ID

11970

Descripción

Pharmacodynamics Form for Protocol #40 - PR4003 Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=CCE4149D-4174-4BF9-E034-0003BA12F5E7

Link

https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=CCE4149D-4174-4BF9-E034-0003BA12F5E7

Palabras clave

  1. 19/9/12 19/9/12 -
  2. 27/8/15 27/8/15 - Martin Dugas
Subido en

27 de agosto de 2015

DOI

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Licencia

Creative Commons BY-NC 3.0 Legacy

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Pharmacodynamics Form Sarcoma, Kaposi Protocol #40 - PR4003

No Instruction available.

  1. StudyEvent: Pharmacodynamics Form for Protocol #40 - PR4003
    1. No Instruction available.
Patient data
Descripción

Patient data

Alias
UMLS CUI-1
C2707520
Patient Initials
Descripción

Patient Initials

Tipo de datos

text

Alias
UMLS CUI [1]
C2986440
Study#
Descripción

Study#

Tipo de datos

text

Site#
Descripción

Site#

Tipo de datos

text

ID#
Descripción

ID#

Tipo de datos

text

Cycle#
Descripción

Cycle#

Tipo de datos

text

Visit date
Descripción

Visit date

Tipo de datos

date

Alias
UMLS CUI [1]
C1320303
Height
Descripción

Height

Tipo de datos

float

Unidades de medida
  • cm
Alias
UMLS CUI [1]
C0005890
cm
Body weight
Descripción

Weight

Tipo de datos

float

Unidades de medida
  • kg
Alias
UMLS CUI [1]
C0005910
kg
Body surface area
Descripción

BSA

Tipo de datos

float

Unidades de medida
Alias
UMLS CUI [1]
C0005902
Total Flavopiridol dose for the cycle
Descripción

TotalFlavopiridoldoseforthecycle

Tipo de datos

text

Just prior to the start of flavopiridol, date
Descripción

Justpriortothestartofflavopiridol,date

Tipo de datos

text

Just prior to the start of flavopiridol, time
Descripción

Justpriortothestartofflavopiridol,time

Tipo de datos

text

At completion of flavopiridol infusion, date
Descripción

Atcompletionofflavopiridolinfusion,date

Tipo de datos

text

At completion of flavopiridol infusion, time
Descripción

Atcompletionofflavopiridolinfusion,time

Tipo de datos

text

60 minutes post-initiation of flavopiridol infusion, date
Descripción

60minutespost-initiationofflavopiridolinfusion,date

Tipo de datos

text

60 minutes post-initiation of flavopiridol infusion, time
Descripción

60minutespost-initiationofflavopiridolinfusion,time

Tipo de datos

text

20 hours post-initiation of flavopiridol infusion, date
Descripción

20hourspost-initiationofflavopiridolinfusion,date

Tipo de datos

text

20 hours post-initiation of flavopiridol infusion, time
Descripción

20hourspost-initiationofflavopiridolinfusion,time

Tipo de datos

text

Similar models

No Instruction available.

  1. StudyEvent: Pharmacodynamics Form for Protocol #40 - PR4003
    1. No Instruction available.
Name
Tipo
Description | Question | Decode (Coded Value)
Tipo de datos
Alias
Item Group
Patient data
C2707520 (UMLS CUI-1)
Patient Initials
Item
Patient Initials
text
C2986440 (UMLS CUI [1])
Study#
Item
Study#
text
Site#
Item
Site#
text
ID#
Item
ID#
text
Cycle#
Item
Cycle#
text
Visit date
Item
Visit date
date
C1320303 (UMLS CUI [1])
Height
Item
Height
float
C0005890 (UMLS CUI [1])
Weight
Item
Body weight
float
C0005910 (UMLS CUI [1])
BSA
Item
Body surface area
float
C0005902 (UMLS CUI [1])
TotalFlavopiridoldoseforthecycle
Item
Total Flavopiridol dose for the cycle
text
Justpriortothestartofflavopiridol,date
Item
Just prior to the start of flavopiridol, date
text
Justpriortothestartofflavopiridol,time
Item
Just prior to the start of flavopiridol, time
text
Atcompletionofflavopiridolinfusion,date
Item
At completion of flavopiridol infusion, date
text
Atcompletionofflavopiridolinfusion,time
Item
At completion of flavopiridol infusion, time
text
60minutespost-initiationofflavopiridolinfusion,date
Item
60 minutes post-initiation of flavopiridol infusion, date
text
60minutespost-initiationofflavopiridolinfusion,time
Item
60 minutes post-initiation of flavopiridol infusion, time
text
20hourspost-initiationofflavopiridolinfusion,date
Item
20 hours post-initiation of flavopiridol infusion, date
text
20hourspost-initiationofflavopiridolinfusion,time
Item
20 hours post-initiation of flavopiridol infusion, time
text

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