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ID

1684

Beschreibung

The course assessment information when the course is completed, and the patient is evaluated or taken off treatment. Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=ACEDB2DF-2AE4-2B69-E040-BB89AD437A84

Link

https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=ACEDB2DF-2AE4-2B69-E040-BB89AD437A84

Stichworte

Versionen (2)
  1. 19.09.12 19.09.12 -
  2. 15.07.17 15.07.17 - Martin Dugas
Hochgeladen am

19. September 2012

DOI

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Creative Commons BY-NC 3.0
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    Follow-Up - Course Assessment - 3274692v1.0

    Englisch

    No Instruction available.

    1 Formulare  
    1. StudyEvent: Course Assessment
      1. No Instruction available.
    Course Assessment
    Beschreibung

    Course Assessment

    Visit Date (Enter the date the course started.)
    Beschreibung

    FormCompletionDate

    Datentyp

    date

    Alias
    NCI Thesaurus ValueDomain
    C25164
    UMLS 2011AA ValueDomain
    C0011008
    NCI Thesaurus ObjectClass
    C40988
    UMLS 2011AA ObjectClass
    C1516308
    NCI Thesaurus Property
    C25250
    UMLS 2011AA Property
    C0205197
    Start Date of Course (Cycle)
    Beschreibung

    CourseStartDate

    Datentyp

    date

    Alias
    NCI Thesaurus ObjectClass
    C25379
    UMLS 2011AA ObjectClass
    C0750729
    NCI Metathesaurus ObjectClass
    CL219258
    NCI Thesaurus Property
    C25164
    UMLS 2011AA Property
    C0011008
    NCI Thesaurus Property
    C25431
    UMLS 2011AA Property
    C0439659
    NCI Thesaurus ValueDomain
    C25164
    UMLS 2011AA ValueDomain
    C0011008
    Dose Change from TAC Entered on Course Initiation CRF?
    Beschreibung

    PreviousDoseChangeIndicator

    Datentyp

    double

    Alias
    NCI Thesaurus ObjectClass
    C25627
    UMLS 2011AA ObjectClass
    C0205156
    NCI Thesaurus Property
    C25446
    UMLS 2011AA Property
    C0392747
    NCI Thesaurus ObjectClass
    C25488
    UMLS 2011AA ObjectClass
    C0178602
    Course Disposition (Select one of the following values:)
    Beschreibung

    CourseDisposition

    Datentyp

    text

    Alias
    NCI Thesaurus ObjectClass
    C25379
    UMLS 2011AA ObjectClass
    C0750729
    NCI Metathesaurus Property
    C0743223
    NCI Thesaurus ValueDomain
    C25284
    UMLS 2011AA ValueDomain
    C0332307
    NCI Thesaurus ValueDomain
    C25379
    UMLS 2011AA ValueDomain
    C0750729
    NCI Thesaurus ValueDomain
    C41205
    UMLS 2011AA ValueDomain
    C0743223
    Response Assessment
    Beschreibung

    ResponseAssessmentType

    Datentyp

    text

    Alias
    NCI Thesaurus ValueDomain
    C25284
    UMLS 2011AA ValueDomain
    C0332307
    NCI Thesaurus ObjectClass
    C25755
    UMLS 2011AA ObjectClass
    C0871261
    NCI Thesaurus Property
    C25367
    Response Note (Enter the reason why the Response Assessment is Not Evaluable NE or Not Assessed NA.)
    Beschreibung

    ResponseNoteText

    Datentyp

    text

    Alias
    NCI Thesaurus ValueDomain
    C25704
    UMLS 2011AA ValueDomain
    C1527021
    NCI Thesaurus Property
    C25755
    UMLS 2011AA Property
    C0871261
    NCI Thesaurus ObjectClass
    C2991
    UMLS 2011AA ObjectClass
    C0012634
    Date of Response (Note: The original date of onset of response should be used for responses that persist through several courses.)
    Beschreibung

    ResponseObservedDate

    Datentyp

    date

    Alias
    NCI Thesaurus ValueDomain
    C25164
    UMLS 2011AA ValueDomain
    C0011008
    NCI Thesaurus ObjectClass
    C25755
    UMLS 2011AA ObjectClass
    C0871261
    NCI Thesaurus Property
    C15722
    UMLS 2011AA Property
    C0700325
    Date of Progression
    Beschreibung

    ProgressionDate

    Datentyp

    date

    Alias
    NCI Thesaurus Property
    C25164
    UMLS 2011AA Property
    C0011008
    NCI Thesaurus ValueDomain
    C25164
    UMLS 2011AA ValueDomain
    C0011008
    NCI Thesaurus ObjectClass
    C17747
    UMLS 2011AA ObjectClass
    C0242656
    Any Adverse Events in this Course? (Note: The events must be recorded on the Adverse Events case report form.)
    Beschreibung

    AdverseEventOccurrenceIndicator

    Datentyp

    text

    Alias
    NCI Thesaurus ValueDomain
    C25180
    UMLS 2011AA ValueDomain
    C1522602
    NCI Thesaurus ObjectClass
    C41331
    UMLS 2011AA ObjectClass
    C0877248
    NCI Metathesaurus Property
    CL209504
    Zum Seitenanfang zurückkehren

    Ähnliche Modelle

    No Instruction available.

    1 Formulare
    1. StudyEvent: Course Assessment
      1. No Instruction available.
    Name
    Typ
    Description | Question | Decode (Coded Value)
    Datentyp
    Alias
    Item Group
    Course Assessment
    FormCompletionDate
    Item
    Visit Date (Enter the date the course started.)
    date
    C25164 (NCI Thesaurus ValueDomain)
    C0011008 (UMLS 2011AA ValueDomain)
    C40988 (NCI Thesaurus ObjectClass)
    C1516308 (UMLS 2011AA ObjectClass)
    C25250 (NCI Thesaurus Property)
    C0205197 (UMLS 2011AA Property)
    CourseStartDate
    Item
    Start Date of Course (Cycle)
    date
    C25379 (NCI Thesaurus ObjectClass)
    C0750729 (UMLS 2011AA ObjectClass)
    CL219258 (NCI Metathesaurus ObjectClass)
    C25164 (NCI Thesaurus Property)
    C0011008 (UMLS 2011AA Property)
    C25431 (NCI Thesaurus Property)
    C0439659 (UMLS 2011AA Property)
    C25164 (NCI Thesaurus ValueDomain)
    C0011008 (UMLS 2011AA ValueDomain)
    Item
    Dose Change from TAC Entered on Course Initiation CRF?
    double
    C25627 (NCI Thesaurus ObjectClass)
    C0205156 (UMLS 2011AA ObjectClass)
    C25446 (NCI Thesaurus Property)
    C0392747 (UMLS 2011AA Property)
    C25488 (NCI Thesaurus ObjectClass)
    C0178602 (UMLS 2011AA ObjectClass)
    CL.1
    Code List
    Dose Change from TAC Entered on Course Initiation CRF?
    CL Item
    Yes, Planned (1)
    CL Item
    Yes, Unplanned (2)
    CL Item
    No (3)
    C49487 (NCI Thesaurus)
    C1298908 (UMLS 2011AA)
    CL Item
    Unknown (9)
    C17998 (NCI Thesaurus)
    C0439673 (UMLS 2011AA)
    Item
    Course Disposition (Select one of the following values:)
    text
    C25379 (NCI Thesaurus ObjectClass)
    C0750729 (UMLS 2011AA ObjectClass)
    C0743223 (NCI Metathesaurus Property)
    C25284 (NCI Thesaurus ValueDomain)
    C0332307 (UMLS 2011AA ValueDomain)
    C25379 (NCI Thesaurus ValueDomain)
    C0750729 (UMLS 2011AA ValueDomain)
    C41205 (NCI Thesaurus ValueDomain)
    C0743223 (UMLS 2011AA ValueDomain)
    CL.2
    Code List
    Course Disposition (Select one of the following values:)
    CL Item
    Completed (Completed)
    CL Item
    Discontinued (Discontinued)
    C25484 (NCI Thesaurus)
    C1444662 (UMLS 2011AA)
    Item
    Response Assessment
    text
    C25284 (NCI Thesaurus ValueDomain)
    C0332307 (UMLS 2011AA ValueDomain)
    C25755 (NCI Thesaurus ObjectClass)
    C0871261 (UMLS 2011AA ObjectClass)
    C25367 (NCI Thesaurus Property)
    CL.3
    Code List
    Response Assessment
    CL Item
    Not Evauable (NE)
    CL Item
    Not Assessed (NA)
    CL Item
    Not Applicable Per Protocol (NP)
    CL Item
    Too Early (TE)
    CL Item
    Complete Response Unconfirmed (CRU)
    CL Item
    Complete Response (CR)
    CL Item
    Partial Response (PR)
    C18212 (NCI Thesaurus)
    CL Item
    Less Than Partial Response (MR)
    CL Item
    Progressive Disease (PD)
    C35571 (NCI Thesaurus)
    C1335499 (UMLS 2011AA)
    CL Item
    Stable Disease (SD)
    C18213 (NCI Thesaurus)
    C0677946 (UMLS 2011AA)
    CL Item
    Disease Unchanged (DU)
    ResponseNoteText
    Item
    Response Note (Enter the reason why the Response Assessment is Not Evaluable NE or Not Assessed NA.)
    text
    C25704 (NCI Thesaurus ValueDomain)
    C1527021 (UMLS 2011AA ValueDomain)
    C25755 (NCI Thesaurus Property)
    C0871261 (UMLS 2011AA Property)
    C2991 (NCI Thesaurus ObjectClass)
    C0012634 (UMLS 2011AA ObjectClass)
    ResponseObservedDate
    Item
    Date of Response (Note: The original date of onset of response should be used for responses that persist through several courses.)
    date
    C25164 (NCI Thesaurus ValueDomain)
    C0011008 (UMLS 2011AA ValueDomain)
    C25755 (NCI Thesaurus ObjectClass)
    C0871261 (UMLS 2011AA ObjectClass)
    C15722 (NCI Thesaurus Property)
    C0700325 (UMLS 2011AA Property)
    ProgressionDate
    Item
    Date of Progression
    date
    C25164 (NCI Thesaurus Property)
    C0011008 (UMLS 2011AA Property)
    C25164 (NCI Thesaurus ValueDomain)
    C0011008 (UMLS 2011AA ValueDomain)
    C17747 (NCI Thesaurus ObjectClass)
    C0242656 (UMLS 2011AA ObjectClass)
    Item
    Any Adverse Events in this Course? (Note: The events must be recorded on the Adverse Events case report form.)
    text
    C25180 (NCI Thesaurus ValueDomain)
    C1522602 (UMLS 2011AA ValueDomain)
    C41331 (NCI Thesaurus ObjectClass)
    C0877248 (UMLS 2011AA ObjectClass)
    CL209504 (NCI Metathesaurus Property)
    CL.4
    Code List
    Any Adverse Events in this Course? (Note: The events must be recorded on the Adverse Events case report form.)
    CL Item
    Yes (Yes)
    C49488 (NCI Thesaurus)
    C1705108 (UMLS 2011AA)
    CL Item
    No (No)
    C49487 (NCI Thesaurus)
    C1298908 (UMLS 2011AA)
    Zum Seitenanfang zurückkehren 

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