ID

23935

Beschrijving

Kaposi Sarcoma NCT00686842 Lab - AMC-059 Pharmacodynamics Form - 2774589v1.0 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

Link

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

Trefwoorden

Versies (2)
  1. 19-09-12 19-09-12 -
  2. 18-07-17 18-07-17 - Martin Dugas
Geüploaded op

18 juli 2017

DOI

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Licentie

Creative Commons BY-NC 3.0
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Kaposi Sarcoma PTC299 NCT00686842 AMC-059

Engels

No Instruction available.

1 Formulieren  
  1. StudyEvent: AMC-059 Pharmacodynamics Form
    1. No Instruction available.
Header Module
Beschrijving

Header Module

Alias
UMLS CUI-1
C1320722
Visit number
Beschrijving

Hospital Admission Number

Datatype

text

Alias
NCI Thesaurus ValueDomain
C25337
NCI Thesaurus ObjectClass
C16696
NCI Thesaurus Property
C25385
UMLS CUI [1]
C1549755
Course Begin Date
Beschrijving

Chemotherapy Cycle Start Date

Datatype

date

Alias
NCI Thesaurus ValueDomain
C25164
NCI Thesaurus ObjectClass
C15368
NCI Thesaurus ValueDomain-2
C25431
NCI Thesaurus Property
C25379
UMLS CUI [1,1]
C1302181
UMLS CUI [1,2]
C3173309
Comments
Beschrijving

Research Comments

Datatype

text

Alias
NCI Thesaurus ValueDomain
C25704
NCI Thesaurus ObjectClass
C15319
NCI Thesaurus Property
C25393
UMLS CUI [1]
C0947611
Pharmacodynamics
Beschrijving

Pharmacodynamics

Alias
UMLS CUI-1
C0851347
Cycle Number
Beschrijving

Cycle Number

Datatype

text

Alias
NCI Thesaurus ObjectClass
C15368
NCI Thesaurus ValueDomain
C25463
NCI Thesaurus Property
C25379
NCI Thesaurus Property-2
C25382
UMLS CUI [1]
C2045829
Day of cycle
Beschrijving

Day of cycle

Datatype

text

Alias
NCI Thesaurus ObjectClass
C41161
NCI Thesaurus ObjectClass-2
C25382
NCI Thesaurus Property
C25301
NCI Thesaurus Property-2
C25379
NCI Thesaurus ValueDomain
C25284
UMLS CUI [1,1]
C0439228
UMLS CUI [1,2]
C0750729
Date Agent Administered
Beschrijving

Agent Administered Date

Datatype

date

Maateenheden
  • mm/dd/yyyy
Alias
NCI Thesaurus ValueDomain
C25164
NCI Thesaurus ValueDomain-2
C25367
NCI Thesaurus ObjectClass
C1708
NCI Thesaurus Property
C25382
UMLS CUI [1,1]
C0450442
UMLS CUI [1,2]
C1521801
UMLS CUI [1,3]
C0011008
mm/dd/yyyy
Time Collected
Beschrijving

Specimen Collection Time

Datatype

time

Maateenheden
  • hh:mm
Alias
NCI Thesaurus ValueDomain
C25207
NCI Thesaurus ObjectClass
C19157
NCI Thesaurus Property
C25452
NCI Thesaurus Property-2
C25275
UMLS CUI [1,1]
C0200345
UMLS CUI [1,2]
C0040223
hh:mm
Collection period (Post-dose)
Beschrijving

Collection Period

Datatype

text

Alias
NCI Thesaurus ObjectClass
C12434
NCI Thesaurus ObjectClass-2
C19157
NCI Thesaurus Property
C25616
NCI Thesaurus Property-2
C25453
NCI Thesaurus ValueDomain
C25284
UMLS CUI [1,1]
C0370003
UMLS CUI [1,2]
C1948053
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Similar models

No Instruction available.

1 Formulieren
  1. StudyEvent: AMC-059 Pharmacodynamics Form
    1. No Instruction available.
Name
Type
Description | Question | Decode (Coded Value)
Datatype
Alias
Item Group
Header Module
C1320722 (UMLS CUI-1)
Hospital Admission Number
Item
Visit number
text
C25337 (NCI Thesaurus ValueDomain)
C16696 (NCI Thesaurus ObjectClass)
C25385 (NCI Thesaurus Property)
C1549755 (UMLS CUI [1])
Chemotherapy Cycle Start Date
Item
Course Begin Date
date
C25164 (NCI Thesaurus ValueDomain)
C15368 (NCI Thesaurus ObjectClass)
C25431 (NCI Thesaurus ValueDomain-2)
C25379 (NCI Thesaurus Property)
C1302181 (UMLS CUI [1,1])
C3173309 (UMLS CUI [1,2])
Research Comments
Item
Comments
text
C25704 (NCI Thesaurus ValueDomain)
C15319 (NCI Thesaurus ObjectClass)
C25393 (NCI Thesaurus Property)
C0947611 (UMLS CUI [1])
Item Group
Pharmacodynamics
C0851347 (UMLS CUI-1)
Item
Cycle Number
text
C15368 (NCI Thesaurus ObjectClass)
C25463 (NCI Thesaurus ValueDomain)
C25379 (NCI Thesaurus Property)
C25382 (NCI Thesaurus Property-2)
C2045829 (UMLS CUI [1])
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)
C25382 (NCI Thesaurus ObjectClass-2)
C25301 (NCI Thesaurus Property)
C25379 (NCI Thesaurus Property-2)
C25284 (NCI Thesaurus ValueDomain)
C0439228 (UMLS CUI [1,1])
C0750729 (UMLS CUI [1,2])
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)
Agent Administered Date
Item
Date Agent Administered
date
C25164 (NCI Thesaurus ValueDomain)
C25367 (NCI Thesaurus ValueDomain-2)
C1708 (NCI Thesaurus ObjectClass)
C25382 (NCI Thesaurus Property)
C0450442 (UMLS CUI [1,1])
C1521801 (UMLS CUI [1,2])
C0011008 (UMLS CUI [1,3])
Specimen Collection Time
Item
Time Collected
time
C25207 (NCI Thesaurus ValueDomain)
C19157 (NCI Thesaurus ObjectClass)
C25452 (NCI Thesaurus Property)
C25275 (NCI Thesaurus Property-2)
C0200345 (UMLS CUI [1,1])
C0040223 (UMLS CUI [1,2])
Item
Collection period (Post-dose)
text
C12434 (NCI Thesaurus ObjectClass)
C19157 (NCI Thesaurus ObjectClass-2)
C25616 (NCI Thesaurus Property)
C25453 (NCI Thesaurus Property-2)
C25284 (NCI Thesaurus ValueDomain)
C0370003 (UMLS CUI [1,1])
C1948053 (UMLS CUI [1,2])
CL.3
Code List
Collection period (Post-dose)
CL Item
Baseline (Baseline)
C25213 (NCI Thesaurus)
C1442488 (UMLS CUI-1)
(Comment:en)
CL Item
Hour 1 (Hour 1)
C1442450 (UMLS CUI-1)
(Comment:en)
CL Item
Hour 2 (Hour 2)
C1292425 (UMLS CUI-1)
(Comment:en)
CL Item
Hour 3 (Hour 3)
(Comment:en)
CL Item
Hour 4 (Hour 4)
C1292426 (UMLS CUI-1)
(Comment:en)
CL Item
Hour 5 (Hour 5)
(Comment:en)
CL Item
Hour 6 (Hour 6)
C1292428 (UMLS CUI-1)
(Comment:en)
CL Item
Hour 8 (Hour 8)
C1292429 (UMLS CUI-1)
(Comment:en)
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