Information:
Error:
ID
10024
Description
Comparison of Combination Chemotherapy Regimens in Treating Older Women Who Have Undergone Surgery for Breast Cancer NCT00024102 Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=A50D6435-FF10-3254-E034-080020C9C0E0
Link
Keywords
Versions (2)
- 8/26/12 8/26/12 -
- 3/18/15 3/18/15 - Martin Dugas
Uploaded on
March 18, 2015
DOI
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License
Creative Commons BY-NC 3.0 Legacy
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Breast Cancer combination chemotherapies (NCT00024102)
Scoring: Score 1 for each incorrect response; maximum weight score=28.
- StudyEvent: CALGB: ORIENTATION-MEMORY-CONCENTRATION TEST FORM
Similar models
Scoring: Score 1 for each incorrect response; maximum weight score=28.
- StudyEvent: CALGB: ORIENTATION-MEMORY-CONCENTRATION TEST FORM
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
CALGBForm
Item
CALGB Form
text
CALGBStudyNo
Item
CALGB Study No
text
CALGBPatientID
Item
CALGB Patient ID
text
DateCompleted
Item
Date Completed (M)
date
Amended data
Item
Amended data?
boolean
Patient'sName
Item
Patient's Name
text
ParticipatingGroup
Item
Participating Group
text
C17005 (NCI Thesaurus ObjectClass)
C1257890 (UMLS 2011AA ObjectClass)
C25364 (NCI Thesaurus Property)
C0600091 (UMLS 2011AA Property)
C1257890 (UMLS 2011AA ObjectClass)
C25364 (NCI Thesaurus Property)
C0600091 (UMLS 2011AA Property)
PatientHospitalNumber
Item
Patient Hospital Number
text
ParticipatingGroupProtocolNo.
Item
Participating Group Protocol No.
text
MainMemberInstitution/Adjunct
Item
Main Member Institution/Adjunct
text
ParticipatingGroupPatientNo.
Item
Participating Group Patient No.
text
CompletedBy
Item
Completed By (Print or Type Name)
text
AssessmentNumber
Item
Assessment Number (1.)
integer
Current year
Item
What year is it now? (Patient's Response)
integer
PerQuestionScore
Item
Score (Weight)
float
WeightedScore
Item
Final Score
float
Current month
Item
What month is it now? (Patient's Response)
integer
Current time
Item
About what time is it? ([within 1 hour])
time
TOTALSCORE
Item
TOTAL SCORE
float