ID
24487
Beschrijving
S0100 PREVIOUSLY UNTREATED ACUTE LYMPHOBLASTIC LEUKEMIA PRESTUDY FORM Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=AEB40E5C-A386-418C-E034-0003BA12F5E7
Link
Trefwoorden
Versies (3)
- 19-09-12 19-09-12 -
- 02-08-17 02-08-17 - Martin Dugas
- 02-08-17 02-08-17 - Martin Dugas
Geüploaded op
2 augustus 2017
DOI
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Licentie
Creative Commons BY-NC 3.0
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ACUTE LYMPHOBLASTIC LEUKEMIA, previously untreated
Instructions: All dates are MONTH, DAY, YEAR. Explain any blank fields or blank dates in the Comments section. Place an X in appropriate boxes. Circle AMENDED items in red.
- StudyEvent: S0100 PREVIOUSLY UNTREATED ACUTE LYMPHOBLASTIC LEUKEMIA PRESTUDY FORM
Beschrijving
Organ Involvement
Alias
- UMLS CUI-1
- C0457577
Beschrijving
Splenomegaly, Palpation
Datatype
text
Alias
- NCI Thesaurus Property
- C16950
- NCI Thesaurus ObjectClass
- C3384
- UMLS CUI [1,1]
- C0038002
- UMLS CUI [1,2]
- C0030247
Beschrijving
Splenomegaly, Imaging
Datatype
text
Alias
- NCI Thesaurus ObjectClass
- C3384
- NCI Thesaurus Property
- C19477
- UMLS CUI [1,1]
- C0038002
- UMLS CUI [1,2]
- C1704254
Beschrijving
Hepatomegaly, palpation
Datatype
text
Alias
- NCI Thesaurus Property
- C16950
- NCI Thesaurus ObjectClass
- C3100
- UMLS CUI [1,1]
- C0019209
- UMLS CUI [1,2]
- C0030247
Beschrijving
Hepatomegaly, Imaging
Datatype
text
Alias
- NCI Thesaurus ObjectClass
- C3100
- NCI Thesaurus Property
- C19477
- UMLS CUI [1,1]
- C0019209
- UMLS CUI [1,2]
- C1704254
Beschrijving
Lymphadenopathy, Palpation
Datatype
boolean
Alias
- NCI Thesaurus Property
- C16950
- NCI Thesaurus ObjectClass
- C3206
- UMLS CUI [1,1]
- C0497156
- UMLS CUI [1,2]
- C0030247
Beschrijving
Lymphadenopathy, Imaging
Datatype
text
Alias
- NCI Thesaurus ObjectClass
- C3206
- NCI Thesaurus Property
- C19477
- UMLS CUI [1,1]
- C0497156
- UMLS CUI [1,2]
- C1704254
Beschrijving
Immunophenotype
Datatype
text
Alias
- UMLS CUI [1]
- C0079611
Beschrijving
Immunophenotype,Other
Datatype
text
Alias
- UMLS CUI [1]
- C0079611
Beschrijving
Current Laboratory Values
Alias
- UMLS CUI-1
- C1254595
Beschrijving
Sample Collection Date
Datatype
date
Alias
- UMLS CUI [1]
- C1317250
Beschrijving
Hemoglobin
Datatype
float
Alias
- UMLS CUI [1]
- C0019046
Beschrijving
Platelets
Datatype
float
Alias
- UMLS CUI [1]
- C0005821
Beschrijving
WBC
Datatype
float
Alias
- UMLS CUI [1]
- C0023508
Beschrijving
Peripheral Blasts
Datatype
float
Alias
- UMLS CUI [1]
- C0368761
Beschrijving
Peripheral Neutrophils
Datatype
float
Alias
- UMLS CUI [1]
- C0858017
Beschrijving
Lymphocytes
Datatype
float
Maateenheden
- %
Alias
- UMLS CUI [1]
- C2200256
Beschrijving
Monocytes
Datatype
float
Maateenheden
- %
Alias
- UMLS CUI [1]
- C1171403
Beschrijving
Bone Marrow Biopsy Date
Datatype
date
Alias
- UMLS CUI [1,1]
- C0005954
- UMLS CUI [1,2]
- C0011008
Beschrijving
Bone Marrow Cellularity
Datatype
float
Maateenheden
- %
Alias
- UMLS CUI [1]
- C1561532
Beschrijving
Bone Marrow Blasts
Datatype
float
Maateenheden
- %
Alias
- UMLS CUI [1]
- C1982687
Beschrijving
Bone Marrow Lymphocytes
Datatype
float
Maateenheden
- %
Alias
- UMLS CUI [1]
- C0427708
Beschrijving
Bone Marrow Cellularity
Datatype
text
Alias
- UMLS CUI [1]
- C1561532
Beschrijving
Comments
Datatype
text
Alias
- UMLS CUI [1]
- C0947611
Beschrijving
Ccrr Module For S0100 Previously Untreated Acute Lymphoblastic Leukemia Prestudy Form
Alias
- UMLS CUI-1
- C1320722
Beschrijving
SWOG Patient ID
Datatype
text
Alias
- UMLS CUI [1,1]
- C2348585
- UMLS CUI [1,2]
- C1519429
Beschrijving
SWOG Study Number
Datatype
text
Alias
- UMLS CUI [1,1]
- C3274381
- UMLS CUI [1,2]
- C1519429
Beschrijving
Registration Step
Datatype
text
Alias
- UMLS CUI-1
- C1514821
Beschrijving
Patient Initials
Datatype
text
Alias
- UMLS CUI [1]
- C2986440
Beschrijving
Main Member Institution/Affiliate
Datatype
text
Alias
- UMLS CUI [1]
- C1301943
Beschrijving
Treating Physician
Datatype
text
Alias
- NCI Thesaurus Property
- C25364
- NCI Thesaurus ObjectClass
- C25741
- NCI Thesaurus ObjectClass-2
- C25705
- UMLS CUI [1]
- C1710470
Similar models
Instructions: All dates are MONTH, DAY, YEAR. Explain any blank fields or blank dates in the Comments section. Place an X in appropriate boxes. Circle AMENDED items in red.
- StudyEvent: S0100 PREVIOUSLY UNTREATED ACUTE LYMPHOBLASTIC LEUKEMIA PRESTUDY FORM
C25347 (NCI Thesaurus Property)
C0489786 (UMLS CUI [1])
C3161 (NCI Thesaurus ObjectClass)
C25161 (NCI Thesaurus Property)
C2984084 (UMLS CUI [1])
(Comment:en)
(Comment:en)
(Comment:en)
C0012634 (UMLS CUI [1,2])
(Comment:en)
(Comment:en)
(Comment:en)
(Comment:en)
(Comment:en)
(Comment:en)
C0012634 (UMLS CUI [1,2])
C3384 (NCI Thesaurus ObjectClass)
C0038002 (UMLS CUI [1,1])
C0030247 (UMLS CUI [1,2])
(Comment:en)
(Comment:en)
(Comment:en)
(Comment:en)
C19477 (NCI Thesaurus Property)
C0038002 (UMLS CUI [1,1])
C1704254 (UMLS CUI [1,2])
(Comment:en)
(Comment:en)
(Comment:en)
(Comment:en)
C3100 (NCI Thesaurus ObjectClass)
C0019209 (UMLS CUI [1,1])
C0030247 (UMLS CUI [1,2])
(Comment:en)
(Comment:en)
(Comment:en)
C19477 (NCI Thesaurus Property)
C0019209 (UMLS CUI [1,1])
C1704254 (UMLS CUI [1,2])
(Comment:en)
(Comment:en)
(Comment:en)
C3206 (NCI Thesaurus ObjectClass)
C0497156 (UMLS CUI [1,1])
C0030247 (UMLS CUI [1,2])
C19477 (NCI Thesaurus Property)
C0497156 (UMLS CUI [1,1])
C1704254 (UMLS CUI [1,2])
(Comment:en)
(Comment:en)
(Comment:en)
(Comment:en)
(Comment:en)
(Comment:en)
(Comment:en)
(Comment:en)
(Comment:en)
(Comment:en)
(Comment:en)
C0011008 (UMLS CUI [1,2])
(Comment:en)
(Comment:en)
(Comment:en)
(Comment:en)
(Comment:en)
(Comment:en)
C1519429 (UMLS CUI [1,2])
C1519429 (UMLS CUI [1,2])
C25741 (NCI Thesaurus ObjectClass)
C25705 (NCI Thesaurus ObjectClass-2)
C1710470 (UMLS CUI [1])