ID

10606

Beschrijving

ECOG 3200 Nontarget Lesions Supplemental 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=A1705F91-E41E-69D5-E034-080020C9C0E0

Link

https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=A1705F91-E41E-69D5-E034-080020C9C0E0

Trefwoorden

Versies (3)
  1. 27-08-12 27-08-12 -
  2. 23-05-15 23-05-15 -
  3. 03-06-15 03-06-15 -
Geüploaded op

3 juni 2015

DOI

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Licentie

Creative Commons BY-NC 3.0 Legacy
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ECOG 3200 Nontarget Lesions Supplemental Form NCT00025337

Engels

No Instruction available.

1 Formulieren  
  1. StudyEvent: ECOG 3200 Nontarget Lesions Supplemental Form
    1. No Instruction available.
ECOG Nontarget Lesions Form
Beschrijving

ECOG Nontarget Lesions Form

Date of data transfer
Beschrijving

Dateofdatatransfer

Datatype

text

Transfer Method
Beschrijving

TransferMethod

Datatype

text

Specify other transfer method
Beschrijving

Specifyothertransfermethod

Datatype

text

Step Number
Beschrijving

StepNumber

Datatype

text

Cycle
Beschrijving

TreatmentEvaluationPeriodCycleSpecify

Datatype

text

Alias
NCI Thesaurus ObjectClass
C15368
NCI Thesaurus Property
C25214
UMLS 2011AA Property
C0220825
NCI Thesaurus Property
C25616
UMLS 2011AA Property
C1948053
NCI Thesaurus ValueDomain
C25685
UMLS 2011AA ValueDomain
C1521902
NCI Thesaurus ValueDomain
C25472
UMLS 2011AA ValueDomain
C1511572
NCI Thesaurus ValueDomain
C25275
UMLS 2011AA ValueDomain
C2745955
Patient Name
Beschrijving

PatientName

Datatype

text

Particip. Group Protocol Number
Beschrijving

Particip.GroupProtocolNumber

Datatype

double

Patient Study ID, Participating Group
Beschrijving

PatientStudyID,ParticipatingGroup

Datatype

text

Institution Name
Beschrijving

InstitutionName

Datatype

text

Affiliate Name
Beschrijving

AffiliateName

Datatype

text

Amended Data Ind
Beschrijving

AmendedDataInd

Datatype

text

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

AmendedDataInd

Datatype

text

Alias
NCI Thesaurus ObjectClass
C25474
UMLS 2011AA ObjectClass
C1511726
NCI Thesaurus Property
C25416
UMLS 2011AA Property
C1691222
Lesion Number
Beschrijving

Lesion,ReferenceNumber

Datatype

double

Lesion Site
Beschrijving

LesionSite

Datatype

text

Lesion Site Code
Beschrijving

LesionSiteCode

Datatype

text

Lesion Evaluation Method
Beschrijving

LesionEvaluationMethod

Datatype

text

Lesion Evaluation Date
Beschrijving

LesionEvaluationDate

Datatype

text

Follow Up Status of Lesions
Beschrijving

FollowUpStatusofLesions

Datatype

text

Cytology Result
Beschrijving

CytologyResult

Datatype

text

Alias
NCI Thesaurus ObjectClass
C16491
UMLS 2011AA ObjectClass
C0010819
NCI Thesaurus Property
C20200
UMLS 2011AA Property
C1274040
Other Specify
Beschrijving

OtherSpecify

Datatype

text

Comments1
Beschrijving

Comments1

Datatype

text

Comments2
Beschrijving

Comments2

Datatype

text

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Similar models

No Instruction available.

1 Formulieren
  1. StudyEvent: ECOG 3200 Nontarget Lesions Supplemental Form
    1. No Instruction available.
Name
Type
Description | Question | Decode (Coded Value)
Datatype
Alias
Item Group
ECOG Nontarget Lesions Form
Dateofdatatransfer
Item
Date of data transfer
text
TransferMethod
Item
Transfer Method
text
Specifyothertransfermethod
Item
Specify other transfer method
text
StepNumber
Item
Step Number
text
TreatmentEvaluationPeriodCycleSpecify
Item
Cycle
text
C15368 (NCI Thesaurus ObjectClass)
C25214 (NCI Thesaurus Property)
C0220825 (UMLS 2011AA Property)
C25616 (NCI Thesaurus Property)
C1948053 (UMLS 2011AA Property)
C25685 (NCI Thesaurus ValueDomain)
C1521902 (UMLS 2011AA ValueDomain)
C25472 (NCI Thesaurus ValueDomain)
C1511572 (UMLS 2011AA ValueDomain)
C25275 (NCI Thesaurus ValueDomain)
C2745955 (UMLS 2011AA ValueDomain)
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)
Lesion,ReferenceNumber
Item
Lesion Number
double
LesionSite
Item
Lesion Site
text
LesionSiteCode
Item
Lesion Site Code
text
LesionEvaluationMethod
Item
Lesion Evaluation Method
text
LesionEvaluationDate
Item
Lesion Evaluation Date
text
FollowUpStatusofLesions
Item
Follow Up Status of Lesions
text
CytologyResult
Item
Cytology Result
text
C16491 (NCI Thesaurus ObjectClass)
C0010819 (UMLS 2011AA ObjectClass)
C20200 (NCI Thesaurus Property)
C1274040 (UMLS 2011AA Property)
OtherSpecify
Item
Other Specify
text
Comments1
Item
Comments1
text
Comments2
Item
Comments2
text
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