ID

25155

Descripción

AMC-053 Missed Visit Form (F35) Bortezomib, Ifosfamide, Carboplatin, and Etoposide, With or Without Rituximab, in Treating Patients With Relapsed or Refractory AIDS-Related Non-Hodgkin Lymphoma Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=8B708D70-675C-F9DE-E040-BB89AD43114E

Link

https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=8B708D70-675C-F9DE-E040-BB89AD43114E

Palabras clave

Versiones (2)
  1. 19/9/12 19/9/12 -
  2. 28/8/17 28/8/17 -
Subido en

28 de agosto de 2017

DOI

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Licencia

Creative Commons BY-NC 3.0 Legacy
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AMC-053 Missed Visit Form (F35)

Inglés

No Instruction available.

1 formularios  
  1. StudyEvent: AMC-053 Missed Visit Form (F35)
    1. No Instruction available.
Header
Descripción

Header

Alias
UMLS CUI-1
C1320722
UMLS CUI-2
C1332051
Visit number
Descripción

Visit number

Tipo de datos

integer

Alias
NCI Thesaurus ValueDomain
C25337
NCI Thesaurus ObjectClass
C16696
NCI Thesaurus Property
C25385
UMLS CUI [1]
C1549755
Missed Visit Information
Descripción

Missed Visit Information

Alias
UMLS CUI-1
C1512346
UMLS CUI-2
C1705492
UMLS CUI-3
C1533716
UMLS CUI-4
C1332051
Missed Visit Date
Descripción

PatientAbsentVisitDate (mm/dd/yyyy)

Tipo de datos

date

Alias
NCI Thesaurus ValueDomain
C25164
NCI Thesaurus ObjectClass
C16960
NCI Thesaurus Property
C48190
NCI Thesaurus Property-2
C25716
UMLS CUI [1,1]
C1512346
UMLS CUI [1,2]
C1705492
UMLS CUI [1,3]
C0011008
Reason patient missed visit
Descripción

PatientAbsentVisitReason

Tipo de datos

integer

Alias
NCI Thesaurus ValueDomain
C25638
NCI Thesaurus ObjectClass
C16960
NCI Thesaurus Property
C48190
NCI Thesaurus Property-2
C25716
UMLS CUI [1,1]
C1512346
UMLS CUI [1,2]
C1705492
UMLS CUI [1,3]
C0392360
Other, specify
Descripción

PatientAbsentVisitSpecify

Tipo de datos

text

Alias
NCI Thesaurus ValueDomain
C25685
NCI Thesaurus ObjectClass
C16960
NCI Thesaurus Property
C48190
NCI Thesaurus Property-2
C25716
UMLS CUI [1,1]
C1512346
UMLS CUI [1,2]
C1705492
UMLS CUI [1,3]
C0392360
Next visit scheduled
Descripción

PatientScheduleNextVisitInd-2 (Items missed will be made up at the new visit.)

Tipo de datos

boolean

Alias
NCI Thesaurus ObjectClass
C16960
NCI Thesaurus Property
C53286
NCI Thesaurus Property-2
C25211
NCI Thesaurus Property-3
C25716
NCI Thesaurus ValueDomain
C38147
UMLS CUI [1,1]
C0515681
UMLS CUI [1,2]
C1512346
Comments
Descripción

Comments

Alias
UMLS CUI-1
C0947611
UMLS CUI-2
C1332051
Comments
Descripción

Research Comments

Tipo de datos

text

Alias
NCI Thesaurus ValueDomain
C25704
NCI Thesaurus ObjectClass
C15319
NCI Thesaurus Property
C25393
UMLS CUI [1,1]
C0947611
UMLS CUI [1,2]
C1332051
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Similar models

No Instruction available.

1 formularios
  1. StudyEvent: AMC-053 Missed Visit Form (F35)
    1. No Instruction available.
Name
Tipo
Description | Question | Decode (Coded Value)
Tipo de datos
Alias
Item Group
Header
C1320722 (UMLS CUI-1)
C1332051 (UMLS CUI-2)
Visit number
Item
Visit number
integer
C25337 (NCI Thesaurus ValueDomain)
C16696 (NCI Thesaurus ObjectClass)
C25385 (NCI Thesaurus Property)
C1549755 (UMLS CUI [1])
Item Group
Missed Visit Information
C1512346 (UMLS CUI-1)
C1705492 (UMLS CUI-2)
C1533716 (UMLS CUI-3)
C1332051 (UMLS CUI-4)
Missed Visit Date
Item
Missed Visit Date
date
C25164 (NCI Thesaurus ValueDomain)
C16960 (NCI Thesaurus ObjectClass)
C48190 (NCI Thesaurus Property)
C25716 (NCI Thesaurus Property-2)
C1512346 (UMLS CUI [1,1])
C1705492 (UMLS CUI [1,2])
C0011008 (UMLS CUI [1,3])
Item
Reason patient missed visit
integer
C25638 (NCI Thesaurus ValueDomain)
C16960 (NCI Thesaurus ObjectClass)
C48190 (NCI Thesaurus Property)
C25716 (NCI Thesaurus Property-2)
C1512346 (UMLS CUI [1,1])
C1705492 (UMLS CUI [1,2])
C0392360 (UMLS CUI [1,3])
CL.1
Code List
Reason patient missed visit
CL Item
Patient Forgot (1)
CL Item
Health Reasons (2)
CL Item
Patient Could Not Get Off Work (3)
CL Item
Patient Unable To Obtain Dependent Care (4)
CL Item
Patient Had Transportation Problems (5)
CL Item
Patient Unhappy With Frequency Of Visits (6)
CL Item
Scheduling Difficulties (7)
CL Item
Patient Decided To Discontinue Study (8)
CL Item
Patient Experienced An Adverse Event (9)
CL Item
Other (10)
Other, specify
Item
Other, specify
text
C25685 (NCI Thesaurus ValueDomain)
C16960 (NCI Thesaurus ObjectClass)
C48190 (NCI Thesaurus Property)
C25716 (NCI Thesaurus Property-2)
C1512346 (UMLS CUI [1,1])
C1705492 (UMLS CUI [1,2])
C0392360 (UMLS CUI [1,3])
Next visit scheduled
Item
Next visit scheduled
boolean
C16960 (NCI Thesaurus ObjectClass)
C53286 (NCI Thesaurus Property)
C25211 (NCI Thesaurus Property-2)
C25716 (NCI Thesaurus Property-3)
C38147 (NCI Thesaurus ValueDomain)
C0515681 (UMLS CUI [1,1])
C1512346 (UMLS CUI [1,2])
Item Group
Comments
C0947611 (UMLS CUI-1)
C1332051 (UMLS CUI-2)
Research Comments
Item
Comments
text
C25704 (NCI Thesaurus ValueDomain)
C15319 (NCI Thesaurus ObjectClass)
C25393 (NCI Thesaurus Property)
C0947611 (UMLS CUI [1,1])
C1332051 (UMLS CUI [1,2])
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