0 Avaliações

ID

11574

Descrição

ADVL0212: Phase I Weekly Report NCT00053963 FR901228 in Treating Children With Refractory or Recurrent Solid Tumors or Leukemia Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=B1EAF58D-ABF6-30C9-E034-0003BA12F5E7

Link

https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=B1EAF58D-ABF6-30C9-E034-0003BA12F5E7

Palavras-chave

  1. 26/08/2012 26/08/2012 -
  2. 09/01/2015 09/01/2015 - Martin Dugas
  3. 09/01/2015 09/01/2015 - Martin Dugas
  4. 08/07/2015 08/07/2015 -
Transferido a

8 de julho de 2015

DOI

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Licença

Creative Commons BY-NC 3.0 Legacy

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    ADVL0212: Phase I Weekly Report NCT00053963

    No Instruction available.

    1. StudyEvent: ADVL0212: Phase I Weekly Report
      1. No Instruction available.
    Header
    Descrição

    Header

    Study Number
    Descrição

    Protocol ID COG

    Tipo de dados

    text

    Alias
    NCI Thesaurus ValueDomain
    C25337
    UMLS CUI-1
    C3274381
    NCI Thesaurus ObjectClass
    C25320
    UMLS CUI-2
    C1516477
    NCI Thesaurus Property
    C25364
    Name
    Descrição

    Institution Name

    Tipo de dados

    text

    Alias
    NCI Thesaurus ValueDomain
    C25191
    UMLS CUI-1
    C1301943
    NCI Thesaurus ObjectClass
    C21541
    NCI Thesaurus ValueDomain-2
    C21541
    NCI Thesaurus Property
    C25364
    COG Number
    Descrição

    PatientCOGIdentifierNumber

    Tipo de dados

    text

    Alias
    NCI Thesaurus ValueDomain
    C25337
    UMLS 2011AA ValueDomain
    C0237753
    NCI Thesaurus ObjectClass
    C16960
    UMLS 2011AA ObjectClass
    C0030705
    NCI Thesaurus Property
    C25364
    UMLS 2011AA Property
    C0600091
    NCI Thesaurus Property-2
    C39353
    UMLS 2011AA Property-2
    C1516477
    Patient Name
    Descrição

    Patient Name

    Tipo de dados

    text

    Alias
    NCI Thesaurus ValueDomain
    C25191
    UMLS CUI-1
    C1299487
    NCI Thesaurus ObjectClass
    C16960
    NCI Thesaurus Property
    C25364
    Today's date
    Descrição

    Form Completion Date

    Tipo de dados

    date

    Alias
    NCI Thesaurus ObjectClass
    C19464
    UMLS CUI-1
    C1549507
    NCI Thesaurus Property
    C25250
    NCI Thesaurus Property-2
    C25604
    NCI Thesaurus ValueDomain
    C25164
    NCI Thesaurus ValueDomain-2
    C25367
    Reporting Period Number (1. Required field)
    Descrição

    TreatmentReportingPeriodNumber

    Tipo de dados

    text

    Alias
    NCI Thesaurus ValueDomain
    C25337
    UMLS 2011AA ValueDomain
    C0237753
    NCI Thesaurus Property
    C25616
    UMLS 2011AA Property
    C1948053
    NCI Thesaurus ObjectClass
    C15368
    NCI Thesaurus Property-2
    C25651
    UMLS 2011AA Property-2
    C0700287
    Week (1. Required field)
    Descrição

    TreatmentReportingPeriodWeekNumber

    Tipo de dados

    float

    Alias
    NCI Thesaurus ValueDomain
    C25337
    UMLS 2011AA ValueDomain
    C0237753
    NCI Thesaurus Property
    C25616
    UMLS 2011AA Property
    C1948053
    NCI Thesaurus ObjectClass
    C15368
    NCI Thesaurus Property-2
    C25651
    UMLS 2011AA Property-2
    C0700287
    Any dose limiting toxicities this week? (1. Required field)
    Descrição

    ToxicityWeekReportInd-2

    Tipo de dados

    boolean

    Alias
    NCI Thesaurus ValueDomain
    C38147
    UMLS 2011AA ValueDomain
    C1512698
    NCI Thesaurus ObjectClass
    C27990
    UMLS 2011AA ObjectClass
    C0600688
    NCI Thesaurus Property
    C25375
    UMLS 2011AA Property
    C0684224
    Dlt Toxicity Data
    Descrição

    Dlt Toxicity Data

    Code
    Descrição

    CommonTerminologyCriteriaAdverseEventTermCode

    Tipo de dados

    float

    Alias
    NCI Thesaurus ValueDomain
    C25162
    UMLS 2011AA ValueDomain
    C0805701
    NCI Thesaurus ObjectClass
    C49704
    UMLS 2011AA ObjectClass
    C1516728
    NCI Thesaurus Property
    C45559
    UMLS 2011AA Property
    C1705313
    Category
    Descrição

    CTCAdverseEventCategory

    Tipo de dados

    text

    Alias
    NCI Thesaurus ObjectClass
    C41331
    UMLS 2011AA ObjectClass
    C0877248
    NCI Thesaurus Property
    C25161
    UMLS 2011AA Property
    C0008902
    Type
    Descrição

    CTC Adverse Event Term

    Tipo de dados

    text

    Alias
    NCI Thesaurus ObjectClass
    C41331
    UMLS CUI-1
    C1516728
    NCI Thesaurus Property
    C25703
    UMLS CUI-2
    C2826934
    Grade
    Descrição

    CTC Adverse Event Grade

    Tipo de dados

    float

    Alias
    NCI Thesaurus ObjectClass
    C41331
    UMLS CUI-1
    C2985911
    NCI Thesaurus Property
    C25365
    Comment (duration, attribution, etc.)
    Descrição

    CTC Adverse Event Attribution Category

    Tipo de dados

    text

    Alias
    NCI Thesaurus ValueDomain
    C25664
    UMLS CUI-1
    C1706735
    NCI Thesaurus ObjectClass
    C49704
    NCI Thesaurus Property
    C25358
    Results Of Test Completed During This Weekly Reporting Interval
    Descrição

    Results Of Test Completed During This Weekly Reporting Interval

    Test date (MM/DD/YYYY)
    Descrição

    HematologyLabCollectedDate

    Tipo de dados

    date

    Alias
    NCI Thesaurus ValueDomain
    C25164
    UMLS 2011AA ValueDomain
    C0011008
    NCI Thesaurus Property
    C20200
    UMLS 2011AA Property
    C1274040
    NCI Thesaurus ObjectClass
    C25294
    UMLS 2011AA ObjectClass
    C0022885
    NCI Thesaurus ValueDomain-2
    C25452
    Hgb (g/dL)
    Descrição

    Hemoglobin

    Tipo de dados

    float

    Unidades de medida
    • g/dL
    Alias
    NCI Thesaurus Property
    C16676
    UMLS CUI-1
    C0019046
    NCI Thesaurus Property-2
    C20200
    NCI Thesaurus ObjectClass
    C25294
    NCI Thesaurus ValueDomain
    C25712
    g/dL
    WBC (1. Accepted range is 0.9-50. A value of less than 0.9 or greater than 50 generates a warning on the institutional data receipt, but does not prevent data entry.)
    Descrição

    Leukocytes (WBC)

    Tipo de dados

    float

    Alias
    NCI Thesaurus ObjectClass
    C25294
    UMLS CUI-1
    C0023508
    NCI Thesaurus Property
    C12529
    NCI Thesaurus Property-2
    C20200
    NCI Thesaurus ValueDomain
    C38046
    NCI Thesaurus ValueDomain-2
    C25712
    Laboratory Unit of Measure
    Descrição

    Laboratory Unit of Measure

    Tipo de dados

    text

    Alias
    NCI Thesaurus ObjectClass
    C20989
    NCI Thesaurus Property
    C37984
    NCI Thesaurus ValueDomain
    C25709
    UMLS CUI-1
    C0031809
    UMLS CUI-2
    C0022877
    UMLS CUI-3
    C1519795
    Platelets (1. Accepted range is 30-1500. A value of less than 30 or greater than 1500 generates a warning on the institutional data receipt, but does not prevent data entry.)
    Descrição

    HematologyPlateletLabUnspecifiedValue

    Tipo de dados

    float

    Alias
    NCI Thesaurus Property
    C20200
    UMLS 2011AA Property
    C1274040
    NCI Thesaurus ObjectClass
    C25294
    UMLS 2011AA ObjectClass
    C0022885
    Segs (%)
    Descrição

    LaboratoryProcedureSegmentedNeutrophilOutcomePercentageValue

    Tipo de dados

    float

    Unidades de medida
    • %
    Alias
    NCI Thesaurus ObjectClass
    C25294
    UMLS 2011AA ObjectClass
    C0022885
    NCI Thesaurus Property
    C20200
    UMLS 2011AA Property
    C1274040
    NCI Thesaurus Property-2
    C36719
    UMLS 2011AA Property-2
    C0229640
    NCI Thesaurus ValueDomain
    C25613
    UMLS 2011AA ValueDomain
    C0439165
    NCI Thesaurus ValueDomain-2
    C25712
    UMLS 2011AA ValueDomain-2
    C1522609
    %
    Bands (%)
    Descrição

    LaboratoryProcedureNeutrophilBandFormCountResultPercentageValue

    Tipo de dados

    float

    Unidades de medida
    • %
    Alias
    NCI Thesaurus Property
    C20200
    UMLS 2011AA Property
    C1274040
    NCI Thesaurus ObjectClass
    C25294
    UMLS 2011AA ObjectClass
    C0022885
    NCI Thesaurus Property-2
    C64830
    UMLS 2011AA Property-2
    C1882076
    NCI Thesaurus ValueDomain
    C49100
    UMLS 2011AA ValueDomain
    C1704610
    %
    Was red cell transfusion given as a result of CBC? (1. Required field)
    Descrição

    TransfusionReceivedInd

    Tipo de dados

    text

    Alias
    NCI Thesaurus ValueDomain
    C25180
    UMLS 2011AA ValueDomain
    C1522602
    NCI Thesaurus Property
    C25639
    UMLS 2011AA Property
    C1514756
    NCI Thesaurus ObjectClass
    C15408
    Test date
    Descrição

    ChemistryLabCollectedDate

    Tipo de dados

    date

    Alias
    NCI Thesaurus ValueDomain
    C25164
    UMLS 2011AA ValueDomain
    C0011008
    NCI Thesaurus Property
    C37984
    UMLS 2011AA Property
    C0022877
    NCI Thesaurus ObjectClass
    C16414
    UMLS 2011AA ObjectClass
    C0007996
    ALT (acceptable units: IU/L, or mU/mL)
    Descrição

    HepaticSGPT(ALT)LabUnspecifiedValue

    Tipo de dados

    float

    Alias
    NCI Thesaurus ObjectClass
    C13308
    UMLS 2011AA ObjectClass
    C0205054
    NCI Thesaurus Property
    C37984
    UMLS 2011AA Property
    C0022877
    NCI Thesaurus Property-2
    C25293
    UMLS 2011AA Property-2
    C0376147
    NCI Thesaurus ValueDomain
    C38046
    UMLS 2011AA ValueDomain
    C0205370
    NCI Thesaurus ValueDomain-2
    C25712
    UMLS 2011AA ValueDomain-2
    C1522609
    ALT (institutional upper limit of normal)
    Descrição

    LaboratoryProcedureSerumGlutamicPyruvicTransaminaseResultUpperLimitofNormalValue

    Tipo de dados

    float

    Alias
    NCI Thesaurus ObjectClass
    C25294
    UMLS 2011AA ObjectClass
    C0022885
    NCI Thesaurus Property
    C20200
    UMLS 2011AA Property
    C1274040
    NCI Thesaurus Property-2
    C25293
    UMLS 2011AA Property-2
    C0376147
    NCI Thesaurus ValueDomain
    C25712
    UMLS 2011AA ValueDomain
    C1522609
    NCI Thesaurus ValueDomain-2
    C25706
    UMLS 2011AA ValueDomain-2
    C1519815
    AST (acceptable units: IU/L, or mU/mL)
    Descrição

    HepaticSGOT(AST)LabUnspecifiedValue

    Tipo de dados

    float

    Alias
    NCI Thesaurus ObjectClass
    C13308
    UMLS 2011AA ObjectClass
    C0205054
    NCI Thesaurus Property
    C25202
    UMLS 2011AA Property
    C0242192
    NCI Thesaurus Property-2
    C37984
    UMLS 2011AA Property-2
    C0022877
    NCI Thesaurus ValueDomain
    C38046
    UMLS 2011AA ValueDomain
    C0205370
    NCI Thesaurus ValueDomain-2
    C25712
    UMLS 2011AA ValueDomain-2
    C1522609
    AST (institutional upper limit of normal)
    Descrição

    LaboratoryProcedureSerumGlutamicOxaloaceticTransferaseResultUnspecifiedUpperLimitofNormalValue

    Tipo de dados

    float

    Alias
    NCI Thesaurus ObjectClass
    C25294
    UMLS 2011AA ObjectClass
    C0022885
    NCI Thesaurus Property
    C25202
    UMLS 2011AA Property
    C0242192
    NCI Thesaurus Property-2
    C20200
    UMLS 2011AA Property-2
    C1274040
    NCI Thesaurus ValueDomain
    C25712
    UMLS 2011AA ValueDomain
    C1522609
    NCI Thesaurus ValueDomain-2
    C25706
    UMLS 2011AA ValueDomain-2
    C1519815
    T. Bilirubin (mg/dL)
    Descrição

    HepaticTotalBilirubinLabSpecifiedValue

    Tipo de dados

    float

    Unidades de medida
    • mg/dL
    Alias
    NCI Thesaurus ObjectClass
    C13308
    UMLS 2011AA ObjectClass
    C0205054
    NCI Thesaurus Property
    C37984
    UMLS 2011AA Property
    C0022877
    mg/dL
    T. Bilirubin (mg/dL- institutional upper limit of normal)
    Descrição

    Bilirubin, Total ULN

    Tipo de dados

    float

    Unidades de medida
    • mg/dL
    Alias
    NCI Thesaurus ObjectClass
    C25294
    UMLS CUI-1
    C0201913
    NCI Thesaurus Property
    C20200
    UMLS CUI-2
    C1519815
    NCI Thesaurus Property-2
    C38037
    NCI Thesaurus ValueDomain
    C25712
    NCI Thesaurus ValueDomain-2
    C38024
    NCI Thesaurus ValueDomain-3
    C25706
    mg/dL
    Creatinine (mg/dL)
    Descrição

    RenalCreatinineLabSpecifiedValue

    Tipo de dados

    float

    Unidades de medida
    • mg/dL
    Alias
    NCI Thesaurus ObjectClass
    C25225
    UMLS 2011AA ObjectClass
    C0022646
    NCI Thesaurus Property
    C399
    UMLS 2011AA Property
    C0010294
    NCI Thesaurus Property-2
    C25294
    UMLS 2011AA Property-2
    C0022885
    NCI Thesaurus ValueDomain
    C25712
    UMLS 2011AA ValueDomain
    C1522609
    mg/dL
    Creatinine (mg/dL- institutional upper limit of normal)
    Descrição

    RenalCreatinineLabSpecifiedUpperLimitofNormalValue

    Tipo de dados

    float

    Unidades de medida
    • mg/dL
    Alias
    NCI Thesaurus ObjectClass
    C25225
    UMLS 2011AA ObjectClass
    C0022646
    NCI Thesaurus Property
    C399
    UMLS 2011AA Property
    C0010294
    NCI Thesaurus Property-2
    C25294
    UMLS 2011AA Property-2
    C0022885
    NCI Thesaurus ValueDomain
    C25712
    UMLS 2011AA ValueDomain
    C1522609
    NCI Thesaurus ValueDomain-2
    C38024
    UMLS 2011AA ValueDomain-2
    C0205369
    NCI Thesaurus ValueDomain-3
    C25706
    UMLS 2011AA ValueDomain-3
    C1519815
    mg/dL
    Comments
    Descrição

    Comments

    General Comments
    Descrição

    Research Comments

    Tipo de dados

    text

    Alias
    NCI Thesaurus ValueDomain
    C25704
    UMLS CUI-1
    C0947611
    NCI Thesaurus ObjectClass
    C15319
    NCI Thesaurus Property
    C25393
    (MM/DD/YYYY) (1. Required field)
    Descrição

    (MM/DD/YYYY)

    Tipo de dados

    text

    Ccrr Module For Advl0212: Phase I Weekly Report
    Descrição

    Ccrr Module For Advl0212: Phase I Weekly Report

    Similar models

    No Instruction available.

    1. StudyEvent: ADVL0212: Phase I Weekly Report
      1. No Instruction available.
    Name
    Tipo
    Description | Question | Decode (Coded Value)
    Tipo de dados
    Alias
    Item Group
    Header
    Protocol ID COG
    Item
    Study Number
    text
    C25337 (NCI Thesaurus ValueDomain)
    C3274381 (UMLS CUI-1)
    C25320 (NCI Thesaurus ObjectClass)
    C1516477 (UMLS CUI-2)
    C25364 (NCI Thesaurus Property)
    Institution Name
    Item
    Name
    text
    C25191 (NCI Thesaurus ValueDomain)
    C1301943 (UMLS CUI-1)
    C21541 (NCI Thesaurus ObjectClass)
    C21541 (NCI Thesaurus ValueDomain-2)
    C25364 (NCI Thesaurus Property)
    PatientCOGIdentifierNumber
    Item
    COG Number
    text
    C25337 (NCI Thesaurus ValueDomain)
    C0237753 (UMLS 2011AA ValueDomain)
    C16960 (NCI Thesaurus ObjectClass)
    C0030705 (UMLS 2011AA ObjectClass)
    C25364 (NCI Thesaurus Property)
    C0600091 (UMLS 2011AA Property)
    C39353 (NCI Thesaurus Property-2)
    C1516477 (UMLS 2011AA Property-2)
    Patient Name
    Item
    Patient Name
    text
    C25191 (NCI Thesaurus ValueDomain)
    C1299487 (UMLS CUI-1)
    C16960 (NCI Thesaurus ObjectClass)
    C25364 (NCI Thesaurus Property)
    Form Completion Date
    Item
    Today's date
    date
    C19464 (NCI Thesaurus ObjectClass)
    C1549507 (UMLS CUI-1)
    C25250 (NCI Thesaurus Property)
    C25604 (NCI Thesaurus Property-2)
    C25164 (NCI Thesaurus ValueDomain)
    C25367 (NCI Thesaurus ValueDomain-2)
    TreatmentReportingPeriodNumber
    Item
    Reporting Period Number (1. Required field)
    text
    C25337 (NCI Thesaurus ValueDomain)
    C0237753 (UMLS 2011AA ValueDomain)
    C25616 (NCI Thesaurus Property)
    C1948053 (UMLS 2011AA Property)
    C15368 (NCI Thesaurus ObjectClass)
    C25651 (NCI Thesaurus Property-2)
    C0700287 (UMLS 2011AA Property-2)
    TreatmentReportingPeriodWeekNumber
    Item
    Week (1. Required field)
    float
    C25337 (NCI Thesaurus ValueDomain)
    C0237753 (UMLS 2011AA ValueDomain)
    C25616 (NCI Thesaurus Property)
    C1948053 (UMLS 2011AA Property)
    C15368 (NCI Thesaurus ObjectClass)
    C25651 (NCI Thesaurus Property-2)
    C0700287 (UMLS 2011AA Property-2)
    ToxicityWeekReportInd-2
    Item
    Any dose limiting toxicities this week? (1. Required field)
    boolean
    C38147 (NCI Thesaurus ValueDomain)
    C1512698 (UMLS 2011AA ValueDomain)
    C27990 (NCI Thesaurus ObjectClass)
    C0600688 (UMLS 2011AA ObjectClass)
    C25375 (NCI Thesaurus Property)
    C0684224 (UMLS 2011AA Property)
    Item Group
    Dlt Toxicity Data
    CommonTerminologyCriteriaAdverseEventTermCode
    Item
    Code
    float
    C25162 (NCI Thesaurus ValueDomain)
    C0805701 (UMLS 2011AA ValueDomain)
    C49704 (NCI Thesaurus ObjectClass)
    C1516728 (UMLS 2011AA ObjectClass)
    C45559 (NCI Thesaurus Property)
    C1705313 (UMLS 2011AA Property)
    CTCAdverseEventCategory
    Item
    Category
    text
    C41331 (NCI Thesaurus ObjectClass)
    C0877248 (UMLS 2011AA ObjectClass)
    C25161 (NCI Thesaurus Property)
    C0008902 (UMLS 2011AA Property)
    CTC Adverse Event Term
    Item
    Type
    text
    C41331 (NCI Thesaurus ObjectClass)
    C1516728 (UMLS CUI-1)
    C25703 (NCI Thesaurus Property)
    C2826934 (UMLS CUI-2)
    CTC Adverse Event Grade
    Item
    Grade
    float
    C41331 (NCI Thesaurus ObjectClass)
    C2985911 (UMLS CUI-1)
    C25365 (NCI Thesaurus Property)
    CTC Adverse Event Attribution Category
    Item
    Comment (duration, attribution, etc.)
    text
    C25664 (NCI Thesaurus ValueDomain)
    C1706735 (UMLS CUI-1)
    C49704 (NCI Thesaurus ObjectClass)
    C25358 (NCI Thesaurus Property)
    Item Group
    Results Of Test Completed During This Weekly Reporting Interval
    HematologyLabCollectedDate
    Item
    Test date (MM/DD/YYYY)
    date
    C25164 (NCI Thesaurus ValueDomain)
    C0011008 (UMLS 2011AA ValueDomain)
    C20200 (NCI Thesaurus Property)
    C1274040 (UMLS 2011AA Property)
    C25294 (NCI Thesaurus ObjectClass)
    C0022885 (UMLS 2011AA ObjectClass)
    C25452 (NCI Thesaurus ValueDomain-2)
    Hemoglobin
    Item
    Hgb (g/dL)
    float
    C16676 (NCI Thesaurus Property)
    C0019046 (UMLS CUI-1)
    C20200 (NCI Thesaurus Property-2)
    C25294 (NCI Thesaurus ObjectClass)
    C25712 (NCI Thesaurus ValueDomain)
    Leukocytes (WBC)
    Item
    WBC (1. Accepted range is 0.9-50. A value of less than 0.9 or greater than 50 generates a warning on the institutional data receipt, but does not prevent data entry.)
    float
    C25294 (NCI Thesaurus ObjectClass)
    C0023508 (UMLS CUI-1)
    C12529 (NCI Thesaurus Property)
    C20200 (NCI Thesaurus Property-2)
    C38046 (NCI Thesaurus ValueDomain)
    C25712 (NCI Thesaurus ValueDomain-2)
    Item
    Laboratory Unit of Measure
    text
    C20989 (NCI Thesaurus ObjectClass)
    C37984 (NCI Thesaurus Property)
    C25709 (NCI Thesaurus ValueDomain)
    C0031809 (UMLS CUI-1)
    C0022877 (UMLS CUI-2)
    C1519795 (UMLS CUI-3)
    Code List
    Laboratory Unit of Measure
    CL Item
    International Units Per Liter (IU/L)
    CL Item
    Mu/ml (mU/mL)
    HematologyPlateletLabUnspecifiedValue
    Item
    Platelets (1. Accepted range is 30-1500. A value of less than 30 or greater than 1500 generates a warning on the institutional data receipt, but does not prevent data entry.)
    float
    C20200 (NCI Thesaurus Property)
    C1274040 (UMLS 2011AA Property)
    C25294 (NCI Thesaurus ObjectClass)
    C0022885 (UMLS 2011AA ObjectClass)
    LaboratoryProcedureSegmentedNeutrophilOutcomePercentageValue
    Item
    Segs (%)
    float
    C25294 (NCI Thesaurus ObjectClass)
    C0022885 (UMLS 2011AA ObjectClass)
    C20200 (NCI Thesaurus Property)
    C1274040 (UMLS 2011AA Property)
    C36719 (NCI Thesaurus Property-2)
    C0229640 (UMLS 2011AA Property-2)
    C25613 (NCI Thesaurus ValueDomain)
    C0439165 (UMLS 2011AA ValueDomain)
    C25712 (NCI Thesaurus ValueDomain-2)
    C1522609 (UMLS 2011AA ValueDomain-2)
    LaboratoryProcedureNeutrophilBandFormCountResultPercentageValue
    Item
    Bands (%)
    float
    C20200 (NCI Thesaurus Property)
    C1274040 (UMLS 2011AA Property)
    C25294 (NCI Thesaurus ObjectClass)
    C0022885 (UMLS 2011AA ObjectClass)
    C64830 (NCI Thesaurus Property-2)
    C1882076 (UMLS 2011AA Property-2)
    C49100 (NCI Thesaurus ValueDomain)
    C1704610 (UMLS 2011AA ValueDomain)
    Item
    Was red cell transfusion given as a result of CBC? (1. Required field)
    text
    C25180 (NCI Thesaurus ValueDomain)
    C1522602 (UMLS 2011AA ValueDomain)
    C25639 (NCI Thesaurus Property)
    C1514756 (UMLS 2011AA Property)
    C15408 (NCI Thesaurus ObjectClass)
    Code List
    Was red cell transfusion given as a result of CBC? (1. Required field)
    CL Item
    No Transfusion (No)
    CL Item
    Yes (Yes)
    C49488 (NCI Thesaurus)
    C1705108 (UMLS 2011AA)
    CL Item
    Unknown (Unknown)
    C17998 (NCI Thesaurus)
    C0439673 (UMLS 2011AA)
    CL Item
    Transfusion With Platelets And Red Blood Cells (Yes, both)
    CL Item
    Transfusion With Platelets (Yes, platelets)
    CL Item
    Transfusion With Red Blood Cells (Yes, red blood cells)
    ChemistryLabCollectedDate
    Item
    Test date
    date
    C25164 (NCI Thesaurus ValueDomain)
    C0011008 (UMLS 2011AA ValueDomain)
    C37984 (NCI Thesaurus Property)
    C0022877 (UMLS 2011AA Property)
    C16414 (NCI Thesaurus ObjectClass)
    C0007996 (UMLS 2011AA ObjectClass)
    HepaticSGPT(ALT)LabUnspecifiedValue
    Item
    ALT (acceptable units: IU/L, or mU/mL)
    float
    C13308 (NCI Thesaurus ObjectClass)
    C0205054 (UMLS 2011AA ObjectClass)
    C37984 (NCI Thesaurus Property)
    C0022877 (UMLS 2011AA Property)
    C25293 (NCI Thesaurus Property-2)
    C0376147 (UMLS 2011AA Property-2)
    C38046 (NCI Thesaurus ValueDomain)
    C0205370 (UMLS 2011AA ValueDomain)
    C25712 (NCI Thesaurus ValueDomain-2)
    C1522609 (UMLS 2011AA ValueDomain-2)
    LaboratoryProcedureSerumGlutamicPyruvicTransaminaseResultUpperLimitofNormalValue
    Item
    ALT (institutional upper limit of normal)
    float
    C25294 (NCI Thesaurus ObjectClass)
    C0022885 (UMLS 2011AA ObjectClass)
    C20200 (NCI Thesaurus Property)
    C1274040 (UMLS 2011AA Property)
    C25293 (NCI Thesaurus Property-2)
    C0376147 (UMLS 2011AA Property-2)
    C25712 (NCI Thesaurus ValueDomain)
    C1522609 (UMLS 2011AA ValueDomain)
    C25706 (NCI Thesaurus ValueDomain-2)
    C1519815 (UMLS 2011AA ValueDomain-2)
    HepaticSGOT(AST)LabUnspecifiedValue
    Item
    AST (acceptable units: IU/L, or mU/mL)
    float
    C13308 (NCI Thesaurus ObjectClass)
    C0205054 (UMLS 2011AA ObjectClass)
    C25202 (NCI Thesaurus Property)
    C0242192 (UMLS 2011AA Property)
    C37984 (NCI Thesaurus Property-2)
    C0022877 (UMLS 2011AA Property-2)
    C38046 (NCI Thesaurus ValueDomain)
    C0205370 (UMLS 2011AA ValueDomain)
    C25712 (NCI Thesaurus ValueDomain-2)
    C1522609 (UMLS 2011AA ValueDomain-2)
    LaboratoryProcedureSerumGlutamicOxaloaceticTransferaseResultUnspecifiedUpperLimitofNormalValue
    Item
    AST (institutional upper limit of normal)
    float
    C25294 (NCI Thesaurus ObjectClass)
    C0022885 (UMLS 2011AA ObjectClass)
    C25202 (NCI Thesaurus Property)
    C0242192 (UMLS 2011AA Property)
    C20200 (NCI Thesaurus Property-2)
    C1274040 (UMLS 2011AA Property-2)
    C25712 (NCI Thesaurus ValueDomain)
    C1522609 (UMLS 2011AA ValueDomain)
    C25706 (NCI Thesaurus ValueDomain-2)
    C1519815 (UMLS 2011AA ValueDomain-2)
    HepaticTotalBilirubinLabSpecifiedValue
    Item
    T. Bilirubin (mg/dL)
    float
    C13308 (NCI Thesaurus ObjectClass)
    C0205054 (UMLS 2011AA ObjectClass)
    C37984 (NCI Thesaurus Property)
    C0022877 (UMLS 2011AA Property)
    Bilirubin, Total ULN
    Item
    T. Bilirubin (mg/dL- institutional upper limit of normal)
    float
    C25294 (NCI Thesaurus ObjectClass)
    C0201913 (UMLS CUI-1)
    C20200 (NCI Thesaurus Property)
    C1519815 (UMLS CUI-2)
    C38037 (NCI Thesaurus Property-2)
    C25712 (NCI Thesaurus ValueDomain)
    C38024 (NCI Thesaurus ValueDomain-2)
    C25706 (NCI Thesaurus ValueDomain-3)
    RenalCreatinineLabSpecifiedValue
    Item
    Creatinine (mg/dL)
    float
    C25225 (NCI Thesaurus ObjectClass)
    C0022646 (UMLS 2011AA ObjectClass)
    C399 (NCI Thesaurus Property)
    C0010294 (UMLS 2011AA Property)
    C25294 (NCI Thesaurus Property-2)
    C0022885 (UMLS 2011AA Property-2)
    C25712 (NCI Thesaurus ValueDomain)
    C1522609 (UMLS 2011AA ValueDomain)
    RenalCreatinineLabSpecifiedUpperLimitofNormalValue
    Item
    Creatinine (mg/dL- institutional upper limit of normal)
    float
    C25225 (NCI Thesaurus ObjectClass)
    C0022646 (UMLS 2011AA ObjectClass)
    C399 (NCI Thesaurus Property)
    C0010294 (UMLS 2011AA Property)
    C25294 (NCI Thesaurus Property-2)
    C0022885 (UMLS 2011AA Property-2)
    C25712 (NCI Thesaurus ValueDomain)
    C1522609 (UMLS 2011AA ValueDomain)
    C38024 (NCI Thesaurus ValueDomain-2)
    C0205369 (UMLS 2011AA ValueDomain-2)
    C25706 (NCI Thesaurus ValueDomain-3)
    C1519815 (UMLS 2011AA ValueDomain-3)
    Item Group
    Comments
    Research Comments
    Item
    General Comments
    text
    C25704 (NCI Thesaurus ValueDomain)
    C0947611 (UMLS CUI-1)
    C15319 (NCI Thesaurus ObjectClass)
    C25393 (NCI Thesaurus Property)
    (MM/DD/YYYY)
    Item
    (MM/DD/YYYY) (1. Required field)
    text
    Item Group
    Ccrr Module For Advl0212: Phase I Weekly Report

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