ID

25263

Description

CALGB 50901 Patient Status 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=9F2C54DC-40CB-E9CB-E040-BB89AD432127

Link

https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=9F2C54DC-40CB-E9CB-E040-BB89AD432127

Keywords

Versions (2)
  1. 9/19/12 9/19/12 -
  2. 8/29/17 8/29/17 -
Uploaded on

August 29, 2017

DOI

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License

Creative Commons BY-NC 3.0 Legacy
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CALGB 50901 Patient Status Form

English

No Instruction available.

1 forms  
  1. StudyEvent: CALGB 50901 Patient Status Form
    1. No Instruction available.
Patient Information
Description

Patient Information

Alias
UMLS CUI-1
C1955348
UMLS CUI-2
C0024301
Vital Status
Description

Vital Status

Data type

integer

Alias
NCI Thesaurus ObjectClass
C16960
NCI Thesaurus ValueDomain
C18003
NCI Thesaurus ValueDomain-2
C25688
NCI Thesaurus Property
C25717
UMLS CUI [1]
C1148433
Date of Death
Description

Death Documented Date

Data type

date

Alias
NCI Thesaurus ValueDomain
C25164
NCI Thesaurus ObjectClass
C28554
NCI Thesaurus Property
C25356
UMLS CUI [1,1]
C0011065
UMLS CUI [1,2]
C0011008
UMLS CUI [1,3]
C1301725
Primary Cause of Death
Description

Primary Cause of Death

Data type

integer

Alias
NCI Thesaurus ValueDomain
C25638
NCI Thesaurus ObjectClass
C16960
NCI Thesaurus Property
C28554
NCI Thesaurus ValueDomain-2
C25251
UMLS CUI [1]
C0007465
Describe cause of death
Description

Cause of Death, specify

Data type

text

Alias
NCI Thesaurus ValueDomain
C25685
NCI Thesaurus ObjectClass
C16960
NCI Thesaurus Property
C28554
UMLS CUI [1]
C0007465
Is the patient receiving any non-protocol cancer therapy not previously reported?
Description

Non-protocol Therapy Administered

Data type

boolean

Alias
NCI Thesaurus ValueDomain
C38148
NCI Thesaurus ObjectClass
C15368
NCI Thesaurus ObjectClass-2
C25590
NCI Thesaurus Property
C25382
UMLS CUI [1,1]
C0920425
UMLS CUI [1,2]
C1518384
Has a new primary cancer or MDS been diagnosed that has not been previously reported?
Description

New Cancer Diagnosis

Data type

boolean

Alias
NCI Thesaurus ValueDomain
C38148
NCI Thesaurus ObjectClass
C25586
NCI Thesaurus ObjectClass-2
C9305
NCI Thesaurus Property
C15220
UMLS CUI [1,1]
C0006826
UMLS CUI [1,2]
C0011900
UMLS CUI [2]
C3463824
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Similar models

No Instruction available.

1 forms
  1. StudyEvent: CALGB 50901 Patient Status Form
    1. No Instruction available.
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Patient Information
C1955348 (UMLS CUI-1)
C0024301 (UMLS CUI-2)
Item
Vital Status
integer
C16960 (NCI Thesaurus ObjectClass)
C18003 (NCI Thesaurus ValueDomain)
C25688 (NCI Thesaurus ValueDomain-2)
C25717 (NCI Thesaurus Property)
C1148433 (UMLS CUI [1])
CL.1
Code List
Vital Status
CL Item
Alive (1)
CL Item
Dead (2)
Death Documented Date
Item
Date of Death
date
C25164 (NCI Thesaurus ValueDomain)
C28554 (NCI Thesaurus ObjectClass)
C25356 (NCI Thesaurus Property)
C0011065 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
C1301725 (UMLS CUI [1,3])
Item
Primary Cause of Death
integer
C25638 (NCI Thesaurus ValueDomain)
C16960 (NCI Thesaurus ObjectClass)
C28554 (NCI Thesaurus Property)
C25251 (NCI Thesaurus ValueDomain-2)
C0007465 (UMLS CUI [1])
CL.2
Code List
Primary Cause of Death
CL Item
Due To This Disease (1)
CL Item
Due To Protocol Treatment (2)
CL Item
Due To Other Cause (3)
CL Item
Unknown (4)
Cause of Death, specify
Item
Describe cause of death
text
C25685 (NCI Thesaurus ValueDomain)
C16960 (NCI Thesaurus ObjectClass)
C28554 (NCI Thesaurus Property)
C0007465 (UMLS CUI [1])
Non-protocol Therapy Administered
Item
Is the patient receiving any non-protocol cancer therapy not previously reported?
boolean
C38148 (NCI Thesaurus ValueDomain)
C15368 (NCI Thesaurus ObjectClass)
C25590 (NCI Thesaurus ObjectClass-2)
C25382 (NCI Thesaurus Property)
C0920425 (UMLS CUI [1,1])
C1518384 (UMLS CUI [1,2])
New Cancer Diagnosis
Item
Has a new primary cancer or MDS been diagnosed that has not been previously reported?
boolean
C38148 (NCI Thesaurus ValueDomain)
C25586 (NCI Thesaurus ObjectClass)
C9305 (NCI Thesaurus ObjectClass-2)
C15220 (NCI Thesaurus Property)
C0006826 (UMLS CUI [1,1])
C0011900 (UMLS CUI [1,2])
C3463824 (UMLS CUI [2])
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