ID

23846

Descrição

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

Palavras-chave

Versões (2)
  1. 19/09/2012 19/09/2012 -
  2. 15/07/2017 15/07/2017 - Martin Dugas
Transferido a

15 de julho de 2017

DOI

Para um pedido faça login.

Licença

Creative Commons BY-NC 3.0
Comentários do modelo :

Aqui pode comentar o modelo. Pode comentá-lo especificamente através dos balões de texto nos grupos de itens e itens.

Voltar para os comentários do modelo
Comentários do grupo de itens para :

Comentários do item para :

Para descarregar formulários, precisa de ter uma sessão iniciada. Por favor faça login ou registe-se gratuitamente.

CCR 2011 Template

Inglês

No Instruction available.

1 Formulários  
  1. StudyEvent: Course Assessment
    1. No Instruction available.
Course Assessment
Descrição

Course Assessment

Visit Date
Descrição

(Enter the date the course started.)

Tipo de dados

date

Alias
NCI Thesaurus ValueDomain
C25164
NCI Thesaurus ObjectClass
C40988
NCI Thesaurus Property
C25250
UMLS CUI [1]
C1115437
Start Date of Course (Cycle)
Descrição

Course Start Date

Tipo de dados

date

Alias
NCI Thesaurus ObjectClass
C25379
NCI Metathesaurus ObjectClass
CL219258
NCI Thesaurus Property
C25164
NCI Thesaurus Property-2
C25431
NCI Thesaurus ValueDomain
C25164
UMLS CUI [1,1]
C0750729
UMLS CUI [1,2]
C0808070
Dose Change from TAC Entered on Course Initiation CRF?
Descrição

Dose Change

Tipo de dados

boolean

Alias
NCI Thesaurus ObjectClass
C25627
NCI Thesaurus Property
C25446
NCI Thesaurus ObjectClass-2
C25488
UMLS CUI [1]
C1707811
Course Disposition
Descrição

(Select one of the following values:)

Tipo de dados

integer

Alias
NCI Thesaurus ObjectClass
C25379
NCI Metathesaurus Property
C0743223
NCI Thesaurus ValueDomain
C25284
NCI Thesaurus ValueDomain-2
C25379
NCI Thesaurus ValueDomain-3
C41205
UMLS CUI [1,1]
C0750729
UMLS CUI [1,2]
C0743223
Response Assessment
Descrição

Disease Response

Tipo de dados

text

Alias
NCI Thesaurus ValueDomain
C25284
NCI Thesaurus ObjectClass
C25755
NCI Thesaurus Property
C25367
UMLS CUI [1]
C1704632
Response Note
Descrição

(Enter the reason why the Response Assessment is Not Evaluable NE or Not Assessed NA.)

Tipo de dados

text

Alias
NCI Thesaurus ValueDomain
C25704
NCI Thesaurus Property
C25755
NCI Thesaurus ObjectClass
C2991
UMLS CUI [1,1]
C1704632
UMLS CUI [1,2]
C0947611
Date of Response
Descrição

(Note: The original date of onset of response should be used for responses that persist through several courses.)

Tipo de dados

date

Alias
NCI Thesaurus ValueDomain
C25164
NCI Thesaurus ObjectClass
C25755
NCI Thesaurus Property
C15722
UMLS CUI [1,1]
C1704632
UMLS CUI [1,2]
C0011008
Date of Progression
Descrição

Progression Date

Tipo de dados

date

Alias
NCI Thesaurus Property
C25164
NCI Thesaurus ValueDomain
C25164
NCI Thesaurus ObjectClass
C17747
UMLS CUI [1,1]
C0242656
UMLS CUI [1,2]
C0011008
Any Adverse Events in this Course?
Descrição

(Note: The events must be recorded on the Adverse Events case report form.)

Tipo de dados

boolean

Alias
NCI Thesaurus ValueDomain
C25180
NCI Thesaurus ObjectClass
C41331
NCI Metathesaurus Property
CL209504
UMLS CUI [1]
C2697887
Voltar ao início da página

Similar models

No Instruction available.

1 Formulários
  1. StudyEvent: Course Assessment
    1. No Instruction available.
Name
Tipo
Description | Question | Decode (Coded Value)
Tipo de dados
Alias
Item Group
Course Assessment
Form Completion Date
Item
Visit Date
date
C25164 (NCI Thesaurus ValueDomain)
C40988 (NCI Thesaurus ObjectClass)
C25250 (NCI Thesaurus Property)
C1115437 (UMLS CUI [1])
Course Start Date
Item
Start Date of Course (Cycle)
date
C25379 (NCI Thesaurus ObjectClass)
CL219258 (NCI Metathesaurus ObjectClass)
C25164 (NCI Thesaurus Property)
C25431 (NCI Thesaurus Property-2)
C25164 (NCI Thesaurus ValueDomain)
C0750729 (UMLS CUI [1,1])
C0808070 (UMLS CUI [1,2])
Dose Change
Item
Dose Change from TAC Entered on Course Initiation CRF?
boolean
C25627 (NCI Thesaurus ObjectClass)
C25446 (NCI Thesaurus Property)
C25488 (NCI Thesaurus ObjectClass-2)
C1707811 (UMLS CUI [1])
Item
Course Disposition
integer
C25379 (NCI Thesaurus ObjectClass)
C0743223 (NCI Metathesaurus Property)
C25284 (NCI Thesaurus ValueDomain)
C25379 (NCI Thesaurus ValueDomain-2)
C41205 (NCI Thesaurus ValueDomain-3)
C0750729 (UMLS CUI [1,1])
C0743223 (UMLS CUI [1,2])
CL.2
Code List
Course Disposition
CL Item
Completed (1)
C0205197 (UMLS CUI-1)
CL Item
Discontinued (2)
C1444662 (UMLS CUI-1)
Item
Response Assessment
text
C25284 (NCI Thesaurus ValueDomain)
C25755 (NCI Thesaurus ObjectClass)
C25367 (NCI Thesaurus Property)
C1704632 (UMLS CUI [1])
CL.3
Code List
Response Assessment
CL Item
Not Evaluable (NE)
C1883425 (UMLS CUI-1)
CL Item
Not Assessed (NA)
C3846720 (UMLS CUI-1)
CL Item
Not Applicable Per Protocol (NP)
C1272460 (UMLS CUI-1)
CL Item
Too Early (TE)
C4018905 (UMLS CUI-1)
CL Item
Complete Response Unconfirmed (CRU)
C1275810 (UMLS CUI-1)
C3842247 (UMLS CUI-2)
CL Item
Complete Response (CR)
C1275810 (UMLS CUI-1)
CL Item
Partial Response (PR)
C18212 (NCI Thesaurus)
C1521726 (UMLS CUI-1)
CL Item
Less Than Partial Response (MR)
C1521726 (UMLS CUI-1)
C0439092 (UMLS CUI-2)
CL Item
Progressive Disease (PD)
C35571 (NCI Thesaurus)
C1335499 (UMLS CUI-1)
CL Item
Stable Disease (SD)
C18213 (NCI Thesaurus)
C0677946 (UMLS CUI-1)
CL Item
Disease Unchanged (DU)
C0442739 (UMLS CUI-1)
Response Note Text
Item
Response Note
text
C25704 (NCI Thesaurus ValueDomain)
C25755 (NCI Thesaurus Property)
C2991 (NCI Thesaurus ObjectClass)
C1704632 (UMLS CUI [1,1])
C0947611 (UMLS CUI [1,2])
Response Date
Item
Date of Response
date
C25164 (NCI Thesaurus ValueDomain)
C25755 (NCI Thesaurus ObjectClass)
C15722 (NCI Thesaurus Property)
C1704632 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
Progression Date
Item
Date of Progression
date
C25164 (NCI Thesaurus Property)
C25164 (NCI Thesaurus ValueDomain)
C17747 (NCI Thesaurus ObjectClass)
C0242656 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
Adverse Event Occurrence
Item
Any Adverse Events in this Course?
boolean
C25180 (NCI Thesaurus ValueDomain)
C41331 (NCI Thesaurus ObjectClass)
CL209504 (NCI Metathesaurus Property)
C2697887 (UMLS CUI [1])
Voltar ao início da página 

Contacto

Use este formulário para feedback, perguntas e sugestões de aperfeiçoamento.

Campos marcados com * são obrigatórios.

Ajuda

Do you need help on how to use the search function? Please watch the corresponding tutorial video for more details and learn how to use the search function most efficiently.

Watch Tutorial