ID
24868
Beschrijving
SOUTHWEST ONCOLOGY GROUP LEUKEMIA RESPONSE FORM Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=AEB44CFF-75C7-4219-E034-0003BA12F5E7
Link
Trefwoorden
Versies (2)
- 19-09-12 19-09-12 -
- 20-08-17 20-08-17 -
Geüploaded op
20 augustus 2017
DOI
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Licentie
Creative Commons BY-NC 3.0 Legacy
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Leukemia null Response - SOUTHWEST ONCOLOGY GROUP LEUKEMIA RESPONSE FORM - 2070922v3.0
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: SOUTHWEST ONCOLOGY GROUP LEUKEMIA RESPONSE FORM
Beschrijving
Laboratory Values And Extramedullary Disease Involvement
Alias
- UMLS CUI-1
- C0022885
- UMLS CUI-2
- C0012634
- UMLS CUI-3
- C1517060
Beschrijving
Date of Blood Values
Datatype
date
Alias
- UMLS CUI [1,1]
- C0022885
- UMLS CUI [1,2]
- C0005834
- UMLS CUI [1,3]
- C0011008
Beschrijving
Hemoglobin
Datatype
float
Alias
- UMLS CUI [1]
- C0019046
Beschrijving
PLTS
Datatype
float
Alias
- UMLS CUI [1]
- C0032181
Beschrijving
WBC
Datatype
float
Alias
- UMLS CUI [1]
- C0023508
Beschrijving
Peripheral Blasts
Datatype
float
Alias
- UMLS CUI [1]
- C0523113
Beschrijving
Peripheral Neutrophils
Datatype
float
Alias
- UMLS CUI [1]
- C1171400
Beschrijving
Peripheral Lymphocytes
Datatype
float
Alias
- UMLS CUI [1]
- C0200635
Beschrijving
Peripheral Monocytes
Datatype
float
Alias
- UMLS CUI [1]
- C1171403
Beschrijving
Bone Marrow Biopsy Date
Datatype
date
Alias
- UMLS CUI [1,1]
- C0005954
- UMLS CUI [1,2]
- C0011008
Beschrijving
Marrow Cellularity
Datatype
float
Alias
- UMLS CUI [1]
- C1561532
Beschrijving
Marrow Blasts
Datatype
float
Alias
- UMLS CUI [1,1]
- C0523113
- UMLS CUI [1,2]
- C0005953
Beschrijving
Marrow Lymphocytes
Datatype
float
Alias
- UMLS CUI [1,1]
- C0024264
- UMLS CUI [1,2]
- C0005953
Beschrijving
Cellularity Status
Datatype
integer
Alias
- UMLS CUI [1]
- C1561532
Beschrijving
PatientExtramedullaryDiseaseAssessmentDate
Datatype
date
Alias
- NCI Thesaurus ObjectClass
- C16960
- NCI Thesaurus Property
- C20989
- NCI Thesaurus Property-2
- C2991
- NCI Thesaurus Property-3
- C25503
- NCI Thesaurus ValueDomain
- C25164
- UMLS CUI [1,1]
- C0031809
- UMLS CUI [1,2]
- C0012634
- UMLS CUI [1,3]
- C1517060
- UMLS CUI [1,4]
- C0011008
Beschrijving
Extramedullary Disease
Datatype
integer
Alias
- UMLS CUI [1,1]
- C0012634
- UMLS CUI [1,2]
- C1517060
Beschrijving
Extramedullary Disease
Datatype
text
Alias
- UMLS CUI [1,1]
- C0012634
- UMLS CUI [1,2]
- C1517060
Beschrijving
lumbar puncture
Datatype
boolean
Alias
- UMLS CUI [1]
- C0037943
Beschrijving
date of Lumbar Puncture
Datatype
text
Alias
- UMLS CUI [1,1]
- C0037943
- UMLS CUI [1,2]
- C0011008
Beschrijving
CNS Disease
Datatype
integer
Alias
- UMLS CUI [1]
- C0007682
Beschrijving
Comments
Datatype
text
Alias
- UMLS CUI [1]
- C0947611
Beschrijving
Ccrr Module For Southwest Oncology Group Leukemia Response Form
Alias
- UMLS CUI-1
- C0023418
- UMLS CUI-2
- C0278627
Beschrijving
Patient ID
Datatype
text
Alias
- UMLS CUI [1]
- C2348585
Beschrijving
Study Number
Datatype
text
Alias
- UMLS CUI [1,1]
- C0008976
- UMLS CUI [1,2]
- C0600091
Beschrijving
Registration Step
Datatype
text
Alias
- UMLS CUI [1]
- C1514821
Beschrijving
Patient Initials
Datatype
text
Alias
- UMLS CUI [1]
- C2986440
Beschrijving
Institution
Datatype
text
Alias
- UMLS CUI [1,1]
- C1301943
- UMLS CUI [1,2]
- C0600091
Beschrijving
Treating Physician
Datatype
text
Alias
- NCI Thesaurus Property
- C25364
- NCI Thesaurus ObjectClass
- C25741
- NCI Thesaurus ObjectClass-2
- C25705
- UMLS CUI [1]
- C1710470
Beschrijving
Treatment cycle
Datatype
integer
Alias
- UMLS CUI [1,1]
- C0087111
- UMLS CUI [1,2]
- C1302181
Beschrijving
Start Date
Datatype
date
Alias
- UMLS CUI [1]
- C0808070
Beschrijving
End Date
Datatype
date
Alias
- UMLS CUI [1]
- C0806020
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: SOUTHWEST ONCOLOGY GROUP LEUKEMIA RESPONSE FORM
C0006826 (UMLS CUI [1,2])
C25365 (NCI Thesaurus Property)
C1522577 (UMLS CUI [1,1])
C0006826 (UMLS CUI [1,2])
C0011008 (UMLS CUI [1,3])
C0871261 (UMLS 2011AA ObjectClass)
C15722 (NCI Thesaurus Property)
C0700325 (UMLS 2011AA Property)
C0012634 (UMLS CUI-2)
C1517060 (UMLS CUI-3)
C0005834 (UMLS CUI [1,2])
C0011008 (UMLS CUI [1,3])
C0011008 (UMLS CUI [1,2])
C0005953 (UMLS CUI [1,2])
C0005953 (UMLS CUI [1,2])
C20989 (NCI Thesaurus Property)
C2991 (NCI Thesaurus Property-2)
C25503 (NCI Thesaurus Property-3)
C25164 (NCI Thesaurus ValueDomain)
C0031809 (UMLS CUI [1,1])
C0012634 (UMLS CUI [1,2])
C1517060 (UMLS CUI [1,3])
C0011008 (UMLS CUI [1,4])
C1517060 (UMLS CUI [1,2])
C1517060 (UMLS CUI [1,2])
C0011008 (UMLS CUI [1,2])
C0278627 (UMLS CUI-2)
C0600091 (UMLS CUI [1,2])
C0600091 (UMLS CUI [1,2])
C25741 (NCI Thesaurus ObjectClass)
C25705 (NCI Thesaurus ObjectClass-2)
C1710470 (UMLS CUI [1])