ID

10603

Descripción

ECOG 3200 Non-Protocol Therapy 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=A170529B-26A1-6913-E034-080020C9C0E0

Link

https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=A170529B-26A1-6913-E034-080020C9C0E0

Palabras clave

Versiones (3)
  1. 27/8/12 27/8/12 -
  2. 23/5/15 23/5/15 -
  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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ECOG 3200 Non-Protocol Therapy Form NCT00025337

Inglés

No Instruction available.

1 formularios  
  1. StudyEvent: ECOG 3200 Non-Protocol Therapy Form
    1. No Instruction available.
ECOG Non-Protocol Therapy Form
Descripción

ECOG Non-Protocol Therapy Form

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
Non-Protocol Therapy Date, First
Descripción

Non-ProtocolTherapyDate,First

Tipo de datos

date

Non-Protocol Chemotherapy Ind
Descripción

Non-ProtocolChemotherapyInd

Tipo de datos

text

Non-Protocol Hormonal Therapy Ind
Descripción

Non-ProtocolHormonalTherapyInd

Tipo de datos

text

Non-Protocol Immunotherapy Ind
Descripción

Non-ProtocolImmunotherapyInd

Tipo de datos

text

Non-Protocol HDC/ASCT Ind
Descripción

Non-ProtocolHDC/ASCTInd

Tipo de datos

text

Non-Protocol Surgery Ind
Descripción

Non-protocolSurgeryPerformedInd-3

Tipo de datos

text

Alias
NCI Thesaurus ValueDomain
C38148
UMLS 2011AA ValueDomain
C1512699
NCI Thesaurus Property
C38000
UMLS 2011AA Property
C0884358
NCI Thesaurus ObjectClass
C15329
UMLS 2011AA ObjectClass
C0543467
NCI Thesaurus ObjectClass
C25590
UMLS 2011AA ObjectClass
C1518384
Non-Protocol RT Ind
Descripción

Non-ProtocolRTInd

Tipo de datos

text

Other Non-Protocol Therapy Ind
Descripción

OtherNon-ProtocolTherapyInd

Tipo de datos

text

Other Non-Protocol Therapy Name
Descripción

OtherNon-ProtocolTherapyName

Tipo de datos

text

Non-Protocol Therapy given for disease
Descripción

Non-ProtocolTherapygivenfordisease

Tipo de datos

text

Comments
Descripción

Comments

Tipo de datos

text

Comments2
Descripción

Comments2

Tipo de datos

text

Non-Protocol Therapy not previously rpt
Descripción

Non-ProtocolTherapynotpreviouslyrpt

Tipo de datos

text

Volver a la parte superior de la página

Similar models

No Instruction available.

1 formularios
  1. StudyEvent: ECOG 3200 Non-Protocol Therapy Form
    1. No Instruction available.
Name
Tipo
Description | Question | Decode (Coded Value)
Tipo de datos
Alias
Item Group
ECOG Non-Protocol Therapy Form
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)
Non-ProtocolTherapyDate,First
Item
Non-Protocol Therapy Date, First
date
Non-ProtocolChemotherapyInd
Item
Non-Protocol Chemotherapy Ind
text
Non-ProtocolHormonalTherapyInd
Item
Non-Protocol Hormonal Therapy Ind
text
Non-ProtocolImmunotherapyInd
Item
Non-Protocol Immunotherapy Ind
text
Non-ProtocolHDC/ASCTInd
Item
Non-Protocol HDC/ASCT Ind
text
Non-protocolSurgeryPerformedInd-3
Item
Non-Protocol Surgery Ind
text
C38148 (NCI Thesaurus ValueDomain)
C1512699 (UMLS 2011AA ValueDomain)
C38000 (NCI Thesaurus Property)
C0884358 (UMLS 2011AA Property)
C15329 (NCI Thesaurus ObjectClass)
C0543467 (UMLS 2011AA ObjectClass)
C25590 (NCI Thesaurus ObjectClass)
C1518384 (UMLS 2011AA ObjectClass)
Non-ProtocolRTInd
Item
Non-Protocol RT Ind
text
OtherNon-ProtocolTherapyInd
Item
Other Non-Protocol Therapy Ind
text
OtherNon-ProtocolTherapyName
Item
Other Non-Protocol Therapy Name
text
Non-ProtocolTherapygivenfordisease
Item
Non-Protocol Therapy given for disease
text
Comments
Item
Comments
text
Comments2
Item
Comments2
text
Non-ProtocolTherapynotpreviouslyrpt
Item
Non-Protocol Therapy not previously rpt
text
Volver a la parte superior de la página 

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