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ID

10380

Description

AMC-048 Off Study Summary (F50) Rituximab and Combination Chemotherapy in Treating Patients With Newly Diagnosed, HIV-Associated Burkitt's Lymphoma Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=32E1BD21-3F26-538C-E044-0003BA3F9857

Lien

https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=32E1BD21-3F26-538C-E044-0003BA3F9857

Mots-clés

Versions (3)
  1. 19/09/2012 19/09/2012 -
  2. 28/05/2015 28/05/2015 -
  3. 03/06/2015 03/06/2015 -
Téléchargé le

28 mai 2015

DOI

Pour une demande vous connecter.

Licence

Creative Commons BY-NC 3.0 Legacy
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    AMC-048 Off Study Summary (F50)

    Anglais

    No Instruction available.

    1 Formulaires  
    1. StudyEvent: AMC-048 Off Study Summary (F50)
      1. No Instruction available.
    Ccrr Module For Off Study Summary - Rf50
    Description

    Ccrr Module For Off Study Summary - Rf50

    Off Study Date
    Description

    Off-TreatmentStudyFollow-UpEndDate

    Type de données

    date

    Alias
    NCI Thesaurus ValueDomain
    C25164 (undefined)
    UMLS 2011AA ValueDomain
    C0011008 (Date in time)
    SNOMED
    410671006
    NCI Thesaurus ObjectClass
    C25601 (undefined)
    UMLS 2011AA ObjectClass
    C1518544 (Off Treatment)
    NCI Thesaurus ObjectClass
    C15206 (undefined)
    UMLS 2011AA ObjectClass
    C0008972 (Clinical Research)
    NCI Thesaurus Property
    C25275 (undefined)
    UMLS 2011AA Property
    C2745955 (Occurrence)
    SNOMED
    246454002
    Off Study Reason (select the primary reason)
    Description

    Off-TreatmentStudyFollow-UpReason

    Type de données

    text

    Alias
    NCI Thesaurus ValueDomain
    C25638 (undefined)
    UMLS 2011AA ValueDomain
    C0392360 (Indication of (contextual qualifier))
    SNOMED
    230165009
    LOINC
    MTHU008319
    NCI Thesaurus Property
    C16033 (undefined)
    UMLS 2011AA Property
    C1522577 (follow-up)
    NCI Thesaurus ObjectClass
    C25601 (undefined)
    UMLS 2011AA ObjectClass
    C1518544 (Off Treatment)
    NCI Thesaurus ObjectClass
    C15206 (undefined)
    UMLS 2011AA ObjectClass
    C0008972 (Clinical Research)
    Other, specify
    Description

    Off-TreatmentStudyFollow-UpSpecify

    Type de données

    text

    Alias
    NCI Thesaurus ValueDomain
    C25685 (undefined)
    UMLS 2011AA ValueDomain
    C1521902 (To specify)
    NCI Thesaurus Property
    C16033 (undefined)
    UMLS 2011AA Property
    C1522577 (follow-up)
    NCI Thesaurus ObjectClass
    C25601 (undefined)
    UMLS 2011AA ObjectClass
    C1518544 (Off Treatment)
    NCI Thesaurus ObjectClass
    C15206 (undefined)
    UMLS 2011AA ObjectClass
    C0008972 (Clinical Research)
    Comments
    Description

    ResearchCommentsText

    Type de données

    text

    Alias
    NCI Thesaurus ValueDomain
    C25704 (undefined)
    UMLS 2011AA ValueDomain
    C1527021 (Text)
    LOINC
    LP6885-0
    NCI Thesaurus ObjectClass
    C15319 (undefined)
    NCI Thesaurus Property
    C25393 (undefined)
    UMLS 2011AA Property
    C0282411 (Published Comment)
    LOINC
    MTHU018874
    Retour au début de la page

    Similar models

    No Instruction available.

    1 Formulaires
    1. StudyEvent: AMC-048 Off Study Summary (F50)
      1. No Instruction available.
    Name
    Type
    Description | Question | Decode (Coded Value)
    Type de données
    Alias
    Item Group
    Ccrr Module For Off Study Summary - Rf50
    Off-TreatmentStudyFollow-UpEndDate
    Item
    Off Study Date
    date
    C25164 (NCI Thesaurus ValueDomain)
    C0011008 (UMLS 2011AA ValueDomain)
    C25601 (NCI Thesaurus ObjectClass)
    C1518544 (UMLS 2011AA ObjectClass)
    C15206 (NCI Thesaurus ObjectClass)
    C0008972 (UMLS 2011AA ObjectClass)
    C25275 (NCI Thesaurus Property)
    C2745955 (UMLS 2011AA Property)
    Item
    Off Study Reason (select the primary reason)
    text
    C25638 (NCI Thesaurus ValueDomain)
    C0392360 (UMLS 2011AA ValueDomain)
    C16033 (NCI Thesaurus Property)
    C1522577 (UMLS 2011AA Property)
    C25601 (NCI Thesaurus ObjectClass)
    C1518544 (UMLS 2011AA ObjectClass)
    C15206 (NCI Thesaurus ObjectClass)
    C0008972 (UMLS 2011AA ObjectClass)
    CL.1
    Code List
    Off Study Reason (select the primary reason)
    CL Item
    Protocol-defined Follow-up Completed (Protocol-defined follow-up completed)
    CL Item
    Lost To Follow-up (Patient lost to follow-up)
    CL310949 (NCI Metathesaurus)
    CL Item
    Patient Refused Follow-up (Patient refused follow-up)
    CL Item
    Death (Death)
    C28554 (NCI Thesaurus)
    C0011065 (UMLS 2011AA)
    CL Item
    Adverse Event/side Effects/complications (Adverse Event/Side Effects/Complications)
    CL Item
    Other (Other)
    C17649 (NCI Thesaurus)
    C0205394 (UMLS 2011AA)
    Off-TreatmentStudyFollow-UpSpecify
    Item
    Other, specify
    text
    C25685 (NCI Thesaurus ValueDomain)
    C1521902 (UMLS 2011AA ValueDomain)
    C16033 (NCI Thesaurus Property)
    C1522577 (UMLS 2011AA Property)
    C25601 (NCI Thesaurus ObjectClass)
    C1518544 (UMLS 2011AA ObjectClass)
    C15206 (NCI Thesaurus ObjectClass)
    C0008972 (UMLS 2011AA ObjectClass)
    ResearchCommentsText
    Item
    Comments
    text
    C25704 (NCI Thesaurus ValueDomain)
    C1527021 (UMLS 2011AA ValueDomain)
    C15319 (NCI Thesaurus ObjectClass)
    C25393 (NCI Thesaurus Property)
    C0282411 (UMLS 2011AA Property)
    Retour au début de la page 

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