ID
1618
Description
CALGB: 80101 Adverse Event Form Chemotherapy and Radiation Therapy After Surgery in Treating Patients With Stomach or Esophageal Cancer Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=A35FEF5E-9EE9-11AA-E034-080020C9C0E0
Link
Keywords
Versions (5)
- 9/19/12 9/19/12 -
- 5/28/15 5/28/15 -
- 5/28/15 5/28/15 -
- 6/3/15 6/3/15 -
- 6/3/15 6/3/15 -
Uploaded on
September 19, 2012
DOI
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License
Creative Commons BY-NC 3.0 Legacy
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Esophageal Cancer NCT00052910 Toxicity - CALGB: 80101 Adverse Event Form - 2037247v3.0
No Instruction available.
- StudyEvent: CALGB: 80101 Adverse Event Form
Description
Unnamed2
Description
Patient'sName
Data type
text
Description
ParticipatingGroup
Data type
text
Alias
- NCI Thesaurus ObjectClass
- C17005
- UMLS 2011AA ObjectClass
- C1257890
- NCI Thesaurus Property
- C25364
- UMLS 2011AA Property
- C0600091
Description
PatientHospitalNumber
Data type
text
Description
ParticipatingGroupProtocolNo.
Data type
text
Description
MainMemberInstitution/Affiliate
Data type
text
Description
ParticipatingGroupPatientID
Data type
text
Description
WasanAER/ADRfiledwithCentralOfficebasedonaneventreportedbelow?
Data type
text
Description
Expected Adverse Events
Description
IMTCode
Data type
text
Description
CTCAdverseEventTerm
Data type
text
Description
CTCAdverseEventGrade
Data type
text
Description
CTCAdverseEventAttributionCode
Data type
text
Description
IMTCode(other)
Data type
text
Description
CTCAdverseEventTerm,Other
Data type
text
Description
CompletedBy
Data type
text
Description
DateFormCompleted
Data type
text
Description
Ccrr Module For Calgb: 80101 Adverse Event Form
Similar models
No Instruction available.
- StudyEvent: CALGB: 80101 Adverse Event Form
C1511726 (UMLS 2011AA ObjectClass)
C25416 (NCI Thesaurus Property)
C1691222 (UMLS 2011AA Property)
C1705108 (UMLS 2011AA)
C1257890 (UMLS 2011AA ObjectClass)
C25364 (NCI Thesaurus Property)
C0600091 (UMLS 2011AA Property)
C1298908 (UMLS 2011AA)
C1705108 (UMLS 2011AA)
C0445356 (UMLS 2011AA)