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ID

1806

Description

AMC-059 Pharmacodynamics Form PTC299 in Treating Patients With HIV-Related Kaposi Sarcoma Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=546E02D4-D584-2B4F-E044-0003BA3F9857

Lien

https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=546E02D4-D584-2B4F-E044-0003BA3F9857

Mots-clés

Versions (2)
  1. 19/09/12 19/09/12 -
  2. 18/07/17 18/07/17 - Martin Dugas
Téléchargé le

19 settembre 2012

DOI

Pour une demande vous connecter.

Licence

Creative Commons BY-NC 3.0
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    Kaposi's Sarcoma NCT00686842 Lab - AMC-059 Pharmacodynamics Form - 2774589v1.0

    Anglais

    No Instruction available.

    1 Formulaires  
    1. StudyEvent: AMC-059 Pharmacodynamics Form
      1. No Instruction available.
    Header Module
    Description

    Header Module

    Visit number
    Description

    HospitalAdmissionOrdinalNumber

    Type de données

    double

    Alias
    NCI Thesaurus ValueDomain
    C25337
    UMLS 2011AA ValueDomain
    C0237753
    NCI Thesaurus ObjectClass
    C16696
    UMLS 2011AA ObjectClass
    C0019994
    NCI Thesaurus Property
    C25385
    UMLS 2011AA Property
    C0809949
    Cycle Start Date (mm/dd/yyyy)
    Description

    TreatmentCourseBeginDate

    Type de données

    date

    Alias
    NCI Thesaurus ValueDomain
    C25164
    UMLS 2011AA ValueDomain
    C0011008
    NCI Thesaurus ObjectClass
    C15368
    NCI Thesaurus ValueDomain
    C25431
    UMLS 2011AA ValueDomain
    C0439659
    NCI Thesaurus Property
    C25379
    UMLS 2011AA Property
    C0750729
    Pharmacodynamics
    Description

    Pharmacodynamics

    Cycle Number
    Description

    TherapyCourseAdministeredCount

    Type de données

    text

    Alias
    NCI Thesaurus ObjectClass
    C15368
    NCI Thesaurus ValueDomain
    C25463
    UMLS 2011AA ValueDomain
    C0750480
    NCI Thesaurus Property
    C25379
    UMLS 2011AA Property
    C0750729
    NCI Thesaurus Property
    C25382
    UMLS 2011AA Property
    C1521801
    Day of cycle
    Description

    AdministeredAgentDayCourseType

    Type de données

    text

    Alias
    NCI Thesaurus ObjectClass
    C41161
    UMLS 2011AA ObjectClass
    C1521826
    NCI Thesaurus ObjectClass
    C25382
    UMLS 2011AA ObjectClass
    C1521801
    NCI Thesaurus Property
    C25301
    UMLS 2011AA Property
    C0439228
    NCI Thesaurus Property
    C25379
    UMLS 2011AA Property
    C0750729
    NCI Thesaurus ValueDomain
    C25284
    UMLS 2011AA ValueDomain
    C0332307
    Date Agent Administered (mm/dd/yyyy)
    Description

    AgentAdministeredDate

    Type de données

    date

    Alias
    NCI Thesaurus ValueDomain
    C25164
    UMLS 2011AA ValueDomain
    C0011008
    NCI Thesaurus ValueDomain
    C25367
    NCI Thesaurus ObjectClass
    C1708
    UMLS 2011AA ObjectClass
    C0450442
    NCI Thesaurus Property
    C25382
    UMLS 2011AA Property
    C1521801
    Time Collected (hh:mm)
    Description

    SpecimenCollectedTime

    Type de données

    time

    Alias
    NCI Thesaurus ValueDomain
    C25207
    UMLS 2011AA ValueDomain
    C0040223
    NCI Thesaurus ObjectClass
    C19157
    UMLS 2011AA ObjectClass
    C0370003
    NCI Thesaurus Property
    C25452
    NCI Thesaurus Property
    C25275
    UMLS 2011AA Property
    C2745955
    Collection period (Post-dose)
    Description

    BloodSpecimenCollectionPeriodType

    Type de données

    text

    Alias
    NCI Thesaurus ObjectClass
    C12434
    UMLS 2011AA ObjectClass
    C0229664
    NCI Thesaurus ObjectClass
    C19157
    UMLS 2011AA ObjectClass
    C0370003
    NCI Thesaurus Property
    C25616
    UMLS 2011AA Property
    C1948053
    NCI Thesaurus Property
    C25453
    UMLS 2011AA Property
    C1516698
    NCI Thesaurus ValueDomain
    C25284
    UMLS 2011AA ValueDomain
    C0332307
    Comments
    Description

    Comments

    Comments
    Description

    ResearchCommentsText

    Type de données

    text

    Alias
    NCI Thesaurus ValueDomain
    C25704
    UMLS 2011AA ValueDomain
    C1527021
    NCI Thesaurus ObjectClass
    C15319
    NCI Thesaurus Property
    C25393
    UMLS 2011AA Property
    C0282411
    Retour au début de la page

    Similar models

    No Instruction available.

    1 Formulaires
    1. StudyEvent: AMC-059 Pharmacodynamics Form
      1. No Instruction available.
    Name
    Type
    Description | Question | Decode (Coded Value)
    Type de données
    Alias
    Item Group
    Header Module
    HospitalAdmissionOrdinalNumber
    Item
    Visit number
    double
    C25337 (NCI Thesaurus ValueDomain)
    C0237753 (UMLS 2011AA ValueDomain)
    C16696 (NCI Thesaurus ObjectClass)
    C0019994 (UMLS 2011AA ObjectClass)
    C25385 (NCI Thesaurus Property)
    C0809949 (UMLS 2011AA Property)
    TreatmentCourseBeginDate
    Item
    Cycle Start Date (mm/dd/yyyy)
    date
    C25164 (NCI Thesaurus ValueDomain)
    C0011008 (UMLS 2011AA ValueDomain)
    C15368 (NCI Thesaurus ObjectClass)
    C25431 (NCI Thesaurus ValueDomain)
    C0439659 (UMLS 2011AA ValueDomain)
    C25379 (NCI Thesaurus Property)
    C0750729 (UMLS 2011AA Property)
    Item Group
    Pharmacodynamics
    Item
    Cycle Number
    text
    C15368 (NCI Thesaurus ObjectClass)
    C25463 (NCI Thesaurus ValueDomain)
    C0750480 (UMLS 2011AA ValueDomain)
    C25379 (NCI Thesaurus Property)
    C0750729 (UMLS 2011AA Property)
    C25382 (NCI Thesaurus Property)
    C1521801 (UMLS 2011AA Property)
    CL.1
    Code List
    Cycle Number
    CL Item
    1 (1)
    CL Item
    2 (2)
    C66833 (NCI Thesaurus)
    C0205448 (UMLS 2011AA)
    Item
    Day of cycle
    text
    C41161 (NCI Thesaurus ObjectClass)
    C1521826 (UMLS 2011AA ObjectClass)
    C25382 (NCI Thesaurus ObjectClass)
    C1521801 (UMLS 2011AA ObjectClass)
    C25301 (NCI Thesaurus Property)
    C0439228 (UMLS 2011AA Property)
    C25379 (NCI Thesaurus Property)
    C0750729 (UMLS 2011AA Property)
    C25284 (NCI Thesaurus ValueDomain)
    C0332307 (UMLS 2011AA ValueDomain)
    CL.2
    Code List
    Day of cycle
    CL Item
    Day 1 (Day 1)
    CL Item
    Day 15 (Day 15)
    CL Item
    Day 28 (Day 28)
    AgentAdministeredDate
    Item
    Date Agent Administered (mm/dd/yyyy)
    date
    C25164 (NCI Thesaurus ValueDomain)
    C0011008 (UMLS 2011AA ValueDomain)
    C25367 (NCI Thesaurus ValueDomain)
    C1708 (NCI Thesaurus ObjectClass)
    C0450442 (UMLS 2011AA ObjectClass)
    C25382 (NCI Thesaurus Property)
    C1521801 (UMLS 2011AA Property)
    SpecimenCollectedTime
    Item
    Time Collected (hh:mm)
    time
    C25207 (NCI Thesaurus ValueDomain)
    C0040223 (UMLS 2011AA ValueDomain)
    C19157 (NCI Thesaurus ObjectClass)
    C0370003 (UMLS 2011AA ObjectClass)
    C25452 (NCI Thesaurus Property)
    C25275 (NCI Thesaurus Property)
    C2745955 (UMLS 2011AA Property)
    Item
    Collection period (Post-dose)
    text
    C12434 (NCI Thesaurus ObjectClass)
    C0229664 (UMLS 2011AA ObjectClass)
    C19157 (NCI Thesaurus ObjectClass)
    C0370003 (UMLS 2011AA ObjectClass)
    C25616 (NCI Thesaurus Property)
    C1948053 (UMLS 2011AA Property)
    C25453 (NCI Thesaurus Property)
    C1516698 (UMLS 2011AA Property)
    C25284 (NCI Thesaurus ValueDomain)
    C0332307 (UMLS 2011AA ValueDomain)
    CL.3
    Code List
    Collection period (Post-dose)
    CL Item
    Baseline (Baseline)
    C25213 (NCI Thesaurus)
    C1442488 (UMLS 2011AA)
    CL Item
    Hour 1 (Hour 1)
    CL Item
    Hour 2 (Hour 2)
    CL Item
    Hour 3 (Hour 3)
    CL Item
    Hour 4 (Hour 4)
    CL Item
    Hour 5 (Hour 5)
    CL Item
    Hour 6 (Hour 6)
    CL Item
    Hour 8 (Hour 8)
    Item Group
    Comments
    ResearchCommentsText
    Item
    Comments
    text
    C25704 (NCI Thesaurus ValueDomain)
    C1527021 (UMLS 2011AA ValueDomain)
    C15319 (NCI Thesaurus ObjectClass)
    C25393 (NCI Thesaurus Property)
    C0282411 (UMLS 2011AA Property)
    Retour au début de la page 

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