ID

25168

Beschrijving

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

Trefwoorden

  1. 19-09-12 19-09-12 -
  2. 28-08-17 28-08-17 -
Geüploaded op

28 augustus 2017

DOI

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Licentie

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)
    Beschrijving

    Treatment Schedule (oral Antiandrogen)

    Alias
    UMLS CUI-1
    C0040808 (Treatment Protocols)
    UMLS CUI-2
    C0002842 (Androgen Antagonists)
    SNOMED
    103024009
    UMLS CUI-3
    C0024301 (Lymphoma, Follicular)
    SNOMED
    55150002
    Date of Last Dose of Protocol Systemic Therapy
    Beschrijving

    LastDoseSystemicProtocolDate

    Datatype

    date

    Alias
    NCI Thesaurus ObjectClass
    C25488 (undefined)
    NCI Thesaurus ObjectClass-2
    C25551 (undefined)
    NCI Thesaurus Property
    C25320 (undefined)
    NCI Thesaurus Property-2
    C13310 (undefined)
    NCI Thesaurus ValueDomain
    C25164 (undefined)
    NCI Thesaurus ValueDomain-2
    C25367 (undefined)
    UMLS CUI [1,1]
    C0178602 (Dosage)
    SNOMED
    260911001
    LOINC
    LP7180-5
    UMLS CUI [1,2]
    C1517741 (Last)
    LOINC
    LP200101-6
    UMLS CUI [1,3]
    C0011008 (Date in time)
    SNOMED
    410671006
    Reason Treatment Ended
    Beschrijving

    Off Treatment Reason

    Datatype

    integer

    Alias
    NCI Thesaurus ValueDomain
    C25638 (undefined)
    NCI Thesaurus ObjectClass
    C25601 (undefined)
    NCI Thesaurus Property
    C25365 (undefined)
    UMLS CUI [1,1]
    C1518544 (Off Treatment)
    UMLS CUI [1,2]
    C0392360 (Indication of (contextual qualifier))
    SNOMED
    230165009
    LOINC
    MTHU008319
    Adverse event/side effects/complications specify
    Beschrijving

    Off-TreatmentAdverseEventReasonSpecify

    Datatype

    text

    Alias
    NCI Thesaurus ValueDomain
    C25685 (undefined)
    NCI Thesaurus Property
    C25638 (undefined)
    NCI Thesaurus Property-2
    C41331 (undefined)
    NCI Thesaurus ObjectClass
    C25601 (undefined)
    UMLS CUI [1]
    C0877248 (Adverse event)
    LOINC
    MTHU014542
    UMLS CUI [2]
    C0001688 (aspects of adverse effects)
    UMLS CUI [3]
    C0009566 (Complication)
    SNOMED
    116223007
    UMLS CUI [4]
    C1518544 (Off Treatment)
    Patient off-treatment for other complicating disease, specify
    Beschrijving

    Off-TreatmentConditionSpecify

    Datatype

    text

    Alias
    NCI Thesaurus ValueDomain
    C25685 (undefined)
    NCI Thesaurus ObjectClass
    C25601 (undefined)
    NCI Thesaurus Property
    C25457 (undefined)
    UMLS CUI [1,1]
    C0348080 (Condition)
    SNOMED
    260905004
    LOINC
    LP185404-3
    UMLS CUI [1,2]
    C1518544 (Off Treatment)
    Other specify
    Beschrijving

    Off Treatment Reason, specify

    Datatype

    text

    Alias
    NCI Thesaurus ValueDomain
    C25685 (undefined)
    NCI Thesaurus ObjectClass
    C25601 (undefined)
    NCI Thesaurus Property
    C25365 (undefined)
    UMLS CUI [1,1]
    C1518544 (Off Treatment)
    UMLS CUI [1,2]
    C0392360 (Indication of (contextual qualifier))
    SNOMED
    230165009
    LOINC
    MTHU008319

    Similar models

    No Instruction available.

    1. StudyEvent: CALGB 50901 Off-Treatment Form
      1. No Instruction available.
    Name
    Type
    Description | Question | Decode (Coded Value)
    Datatype
    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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