ID

10295

Description

ECOG 3200 Nontarget Lesions Supplemental Form Combination Chemotherapy With or Without Bevacizumab Compared With Bevacizumab Alone in Treating Patients With Advanced or Metastatic Colorectal Cancer That Has Been Previously Treated Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=A1705F91-E41E-69D5-E034-080020C9C0E0

Link

https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=A1705F91-E41E-69D5-E034-080020C9C0E0

Keywords

Versions (3)
  1. 8/27/12 8/27/12 -
  2. 5/23/15 5/23/15 -
  3. 6/3/15 6/3/15 -
Uploaded on

May 23, 2015

DOI

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License

Creative Commons BY-NC 3.0 Legacy
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ECOG 3200 Nontarget Lesions Supplemental Form

English

No Instruction available.

1 forms  
  1. StudyEvent: ECOG 3200 Nontarget Lesions Supplemental Form
    1. No Instruction available.
ECOG Nontarget Lesions Form
Description

ECOG Nontarget Lesions Form

Date of data transfer
Description

Dateofdatatransfer

Data type

text

Transfer Method
Description

TransferMethod

Data type

text

Specify other transfer method
Description

Specifyothertransfermethod

Data type

text

Step Number
Description

StepNumber

Data type

text

Cycle
Description

TreatmentEvaluationPeriodCycleSpecify

Data type

text

Alias
NCI Thesaurus ObjectClass
C15368
NCI Thesaurus Property
C25214
UMLS 2011AA Property
C0220825
NCI Thesaurus Property
C25616
UMLS 2011AA Property
C1948053
NCI Thesaurus ValueDomain
C25685
UMLS 2011AA ValueDomain
C1521902
NCI Thesaurus ValueDomain
C25472
UMLS 2011AA ValueDomain
C1511572
NCI Thesaurus ValueDomain
C25275
UMLS 2011AA ValueDomain
C2745955
Patient Name
Description

PatientName

Data type

text

Particip. Group Protocol Number
Description

Particip.GroupProtocolNumber

Data type

double

Patient Study ID, Participating Group
Description

PatientStudyID,ParticipatingGroup

Data type

text

Institution Name
Description

InstitutionName

Data type

text

Affiliate Name
Description

AffiliateName

Data type

text

Amended Data Ind
Description

AmendedDataInd

Data type

text

Alias
NCI Thesaurus ObjectClass
C25474
UMLS 2011AA ObjectClass
C1511726
NCI Thesaurus Property
C25416
UMLS 2011AA Property
C1691222
Amended Data Ind
Description

AmendedDataInd

Data type

text

Alias
NCI Thesaurus ObjectClass
C25474
UMLS 2011AA ObjectClass
C1511726
NCI Thesaurus Property
C25416
UMLS 2011AA Property
C1691222
Lesion Number
Description

Lesion,ReferenceNumber

Data type

double

Lesion Site
Description

LesionSite

Data type

text

Lesion Site Code
Description

LesionSiteCode

Data type

text

Lesion Evaluation Method
Description

LesionEvaluationMethod

Data type

text

Lesion Evaluation Date
Description

LesionEvaluationDate

Data type

text

Follow Up Status of Lesions
Description

FollowUpStatusofLesions

Data type

text

Cytology Result
Description

CytologyResult

Data type

text

Alias
NCI Thesaurus ObjectClass
C16491
UMLS 2011AA ObjectClass
C0010819
NCI Thesaurus Property
C20200
UMLS 2011AA Property
C1274040
Other Specify
Description

OtherSpecify

Data type

text

Comments1
Description

Comments1

Data type

text

Comments2
Description

Comments2

Data type

text

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Similar models

No Instruction available.

1 forms
  1. StudyEvent: ECOG 3200 Nontarget Lesions Supplemental Form
    1. No Instruction available.
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
ECOG Nontarget Lesions Form
Dateofdatatransfer
Item
Date of data transfer
text
TransferMethod
Item
Transfer Method
text
Specifyothertransfermethod
Item
Specify other transfer method
text
StepNumber
Item
Step Number
text
TreatmentEvaluationPeriodCycleSpecify
Item
Cycle
text
C15368 (NCI Thesaurus ObjectClass)
C25214 (NCI Thesaurus Property)
C0220825 (UMLS 2011AA Property)
C25616 (NCI Thesaurus Property)
C1948053 (UMLS 2011AA Property)
C25685 (NCI Thesaurus ValueDomain)
C1521902 (UMLS 2011AA ValueDomain)
C25472 (NCI Thesaurus ValueDomain)
C1511572 (UMLS 2011AA ValueDomain)
C25275 (NCI Thesaurus ValueDomain)
C2745955 (UMLS 2011AA ValueDomain)
PatientName
Item
Patient Name
text
Particip.GroupProtocolNumber
Item
Particip. Group Protocol Number
double
PatientStudyID,ParticipatingGroup
Item
Patient Study ID, Participating Group
text
InstitutionName
Item
Institution Name
text
AffiliateName
Item
Affiliate Name
text
AmendedDataInd
Item
Amended Data Ind
text
C25474 (NCI Thesaurus ObjectClass)
C1511726 (UMLS 2011AA ObjectClass)
C25416 (NCI Thesaurus Property)
C1691222 (UMLS 2011AA Property)
AmendedDataInd
Item
Amended Data Ind
text
C25474 (NCI Thesaurus ObjectClass)
C1511726 (UMLS 2011AA ObjectClass)
C25416 (NCI Thesaurus Property)
C1691222 (UMLS 2011AA Property)
Lesion,ReferenceNumber
Item
Lesion Number
double
LesionSite
Item
Lesion Site
text
LesionSiteCode
Item
Lesion Site Code
text
LesionEvaluationMethod
Item
Lesion Evaluation Method
text
LesionEvaluationDate
Item
Lesion Evaluation Date
text
FollowUpStatusofLesions
Item
Follow Up Status of Lesions
text
CytologyResult
Item
Cytology Result
text
C16491 (NCI Thesaurus ObjectClass)
C0010819 (UMLS 2011AA ObjectClass)
C20200 (NCI Thesaurus Property)
C1274040 (UMLS 2011AA Property)
OtherSpecify
Item
Other Specify
text
Comments1
Item
Comments1
text
Comments2
Item
Comments2
text
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