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ID

25168

Description

CALGB 50901 Off-Treatment Form Ofatumumab in Treating Patients With Previously Untreated Stage II, Stage III, or Stage IV Follicular Non-Hodgkin Lymphoma Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=9F3C69B5-BEE4-AEDA-E040-BB89AD436BFE

Link

https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=9F3C69B5-BEE4-AEDA-E040-BB89AD436BFE

Keywords

  1. 9/19/12 9/19/12 -
  2. 8/28/17 8/28/17 -
Uploaded on

August 28, 2017

DOI

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License

Creative Commons BY-NC 3.0 Legacy

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    CALGB 50901 Off-Treatment Form

    No Instruction available.

    1. StudyEvent: CALGB 50901 Off-Treatment Form
      1. No Instruction available.
    Treatment Schedule (oral Antiandrogen)
    Description

    Treatment Schedule (oral Antiandrogen)

    Alias
    UMLS CUI-1
    C0040808
    UMLS CUI-2
    C0002842
    UMLS CUI-3
    C0024301
    Date of Last Dose of Protocol Systemic Therapy
    Description

    LastDoseSystemicProtocolDate

    Data type

    date

    Alias
    NCI Thesaurus ObjectClass
    C25488
    NCI Thesaurus ObjectClass-2
    C25551
    NCI Thesaurus Property
    C25320
    NCI Thesaurus Property-2
    C13310
    NCI Thesaurus ValueDomain
    C25164
    NCI Thesaurus ValueDomain-2
    C25367
    UMLS CUI [1,1]
    C0178602
    UMLS CUI [1,2]
    C1517741
    UMLS CUI [1,3]
    C0011008
    Reason Treatment Ended
    Description

    Off Treatment Reason

    Data type

    integer

    Alias
    NCI Thesaurus ValueDomain
    C25638
    NCI Thesaurus ObjectClass
    C25601
    NCI Thesaurus Property
    C25365
    UMLS CUI [1,1]
    C1518544
    UMLS CUI [1,2]
    C0392360
    Adverse event/side effects/complications specify
    Description

    Off-TreatmentAdverseEventReasonSpecify

    Data type

    text

    Alias
    NCI Thesaurus ValueDomain
    C25685
    NCI Thesaurus Property
    C25638
    NCI Thesaurus Property-2
    C41331
    NCI Thesaurus ObjectClass
    C25601
    UMLS CUI [1]
    C0877248
    UMLS CUI [2]
    C0001688
    UMLS CUI [3]
    C0009566
    UMLS CUI [4]
    C1518544
    Patient off-treatment for other complicating disease, specify
    Description

    Off-TreatmentConditionSpecify

    Data type

    text

    Alias
    NCI Thesaurus ValueDomain
    C25685
    NCI Thesaurus ObjectClass
    C25601
    NCI Thesaurus Property
    C25457
    UMLS CUI [1,1]
    C0348080
    UMLS CUI [1,2]
    C1518544
    Other specify
    Description

    Off Treatment Reason, specify

    Data type

    text

    Alias
    NCI Thesaurus ValueDomain
    C25685
    NCI Thesaurus ObjectClass
    C25601
    NCI Thesaurus Property
    C25365
    UMLS CUI [1,1]
    C1518544
    UMLS CUI [1,2]
    C0392360

    Similar models

    No Instruction available.

    1. StudyEvent: CALGB 50901 Off-Treatment Form
      1. No Instruction available.
    Name
    Type
    Description | Question | Decode (Coded Value)
    Data type
    Alias
    Item Group
    Treatment Schedule (oral Antiandrogen)
    C0040808 (UMLS CUI-1)
    C0002842 (UMLS CUI-2)
    C0024301 (UMLS CUI-3)
    Date of Last Dose
    Item
    Date of Last Dose of Protocol Systemic Therapy
    date
    C25488 (NCI Thesaurus ObjectClass)
    C25551 (NCI Thesaurus ObjectClass-2)
    C25320 (NCI Thesaurus Property)
    C13310 (NCI Thesaurus Property-2)
    C25164 (NCI Thesaurus ValueDomain)
    C25367 (NCI Thesaurus ValueDomain-2)
    C0178602 (UMLS CUI [1,1])
    C1517741 (UMLS CUI [1,2])
    C0011008 (UMLS CUI [1,3])
    Item
    Reason Treatment Ended
    integer
    C25638 (NCI Thesaurus ValueDomain)
    C25601 (NCI Thesaurus ObjectClass)
    C25365 (NCI Thesaurus Property)
    C1518544 (UMLS CUI [1,1])
    C0392360 (UMLS CUI [1,2])
    Code List
    Reason Treatment Ended
    CL Item
    Treatment Completed Per Protocol Criteria (1)
    CL Item
    Patient Withdrawal Or Refusal After Beginning Protocol Therapy (2)
    CL Item
    Patient Withdrawal Or Refusal Before Beginning Protocol Therapy (3)
    CL Item
    Adverse Event/side Effects/complications (4)
    CL Item
    Disease Progression, Relapse During Active Treatment (5)
    CL Item
    Disease Progression Before Active Treatment (6)
    CL Item
    Alternative Therapy (7)
    CL Item
    Patient Off-treatment For Other Complicating Disease (8)
    CL Item
    Death On Study (9)
    CL Item
    Other (10)
    Adverse event/side effects/complications
    Item
    Adverse event/side effects/complications specify
    text
    C25685 (NCI Thesaurus ValueDomain)
    C25638 (NCI Thesaurus Property)
    C41331 (NCI Thesaurus Property-2)
    C25601 (NCI Thesaurus ObjectClass)
    C0877248 (UMLS CUI [1])
    C0001688 (UMLS CUI [2])
    C0009566 (UMLS CUI [3])
    C1518544 (UMLS CUI [4])
    Off-TreatmentConditionSpecify
    Item
    Patient off-treatment for other complicating disease, specify
    text
    C25685 (NCI Thesaurus ValueDomain)
    C25601 (NCI Thesaurus ObjectClass)
    C25457 (NCI Thesaurus Property)
    C0348080 (UMLS CUI [1,1])
    C1518544 (UMLS CUI [1,2])
    Off Treatment Reason, specify
    Item
    Other specify
    text
    C25685 (NCI Thesaurus ValueDomain)
    C25601 (NCI Thesaurus ObjectClass)
    C25365 (NCI Thesaurus Property)
    C1518544 (UMLS CUI [1,1])
    C0392360 (UMLS CUI [1,2])

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