ID
1993
Descripción
CALGB: 10201 PERIPHERAL BLOOD AND BONE MARROW REPORT FORM Daunorubicin and Cytarabine With or Without Oblimersen in Treating Older Patients With Previously Untreated Acute Myeloid Leukemia Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=AD85FF2B-39F3-35D3-E034-0003BA12F5E7
Link
Palabras clave
Versiones (2)
- 19/9/12 19/9/12 -
- 9/1/15 9/1/15 - Martin Dugas
Subido en
19 de septiembre de 2012
DOI
Para solicitar uno, por favor iniciar sesión.
Licencia
Creative Commons BY-NC 3.0 Legacy
Comentarios del modelo :
Puede comentar sobre el modelo de datos aquí. A través de las burbujas de diálogo en los grupos de elementos y elementos, puede agregar comentarios específicos.
Comentarios de grupo de elementos para :
Comentarios del elemento para :
Para descargar modelos de datos, debe haber iniciado sesión. Por favor iniciar sesión o Registrate gratis.
Leukemia NCT00085124 Lab - CALGB: 10201 PERIPHERAL BLOOD AND BONE MARROW REPORT FORM - 2031273v3.0
Instructions: Complete and submit thie form as required by the protocol. Information in the upper right box must be completed for this form to be accepted. For optimal accuracy use black ink. Mark an X in the appropriate box for fields with a choice. Print text in capital letters. Avoid contact with the edges of the boxes. Cirlce amended items and check "Amended data" box to teh right. If submitting by mail, retain a copy for your records and send the original form for mazimum clarity in transmission and fax to 919-416-4990. If submistting electronically, click the Send button when you have completed the PDF version of the form.
Descripción
Bone Marrow
Descripción
Bone Marrow Differential
Descripción
BoneMarrow,Promyelocytes,CellPercentage
Tipo de datos
double
Descripción
BoneMarrow,Blasts,CellPercentage
Tipo de datos
double
Descripción
BoneMarrow,Lymphocytes,CellPercentage
Tipo de datos
double
Descripción
MarrowMonocytes(%)
Tipo de datos
text
Descripción
MarrowMonoblasts(%)
Tipo de datos
text
Descripción
BoneMarrow,Eosinophils,CellPercentage
Tipo de datos
double
Descripción
BoneMarrow,Basophils,CellPercentage
Tipo de datos
double
Descripción
LaboratoryProcedureErythroidCellBoneMarrowResultPercentageValue
Tipo de datos
double
Alias
- NCI Thesaurus ObjectClass
- C25294
- UMLS 2011AA ObjectClass
- C0022885
- NCI Thesaurus Property
- C12431
- UMLS 2011AA Property
- C0005953
- NCI Thesaurus Property
- C20200
- UMLS 2011AA Property
- C1274040
- NCI Thesaurus Property
- C12508
- UMLS 2011AA Property
- C0007634
- NCI Thesaurus Property
- C13805
- UMLS 2011AA Property
- C1516960
- NCI Thesaurus ValueDomain
- C25613
- UMLS 2011AA ValueDomain
- C0439165
- NCI Thesaurus ValueDomain
- C25712
- UMLS 2011AA ValueDomain
- C1522609
Descripción
MarrowPlasmaCells(%)
Tipo de datos
text
Descripción
MegakaryocyteStatus
Tipo de datos
text
Descripción
%Marrowneutrophils
Tipo de datos
text
Descripción
%MarrowMetamyeocytesandMarrowMyelocytes
Tipo de datos
text
Descripción
Peripheral Blood Differential
Descripción
Lab,Hematology,SampleCollectionDate
Tipo de datos
date
Descripción
Lab,Hematology,Hemoglobin
Tipo de datos
double
Descripción
Lab,Hematology,Platelets
Tipo de datos
double
Descripción
Lab,Hematology,WBC
Tipo de datos
double
Descripción
Lab,Hematology,Neutrophils,CellPercentage
Tipo de datos
double
Descripción
PeripheralMetamyelocytesandMyelocytes(%)
Tipo de datos
text
Descripción
Lab,Hematology,Promyelocytes,CellPercentage
Tipo de datos
double
Descripción
Lab,Hematology,Blasts,CellPercentage
Tipo de datos
double
Descripción
Lab,Hematology,Lymphocytes,CellPercentage
Tipo de datos
double
Descripción
Lab,Hematology,Monocytes,CellPercentage
Tipo de datos
double
Descripción
PeripheralMonoblasts(%)
Tipo de datos
text
Descripción
Lab,Hematology,Eosinophils,CellPercentage
Tipo de datos
double
Descripción
Lab,Hematology,Basophils,CellPercentage
Tipo de datos
double
Descripción
Degree Of Dyspoiesis Present
Descripción
MyelopoiesisPresentRate
Tipo de datos
text
Alias
- NCI Thesaurus Property
- C25626
- UMLS 2011AA Property
- C0150312
- NCI Thesaurus ObjectClass
- C21143
- UMLS 2011AA ObjectClass
- C0525006
- NCI Thesaurus ValueDomain
- C25636
- UMLS 2011AA ValueDomain
- C1521828
Descripción
Erythropoiesis
Tipo de datos
text
Descripción
Megakaryopoiesis
Tipo de datos
text
Descripción
CompletedBy
Tipo de datos
text
Descripción
DateCompleted
Tipo de datos
date
Alias
- NCI Thesaurus ValueDomain
- C25164
- UMLS 2011AA ValueDomain
- C0011008
Descripción
Ccrr Module For Calgb: 10201 Peripheral Blood And Bone Marrow Report Form
Similar models
Instructions: Complete and submit thie form as required by the protocol. Information in the upper right box must be completed for this form to be accepted. For optimal accuracy use black ink. Mark an X in the appropriate box for fields with a choice. Print text in capital letters. Avoid contact with the edges of the boxes. Cirlce amended items and check "Amended data" box to teh right. If submitting by mail, retain a copy for your records and send the original form for mazimum clarity in transmission and fax to 919-416-4990. If submistting electronically, click the Send button when you have completed the PDF version of the form.
C1511726 (UMLS 2011AA ObjectClass)
C25416 (NCI Thesaurus Property)
C1691222 (UMLS 2011AA Property)
C1705108 (UMLS 2011AA)
C1547383 (UMLS 2011AA ValueDomain)
C16960 (NCI Thesaurus ObjectClass)
C0030705 (UMLS 2011AA ObjectClass)
C25536 (NCI Thesaurus Property)
C1555582 (UMLS 2011AA Property)
C1257890 (UMLS 2011AA ObjectClass)
C25364 (NCI Thesaurus Property)
C0600091 (UMLS 2011AA Property)
C0022885 (UMLS 2011AA ObjectClass)
C12431 (NCI Thesaurus Property)
C0005953 (UMLS 2011AA Property)
C20200 (NCI Thesaurus Property)
C1274040 (UMLS 2011AA Property)
C12508 (NCI Thesaurus Property)
C0007634 (UMLS 2011AA Property)
C13805 (NCI Thesaurus Property)
C1516960 (UMLS 2011AA Property)
C25613 (NCI Thesaurus ValueDomain)
C0439165 (UMLS 2011AA ValueDomain)
C25712 (NCI Thesaurus ValueDomain)
C1522609 (UMLS 2011AA ValueDomain)
C0549184 (UMLS 2011AA)
C0205307 (UMLS 2011AA)
C0439673 (UMLS 2011AA)
C0150312 (UMLS 2011AA Property)
C21143 (NCI Thesaurus ObjectClass)
C0525006 (UMLS 2011AA ObjectClass)
C25636 (NCI Thesaurus ValueDomain)
C1521828 (UMLS 2011AA ValueDomain)
C1706089 (UMLS 2011AA)
C1706089 (UMLS 2011AA)
C1706089 (UMLS 2011AA)
C0011008 (UMLS 2011AA ValueDomain)