ID

10024

Descripción

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

https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=A50D6435-FF10-3254-E034-080020C9C0E0

Palabras clave

  1. 26/8/12 26/8/12 -
  2. 18/3/15 18/3/15 - Martin Dugas
Subido en

18 de marzo de 2015

DOI

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Licencia

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.

  1. StudyEvent: CALGB: ORIENTATION-MEMORY-CONCENTRATION TEST FORM
    1. Scoring: Score 1 for each incorrect response; maximum weight score=28.
Header
Descripción

Header

CALGB Form
Descripción

CALGBForm

Tipo de datos

text

CALGB Study No
Descripción

CALGBStudyNo

Tipo de datos

text

CALGB Patient ID
Descripción

CALGBPatientID

Tipo de datos

text

Date Completed (M)
Descripción

DateCompleted

Tipo de datos

date

Amended data?
Descripción

Amended data?

Tipo de datos

boolean

Patient's Name
Descripción

Patient'sName

Tipo de datos

text

Participating Group
Descripción

ParticipatingGroup

Tipo de datos

text

Alias
NCI Thesaurus ObjectClass
C17005
UMLS 2011AA ObjectClass
C1257890
NCI Thesaurus Property
C25364
UMLS 2011AA Property
C0600091
Patient Hospital Number
Descripción

PatientHospitalNumber

Tipo de datos

text

Participating Group Protocol No.
Descripción

ParticipatingGroupProtocolNo.

Tipo de datos

text

Main Member Institution/Adjunct
Descripción

MainMemberInstitution/Adjunct

Tipo de datos

text

Participating Group Patient No.
Descripción

ParticipatingGroupPatientNo.

Tipo de datos

text

Completed By (Print or Type Name)
Descripción

CompletedBy

Tipo de datos

text

Assessment Number (1.)
Descripción

Assessment Number (1.)

Tipo de datos

integer

Orientation-memory-concentration Test
Descripción

Orientation-memory-concentration Test

What year is it now? (Patient's Response)
Descripción

What year is it now? (Patient's Response)

Tipo de datos

integer

Score (Weight)
Descripción

PerQuestionScore

Tipo de datos

float

Final Score
Descripción

WeightedScore

Tipo de datos

float

What month is it now? (Patient's Response)
Descripción

What month is it now? (Patient's Response)

Tipo de datos

integer

About what time is it? ([within 1 hour])
Descripción

About what time is it? ([within 1 hour])

Tipo de datos

time

TOTAL SCORE
Descripción

TOTALSCORE

Tipo de datos

float

Similar models

Scoring: Score 1 for each incorrect response; maximum weight score=28.

  1. StudyEvent: CALGB: ORIENTATION-MEMORY-CONCENTRATION TEST FORM
    1. Scoring: Score 1 for each incorrect response; maximum weight score=28.
Name
Tipo
Description | Question | Decode (Coded Value)
Tipo de datos
Alias
Item Group
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)
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

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