ID
10091
Beschrijving
E5204 Non-Protocol Therapy Form Combination Chemotherapy With or Without Bevacizumab in Treating Patients Who Have Had Surgery for Stage II or Stage III Rectal Cancer NCT00303628 Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=089B4967-A7D1-3905-E044-0003BA3F9857
Link
Trefwoorden
Versies (3)
- 27-08-12 27-08-12 -
- 09-01-15 09-01-15 - Martin Dugas
- 25-03-15 25-03-15 - Martin Dugas
Geüploaded op
25 maart 2015
DOI
Voor een aanvraag inloggen.
Licentie
Creative Commons BY-NC 3.0 Legacy
Model Commentaren :
Hier kunt u commentaar leveren op het model. U kunt de tekstballonnen bij de itemgroepen en items gebruiken om er specifiek commentaar op te geven.
Itemgroep Commentaren voor :
Item Commentaren voor :
U moet ingelogd zijn om formulieren te downloaden. AUB inloggen of schrijf u gratis in.
Colorectal Cancer Non-Protocol Therapy NCT00303628
INSTRUCTIONS: Use this form to capture the first occurrence of non-protocol anti-tumor therapy per registration step
- StudyEvent: E5204 Non-Protocol Therapy Form
Beschrijving
Non-protocol Therapy
Alias
- UMLS CUI-1
- C1518384
Beschrijving
Non-ProtocolTherapyFirstAdministeredDate Date of First Non-Protocol Therapy (if given prior to progression/relapse from protocol therapy)
Datatype
date
Maateenheden
- mm/dd/yyyy
Alias
- NCI Thesaurus ObjectClass
- C15368
- NCI Thesaurus ObjectClass-2
- C25590
- NCI Thesaurus Property
- C25509
- NCI Thesaurus Property-2
- C25382
- NCI Thesaurus ValueDomain
- C25164
- NCI Thesaurus ValueDomain-2
- C25367
- UMLS CUI-1
- C1518384
- UMLS CUI-2
- C3173309
Beschrijving
Non-protocolChemotherapyAdministeredInd-3
Datatype
boolean
Alias
- NCI Thesaurus ValueDomain
- C38148
- NCI Thesaurus ObjectClass
- C15632
- NCI Thesaurus ObjectClass-2
- C25590
- NCI Thesaurus Property
- C25382
- UMLS CUI-1
- C0392920
- UMLS CUI-2
- C1518384
Beschrijving
Non-protocolHormonalTherapyAdministeredInd-3
Datatype
boolean
Alias
- NCI Thesaurus ValueDomain
- C38148
- NCI Thesaurus ObjectClass
- C15445
- NCI Thesaurus ObjectClass-2
- C25590
- NCI Thesaurus Property
- C25382
- UMLS CUI-1
- C0279025
- UMLS CUI-2
- C1518384
Beschrijving
Non-ProtocolImmunotherapyAdministeredInd-3
Datatype
boolean
Alias
- NCI Thesaurus ValueDomain
- C38148
- NCI Thesaurus ObjectClass
- C15262
- NCI Thesaurus ObjectClass-2
- C25590
- NCI Thesaurus Property
- C25382
- UMLS CUI-1
- C0021083
- UMLS CUI-2
- C1518384
Beschrijving
Non-protocolChemotherapyTransplantAdministeredInd-3
Datatype
boolean
Alias
- NCI Thesaurus ObjectClass
- C15632
- NCI Thesaurus ObjectClass-2
- C25590
- NCI Thesaurus Property
- C12981
- NCI Thesaurus Property-2
- C25382
- NCI Thesaurus ValueDomain
- C38148
- UMLS CUI-1
- C0392920
- UMLS CUI-2
- C0332835
- UMLS CUI-3
- C1518384
Beschrijving
Non-protocolSurgeryPerformedInd-3
Datatype
boolean
Alias
- NCI Thesaurus ValueDomain
- C38148
- NCI Thesaurus Property
- C38000
- NCI Thesaurus ObjectClass
- C15329
- NCI Thesaurus ObjectClass-2
- C25590
- UMLS CUI-1
- C0543467
- UMLS CUI-2
- C1518384
Beschrijving
Non-ProtocolSurgeryProcedureText
Datatype
text
Alias
- NCI Thesaurus ValueDomain
- C25704
- NCI Thesaurus ObjectClass
- C15329
- NCI Thesaurus Property
- C15368
- NCI Thesaurus ObjectClass-2
- C25590
- UMLS CUI-1
- C0543467
- UMLS CUI-2
- C1518384
Beschrijving
Non-protocolRadiationTherapyAdministeredInd-3
Datatype
boolean
Alias
- NCI Thesaurus ValueDomain
- C38148
- NCI Thesaurus ObjectClass
- C15313
- NCI Thesaurus ObjectClass-2
- C25590
- NCI Thesaurus Property
- C25382
- UMLS CUI-1
- C1522449
- UMLS CUI-2
- C1518384
Beschrijving
Non-ProtocolRTAdministeredText
Datatype
text
Alias
- NCI Thesaurus ValueDomain
- C25704
- NCI Thesaurus ObjectClass
- C15313
- NCI Thesaurus ObjectClass-2
- C25590
- NCI Thesaurus Property
- C25382
- UMLS CUI-1
- C1522449
- UMLS CUI-2
- C1518384
Beschrijving
Non-protocolTherapyOtherAdministeredInd-3
Datatype
boolean
Alias
- NCI Thesaurus Property
- C17649
- NCI Thesaurus ValueDomain
- C38148
- NCI Thesaurus ObjectClass
- C15368
- NCI Thesaurus ObjectClass-2
- C25590
- NCI Thesaurus Property-2
- C25382
- UMLS CUI-1
- C0205394
- UMLS CUI-2
- C1518384
Beschrijving
Non-protocolTherapyOtherAdministeredName
Datatype
text
Alias
- NCI Thesaurus ObjectClass
- C15368
- NCI Thesaurus ObjectClass-2
- C25590
- NCI Thesaurus Property
- C17649
- NCI Thesaurus Property-2
- C25382
- NCI Thesaurus ValueDomain
- C42614
- UMLS CUI-1
- C1518384
- UMLS CUI-2
- C0205394
Beschrijving
ProtocolDiseaseNon-protocolTherapyInd-3 Was the non-protocol therapy given for the disease of this protocol (NOTE: Treatment for a second primary in the same organ site would not be considered therapy for disease of this protocol.)
Datatype
boolean
Alias
- NCI Thesaurus ObjectClass
- C2991
- NCI Thesaurus ObjectClass-2
- C42651
- NCI Thesaurus Property
- C15368
- NCI Thesaurus Property-2
- C25590
- NCI Thesaurus ValueDomain
- C38148
- UMLS CUI-1
- C0012634
- UMLS CUI-2
- C1518384
Similar models
INSTRUCTIONS: Use this form to capture the first occurrence of non-protocol anti-tumor therapy per registration step
- StudyEvent: E5204 Non-Protocol Therapy Form
C3274381 (UMLS CUI-1)
C25320 (NCI Thesaurus ObjectClass)
C1512162 (UMLS CUI-2)
C25364 (NCI Thesaurus Property)
C25491 (NCI Thesaurus Property-2)
C2348585 (UMLS CUI-1)
C16960 (NCI Thesaurus ObjectClass)
C1512162 (UMLS CUI-2)
C25364 (NCI Thesaurus Property)
C25491 (NCI Thesaurus Property-2)
C3242750 (UMLS CUI-1)
C19464 (NCI Thesaurus Property)
C25474 (NCI Thesaurus ObjectClass)
C25452 (NCI Thesaurus ObjectClass-2)
C1514821 (UMLS CUI-1)
C25646 (NCI Thesaurus ObjectClass)
C0237753 (UMLS CUI-2)
C16154 (NCI Thesaurus Property)
C16154 (NCI Thesaurus ValueDomain-2)
C2347804 (UMLS CUI-1)
C25214 (NCI Thesaurus ObjectClass)
C25616 (NCI Thesaurus Property)
C25651 (NCI Thesaurus ObjectClass-2)
C2986440 (UMLS CUI-1)
C16960 (NCI Thesaurus ObjectClass)
C25536 (NCI Thesaurus Property)
C3274381 (UMLS CUI-1)
C25320 (NCI Thesaurus ObjectClass)
C2347449 (UMLS CUI-2)
C25608 (NCI Thesaurus Property)
C25364 (NCI Thesaurus Property-2)
C1301943 (UMLS CUI-1)
C21541 (NCI Thesaurus ObjectClass-2)
C25364 (NCI Thesaurus Property)
C25191 (NCI Thesaurus ValueDomain)
C21541 (NCI Thesaurus ValueDomain-2)
C2348585 (UMLS CUI-1)
C16960 (NCI Thesaurus ObjectClass)
C2347449 (UMLS CUI-2)
C25608 (NCI Thesaurus Property)
C25364 (NCI Thesaurus Property-2)
C0680532 (UMLS CUI-1)
C25474 (NCI Thesaurus ObjectClass)
C25416 (NCI Thesaurus Property)
C0680532 (UMLS CUI-1)
C25474 (NCI Thesaurus ObjectClass)
C0011008 (UMLS CUI-2)
C25416 (NCI Thesaurus Property)
C25367 (NCI Thesaurus ValueDomain-2)
C2346576 (UMLS CUI-1)
C25678 (NCI Thesaurus Property)
C17089 (NCI Thesaurus ObjectClass)
C2346576 (UMLS CUI-1)
C25678 (NCI Thesaurus Property)
C0011008 (UMLS CUI-2)
C25367 (NCI Thesaurus ValueDomain-2)
C17089 (NCI Thesaurus ObjectClass)
C25590 (NCI Thesaurus ObjectClass-2)
C25509 (NCI Thesaurus Property)
C25382 (NCI Thesaurus Property-2)
C25164 (NCI Thesaurus ValueDomain)
C25367 (NCI Thesaurus ValueDomain-2)
C1518384 (UMLS CUI-1)
C3173309 (UMLS CUI-2)
C15632 (NCI Thesaurus ObjectClass)
C25590 (NCI Thesaurus ObjectClass-2)
C25382 (NCI Thesaurus Property)
C0392920 (UMLS CUI-1)
C1518384 (UMLS CUI-2)
C15445 (NCI Thesaurus ObjectClass)
C25590 (NCI Thesaurus ObjectClass-2)
C25382 (NCI Thesaurus Property)
C0279025 (UMLS CUI-1)
C1518384 (UMLS CUI-2)
C15262 (NCI Thesaurus ObjectClass)
C25590 (NCI Thesaurus ObjectClass-2)
C25382 (NCI Thesaurus Property)
C0021083 (UMLS CUI-1)
C1518384 (UMLS CUI-2)
C25590 (NCI Thesaurus ObjectClass-2)
C12981 (NCI Thesaurus Property)
C25382 (NCI Thesaurus Property-2)
C38148 (NCI Thesaurus ValueDomain)
C0392920 (UMLS CUI-1)
C0332835 (UMLS CUI-2)
C1518384 (UMLS CUI-3)
C38000 (NCI Thesaurus Property)
C15329 (NCI Thesaurus ObjectClass)
C25590 (NCI Thesaurus ObjectClass-2)
C0543467 (UMLS CUI-1)
C1518384 (UMLS CUI-2)
C15329 (NCI Thesaurus ObjectClass)
C15368 (NCI Thesaurus Property)
C25590 (NCI Thesaurus ObjectClass-2)
C0543467 (UMLS CUI-1)
C1518384 (UMLS CUI-2)
C15313 (NCI Thesaurus ObjectClass)
C25590 (NCI Thesaurus ObjectClass-2)
C25382 (NCI Thesaurus Property)
C1522449 (UMLS CUI-1)
C1518384 (UMLS CUI-2)
C15313 (NCI Thesaurus ObjectClass)
C25590 (NCI Thesaurus ObjectClass-2)
C25382 (NCI Thesaurus Property)
C1522449 (UMLS CUI-1)
C1518384 (UMLS CUI-2)
C38148 (NCI Thesaurus ValueDomain)
C15368 (NCI Thesaurus ObjectClass)
C25590 (NCI Thesaurus ObjectClass-2)
C25382 (NCI Thesaurus Property-2)
C0205394 (UMLS CUI-1)
C1518384 (UMLS CUI-2)
C25590 (NCI Thesaurus ObjectClass-2)
C17649 (NCI Thesaurus Property)
C25382 (NCI Thesaurus Property-2)
C42614 (NCI Thesaurus ValueDomain)
C1518384 (UMLS CUI-1)
C0205394 (UMLS CUI-2)
C42651 (NCI Thesaurus ObjectClass-2)
C15368 (NCI Thesaurus Property)
C25590 (NCI Thesaurus Property-2)
C38148 (NCI Thesaurus ValueDomain)
C0012634 (UMLS CUI-1)
C1518384 (UMLS CUI-2)