ID
10088
Description
E1609 Hematology/Chemistry Form Ipilimumab or High-Dose Interferon Alfa-2b in Treating Patients With High-Risk Stage III or Stage IV Melanoma That Has Been Removed by Surgery NCT01274338 Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=97E7C12F-E851-FFC2-E040-BB89AD43160A
Link
Keywords
Versions (3)
- 9/19/12 9/19/12 -
- 1/8/15 1/8/15 - Martin Dugas
- 3/25/15 3/25/15 - Martin Dugas
Uploaded on
March 25, 2015
DOI
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License
Creative Commons BY-NC 3.0 Legacy
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Melanoma (Skin) NCT01274338 On-Study Form
INSTRUCTIONS: Complete this form and submit original to the ECOG Coordinating Center within one week of registration. Keep a copy for your files
- StudyEvent: E1609 Hematology/Chemistry Form
Description
On Treatment
Alias
- UMLS CUI-1
- C3538994
Description
On Treatment Report Period (Choose one x)
Data type
text
Alias
- NCI Thesaurus ValueDomain
- C25284
- NCI Thesaurus Property
- C25214
- NCI Thesaurus Property-2
- C25616
- NCI Thesaurus ObjectClass
- C15368
- UMLS CUI-1
- C2045829
Description
PersonOff-TreatmentTimePeriodType
Data type
text
Alias
- NCI Thesaurus ObjectClass
- C25190
- UMLS 2011AA ObjectClass
- C0027361
- NCI Thesaurus Property
- C25616
- UMLS 2011AA Property
- C1948053
- NCI Thesaurus Property-2
- C25601
- UMLS 2011AA Property-2
- C1518544
- NCI Thesaurus Property-3
- C25207
- UMLS 2011AA Property-3
- C0040223
- NCI Thesaurus ValueDomain
- C25284
- UMLS 2011AA ValueDomain
- C0332307
Description
HematologyAssessedInd-3
Data type
boolean
Alias
- NCI Thesaurus ValueDomain
- C38148
- NCI Thesaurus Property
- C25217
- NCI Thesaurus ObjectClass
- C16673
- UMLS CUI-1
- C0474523
Description
HematologySpecimenCollectedDate
Data type
date
Alias
- NCI Thesaurus ValueDomain
- C25164
- NCI Thesaurus ObjectClass
- C16673
- NCI Thesaurus ObjectClass-2
- C19157
- NCI Thesaurus Property
- C25452
- UMLS CUI-1
- C0474523
- UMLS CUI-2
- C0011008
Description
LaboratoryProcedureNotPerformedText
Data type
text
Alias
- NCI Thesaurus ValueDomain
- C25704
- NCI Thesaurus Property
- C25594
- NCI Thesaurus Property-2
- C38000
- NCI Thesaurus ObjectClass
- C25294
- UMLS CUI-1
- C0022885
- UMLS CUI-2
- C0445106
Description
LaboratoryProcedureC-ReactiveProteinResultUpperLimitofNormalValue
Data type
float
Measurement units
- mg/dL
Alias
- NCI Thesaurus ObjectClass
- C25294
- NCI Thesaurus Property
- C20200
- NCI Thesaurus Property-2
- C60651
- NCI Thesaurus ValueDomain
- C25712
- NCI Thesaurus ValueDomain-2
- C25706
- UMLS CUI-1
- C0006560
- UMLS CUI-2
- C1519815
Description
LaboratoryProcedureC-ReactiveProteinResultSpecifiedValue
Data type
float
Alias
- NCI Thesaurus Property
- C20200
- NCI Thesaurus ObjectClass
- C25294
- NCI Thesaurus ValueDomain
- C25712
- NCI Thesaurus Property-2
- C60651
- UMLS CUI-1
- C0006560
Description
LaboratoryProcedureLactateDehydrogenaseResultUpperLimitofNormalValue
Data type
float
Alias
- NCI Thesaurus ObjectClass
- C25294
- NCI Thesaurus Property
- C20200
- NCI Thesaurus Property-2
- C25184
- NCI Thesaurus ValueDomain
- C25712
- NCI Thesaurus ValueDomain-2
- C25706
- UMLS CUI-1
- C0202113
- UMLS CUI-2
- C1519815
Description
LaboratoryProcedureLactateDehydrogenaseResultSpecifiedValue
Data type
float
Measurement units
- U/L
Alias
- NCI Thesaurus Property
- C20200
- NCI Thesaurus ObjectClass
- C25294
- NCI Thesaurus ValueDomain
- C25712
- NCI Thesaurus Property-2
- C25184
- UMLS CUI-1
- C0202113
Description
LaboratoryProcedureLymphocyteOutcomeCount
Data type
float
Alias
- NCI Thesaurus Property
- C12535
- NCI Thesaurus Property-2
- C20200
- NCI Thesaurus ValueDomain
- C25463
- NCI Thesaurus ObjectClass
- C25294
- UMLS CUI-1
- C0024264
Description
LaboratoryProcedureLymphocyteOutcomeLowerLimitofNormalValue
Data type
float
Alias
- NCI Thesaurus ObjectClass
- C25294
- NCI Thesaurus Property
- C12535
- NCI Thesaurus Property-2
- C20200
- NCI Thesaurus ValueDomain
- C25712
- NCI Thesaurus ValueDomain-2
- C25555
- UMLS CUI-1
- C0024264
- UMLS CUI-2
- C1518030
Description
AnticardiolipinAntibodyOutcomeStatus
Data type
text
Alias
- NCI Thesaurus Property
- C20200
- NCI Thesaurus ObjectClass
- C95408
- NCI Thesaurus ValueDomain
- C25688
- UMLS CUI-1
- C0201535
Description
ThyroidAntimicrosomalAntibodyMeasurementOutcomeStatus
Data type
text
Alias
- NCI Thesaurus Property
- C20200
- NCI Thesaurus ObjectClass
- C81991
- NCI Thesaurus ValueDomain
- C25688
- UMLS CUI-1
- C2825872
Description
AntinuclearAntibodyOutcomeStatus
Data type
text
Alias
- NCI Thesaurus Property
- C20200
- NCI Thesaurus ObjectClass
- C70547
- NCI Thesaurus ValueDomain
- C25688
- UMLS CUI-1
- C0003243
Description
ThyroidAntithyroglobulinAntibodyMeasurementOutcomeStatus
Data type
text
Alias
- NCI Thesaurus Property
- C20200
- NCI Thesaurus ObjectClass
- C81992
- NCI Thesaurus ValueDomain
- C25688
- UMLS CUI-1
- C2825873
Description
ThyroidPeroxidaseOutcomeStatus
Data type
text
Alias
- NCI Thesaurus Property
- C20200
- NCI Thesaurus ObjectClass
- C16752
- NCI Thesaurus ValueDomain
- C25688
- UMLS CUI-1
- C0021965
Description
ThyroidHormoneStimulationImmunoglobulinOutcomeStatus
Data type
text
Alias
- NCI Thesaurus ObjectClass
- C61406
- NCI Thesaurus ObjectClass-2
- C572
- NCI Thesaurus ObjectClass-3
- C886
- NCI Thesaurus Property
- C20200
- NCI Thesaurus ValueDomain
- C25688
- UMLS CUI-1
- C0040139
Description
Assessment Date
Data type
date
Alias
- NCI Thesaurus ValueDomain
- C25164
- UMLS CUI-1
- C2985720
- NCI Thesaurus ObjectClass
- C25367
- NCI Thesaurus ValueDomain-2
- C25367
- NCI Thesaurus Property
- C38000
Description
Explain equivocal results
Data type
text
Alias
- NCI Thesaurus ValueDomain
- C25685
- NCI Thesaurus ObjectClass
- C20989
- NCI Thesaurus ValueDomain-2
- C25651
- NCI Thesaurus Property
- C19477
- UMLS CUI-1
- C1704254
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