ID

10369

Beskrivning

ECOG 4599 Toxicity Form Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=A16E9046-8508-5FB4-E034-080020C9C0E0

Länk

https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=A16E9046-8508-5FB4-E034-080020C9C0E0

Nyckelord

  1. 2012-09-19 2012-09-19 -
  2. 2015-05-28 2015-05-28 -
Uppladdad den

28 maj 2015

DOI

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Licens

Creative Commons BY-NC 3.0 Legacy

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ECOG 4599 Toxicity Form

No Instruction available.

  1. StudyEvent: ECOG 4599 Toxicity Form
    1. No Instruction available.
ECOG clinical trial administrative data
Beskrivning

ECOG clinical trial administrative data

Date of data transfer
Beskrivning

Dateofdatatransfer

Datatyp

text

Transfer Method
Beskrivning

TransferMethod

Datatyp

text

Specify other transfer method
Beskrivning

Specifyothertransfermethod

Datatyp

text

Patient Name
Beskrivning

PatientName

Datatyp

text

Particip. Group Protocol Number
Beskrivning

Particip.GroupProtocolNumber

Datatyp

double

Patient Study ID, Participating Group
Beskrivning

PatientStudyID,ParticipatingGroup

Datatyp

text

Institution Name
Beskrivning

InstitutionName

Datatyp

text

Affiliate Name
Beskrivning

AffiliateName

Datatyp

text

Adverse Event Report Begin Date
Beskrivning

AdverseEventReportBeginDate

Datatyp

text

Adverse Event Report End Date
Beskrivning

AdverseEventReportEndDate

Datatyp

text

Amended Data Ind
Beskrivning

AmendedDataInd

Datatyp

text

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

AmendedDataInd

Datatyp

text

Alias
NCI Thesaurus ObjectClass
C25474
UMLS 2011AA ObjectClass
C1511726
NCI Thesaurus Property
C25416
UMLS 2011AA Property
C1691222
CTC Adverse Event Term
Beskrivning

CTCAdverseEventTerm

Datatyp

text

CTC Adverse Event Term
Beskrivning

CTCAdverseEventTerm

Datatyp

text

CTC Adverse Event Term
Beskrivning

CTCAdverseEventTerm

Datatyp

text

CTC Adverse Event Term
Beskrivning

CTCAdverseEventTerm

Datatyp

text

CTC Adverse Event Grade
Beskrivning

CTCAdverseEventGrade

Datatyp

text

CTC Adverse Event Grade
Beskrivning

CTCAdverseEventGrade

Datatyp

text

CTC Adverse Event Grade
Beskrivning

CTCAdverseEventGrade

Datatyp

text

CTC Adverse Event Grade
Beskrivning

CTCAdverseEventGrade

Datatyp

text

Treatment Relation
Beskrivning

TreatmentRelation

Datatyp

text

Treatment Relation
Beskrivning

TreatmentRelation

Datatyp

text

Treatment Relation
Beskrivning

TreatmentRelation

Datatyp

text

Treatment Relation
Beskrivning

TreatmentRelation

Datatyp

text

Comments1
Beskrivning

Comments1

Datatyp

text

Comments2
Beskrivning

Comments2

Datatyp

text

CTC Code
Beskrivning

CTCCode

Datatyp

text

Similar models

No Instruction available.

  1. StudyEvent: ECOG 4599 Toxicity Form
    1. No Instruction available.
Name
Typ
Description | Question | Decode (Coded Value)
Datatyp
Alias
Item Group
ECOG clinical trial administrative data
Dateofdatatransfer
Item
Date of data transfer
text
TransferMethod
Item
Transfer Method
text
Specifyothertransfermethod
Item
Specify other transfer method
text
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
AdverseEventReportBeginDate
Item
Adverse Event Report Begin Date
text
AdverseEventReportEndDate
Item
Adverse Event Report End Date
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)
CTCAdverseEventTerm
Item
CTC Adverse Event Term
text
CTCAdverseEventTerm
Item
CTC Adverse Event Term
text
CTCAdverseEventTerm
Item
CTC Adverse Event Term
text
CTCAdverseEventTerm
Item
CTC Adverse Event Term
text
CTCAdverseEventGrade
Item
CTC Adverse Event Grade
text
CTCAdverseEventGrade
Item
CTC Adverse Event Grade
text
CTCAdverseEventGrade
Item
CTC Adverse Event Grade
text
CTCAdverseEventGrade
Item
CTC Adverse Event Grade
text
TreatmentRelation
Item
Treatment Relation
text
TreatmentRelation
Item
Treatment Relation
text
TreatmentRelation
Item
Treatment Relation
text
TreatmentRelation
Item
Treatment Relation
text
Comments1
Item
Comments1
text
Comments2
Item
Comments2
text
CTCCode
Item
CTC Code
text

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