ID

10024

Beskrivning

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

Länk

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

Nyckelord

  1. 2012-08-26 2012-08-26 -
  2. 2015-03-18 2015-03-18 - Martin Dugas
Uppladdad den

18 mars 2015

DOI

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Licens

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
Beskrivning

Header

CALGB Form
Beskrivning

CALGBForm

Datatyp

text

CALGB Study No
Beskrivning

CALGBStudyNo

Datatyp

text

CALGB Patient ID
Beskrivning

CALGBPatientID

Datatyp

text

Date Completed (M)
Beskrivning

DateCompleted

Datatyp

date

Amended data?
Beskrivning

Amended data?

Datatyp

boolean

Patient's Name
Beskrivning

Patient'sName

Datatyp

text

Participating Group
Beskrivning

ParticipatingGroup

Datatyp

text

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

PatientHospitalNumber

Datatyp

text

Participating Group Protocol No.
Beskrivning

ParticipatingGroupProtocolNo.

Datatyp

text

Main Member Institution/Adjunct
Beskrivning

MainMemberInstitution/Adjunct

Datatyp

text

Participating Group Patient No.
Beskrivning

ParticipatingGroupPatientNo.

Datatyp

text

Completed By (Print or Type Name)
Beskrivning

CompletedBy

Datatyp

text

Assessment Number (1.)
Beskrivning

Assessment Number (1.)

Datatyp

integer

Orientation-memory-concentration Test
Beskrivning

Orientation-memory-concentration Test

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

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

Datatyp

integer

Score (Weight)
Beskrivning

PerQuestionScore

Datatyp

float

Final Score
Beskrivning

WeightedScore

Datatyp

float

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

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

Datatyp

integer

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

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

Datatyp

time

TOTAL SCORE
Beskrivning

TOTALSCORE

Datatyp

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
Typ
Description | Question | Decode (Coded Value)
Datatyp
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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