ID

23848

Description

The course initiation Start Date, Arm, Treatment Assignment Code (TAC) and Treating Institution. Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=ACFB66E7-BC95-6D16-E040-BB89AD4363C3

Link

https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=ACFB66E7-BC95-6D16-E040-BB89AD4363C3

Keywords

Versions (2)
  1. 9/19/12 9/19/12 -
  2. 7/15/17 7/15/17 - Martin Dugas
Uploaded on

July 15, 2017

DOI

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License

Creative Commons BY-NC 3.0
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CCR 2011 Template

English

No Instruction available.

1 forms  
  1. StudyEvent: Course Initiation
    1. No Instruction available.
Course Initiation
Description

Course Initiation

Alias
UMLS CUI-1
C0750729
UMLS CUI-2
C1704686
Visit Date
Description

(Enter the date the course started.)

Data type

date

Alias
NCI Thesaurus ValueDomain
C25164
NCI Thesaurus ObjectClass
C40988
NCI Thesaurus Property
C25250
UMLS CUI [1]
C1115437
Course #
Description

Course Number

Data type

integer

Alias
NCI Thesaurus Property
C25337
NCI Thesaurus ValueDomain
C25337
NCI Thesaurus ObjectClass
C25379
UMLS CUI [1]
C2045829
Start Date of Course (Cycle)
Description

Course Start Date

Data type

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
Arm
Description

Protocol Treatment Arm

Data type

text

Alias
NCI Thesaurus ObjectClass
C32141
NCI Thesaurus ObjectClass-2
C42651
NCI Thesaurus ValueDomain
C25712
NCI Thesaurus Property
C25426
UMLS CUI [1]
C1522541
Treatment Assignment
Description

(Select the appropriate code for the patient's treatment assignment as specified.)

Data type

text

Alias
NCI Thesaurus ObjectClass
C15368
NCI Thesaurus ObjectClass-2
C19992
NCI Thesaurus Property
C25162
NCI Thesaurus Property-2
C25426
NCI Thesaurus ValueDomain
C25162
NCI Thesaurus ValueDomain-2
C37948
NCI Thesaurus ValueDomain-3
C25426
NCI Thesaurus ValueDomain-4
C49656
UMLS CUI [1]
C1522541
Treating Institution
Description

Treating Institution

Data type

text

Alias
NCI Thesaurus ValueDomain
C25162
NCI Thesaurus ObjectClass
C25705
NCI Thesaurus ObjectClass-2
C19992
NCI Metathesaurus Property
CL281747
UMLS CUI [1,1]
C0018704
UMLS CUI [1,2]
C1522326
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Similar models

No Instruction available.

1 forms
  1. StudyEvent: Course Initiation
    1. No Instruction available.
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Course Initiation
C0750729 (UMLS CUI-1)
C1704686 (UMLS CUI-2)
Form Completion Date
Item
Visit Date
date
C25164 (NCI Thesaurus ValueDomain)
C40988 (NCI Thesaurus ObjectClass)
C25250 (NCI Thesaurus Property)
C1115437 (UMLS CUI [1])
Course Number
Item
Course #
integer
C25337 (NCI Thesaurus Property)
C25337 (NCI Thesaurus ValueDomain)
C25379 (NCI Thesaurus ObjectClass)
C2045829 (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])
Protocol Treatment Arm
Item
Arm
text
C32141 (NCI Thesaurus ObjectClass)
C42651 (NCI Thesaurus ObjectClass-2)
C25712 (NCI Thesaurus ValueDomain)
C25426 (NCI Thesaurus Property)
C1522541 (UMLS CUI [1])
Enrollment Study Assignment Code
Item
Treatment Assignment
text
C15368 (NCI Thesaurus ObjectClass)
C19992 (NCI Thesaurus ObjectClass-2)
C25162 (NCI Thesaurus Property)
C25426 (NCI Thesaurus Property-2)
C25162 (NCI Thesaurus ValueDomain)
C37948 (NCI Thesaurus ValueDomain-2)
C25426 (NCI Thesaurus ValueDomain-3)
C49656 (NCI Thesaurus ValueDomain-4)
C1522541 (UMLS CUI [1])
Treating Institution
Item
Treating Institution
text
C25162 (NCI Thesaurus ValueDomain)
C25705 (NCI Thesaurus ObjectClass)
C19992 (NCI Thesaurus ObjectClass-2)
CL281747 (NCI Metathesaurus Property)
C0018704 (UMLS CUI [1,1])
C1522326 (UMLS CUI [1,2])
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