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CALGB 50901 Withdrawn Consent Form Ofatumumab in Treating Patients With Previously Untreated Stage II, Stage III, or Stage IV Follicular Non-Hodgkin Lymphoma Source Form: NCI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

Lien

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

Mots-clés

  1. 19/09/2012 19/09/2012 -
  2. 28/08/2017 28/08/2017 -
Téléchargé le

28 août 2017

DOI

Pour une demande vous connecter.

Licence

Creative Commons BY-NC 3.0 Legacy

Modèle Commentaires :

Ici, vous pouvez faire des commentaires sur le modèle. À partir des bulles de texte, vous pouvez laisser des commentaires spécifiques sur les groupes Item et les Item.

Groupe Item commentaires pour :

Item commentaires pour :

Vous devez être connecté pour pouvoir télécharger des formulaires. Veuillez vous connecter ou s’inscrire gratuitement.

CALGB 50901 Withdrawn Consent Form

No Instruction available.

  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 StudyEvent: CALGB 50901 Withdrawn Consent Form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Withdrawn Consent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Withdrawn Consent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Patient has withdrawn consent for clinical follow-up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

Type de données

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Patient has withdrawn consent for survival follow-up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

Type de données

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Withdrawn consent date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

Type de données

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

Similar models

No Instruction available.

  1. StudyEvent: CALGB 50901 Withdrawn Consent Form
    1. No Instruction available.
Name
Type
Description | Question | Decode (Coded Value)
Type de données
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])

Utilisez ce formulaire pour les retours, les questions et les améliorations suggérées.

Les champs marqués d’un * sont obligatoires.

Do you need help on how to use the search function? Please watch the corresponding tutorial video for more details and learn how to use the search function most efficiently.

Watch Tutorial