ID

2637

Descripción

CALGB 50901 New Malignancy 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=9F505C29-ACEA-78C3-E040-BB89AD433B18

Link

https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=9F505C29-ACEA-78C3-E040-BB89AD433B18

Palabras clave

  1. 19/9/12 19/9/12 -
  2. 28/8/17 28/8/17 -
Subido en

19 de septiembre de 2012

DOI

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Licencia

Creative Commons BY-NC 3.0 Legacy

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Lymphoma NCT01190449 On-Study - CALGB 50901 New Malignancy Form - 3210573v1.0

Instructions: 1. Report any malignancy that is: A new histologic type A previous histologic type that is judged to be a new primary A new secondary malignancy related to cancer treatment, including AML/MDS. Recurrence of a previous malignancy 2. Submit pathology and/or cytogenetic report(s) documenting the new primary or secondary malignancy. 3. Do not use this form to report recurrences of current lymphoma. 4. All new malignancies must also be reported to NCI/CTEP via the AdEERS application.

New Malignancy
Descripción

New Malignancy

New Malignancy Type
Descripción

DiseaseorDisorderNewDiseaseProgressionDiagnosisType

Tipo de datos

text

Alias
NCI Thesaurus ObjectClass
C2991
UMLS 2011AA ObjectClass
C0012634
NCI Thesaurus Property
C25586
UMLS 2011AA Property
C0205314
NCI Thesaurus Property
C17747
UMLS 2011AA Property
C0242656
NCI Thesaurus Property
C15220
UMLS 2011AA Property
C0011900
NCI Thesaurus ValueDomain
C25284
UMLS 2011AA ValueDomain
C0332307
Specify Type
Descripción

MalignantDiseaseOtherPresentSpecify

Tipo de datos

text

Alias
NCI Thesaurus ObjectClass
C14143
UMLS 2011AA ObjectClass
C0205282
NCI Thesaurus ObjectClass
C2991
UMLS 2011AA ObjectClass
C0012634
NCI Thesaurus Property
C17649
UMLS 2011AA Property
C0205394
NCI Thesaurus Property
C25626
UMLS 2011AA Property
C0150312
NCI Thesaurus ValueDomain
C25685
UMLS 2011AA ValueDomain
C1521902
Specify histologic type
Descripción

TumorHistologicCategorySpecify

Tipo de datos

text

Alias
NCI Thesaurus ValueDomain
C25685
UMLS 2011AA ValueDomain
C1521902
NCI Thesaurus ObjectClass
C3262
UMLS 2011AA ObjectClass
C0027651
NCI Thesaurus Property
C25526
UMLS 2011AA Property
C0205462
NCI Thesaurus Property
C25161
UMLS 2011AA Property
C0008902

Similar models

Instructions: 1. Report any malignancy that is: A new histologic type A previous histologic type that is judged to be a new primary A new secondary malignancy related to cancer treatment, including AML/MDS. Recurrence of a previous malignancy 2. Submit pathology and/or cytogenetic report(s) documenting the new primary or secondary malignancy. 3. Do not use this form to report recurrences of current lymphoma. 4. All new malignancies must also be reported to NCI/CTEP via the AdEERS application.

Name
Tipo
Description | Question | Decode (Coded Value)
Tipo de datos
Alias
Item Group
New Malignancy
Item
New Malignancy Type
text
C2991 (NCI Thesaurus ObjectClass)
C0012634 (UMLS 2011AA ObjectClass)
C25586 (NCI Thesaurus Property)
C0205314 (UMLS 2011AA Property)
C17747 (NCI Thesaurus Property)
C0242656 (UMLS 2011AA Property)
C15220 (NCI Thesaurus Property)
C0011900 (UMLS 2011AA Property)
C25284 (NCI Thesaurus ValueDomain)
C0332307 (UMLS 2011AA ValueDomain)
Code List
New Malignancy Type
CL Item
New Primary Malignancy (New primary malignancy)
CL Item
New Secondary Malignancy (New secondary malignancy)
CL Item
Recurrence Of Previous Malignancy (Recurrence of previous malignancy)
MalignantDiseaseOtherPresentSpecify
Item
Specify Type
text
C14143 (NCI Thesaurus ObjectClass)
C0205282 (UMLS 2011AA ObjectClass)
C2991 (NCI Thesaurus ObjectClass)
C0012634 (UMLS 2011AA ObjectClass)
C17649 (NCI Thesaurus Property)
C0205394 (UMLS 2011AA Property)
C25626 (NCI Thesaurus Property)
C0150312 (UMLS 2011AA Property)
C25685 (NCI Thesaurus ValueDomain)
C1521902 (UMLS 2011AA ValueDomain)
TumorHistologicCategorySpecify
Item
Specify histologic type
text
C25685 (NCI Thesaurus ValueDomain)
C1521902 (UMLS 2011AA ValueDomain)
C3262 (NCI Thesaurus ObjectClass)
C0027651 (UMLS 2011AA ObjectClass)
C25526 (NCI Thesaurus Property)
C0205462 (UMLS 2011AA Property)
C25161 (NCI Thesaurus Property)
C0008902 (UMLS 2011AA Property)

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