ID

10486

Beskrivning

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

Länk

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

Nyckelord

Versioner (3)
  1. 2014-12-18 2014-12-18 - Martin Dugas
  2. 2015-06-02 2015-06-02 -
  3. 2015-06-03 2015-06-03 -
Uppladdad den

3 juni 2015

DOI

För en begäran logga in.

Licens

Creative Commons BY-NC 3.0 Legacy
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E3200 Treatment Summary Form NCT00025337

Engelsk

No Instruction available.

1 Formulär  
  1. StudyEvent: E3200 Treatment Summary Form
    1. No Instruction available.
Treatment Summary
Beskrivning

Treatment Summary

Date of data transfer
Beskrivning

Dateofdatatransfer

Datatyp

text

Transfer Method
Beskrivning

TransferMethod

Datatyp

text

Specify other transfer method
Beskrivning

Specifyothertransfermethod

Datatyp

text

Step No.
Beskrivning

StepNo.

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

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
Treatment Arm Number
Beskrivning

TreatmentArmNumber

Datatyp

text

Treatment Begin Date
Beskrivning

TreatmentBeginDate

Datatyp

date

Treatment End Date
Beskrivning

TreatmentEndDate

Datatyp

date

Off Treatment Reason
Beskrivning

OffTreatmentReason

Datatyp

text

Off Treatment Reason, Complicating Disease
Beskrivning

OffTreatmentReason,ComplicatingDisease

Datatyp

text

Off Treatment Reason, Other
Beskrivning

OffTreatmentReason,Other

Datatyp

text

Total Course Number
Beskrivning

TotalCourseNumber

Datatyp

double

Dose Modification (Change)
Beskrivning

DoseModification(Change)

Datatyp

text

Dose Modification (Change)
Beskrivning

DoseModification(Change)

Datatyp

text

Therapy Modification Name
Beskrivning

TherapyModificationName

Datatyp

text

Therapy Modification Type
Beskrivning

TherapyModificationType

Datatyp

text

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

TherapyModificationReason

Datatyp

text

Comments
Beskrivning

Comments

Datatyp

text

Comments2
Beskrivning

Comments2

Datatyp

text

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Similar models

No Instruction available.

1 Formulär
  1. StudyEvent: E3200 Treatment Summary Form
    1. No Instruction available.
Name
Typ
Description | Question | Decode (Coded Value)
Datatyp
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
Tillbaka till toppen 

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