ID

10591

Description

CALGB: 80101 Follow-up and Relapse Form NCT00052910 Chemotherapy and Radiation Therapy After Surgery in Treating Patients With Stomach or Esophageal Cancer Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=A35FE240-0E00-10FB-E034-080020C9C0E0

Link

https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=A35FE240-0E00-10FB-E034-080020C9C0E0

Keywords

  1. 9/19/12 9/19/12 -
  2. 5/28/15 5/28/15 -
  3. 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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CALGB: 80101 Follow-up and Relapse Form NCT00052910

No Instruction available.

  1. StudyEvent: CALGB: 80101 Follow-up and Relapse Form
    1. No Instruction available.
CALGB clinical trial administrative data
Description

CALGB clinical trial administrative data

CALGB Form
Description

CALGBForm

Data type

text

CALGB Study No
Description

CALGBStudyNo

Data type

text

CALGB Patient ID
Description

CALGBPatientID

Data type

text

Reporting period start date
Description

Reportingperiodstartdate

Data type

text

To: (Date of Last contact or death)
Description

To:(DateofLastcontactordeath)

Data type

text

Are data amended?
Description

Aredataamended?

Data type

text

Ccrr Module For Calgb: 80101 Follow-up And Relapse Form
Description

Ccrr Module For Calgb: 80101 Follow-up And Relapse Form

Similar models

No Instruction available.

  1. StudyEvent: CALGB: 80101 Follow-up and Relapse Form
    1. No Instruction available.
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
CALGB clinical trial administrative data
CALGBForm
Item
CALGB Form
text
CALGBStudyNo
Item
CALGB Study No
text
CALGBPatientID
Item
CALGB Patient ID
text
Reportingperiodstartdate
Item
Reporting period start date
text
To:(DateofLastcontactordeath)
Item
To: (Date of Last contact or death)
text
Item
Are data amended?
text
Code List
Are data amended?
CL Item
Yes (Yes)
Item Group
Ccrr Module For Calgb: 80101 Follow-up And Relapse Form

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