ID
1331
Description
NSABP PROTOCOL C-08: BASELINE HYPERTENSION STATUS FORM Fluorouracil, Leucovorin, and Oxaliplatin With or Without Bevacizumab in Treating Patients Who Have Undergone Surgery for Stage II or Stage III Colon Cancer Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=D7FA2647-04C2-625B-E034-0003BA12F5E7
Link
Keywords
Versions (3)
- 8/27/12 8/27/12 -
- 1/9/15 1/9/15 - Martin Dugas
- 6/9/15 6/9/15 -
Uploaded on
August 27, 2012
DOI
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License
Creative Commons BY-NC 3.0 Legacy
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Colorectal Cancer NCT00096278 Pre-Study - NSABP PROTOCOL C-08: BASELINE HYPERTENSION STATUS FORM - 2277018v3.0
This form should be completed before the patient begins protocol therapy.
- StudyEvent: NSABP PROTOCOL C-08: BASELINE HYPERTENSION STATUS FORM
Description
Unnamed2
Description
BloodPressure,Systolic
Data type
double
Alias
- NCI Thesaurus ValueDomain
- C25209
- UMLS 2011AA ValueDomain
- C0242485
Description
Bloodpressure,Diastolic
Data type
text
Alias
- NCI Thesaurus Property
- C25214
- UMLS 2011AA Property
- C0220825
- NCI Thesaurus ObjectClass
- C25299
- UMLS 2011AA ObjectClass
- C0428883
Description
AssessmentPerformedDate
Data type
date
Alias
- NCI Thesaurus ValueDomain
- C25164
- UMLS 2011AA ValueDomain
- C0011008
- NCI Thesaurus ObjectClass
- C25367
- NCI Thesaurus ValueDomain
- C25367
- NCI Thesaurus Property
- C38000
- UMLS 2011AA Property
- C0884358
Description
AntihypertensiveAgentAdministeredInd-2
Data type
text
Alias
- NCI Thesaurus ValueDomain
- C38147
- UMLS 2011AA ValueDomain
- C1512698
- NCI Thesaurus ObjectClass
- C270
- UMLS 2011AA ObjectClass
- C0003364
- NCI Thesaurus Property
- C25382
- UMLS 2011AA Property
- C1521801
Description
AgentName
Data type
text
Alias
- NCI Thesaurus Property
- C25364
- UMLS 2011AA Property
- C0600091
- NCI Thesaurus ObjectClass
- C1708
- UMLS 2011AA ObjectClass
- C0450442
- NCI Thesaurus ValueDomain
- C1708
- UMLS 2011AA ValueDomain
- C0450442
- NCI Thesaurus ValueDomain
- C42614
- UMLS 2011AA ValueDomain
- C0027365
Description
RadiationTherapyDose
Data type
text
Alias
- NCI Thesaurus ObjectClass
- C15313
- UMLS 2011AA ObjectClass
- C1522449
- NCI Thesaurus Property
- C25256
- UMLS 2011AA Property
- C1265611
Description
AgentDoseUOM
Data type
text
Alias
- NCI Thesaurus ObjectClass
- C1708
- UMLS 2011AA ObjectClass
- C0450442
- NCI Thesaurus Property
- C25256
- UMLS 2011AA Property
- C1265611
- NCI Thesaurus ValueDomain
- C25709
- UMLS 2011AA ValueDomain
- C1519795
Description
Frequency
Data type
text
Alias
- NCI Thesaurus ObjectClass
- C25515
- UMLS 2011AA ObjectClass
- C0439603
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This form should be completed before the patient begins protocol therapy.
- StudyEvent: NSABP PROTOCOL C-08: BASELINE HYPERTENSION STATUS FORM
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