ID
10577
Description
E1900 On-Study Form NCT00049517 Combination Chemotherapy With or Without Monoclonal Antibody Therapy Followed by Stem Cell Transplant in Treating Patients With Acute Myeloid Leukemia Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=A7294479-6D5C-2FC8-E034-0003BA0B1A09
Link
Keywords
Versions (3)
- 9/19/12 9/19/12 -
- 5/28/15 5/28/15 -
- 6/3/15 6/3/15 -
Uploaded on
June 3, 2015
DOI
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License
Creative Commons BY-NC 3.0 Legacy
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E1900 On-Study Form NCT00049517
No Instruction available.
- StudyEvent: E1900 On-Study Form
Description
Disease Description
Description
InitialDiagnosisDate
Data type
date
Description
Leukemia/MDSClassification
Data type
text
Alias
- NCI Thesaurus ValueDomain
- C25372
- UMLS 2011AA ValueDomain
- C0683312
- NCI Thesaurus ObjectClass
- C3161
- UMLS 2011AA ObjectClass
- C0023418
- NCI Thesaurus Property
- C25161
- UMLS 2011AA Property
- C0008902
Description
LeukemiaClassification,Other
Data type
text
Description
Onset,AML
Data type
text
Description
CNSSiteInd
Data type
boolean
Description
PeripheralNervousSystemSiteInd
Data type
boolean
Description
GingivalHypertrophySiteInd
Data type
boolean
Description
MediastinalMassSiteInd
Data type
boolean
Description
SkinSiteInd
Data type
boolean
Description
OtherSiteInd
Data type
boolean
Description
ExtramedullaryDisease,OtherSite
Data type
text
Description
Baseline Evaluation Data
Description
PatientHeight
Data type
float
Alias
- NCI Thesaurus ObjectClass
- C16960
- UMLS 2011AA ObjectClass
- C0030705
- NCI Thesaurus Property
- C25347
- UMLS 2011AA Property
- C0489786
Description
Lab,Hematology,SampleCollectionDate
Data type
date
Description
BoneMarrowBiopsyDate
Data type
date
Description
Lab,Hematology,WBC
Data type
float
Description
Lab,Hematology,Platelets
Data type
float
Description
Lab,Hematology,Blasts,CellPercentage
Data type
float
Description
Lab,Hematology,Neutrophils,CellPercentage
Data type
float
Description
Lab,Hematology,Hemoglobin
Data type
float
Description
BoneMarrow,CellularityPercentage
Data type
float
Description
CD33%byflowcytometry
Data type
text
Description
CD33%byflowcytometry(ifdrytaporinaspirable)
Data type
text
Description
BoneMarrow,CellularityStatus
Data type
text
Description
PerformanceStatus
Data type
text
Description
Comments
Data type
text
Description
InvestigatorSignature
Data type
text
Alias
- NCI Thesaurus Property
- C25678
- UMLS 2011AA Property
- C1519316
- NCI Thesaurus ObjectClass
- C17089
- UMLS 2011AA ObjectClass
- C0035173
Description
InvestigatorSignatureDate
Data type
date
Description
Ccrr Module For E1900 On-study Form
Similar models
No Instruction available.
- StudyEvent: E1900 On-Study Form
C1511726 (UMLS 2011AA ObjectClass)
C25416 (NCI Thesaurus Property)
C1691222 (UMLS 2011AA Property)
C0683312 (UMLS 2011AA ValueDomain)
C3161 (NCI Thesaurus ObjectClass)
C0023418 (UMLS 2011AA ObjectClass)
C25161 (NCI Thesaurus Property)
C0008902 (UMLS 2011AA Property)
C0030705 (UMLS 2011AA ObjectClass)
C25347 (NCI Thesaurus Property)
C0489786 (UMLS 2011AA Property)
C0205448 (UMLS 2011AA)
C1519316 (UMLS 2011AA Property)
C17089 (NCI Thesaurus ObjectClass)
C0035173 (UMLS 2011AA ObjectClass)