Informationen:
Fehler:
ID
23855
Beschreibung
Follow-Up form for C3D 3.12 Adopters Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=015F32CE-0D72-1F20-E044-0003BA3F9857
Link
Stichworte
Versionen (2)
- 19.09.12 19.09.12 -
- 15.07.17 15.07.17 - Martin Dugas
Hochgeladen am
15. Juli 2017
DOI
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Lizenz
Creative Commons BY-NC 3.0
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C3D Adopter Template Forms
Dates will appear as 'DD-MON-YYYY'
- StudyEvent: FOLLOW-UP
Ähnliche Modelle
Dates will appear as 'DD-MON-YYYY'
- StudyEvent: FOLLOW-UP
Name
Typ
Description | Question | Decode (Coded Value)
Datentyp
Alias
Last Contact Date
Item
Last Contact Date
date
C25164 (NCI Thesaurus Property)
C25164 (NCI Thesaurus ValueDomain)
C47954 (NCI Thesaurus ObjectClass)
C25551 (NCI Thesaurus ObjectClass)
C0805839 (UMLS CUI [1])
C25164 (NCI Thesaurus ValueDomain)
C47954 (NCI Thesaurus ObjectClass)
C25551 (NCI Thesaurus ObjectClass)
C0805839 (UMLS CUI [1])
Item
Patient Contact Type
text
C25284 (NCI Thesaurus ValueDomain)
C16960 (NCI Thesaurus ObjectClass)
C25461 (NCI Thesaurus Property)
C0030705 (UMLS CUI [1,1])
C0337611 (UMLS CUI [1,2])
C0332307 (UMLS CUI [1,3])
C16960 (NCI Thesaurus ObjectClass)
C25461 (NCI Thesaurus Property)
C0030705 (UMLS CUI [1,1])
C0337611 (UMLS CUI [1,2])
C0332307 (UMLS CUI [1,3])
CL Item
Clinic Appointment (Clinic Appointment)
CL Item
Email Contact With Patient (Email Contact w/Patient)
CL Item
Mail Contact With Patient (Mail Contact w/Patient)
CL Item
Telephone Contact With Patient (Telephone Contact w/Patient)
CL Item
Telephone Contact With Patient's Family (Telephone Contact w/Patient's Family)
CL Item
Telephone Contact With Patient's Local Physician (Telephone Contact w/Patient's Local Physician)
CL Item
Social Security Death Index (ssdi) (Social Security Death Index (SSDI)
Treatment Since Last Contact
Item
Treatment Since Last Contact
boolean
C25180 (NCI Thesaurus ValueDomain)
C15368 (NCI Thesaurus ObjectClass)
C25461 (NCI Thesaurus Property)
C25551 (NCI Thesaurus ObjectClass)
C0087111 (UMLS CUI [1,1])
C0205314 (UMLS CUI [1,2])
C15368 (NCI Thesaurus ObjectClass)
C25461 (NCI Thesaurus Property)
C25551 (NCI Thesaurus ObjectClass)
C0087111 (UMLS CUI [1,1])
C0205314 (UMLS CUI [1,2])
Item
Patient Survival Status
text
C25162 (NCI Thesaurus ValueDomain)
C16960 (NCI Thesaurus ObjectClass)
C25688 (NCI Thesaurus Property)
C1148433 (UMLS CUI [1])
C16960 (NCI Thesaurus ObjectClass)
C25688 (NCI Thesaurus Property)
C1148433 (UMLS CUI [1])
CL Item
Alive With Disease (1)
CL Item
Alive With No Evidence Of Disease (2)
CL Item
Alive Disease Status Unknown (3)
CL Item
Unknown (4)
C17998 (NCI Thesaurus)
C0439673 (UMLS 2011AA)
C0439673 (UMLS 2011AA)
CL Item
Died (5)
Survival Status, unknown
Item
Survival Status, unknown explanation
text
C16960 (NCI Thesaurus ObjectClass)
C25688 (NCI Thesaurus Property)
C45255 (NCI Thesaurus ValueDomain)
C42614 (NCI Thesaurus ValueDomain)
C68805 (NCI Thesaurus ValueDomain)
C1148433 (UMLS CUI [1])
C25688 (NCI Thesaurus Property)
C45255 (NCI Thesaurus ValueDomain)
C42614 (NCI Thesaurus ValueDomain)
C68805 (NCI Thesaurus ValueDomain)
C1148433 (UMLS CUI [1])
Note Date
Item
Note Date
date
C25164 (NCI Thesaurus Property)
C25164 (NCI Thesaurus ValueDomain)
C1317574 (NCI Metathesaurus ObjectClass)
C1317574 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
C25164 (NCI Thesaurus ValueDomain)
C1317574 (NCI Metathesaurus ObjectClass)
C1317574 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
Research Comments Text
Item
Research Comments
text
C25704 (NCI Thesaurus ValueDomain)
C15319 (NCI Thesaurus ObjectClass)
C25393 (NCI Thesaurus Property)
C0947611 (UMLS CUI [1])
C15319 (NCI Thesaurus ObjectClass)
C25393 (NCI Thesaurus Property)
C0947611 (UMLS CUI [1])