLS CUI-1
C1148348
UMLS CUI-2
C0011008
UMLS CUI-3
C1533716
Cause of death
Descrizione

Cause of death

Tipo di dati

integer

Alias
UMLS CUI-1
C0007465
Specifiy if Cause of death = 2,4,5
Descrizione

Specifiy if Cause of death = 2,4,5

Tipo di dati

text

Response after Induction Cycles or Consolidation or Maintenance or during Follow-up
Descrizione

Response after Induction Cycles or Consolidation or Maintenance or during Follow-up

Date of evaluation
Descrizione

Date of evaluation

Tipo di dati

date

Alias
UMLS CUI-1
C0220825
UMLS CUI-2
C0011008
Response
Descrizione

Response

Tipo di dati

integer

Alias
UMLS CUI-1
C0023418
UMLS CUI-2
C0005955
Extramedullary Manifestatation
Descrizione

Extramedullary Manifestatation

Tipo di dati

boolean

Alias
UMLS CUI-1
C1517060
UMLS CUI-2
C1280464
Please specify Extramedullary Manifestation
Descrizione

Extramedullary Manifestatation location

Tipo di dati

text

Evaluation based on on following examinations
Descrizione

Evaluation based on on following examinations

Bone marrow evaluation done (If yes specify on CRF "Bone marrow Evaluation"
Descrizione

Bone marrow evaluation done

Tipo di dati

boolean

Alias
UMLS CUI-1
C2238269
UMLS CUI-2
C1272695
Blood count evaluation done? (If yes specify on CRF "Blood Count Evaluation"
Descrizione

Blood count evaluation done

Tipo di dati

boolean

Alias
UMLS CUI-1
C0005771
UMLS CUI-2
C0022885
UMLS CUI-3
C0220825
UMLS CUI-4
C1272695
Signature
Descrizione

Signature

Date
Descrizione

Date

Tipo di dati

date

Alias
UMLS CUI-1
C2346576
UMLS CUI-2
C0011008
Name and Signature of Investigator
Descrizione

Name and Signature of Investigator

Tipo di dati

text

Alias
UMLS CUI-1
C0027365
UMLS CUI-2
C1519316
UMLS CUI-3
C0031831

Similar models

Evaluation AMLSG 21-13 NCT02013648 Akute myeloische Leukämie (AML)

Name
genere
Description | Question | Decode (Coded Value)
Tipo di dati
Alias
Item Group
Evaluation
Item
Point in time
integer
C1442880 (UMLS CUI-1)
Code List
Point in time
CL Item
Induction I (1)
CL Item
Induction II (optional) (2)
CL Item
Consolidation I (3)
CL Item
Consolidation II (4)
CL Item
Consolidation III (5)
CL Item
Consolidation IV (6)
CL Item
Maintenance (7)
CL Item
Follow-up (8)
Item
If in Maintenance: Month
integer
C0481504 (UMLS CUI-1)
C0439231 (UMLS CUI-2)
Code List
If in Maintenance: Month
CL Item
after 3 Months (3)
CL Item
after 6 Months (6)
CL Item
after 9 Months (9)
CL Item
after 12 Months (12)
Follow up number
Item
If Follow-up: consecutive Follow-up number
integer
C1704685 (UMLS CUI-1)
C0237753 (UMLS CUI-2)
Item Group
Status
Status of patient
Item
Is the patient alive?
boolean
C3844896 (UMLS CUI-1)
Date of last information/death
Item
Date of last information/death
date
C1148348 (UMLS CUI-1)
C0011008 (UMLS CUI-2)
C1533716 (UMLS CUI-3)
Item
Cause of death
integer
C0007465 (UMLS CUI-1)
Code List
Cause of death
CL Item
Leukemia (1)
CL Item
Infection (2)
CL Item
Bleeding (3)
CL Item
Secondary illness (4)
CL Item
Other (5)
CL Item
Unknown (6)
Specifiy if Cause of death = 2,4,5
Item
Specifiy if Cause of death = 2,4,5
text
Item Group
Response after Induction Cycles or Consolidation or Maintenance or during Follow-up
Date of evaluation
Item
Date of evaluation
date
C0220825 (UMLS CUI-1)
C0011008 (UMLS CUI-2)
Item
Response
integer
C0023418 (UMLS CUI-1)
C0005955 (UMLS CUI-2)
Code List
Response
CL Item
CR (1)
CL Item
CRi (2)
CL Item
PR (3)
CL Item
RD (4)
CL Item
PD (5)
CL Item
ED (6)
CL Item
HD (7)
Extramedullary Manifestatation
Item
Extramedullary Manifestatation
boolean
C1517060 (UMLS CUI-1)
C1280464 (UMLS CUI-2)
Extramedullary Manifestatation location
Item
Please specify Extramedullary Manifestation
text
Item Group
Evaluation based on on following examinations
Bone marrow evaluation done
Item
Bone marrow evaluation done (If yes specify on CRF "Bone marrow Evaluation"
boolean
C2238269 (UMLS CUI-1)
C1272695 (UMLS CUI-2)
Blood count evaluation done
Item
Blood count evaluation done? (If yes specify on CRF "Blood Count Evaluation"
boolean
C0005771 (UMLS CUI-1)
C0022885 (UMLS CUI-2)
C0220825 (UMLS CUI-3)
C1272695 (UMLS CUI-4)
Item Group
Signature
Date
Item
Date
date
C2346576 (UMLS CUI-1)
C0011008 (UMLS CUI-2)
Name and Signature of Investigator
Item
Name and Signature of Investigator
text
C0027365 (UMLS CUI-1)
C1519316 (UMLS CUI-2)
C0031831 (UMLS CUI-3)