ID

25176

Description

CALGB 50901 Withdrawn Consent Form Ofatumumab in Treating Patients With Previously Untreated Stage II, Stage III, or Stage IV Follicular Non-Hodgkin Lymphoma Source Form: NCI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=9F3F00D9-487A-F2FE-E040-BB89AD436099

Link

https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=9F3F00D9-487A-F2FE-E040-BB89AD436099

Keywords

Versions (2)
  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CALGB 50901 Withdrawn Consent Form

English

No Instruction available.

1 forms  
  1. StudyEvent: CALGB 50901 Withdrawn Consent Form
    1. No Instruction available.
Withdrawn Consent
Description

Withdrawn Consent

Alias
UMLS CUI-1
C1511481
UMLS CUI-2
C2349954
UMLS CUI-3
C0024301
Patient has withdrawn consent for clinical follow-up
Description

PatientWithdrawnConsentClinicalInd-2

Data type

boolean

Alias
NCI Thesaurus ObjectClass
C16960
NCI Thesaurus Property
C25460
NCI Thesaurus Property-2
C38061
NCI Thesaurus ValueDomain
C38147
NCI Thesaurus ValueDomain-2
C25398
UMLS CUI [1,1]
C1511481
UMLS CUI [1,2]
C2349954
UMLS CUI [1,3]
C1522577
Patient has withdrawn consent for survival follow-up
Description

PatientWithdrawnConsentSurvivalInd-2

Data type

boolean

Alias
NCI Thesaurus ObjectClass
C16960
NCI Thesaurus Property
C25460
NCI Thesaurus Property-2
C38061
NCI Thesaurus ValueDomain
C38147
NCI Thesaurus ValueDomain-2
C17177
UMLS CUI [1,1]
C1511481
UMLS CUI [1,2]
C2349954
UMLS CUI [1,3]
C1522577
Withdrawn consent date
Description

PatientWithdrawConsentDate

Data type

date

Alias
NCI Thesaurus ValueDomain
C25164
NCI Thesaurus ObjectClass
C16960
NCI Thesaurus Property
C25460
NCI Thesaurus Property-2
C38061
UMLS CUI [1,1]
C1511481
UMLS CUI [1,2]
C2349954
UMLS CUI [1,3]
C0011008
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Similar models

No Instruction available.

1 forms
  1. StudyEvent: CALGB 50901 Withdrawn Consent Form
    1. No Instruction available.
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Withdrawn Consent
C1511481 (UMLS CUI-1)
C2349954 (UMLS CUI-2)
C0024301 (UMLS CUI-3)
Patient has withdrawn consent for clinical follow-up
Item
Patient has withdrawn consent for clinical follow-up
boolean
C16960 (NCI Thesaurus ObjectClass)
C25460 (NCI Thesaurus Property)
C38061 (NCI Thesaurus Property-2)
C38147 (NCI Thesaurus ValueDomain)
C25398 (NCI Thesaurus ValueDomain-2)
C1511481 (UMLS CUI [1,1])
C2349954 (UMLS CUI [1,2])
C1522577 (UMLS CUI [1,3])
Patient has withdrawn consent for survival follow-up
Item
Patient has withdrawn consent for survival follow-up
boolean
C16960 (NCI Thesaurus ObjectClass)
C25460 (NCI Thesaurus Property)
C38061 (NCI Thesaurus Property-2)
C38147 (NCI Thesaurus ValueDomain)
C17177 (NCI Thesaurus ValueDomain-2)
C1511481 (UMLS CUI [1,1])
C2349954 (UMLS CUI [1,2])
C1522577 (UMLS CUI [1,3])
Withdrawn consent date
Item
Withdrawn consent date
date
C25164 (NCI Thesaurus ValueDomain)
C16960 (NCI Thesaurus ObjectClass)
C25460 (NCI Thesaurus Property)
C38061 (NCI Thesaurus Property-2)
C1511481 (UMLS CUI [1,1])
C2349954 (UMLS CUI [1,2])
C0011008 (UMLS CUI [1,3])
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