ID

10486

Descripción

E3200 Treatment Summary Form NCT00025337 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=A16FACD4-477B-6CEF-E034-080020C9C0E0

Link

https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=A16FACD4-477B-6CEF-E034-080020C9C0E0

Palabras clave

  1. 18/12/14 18/12/14 - Martin Dugas
  2. 2/6/15 2/6/15 -
  3. 3/6/15 3/6/15 -
Subido en

3 de junio de 2015

DOI

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Licencia

Creative Commons BY-NC 3.0 Legacy

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E3200 Treatment Summary Form NCT00025337

No Instruction available.

  1. StudyEvent: E3200 Treatment Summary Form
    1. No Instruction available.
Treatment Summary
Descripción

Treatment Summary

Date of data transfer
Descripción

Dateofdatatransfer

Tipo de datos

text

Transfer Method
Descripción

TransferMethod

Tipo de datos

text

Specify other transfer method
Descripción

Specifyothertransfermethod

Tipo de datos

text

Step No.
Descripción

StepNo.

Tipo de datos

text

Patient Name
Descripción

PatientName

Tipo de datos

text

Particip. Group Protocol Number
Descripción

Particip.GroupProtocolNumber

Tipo de datos

double

Patient Study ID, Participating Group
Descripción

PatientStudyID,ParticipatingGroup

Tipo de datos

text

Institution Name
Descripción

InstitutionName

Tipo de datos

text

Affiliate Name
Descripción

AffiliateName

Tipo de datos

text

Amended Data Ind
Descripción

AmendedDataInd

Tipo de datos

text

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

AmendedDataInd

Tipo de datos

text

Alias
NCI Thesaurus ObjectClass
C25474
UMLS 2011AA ObjectClass
C1511726
NCI Thesaurus Property
C25416
UMLS 2011AA Property
C1691222
Treatment Arm Number
Descripción

TreatmentArmNumber

Tipo de datos

text

Treatment Begin Date
Descripción

TreatmentBeginDate

Tipo de datos

date

Treatment End Date
Descripción

TreatmentEndDate

Tipo de datos

date

Off Treatment Reason
Descripción

OffTreatmentReason

Tipo de datos

text

Off Treatment Reason, Complicating Disease
Descripción

OffTreatmentReason,ComplicatingDisease

Tipo de datos

text

Off Treatment Reason, Other
Descripción

OffTreatmentReason,Other

Tipo de datos

text

Total Course Number
Descripción

TotalCourseNumber

Tipo de datos

double

Dose Modification (Change)
Descripción

DoseModification(Change)

Tipo de datos

text

Dose Modification (Change)
Descripción

DoseModification(Change)

Tipo de datos

text

Therapy Modification Name
Descripción

TherapyModificationName

Tipo de datos

text

Therapy Modification Type
Descripción

TherapyModificationType

Tipo de datos

text

Alias
NCI Thesaurus ValueDomain
C25284
UMLS 2011AA ValueDomain
C0332307
NCI Thesaurus ObjectClass
C15368
NCI Thesaurus Property
C25572
Therapy Modification Reason
Descripción

TherapyModificationReason

Tipo de datos

text

Comments
Descripción

Comments

Tipo de datos

text

Comments2
Descripción

Comments2

Tipo de datos

text

Similar models

No Instruction available.

  1. StudyEvent: E3200 Treatment Summary Form
    1. No Instruction available.
Name
Tipo
Description | Question | Decode (Coded Value)
Tipo de datos
Alias
Item Group
Treatment Summary
Dateofdatatransfer
Item
Date of data transfer
text
TransferMethod
Item
Transfer Method
text
Specifyothertransfermethod
Item
Specify other transfer method
text
StepNo.
Item
Step No.
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
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)
TreatmentArmNumber
Item
Treatment Arm Number
text
TreatmentBeginDate
Item
Treatment Begin Date
date
TreatmentEndDate
Item
Treatment End Date
date
OffTreatmentReason
Item
Off Treatment Reason
text
OffTreatmentReason,ComplicatingDisease
Item
Off Treatment Reason, Complicating Disease
text
OffTreatmentReason,Other
Item
Off Treatment Reason, Other
text
TotalCourseNumber
Item
Total Course Number
double
DoseModification(Change)
Item
Dose Modification (Change)
text
DoseModification(Change)
Item
Dose Modification (Change)
text
TherapyModificationName
Item
Therapy Modification Name
text
TherapyModificationType
Item
Therapy Modification Type
text
C25284 (NCI Thesaurus ValueDomain)
C0332307 (UMLS 2011AA ValueDomain)
C15368 (NCI Thesaurus ObjectClass)
C25572 (NCI Thesaurus Property)
TherapyModificationReason
Item
Therapy Modification Reason
text
Comments
Item
Comments
text
Comments2
Item
Comments2
text

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