ID
10630
Description
CALGB: SPECIMEN ROUTING FORM PLASMA NCT00016276 Combination Chemotherapy, Surgery, and Radiation Therapy With or Without Dexrazoxane and Trastuzumab in Treating Women With Stage III or Stage IV Breast Cancer Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=9E35395C-82EA-227A-E034-080020C9C0E0
Lien
Mots-clés
Versions (3)
- 26/08/2012 26/08/2012 -
- 22/05/2015 22/05/2015 -
- 03/06/2015 03/06/2015 -
Téléchargé le
3 juin 2015
DOI
Pour une demande vous connecter.
Licence
Creative Commons BY-NC 3.0 Legacy
Modèle Commentaires :
Ici, vous pouvez faire des commentaires sur le modèle. À partir des bulles de texte, vous pouvez laisser des commentaires spécifiques sur les groupes Item et les Item.
Groupe Item commentaires pour :
Item commentaires pour :
Vous devez être connecté pour pouvoir télécharger des formulaires. Veuillez vous connecter ou s’inscrire gratuitement.
CALGB: SPECIMEN ROUTING FORM PLASMA NCT00016276
No Instruction available.
- StudyEvent: CALGB: SPECIMEN ROUTING FORM PLASMA
Description
Patient clinical trial data
Description
Patient'sName
Type de données
text
Description
PatientHospitalNumber
Type de données
text
Description
ParticipatingGroupProtocolNo.
Type de données
text
Description
MainMemberInstitution/Adjunct
Type de données
text
Description
ParticipatingGroupPatientNo.
Type de données
text
Description
ParticipatingGroup
Type de données
text
Description
To Be Completed By Submitting Institution
Description
BloodSample
Type de données
text
Description
Dateplasmaspecimencollected
Type de données
text
Description
CALGBTreatmentStudy
Type de données
text
Description
Specimenw/FormInd
Type de données
text
Description
Numberoftubessubmitted
Type de données
double
Alias
- NCI Thesaurus ValueDomain
- C25337
- UMLS 2011AA ValueDomain
- C0237753
- NCI Thesaurus ObjectClass
- C19157
- UMLS 2011AA ObjectClass
- C0370003
- NCI Thesaurus ObjectClass
- C41277
- UMLS 2011AA ObjectClass
- C1561954
- NCI Thesaurus Property
- C25695
- UMLS 2011AA Property
- C1515023
Description
Datesamplesent
Type de données
text
Description
TimePeriodSpecimenCollected
Type de données
text
Alias
- NCI Thesaurus ObjectClass
- C19157
- UMLS 2011AA ObjectClass
- C0370003
- NCI Thesaurus Property
- C25616
- UMLS 2011AA Property
- C1948053
- NCI Thesaurus Property
- C25452
- NCI Thesaurus ValueDomain
- C25207
- UMLS 2011AA ValueDomain
- C0040223
- NCI Thesaurus ValueDomain
- C25452
Description
Responsibletreatingphysician:
Type de données
text
Description
PhoneNumbertobeusedineventofsampleproblems:
Type de données
text
Alias
- NCI Thesaurus ObjectClass
- C25461
- UMLS 2011AA ObjectClass
- C0337611
- NCI Thesaurus Property
- C28020
- UMLS 2011AA Property
- C0033213
- NCI Thesaurus Property
- C19157
- UMLS 2011AA Property
- C0370003
- NCI Thesaurus Property
- C40978
- UMLS 2011AA Property
- C1515258
- NCI Thesaurus ValueDomain
- C25337
- UMLS 2011AA ValueDomain
- C0237753
Description
Ifno,specifyreason
Type de données
text
Description
CompletedBy
Type de données
text
Description
DateCompleted
Type de données
text
Description
To Be Completed By Receiving Institution/laboratory
Description
Datesamplereceived
Type de données
text
Description
SampleCondition
Type de données
text
Alias
- NCI Thesaurus ObjectClass
- C12801
- UMLS 2011AA ObjectClass
- C0040300
- NCI Thesaurus ObjectClass
- C19157
- UMLS 2011AA ObjectClass
- C0370003
- NCI Thesaurus ValueDomain
- C25688
- UMLS 2011AA ValueDomain
- C0449438
- NCI Thesaurus Property
- C25457
- UMLS 2011AA Property
- C0348080
Description
SpecimenID
Type de données
double
Description
NumberofAliquots
Type de données
text
Alias
- NCI Thesaurus ValueDomain
- C25337
- UMLS 2011AA ValueDomain
- C0237753
- NCI Thesaurus ObjectClass
- C19157
- UMLS 2011AA ObjectClass
- C0370003
- NCI Thesaurus Property
- C25414
- UMLS 2011AA Property
- C1510844
Description
Averagealiquotvolume
Type de données
text
Alias
- NCI Thesaurus ObjectClass
- C19157
- UMLS 2011AA ObjectClass
- C0370003
- NCI Thesaurus Property
- C25335
- UMLS 2011AA Property
- C0449468
- NCI Thesaurus Property
- C25414
- UMLS 2011AA Property
- C1510844
- NCI Thesaurus ValueDomain
- C25712
- UMLS 2011AA ValueDomain
- C1522609
- NCI Thesaurus ValueDomain
- C37917
- UMLS 2011AA ValueDomain
- C1510992
Description
Samplereceivedby
Type de données
text
Similar models
No Instruction available.
- StudyEvent: CALGB: SPECIMEN ROUTING FORM PLASMA
C1511726 (UMLS 2011AA ObjectClass)
C25416 (NCI Thesaurus Property)
C1691222 (UMLS 2011AA Property)
C1705108 (UMLS 2011AA)
C0237753 (UMLS 2011AA ValueDomain)
C19157 (NCI Thesaurus ObjectClass)
C0370003 (UMLS 2011AA ObjectClass)
C41277 (NCI Thesaurus ObjectClass)
C1561954 (UMLS 2011AA ObjectClass)
C25695 (NCI Thesaurus Property)
C1515023 (UMLS 2011AA Property)
C0370003 (UMLS 2011AA ObjectClass)
C25616 (NCI Thesaurus Property)
C1948053 (UMLS 2011AA Property)
C25452 (NCI Thesaurus Property)
C25207 (NCI Thesaurus ValueDomain)
C0040223 (UMLS 2011AA ValueDomain)
C25452 (NCI Thesaurus ValueDomain)
C0337611 (UMLS 2011AA ObjectClass)
C28020 (NCI Thesaurus Property)
C0033213 (UMLS 2011AA Property)
C19157 (NCI Thesaurus Property)
C0370003 (UMLS 2011AA Property)
C40978 (NCI Thesaurus Property)
C1515258 (UMLS 2011AA Property)
C25337 (NCI Thesaurus ValueDomain)
C0237753 (UMLS 2011AA ValueDomain)
C0040300 (UMLS 2011AA ObjectClass)
C19157 (NCI Thesaurus ObjectClass)
C0370003 (UMLS 2011AA ObjectClass)
C25688 (NCI Thesaurus ValueDomain)
C0449438 (UMLS 2011AA ValueDomain)
C25457 (NCI Thesaurus Property)
C0348080 (UMLS 2011AA Property)
C1705492 (UMLS 2011AA)
C0237753 (UMLS 2011AA ValueDomain)
C19157 (NCI Thesaurus ObjectClass)
C0370003 (UMLS 2011AA ObjectClass)
C25414 (NCI Thesaurus Property)
C1510844 (UMLS 2011AA Property)
C0370003 (UMLS 2011AA ObjectClass)
C25335 (NCI Thesaurus Property)
C0449468 (UMLS 2011AA Property)
C25414 (NCI Thesaurus Property)
C1510844 (UMLS 2011AA Property)
C25712 (NCI Thesaurus ValueDomain)
C1522609 (UMLS 2011AA ValueDomain)
C37917 (NCI Thesaurus ValueDomain)
C1510992 (UMLS 2011AA ValueDomain)