ID

10608

Beschreibung

ECOG 3200 Follow-Up Disease Evaluation Form (RECIST) 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=A1701C6A-B902-6656-E034-080020C9C0E0

Link

https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=A1701C6A-B902-6656-E034-080020C9C0E0

Stichworte

  1. 27.08.12 27.08.12 -
  2. 23.05.15 23.05.15 -
  3. 03.06.15 03.06.15 -
Hochgeladen am

3. Juni 2015

DOI

Für eine Beantragung loggen Sie sich ein.

Lizenz

Creative Commons BY-NC 3.0 Legacy

Modell Kommentare :

Hier können Sie das Modell kommentieren. Über die Sprechblasen an den Itemgruppen und Items können Sie diese spezifisch kommentieren.

Itemgroup Kommentare für :

Item Kommentare für :

Um Formulare herunterzuladen müssen Sie angemeldet sein. Bitte loggen Sie sich ein oder registrieren Sie sich kostenlos.

ECOG 3200 Follow-Up Disease Evaluation Form (RECIST) NCT00025337

No Instruction available.

  1. StudyEvent: ECOG 3200 Follow-Up Disease Evaluation Form (RECIST)
    1. No Instruction available.
Follow-up disease evaluation
Beschreibung

Follow-up disease evaluation

Date of data transfer
Beschreibung

Dateofdatatransfer

Datentyp

text

Transfer Method
Beschreibung

TransferMethod

Datentyp

text

Specify other transfer method
Beschreibung

Specifyothertransfermethod

Datentyp

text

Step No.
Beschreibung

StepNo.

Datentyp

text

Course Identification
Beschreibung

CourseIdentification

Datentyp

text

Patient Name
Beschreibung

PatientName

Datentyp

text

Particip. Group Protocol Number
Beschreibung

Particip.GroupProtocolNumber

Datentyp

double

Patient Study ID, Participating Group
Beschreibung

PatientStudyID,ParticipatingGroup

Datentyp

text

Institution Name
Beschreibung

InstitutionName

Datentyp

text

Affiliate Name
Beschreibung

AffiliateName

Datentyp

text

Amended Data Ind
Beschreibung

AmendedDataInd

Datentyp

text

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

AmendedDataInd

Datentyp

text

Alias
NCI Thesaurus ObjectClass
C25474
UMLS 2011AA ObjectClass
C1511726
NCI Thesaurus Property
C25416
UMLS 2011AA Property
C1691222
Lesion, Reference Number, Target
Beschreibung

Lesion,ReferenceNumber,Target

Datentyp

text

Lesion, Anatomic Site, Target
Beschreibung

Lesion,AnatomicSite,Target

Datentyp

text

Site Code, Target
Beschreibung

SiteCode,Target

Datentyp

text

Assessment Type, Target
Beschreibung

AssessmentType,Target

Datentyp

text

Assessment Date, Target
Beschreibung

AssessmentDate,Target

Datentyp

text

Lesion, Tumor Diameter
Beschreibung

Lesion,TumorDiameter

Datentyp

double

Alias
NCI Thesaurus ValueDomain
C25209
UMLS 2011AA ValueDomain
C0242485
Lesion, Baseline Tumor Diameter
Beschreibung

Lesion,BaselineTumorDiameter

Datentyp

text

Lesion, Diameter, Longest Sum
Beschreibung

Lesion,Diameter,LongestSum

Datentyp

double

Lesion, Reference Number, Nontarget
Beschreibung

Lesion,ReferenceNumber,Nontarget

Datentyp

text

Lesion, Anatomic Site, Nontarget
Beschreibung

Lesion,AnatomicSite,Nontarget

Datentyp

text

Site Code, Nontarget
Beschreibung

SiteCode,Nontarget

Datentyp

text

Assessment Type, Nontarget
Beschreibung

AssessmentType,Nontarget

Datentyp

text

Assessment Date, Nontarget
Beschreibung

AssessmentDate,Nontarget

Datentyp

date

Lesion, Follow-up Status
Beschreibung

Lesion,Follow-upStatus

Datentyp

text

Cytology Result, Nontarget
Beschreibung

CytologyResult,Nontarget

Datentyp

text

Other Specify
Beschreibung

OtherSpecify

Datentyp

text

New Lesion Ind
Beschreibung

NewLesionInd

Datentyp

text

Lesion, Reference Number, New
Beschreibung

Lesion,ReferenceNumber,New

Datentyp

text

Lesion, Anatomic Site, New
Beschreibung

Lesion,AnatomicSite,New

Datentyp

text

Site Code, New
Beschreibung

SiteCode,New

Datentyp

text

Assessment Type, New
Beschreibung

AssessmentType,New

Datentyp

text

Assessment Date, New
Beschreibung

AssessmentDate,New

Datentyp

date

Cytology Result, New
Beschreibung

CytologyResult,New

Datentyp

text

Has Target Lesion Response Status Change
Beschreibung

HasTargetLesionResponseStatusChange

Datentyp

text

Target Lesion Response Status
Beschreibung

TargetLesionResponseStatus

Datentyp

text

Response Status Change
Beschreibung

ResponseStatusChange

Datentyp

text

Overall Response
Beschreibung

OverallResponse

Datentyp

text

Progressive Disease Observed Date
Beschreibung

ProgressiveDiseaseObservedDate

Datentyp

date

Progressive Disease Observed Date
Beschreibung

ProgressiveDiseaseObservedDate

Datentyp

date

Response Confirmed Ind
Beschreibung

ResponseConfirmedInd

Datentyp

text

PR/CR First Observed Date
Beschreibung

PR/CRFirstObservedDate

Datentyp

text

Alias
NCI Thesaurus Property
C18212
NCI Thesaurus ObjectClass
C9305
UMLS 2011AA ObjectClass
C0006826
NCI Thesaurus Property
C4870
UMLS 2011AA Property
C0677874
NCI Thesaurus Property
C25599
UMLS 2011AA Property
C1441672
PR/CR First Observed Date
Beschreibung

PR/CRFirstObservedDate

Datentyp

text

Alias
NCI Thesaurus Property
C18212
NCI Thesaurus ObjectClass
C9305
UMLS 2011AA ObjectClass
C0006826
NCI Thesaurus Property
C4870
UMLS 2011AA Property
C0677874
NCI Thesaurus Property
C25599
UMLS 2011AA Property
C1441672
Symptomatic Deterioration Ind
Beschreibung

SymptomaticDeteriorationInd

Datentyp

text

Symptomatic Deterioration Specify
Beschreibung

SymptomaticDeteriorationSpecify

Datentyp

text

Symptomatic Deterioration Date
Beschreibung

SymptomaticDeteriorationDate

Datentyp

date

Comments
Beschreibung

Comments

Datentyp

text

Comments2
Beschreibung

Comments2

Datentyp

text

Ähnliche Modelle

No Instruction available.

  1. StudyEvent: ECOG 3200 Follow-Up Disease Evaluation Form (RECIST)
    1. No Instruction available.
Name
Typ
Description | Question | Decode (Coded Value)
Datentyp
Alias
Item Group
Follow-up disease evaluation
Dateofdatatransfer
Item
Date of data transfer
text
TransferMethod
Item
Transfer Method
text
Specifyothertransfermethod
Item
Specify other transfer method
text
StepNo.
Item
Step No.
text
CourseIdentification
Item
Course Identification
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)
Lesion,ReferenceNumber,Target
Item
Lesion, Reference Number, Target
text
Lesion,AnatomicSite,Target
Item
Lesion, Anatomic Site, Target
text
SiteCode,Target
Item
Site Code, Target
text
AssessmentType,Target
Item
Assessment Type, Target
text
AssessmentDate,Target
Item
Assessment Date, Target
text
Lesion,TumorDiameter
Item
Lesion, Tumor Diameter
double
C25209 (NCI Thesaurus ValueDomain)
C0242485 (UMLS 2011AA ValueDomain)
Lesion,BaselineTumorDiameter
Item
Lesion, Baseline Tumor Diameter
text
Lesion,Diameter,LongestSum
Item
Lesion, Diameter, Longest Sum
double
Lesion,ReferenceNumber,Nontarget
Item
Lesion, Reference Number, Nontarget
text
Lesion,AnatomicSite,Nontarget
Item
Lesion, Anatomic Site, Nontarget
text
SiteCode,Nontarget
Item
Site Code, Nontarget
text
AssessmentType,Nontarget
Item
Assessment Type, Nontarget
text
AssessmentDate,Nontarget
Item
Assessment Date, Nontarget
date
Lesion,Follow-upStatus
Item
Lesion, Follow-up Status
text
CytologyResult,Nontarget
Item
Cytology Result, Nontarget
text
OtherSpecify
Item
Other Specify
text
NewLesionInd
Item
New Lesion Ind
text
Lesion,ReferenceNumber,New
Item
Lesion, Reference Number, New
text
Lesion,AnatomicSite,New
Item
Lesion, Anatomic Site, New
text
SiteCode,New
Item
Site Code, New
text
AssessmentType,New
Item
Assessment Type, New
text
AssessmentDate,New
Item
Assessment Date, New
date
CytologyResult,New
Item
Cytology Result, New
text
HasTargetLesionResponseStatusChange
Item
Has Target Lesion Response Status Change
text
TargetLesionResponseStatus
Item
Target Lesion Response Status
text
ResponseStatusChange
Item
Response Status Change
text
OverallResponse
Item
Overall Response
text
ProgressiveDiseaseObservedDate
Item
Progressive Disease Observed Date
date
ProgressiveDiseaseObservedDate
Item
Progressive Disease Observed Date
date
ResponseConfirmedInd
Item
Response Confirmed Ind
text
PR/CRFirstObservedDate
Item
PR/CR First Observed Date
text
C18212 (NCI Thesaurus Property)
C9305 (NCI Thesaurus ObjectClass)
C0006826 (UMLS 2011AA ObjectClass)
C4870 (NCI Thesaurus Property)
C0677874 (UMLS 2011AA Property)
C25599 (NCI Thesaurus Property)
C1441672 (UMLS 2011AA Property)
PR/CRFirstObservedDate
Item
PR/CR First Observed Date
text
C18212 (NCI Thesaurus Property)
C9305 (NCI Thesaurus ObjectClass)
C0006826 (UMLS 2011AA ObjectClass)
C4870 (NCI Thesaurus Property)
C0677874 (UMLS 2011AA Property)
C25599 (NCI Thesaurus Property)
C1441672 (UMLS 2011AA Property)
SymptomaticDeteriorationInd
Item
Symptomatic Deterioration Ind
text
SymptomaticDeteriorationSpecify
Item
Symptomatic Deterioration Specify
text
SymptomaticDeteriorationDate
Item
Symptomatic Deterioration Date
date
Comments
Item
Comments
text
Comments2
Item
Comments2
text

Benutzen Sie dieses Formular für Rückmeldungen, Fragen und Verbesserungsvorschläge.

Mit * gekennzeichnete Felder sind notwendig.

Benötigen Sie Hilfe bei der Suche? Um mehr Details zu erfahren und die Suche effektiver nutzen zu können schauen Sie sich doch das entsprechende Video auf unserer Tutorial Seite an.

Zum Video