ID

6414

Description

NCI Cooperative Group Hematology Laboratory Test Form (CALGB-90104) Combination Chemotherapy in Treating Patients With Bladder Cancer Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=A9C02B5C-8C97-26B5-E034-0003BA12F5E7

Lien

https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=A9C02B5C-8C97-26B5-E034-0003BA12F5E7

Mots-clés

Versions (6)
  1. 26/08/2012 26/08/2012 -
  2. 22/12/2014 22/12/2014 - Martin Dugas
  3. 08/01/2015 08/01/2015 - Martin Dugas
  4. 22/01/2015 22/01/2015 - Martin Dugas
  5. 22/01/2015 22/01/2015 - Martin Dugas
  6. 22/01/2015 22/01/2015 - Martin Dugas
Téléchargé le

22 décembre 2014

DOI

Pour une demande vous connecter.

Licence

Creative Commons BY-NC 3.0 Legacy
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Hematology Laboratory Test Form (CALGB-90104)

Anglais

No Instruction available.

1 Formulaires  
  1. StudyEvent: NCI Cooperative Group Hematology Laboratory Test Form (CALGB-90104)
    1. No Instruction available.
Administrative documentation
Description

Administrative documentation

Alias
UMLS CUI-1
C1320722
Coordinating Group Protocol Number
Description

CoordinatingGroupProtocolNumber

Type de données

text

Coordinating Group Code
Description

CoordinatingGroupCode

Type de données

text

Alias
NCI Thesaurus ValueDomain
C25162
UMLS 2011AA ValueDomain
C0805701
Protocol Title
Description

ProtocolTitle

Type de données

text

Alias
NCI Thesaurus ObjectClass
C25320
UMLS 2011AA ObjectClass
C1507394
NCI Thesaurus Property
C42774
UMLS 2011AA Property
C1705823
Patient Study ID, Coordinating Group
Description

PatientStudyID,CoordinatingGroup

Type de données

text

Patient Study ID, Participating Group
Description

PatientStudyID,ParticipatingGroup

Type de données

text

Participating Group Code
Description

ParticipatingGroupCode

Type de données

text

Alias
NCI Thesaurus ValueDomain
C25162
UMLS 2011AA ValueDomain
C0805701
Institution Name
Description

InstitutionName

Type de données

text

Affiliate
Description

AffiliateName

Type de données

text

Patient Last Name (initials acceptable)
Description

PatientName,Last

Type de données

text

Patient First Name (initials acceptable)
Description

PatientName,First

Type de données

text

Patient Middle Name (initials acceptable)
Description

PatientName,Middle

Type de données

text

Person Completing Form, Last Name
Description

PersonCompletingForm,LastName

Type de données

text

Person Completing Form, First Name
Description

PersonCompletingForm,FirstName

Type de données

text

Alias
NCI Thesaurus ObjectClass
C25190
UMLS 2011AA ObjectClass
C0027361
NCI Thesaurus Property
C25364
UMLS 2011AA Property
C0600091
Are data amended?
Description

Amended Data

Type de données

boolean

Alias
NCI Thesaurus ObjectClass
C25474
NCI Thesaurus Property
C25416
UMLS CUI-1
C0680532
Hematology Laboratory Tests
Description

Hematology Laboratory Tests

Alias
UMLS CUI-1
C0474523
Peripheral WBC Count
Description

Lab,Hematology,WBC

Type de données

float

Alias
UMLS CUI-1
C0023508
Hemoglobin
Description

Lab,Hematology,Hemoglobin

Type de données

float

Alias
UMLS CUI-1
C0019046
Peripheral Hematocrit Count
Description

Peripheral Hematocrit Count (%)

Type de données

float

Unités de mesure
  • %
Alias
UMLS CUI-1
C0518014
%
Peripheral Platelet Count
Description

Lab,Hematology,Platelets

Type de données

float

Alias
UMLS CUI-1
C1287267
Peripheral Neutrophils
Description

Lab,Hematology,Neutrophils,CellPercentage

Type de données

float

Unités de mesure
  • %
Alias
UMLS CUI-1
C0362987
%
Peripheral Neutrophil Count
Description

Lab,Hematology,NeutrophilCount

Type de données

float

Alias
UMLS CUI-1
C0200633
Unit (Normal Range)
Description

Lab,UnitsofMeasure

Type de données

text

Alias
UMLS CUI-1
C1519795
Normal Range-Peripheral WBC Count
Description

WBC count(x1000),LLN

Type de données

float

Alias
UMLS CUI-1
C0023508
UMLS CUI-2
C1518030
Normal Range-Hemoglobin
Description

Hemoglobin LLN

Type de données

float

Unités de mesure
  • g/dl
Alias
UMLS CUI-1
C0019046
UMLS CUI-2
C1518030
g/dl
Normal Range-Peripheral Hematocrit Count (%)
Description

Hematocrit normal range

Type de données

text

Alias
UMLS CUI-1
C0518014
UMLS CUI-2
C0086715
Normal Range-Peripheral Platelet Count
Description

Platelets LLN

Type de données

float

Alias
NCI Thesaurus ValueDomain
C25712
NCI Thesaurus ValueDomain
C25555
UMLS CUI-1
C0005821
UMLS CUI-2
C1518030
Normal Range-Peripheral Neutrophils
Description

Peripheral Neutrophils Normal Range

Type de données

text

Unités de mesure
  • %
Alias
UMLS CUI-1
C0362987
UMLS CUI-2
C0086715
%
Normal Range-Peripheral Neutrophil Count
Description

Peripheral Neutrophil Count Normal Range

Type de données

text

Alias
UMLS CUI-1
C0200633
UMLS CUI-2
C0086715
Date
Description

Labs,SampleCollectionDate

Type de données

date

Alias
UMLS CUI-1
C1317250
Comments
Description

Comments

Type de données

text

Alias
UMLS CUI-1
C0947611
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Similar models

No Instruction available.

1 Formulaires
  1. StudyEvent: NCI Cooperative Group Hematology Laboratory Test Form (CALGB-90104)
    1. No Instruction available.
Name
Type
Description | Question | Decode (Coded Value)
Type de données
Alias
Item Group
Administrative documentation
C1320722 (UMLS CUI-1)
CoordinatingGroupProtocolNumber
Item
Coordinating Group Protocol Number
text
CoordinatingGroupCode
Item
Coordinating Group Code
text
C25162 (NCI Thesaurus ValueDomain)
C0805701 (UMLS 2011AA ValueDomain)
ProtocolTitle
Item
Protocol Title
text
C25320 (NCI Thesaurus ObjectClass)
C1507394 (UMLS 2011AA ObjectClass)
C42774 (NCI Thesaurus Property)
C1705823 (UMLS 2011AA Property)
PatientStudyID,CoordinatingGroup
Item
Patient Study ID, Coordinating Group
text
PatientStudyID,ParticipatingGroup
Item
Patient Study ID, Participating Group
text
ParticipatingGroupCode
Item
Participating Group Code
text
C25162 (NCI Thesaurus ValueDomain)
C0805701 (UMLS 2011AA ValueDomain)
InstitutionName
Item
Institution Name
text
AffiliateName
Item
Affiliate
text
PatientName,Last
Item
Patient Last Name (initials acceptable)
text
PatientName,First
Item
Patient First Name (initials acceptable)
text
PatientName,Middle
Item
Patient Middle Name (initials acceptable)
text
PersonCompletingForm,LastName
Item
Person Completing Form, Last Name
text
PersonCompletingForm,FirstName
Item
Person Completing Form, First Name
text
C25190 (NCI Thesaurus ObjectClass)
C0027361 (UMLS 2011AA ObjectClass)
C25364 (NCI Thesaurus Property)
C0600091 (UMLS 2011AA Property)
Amended Data
Item
Are data amended?
boolean
C25474 (NCI Thesaurus ObjectClass)
C25416 (NCI Thesaurus Property)
C0680532 (UMLS CUI-1)
Item Group
Hematology Laboratory Tests
C0474523 (UMLS CUI-1)
WBC
Item
Peripheral WBC Count
float
C0023508 (UMLS CUI-1)
Hemoglobin
Item
Hemoglobin
float
C0019046 (UMLS CUI-1)
Hematocrit
Item
Peripheral Hematocrit Count
float
C0518014 (UMLS CUI-1)
Platelets
Item
Peripheral Platelet Count
float
C1287267 (UMLS CUI-1)
Peripheral Neutrophils
Item
Peripheral Neutrophils
float
C0362987 (UMLS CUI-1)
Peripheral Neutrophil Count
Item
Peripheral Neutrophil Count
float
C0200633 (UMLS CUI-1)
Item
Unit (Normal Range)
text
C1519795 (UMLS CUI-1)
CL.2
Code List
Unit (Normal Range)
CL Item
K/uL (K/uL)
CL Item
G/dl (g/dL)
CL Item
% (%)
WBC LLN
Item
Normal Range-Peripheral WBC Count
float
C0023508 (UMLS CUI-1)
C1518030 (UMLS CUI-2)
Hemoglobin LLN
Item
Normal Range-Hemoglobin
float
C0019046 (UMLS CUI-1)
C1518030 (UMLS CUI-2)
Hematocrit normal range
Item
Normal Range-Peripheral Hematocrit Count (%)
text
C0518014 (UMLS CUI-1)
C0086715 (UMLS CUI-2)
Platelets LLN
Item
Normal Range-Peripheral Platelet Count
float
C25712 (NCI Thesaurus ValueDomain)
C25555 (NCI Thesaurus ValueDomain)
C0005821 (UMLS CUI-1)
C1518030 (UMLS CUI-2)
Peripheral Neutrophils Normal Range
Item
Normal Range-Peripheral Neutrophils
text
C0362987 (UMLS CUI-1)
C0086715 (UMLS CUI-2)
Peripheral Neutrophil Count Normal Range
Item
Normal Range-Peripheral Neutrophil Count
text
C0200633 (UMLS CUI-1)
C0086715 (UMLS CUI-2)
Sample Collection Date
Item
Date
date
C1317250 (UMLS CUI-1)
Comments
Item
Comments
text
C0947611 (UMLS CUI-1)
Retour au début de la page 

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