ID
11922
Beschrijving
GOG Cycle Dose Drug Form Comparison of Four Combination Chemotherapy Regimens Using Cisplatin in Treating Patients With Stage IVB, Recurrent, or Persistent Cancer of the Cervix Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=ABA3A924-559C-246C-E034-0003BA12F5E7
Link
Trefwoorden
Versies (2)
- 18-12-14 18-12-14 - Martin Dugas
- 22-08-15 22-08-15 - Martin Dugas
Geüploaded op
22 augustus 2015
DOI
Voor een aanvraag inloggen.
Licentie
Creative Commons BY-NC 3.0 Legacy
Model Commentaren :
Hier kunt u commentaar leveren op het model. U kunt de tekstballonnen bij de itemgroepen en items gebruiken om er specifiek commentaar op te geven.
Itemgroep Commentaren voor :
Item Commentaren voor :
U moet ingelogd zijn om formulieren te downloaden. AUB inloggen of schrijf u gratis in.
Drug Dose Form Cervical Cancer GOG NCT00064077
FORM D2R
- StudyEvent: GOG Cycle Dose Drug Form
Beschrijving
Treatment Cycle And Modification
Beschrijving
CourseBeginDate
Datatype
date
Beschrijving
CourseIdentification
Datatype
text
Beschrijving
CycleDelayedInd
Datatype
boolean
Beschrijving
CourseDelayDayCount
Datatype
float
Beschrijving
Agent Name
Datatype
text
Alias
- UMLS CUI [1]
- C1521826
Beschrijving
AgentDoseLevelValue
Datatype
text
Alias
- NCI Thesaurus Property
- C25488
- UMLS 2011AA Property
- C0178602
- NCI Thesaurus ObjectClass
- C1708
- UMLS 2011AA ObjectClass
- C0450442
- NCI Thesaurus ValueDomain
- C25712
- UMLS 2011AA ValueDomain
- C1522609
- NCI Thesaurus Property-2
- C25554
- UMLS 2011AA Property-2
- C0441889
Beschrijving
DoseModification(Change)
Datatype
text
Beschrijving
AgentTotalDose(percourse)
Datatype
float
Beschrijving
AgentDoseUnits
Datatype
text
Beschrijving
Body weight
Datatype
float
Maateenheden
- kg
Alias
- UMLS CUI [1]
- C0005910
Beschrijving
Body surface area
Datatype
float
Maateenheden
- m²
Alias
- NCI Thesaurus ObjectClass
- C16960
- NCI Thesaurus Property
- C25157
- UMLS CUI [1]
- C0005902
Beschrijving
PerformanceStatus
Datatype
text
Beschrijving
AssessmentDate
Datatype
date
Beschrijving
Hemoglobin
Datatype
float
Maateenheden
- g/dL
Alias
- UMLS CUI [1]
- C0019046
Beschrijving
Lab,Hematology,HematocritCount
Datatype
float
Beschrijving
WBC
Datatype
float
Maateenheden
- /ul
Alias
- UMLS CUI [1]
- C0023508
Beschrijving
ANC
Datatype
float
Maateenheden
- 1000/ul
Alias
- UMLS CUI [1]
- C0200633
Beschrijving
Peripheral Platelet Count
Datatype
float
Maateenheden
- 1000/uL
Alias
- UMLS CUI [1]
- C0005821
Beschrijving
BUN
Datatype
float
Maateenheden
- mg/dL
Alias
- UMLS CUI [1]
- C0005845
Beschrijving
Creatinine
Datatype
float
Maateenheden
- mg/dL
Alias
- UMLS CUI [1]
- C0201976
Beschrijving
Creatinine Clearance
Datatype
float
Maateenheden
- mL/min
Alias
- UMLS CUI [1]
- C0373595
Beschrijving
AST (SGOT)
Datatype
float
Maateenheden
- U/L
Alias
- UMLS CUI [1]
- C0201899
Beschrijving
Bilirubin, total
Datatype
float
Maateenheden
- mg/dL
Alias
- UMLS CUI [1]
- C0201913
Beschrijving
TumorMarker,CA125Result
Datatype
float
Alias
- NCI Thesaurus ValueDomain
- C25209
- UMLS 2011AA ValueDomain
- C0242485
Beschrijving
LaboratoryProcedureFirstOptionalPerformedSpecify
Datatype
text
Alias
- NCI Thesaurus ObjectClass
- C25294
- UMLS 2011AA ObjectClass
- C0022885
- NCI Thesaurus Property
- C38000
- UMLS 2011AA Property
- C0884358
- NCI Thesaurus Property-2
- C25509
- UMLS 2011AA Property-2
- C1279901
- NCI Thesaurus Property-3
- C25603
- UMLS 2011AA Property-3
- C1518600
- NCI Thesaurus ValueDomain
- C25685
- UMLS 2011AA ValueDomain
- C1521902
Beschrijving
LaboratoryProcedureFirstOptionalPerformedValue
Datatype
float
Alias
- NCI Thesaurus ObjectClass
- C25294
- UMLS 2011AA ObjectClass
- C0022885
- NCI Thesaurus Property
- C38000
- UMLS 2011AA Property
- C0884358
- NCI Thesaurus Property-2
- C25509
- UMLS 2011AA Property-2
- C1279901
- NCI Thesaurus Property-3
- C25603
- UMLS 2011AA Property-3
- C1518600
- NCI Thesaurus ValueDomain
- C25712
- UMLS 2011AA ValueDomain
- C1522609
Beschrijving
LaboratoryProcedureSecondOptionalPerformedSpecify
Datatype
text
Alias
- NCI Thesaurus ObjectClass
- C25294
- UMLS 2011AA ObjectClass
- C0022885
- NCI Thesaurus Property
- C38000
- UMLS 2011AA Property
- C0884358
- NCI Thesaurus Property-2
- C25666
- UMLS 2011AA Property-2
- C0205436
- NCI Thesaurus Property-3
- C25603
- UMLS 2011AA Property-3
- C1518600
- NCI Thesaurus ValueDomain
- C25685
- UMLS 2011AA ValueDomain
- C1521902
Beschrijving
LaboratoryProcedureSecondOptionalPerformedValue
Datatype
float
Alias
- NCI Thesaurus ObjectClass
- C25294
- UMLS 2011AA ObjectClass
- C0022885
- NCI Thesaurus Property
- C38000
- UMLS 2011AA Property
- C0884358
- NCI Thesaurus Property-2
- C25666
- UMLS 2011AA Property-2
- C0205436
- NCI Thesaurus Property-3
- C25603
- UMLS 2011AA Property-3
- C1518600
- NCI Thesaurus ValueDomain
- C25712
- UMLS 2011AA ValueDomain
- C1522609
Beschrijving
Comments
Beschrijving
Footer Module
Beschrijving
ParticipatingGroupCode
Datatype
text
Alias
- NCI Thesaurus ValueDomain
- C25162
- UMLS 2011AA ValueDomain
- C0805701
Beschrijving
ParticipatingGroupProtocolNumber
Datatype
float
Beschrijving
PatientParticipatingIdentifierNumber
Datatype
text
Alias
- NCI Thesaurus ValueDomain
- C25337
- UMLS 2011AA ValueDomain
- C0237753
- NCI Thesaurus ObjectClass
- C16960
- UMLS 2011AA ObjectClass
- C0030705
- NCI Thesaurus Property
- C25608
- UMLS 2011AA Property
- C0679823
- NCI Thesaurus Property-2
- C25364
- UMLS 2011AA Property-2
- C0600091
Beschrijving
Ccrr Module For Gog Cycle Dose Drug Form
Similar models
FORM D2R
- StudyEvent: GOG Cycle Dose Drug Form
C1547383 (UMLS 2011AA ValueDomain)
C25190 (NCI Thesaurus ObjectClass)
C0027361 (UMLS 2011AA ObjectClass)
C25364 (NCI Thesaurus Property)
C0600091 (UMLS 2011AA Property)
C0178602 (UMLS 2011AA Property)
C1708 (NCI Thesaurus ObjectClass)
C0450442 (UMLS 2011AA ObjectClass)
C25712 (NCI Thesaurus ValueDomain)
C1522609 (UMLS 2011AA ValueDomain)
C25554 (NCI Thesaurus Property-2)
C0441889 (UMLS 2011AA Property-2)
C1298908 (UMLS 2011AA)
C25157 (NCI Thesaurus Property)
C0005902 (UMLS CUI [1])
C0242485 (UMLS 2011AA ValueDomain)
C0022885 (UMLS 2011AA ObjectClass)
C38000 (NCI Thesaurus Property)
C0884358 (UMLS 2011AA Property)
C25509 (NCI Thesaurus Property-2)
C1279901 (UMLS 2011AA Property-2)
C25603 (NCI Thesaurus Property-3)
C1518600 (UMLS 2011AA Property-3)
C25685 (NCI Thesaurus ValueDomain)
C1521902 (UMLS 2011AA ValueDomain)
C0022885 (UMLS 2011AA ObjectClass)
C38000 (NCI Thesaurus Property)
C0884358 (UMLS 2011AA Property)
C25509 (NCI Thesaurus Property-2)
C1279901 (UMLS 2011AA Property-2)
C25603 (NCI Thesaurus Property-3)
C1518600 (UMLS 2011AA Property-3)
C25712 (NCI Thesaurus ValueDomain)
C1522609 (UMLS 2011AA ValueDomain)
C0022885 (UMLS 2011AA ObjectClass)
C38000 (NCI Thesaurus Property)
C0884358 (UMLS 2011AA Property)
C25666 (NCI Thesaurus Property-2)
C0205436 (UMLS 2011AA Property-2)
C25603 (NCI Thesaurus Property-3)
C1518600 (UMLS 2011AA Property-3)
C25685 (NCI Thesaurus ValueDomain)
C1521902 (UMLS 2011AA ValueDomain)
C0022885 (UMLS 2011AA ObjectClass)
C38000 (NCI Thesaurus Property)
C0884358 (UMLS 2011AA Property)
C25666 (NCI Thesaurus Property-2)
C0205436 (UMLS 2011AA Property-2)
C25603 (NCI Thesaurus Property-3)
C1518600 (UMLS 2011AA Property-3)
C25712 (NCI Thesaurus ValueDomain)
C1522609 (UMLS 2011AA ValueDomain)
C0805701 (UMLS 2011AA ValueDomain)
C0237753 (UMLS 2011AA ValueDomain)
C16960 (NCI Thesaurus ObjectClass)
C0030705 (UMLS 2011AA ObjectClass)
C25608 (NCI Thesaurus Property)
C0679823 (UMLS 2011AA Property)
C25364 (NCI Thesaurus Property-2)
C0600091 (UMLS 2011AA Property-2)