ID
24872
Beschrijving
S0100 ALLOGENEIC PBSCT TOXICITY FORM Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=AEB3C5E9-6CF0-4330-E034-0003BA12F5E7
Link
Trefwoorden
Versies (2)
- 19-09-12 19-09-12 -
- 21-08-17 21-08-17 -
Geüploaded op
21 augustus 2017
DOI
Voor een aanvraag inloggen.
Licentie
Creative Commons BY-NC 3.0 Legacy
Model Commentaren :
Hier kunt u commentaar leveren op het model. U kunt de tekstballonnen bij de itemgroepen en items gebruiken om er specifiek commentaar op te geven.
Itemgroep Commentaren voor :
Item Commentaren voor :
U moet ingelogd zijn om formulieren te downloaden. AUB inloggen of schrijf u gratis in.
S0100 ALLOGENEIC PBSCT TOXICITY FORM
Instructions: Please complete after each cycle of treatment. 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 INDUCTION AND CONSOLIDATION TOXICITY FORM
Beschrijving
Ccrr Module For S0100 Induction And Consolidation Toxicity Form
Alias
- UMLS CUI-1
- C0013221
- UMLS CUI-2
- C0087111
- UMLS CUI-3
- C0023418
- UMLS CUI-4
- C2242529
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
Similar models
Instructions: Please complete after each cycle of treatment. 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 INDUCTION AND CONSOLIDATION TOXICITY FORM
C0040539 (UMLS CUI-2)
C0023418 (UMLS CUI-3)
C2242529 (UMLS CUI-4)
C0220825 (UMLS CUI [1,2])
C2242529 (UMLS CUI [2])
C0220825 (UMLS CUI [1,2])
C0011008 (UMLS CUI [1,3])
C2242529 (UMLS CUI [2])
C0220825 (UMLS CUI [1,2])
C2242529 (UMLS CUI [2])
C1516728 (UMLS CUI [1,2])
C0441800 (UMLS CUI [1,2])
C1516728 (UMLS CUI [1,3])
C1516728 (UMLS CUI [1,2])
C2242529 (UMLS CUI [1,2])
C0087111 (UMLS CUI-2)
C0023418 (UMLS CUI-3)
C2242529 (UMLS CUI-4)
C0600091 (UMLS CUI [1,2])
C0600091 (UMLS CUI [1,2])
C25741 (NCI Thesaurus ObjectClass)
C25705 (NCI Thesaurus ObjectClass-2)
C1710470 (UMLS CUI [1])