ID

2861

Beschrijving

Prior Treatment Summary form for C3D 3.12 Adopters Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=FF0877C8-3E0D-1893-E034-0003BA3F9857

Link

https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=FF0877C8-3E0D-1893-E034-0003BA3F9857

Trefwoorden

  1. 19-09-12 19-09-12 -
  2. 20-09-17 20-09-17 -
Geüploaded op

19 september 2012

DOI

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Licentie

Creative Commons BY-NC 3.0 Legacy

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Pre-Study - PRIOR TREATMENT SUMMARY - 2394184v1.0

Dates will appear as 'DD-MON-YYYY'

  1. StudyEvent: PRIOR TREATMENT SUMMARY
    1. Dates will appear as 'DD-MON-YYYY'
Comments
Beschrijving

Comments

Therapy Type
Beschrijving

PriorTherapyTypeTextCode

Datatype

text

Alias
NCI Thesaurus ObjectClass
C16124
UMLS 2011AA ObjectClass
C1514463
NCI Thesaurus ObjectClass
C19992
UMLS 2011AA ObjectClass
C1516607
NCI Thesaurus Property
C25162
UMLS 2011AA Property
C0805701
NCI Thesaurus ValueDomain
C25162
UMLS 2011AA ValueDomain
C0805701
NCI Thesaurus ValueDomain
C25704
UMLS 2011AA ValueDomain
C1527021
Note Date
Beschrijving

NoteDate

Datatype

date

Alias
NCI Thesaurus Property
C25164
UMLS 2011AA Property
C0011008
NCI Thesaurus ValueDomain
C25164
UMLS 2011AA ValueDomain
C0011008
NCI Metathesaurus ObjectClass
C1317574
Research Comments Text
Beschrijving

ResearchCommentsText

Datatype

text

Alias
NCI Thesaurus ValueDomain
C25704
UMLS 2011AA ValueDomain
C1527021
NCI Thesaurus ObjectClass
C15319
NCI Thesaurus Property
C25393
UMLS 2011AA Property
C0282411

Similar models

Dates will appear as 'DD-MON-YYYY'

  1. StudyEvent: PRIOR TREATMENT SUMMARY
    1. Dates will appear as 'DD-MON-YYYY'
Name
Type
Description | Question | Decode (Coded Value)
Datatype
Alias
Item Group
Comments
Item
Therapy Type
text
C16124 (NCI Thesaurus ObjectClass)
C1514463 (UMLS 2011AA ObjectClass)
C19992 (NCI Thesaurus ObjectClass)
C1516607 (UMLS 2011AA ObjectClass)
C25162 (NCI Thesaurus Property)
C0805701 (UMLS 2011AA Property)
C25162 (NCI Thesaurus ValueDomain)
C0805701 (UMLS 2011AA ValueDomain)
C25704 (NCI Thesaurus ValueDomain)
C1527021 (UMLS 2011AA ValueDomain)
Code List
Therapy Type
CL Item
Anti-retroviral Therapy (AR)
C16165 (NCI Thesaurus)
C0887947 (UMLS 2011AA)
CL Item
Antisense Therapy (AS)
C16236 (NCI Thesaurus)
C0935882 (UMLS 2011AA)
CL Item
Bone Marrow Transplantation (BM)
C15194 (NCI Thesaurus)
C0005961 (UMLS 2011AA)
CL Item
Chemotherapy, Nos (C)
C15632 (NCI Thesaurus)
C0392920 (UMLS 2011AA)
C19594 (NCI Thesaurus)
C1518425 (UMLS 2011AA)
CL Item
Chemotherapy, Multiple Agents Systemic (CM)
C15632 (NCI Thesaurus)
C0392920 (UMLS 2011AA)
C13310 (NCI Thesaurus)
C0205373 (UMLS 2011AA)
C17648 (NCI Thesaurus)
C0439064 (UMLS 2011AA)
C1708 (NCI Thesaurus)
C0450442 (UMLS 2011AA)
CL Item
Single Agent Systemic Chemotherapy (CS)
C15756 (NCI Thesaurus)
C0854619 (UMLS 2011AA)
CL Item
Extensive Radiation (ER)
C16230 (NCI Thesaurus)
C1517030 (UMLS 2011AA)
CL Item
Gene Transfer (G)
C20185 (NCI Thesaurus)
C1517499 (UMLS 2011AA)
CL Item
Hormone Therapy (H)
C15445 (NCI Thesaurus)
C0279025 (UMLS 2011AA)
CL Item
Hematopoietic Stem Cell Transplantation (HE)
C12551 (NCI Thesaurus)
C0018956 (UMLS 2011AA)
C15342 (NCI Thesaurus)
C0029216 (UMLS 2011AA)
CL Item
Immunotherapy (I)
C15262 (NCI Thesaurus)
C0021083 (UMLS 2011AA)
CL Item
Image Directed Local Therapy (ID)
C15687 (NCI Thesaurus)
C1517925 (UMLS 2011AA)
C17369 (NCI Thesaurus)
C0079595 (UMLS 2011AA)
CL Item
Limited Radiation Therapy (LR)
C54225 (NCI Thesaurus)
C1711365 (UMLS 2011AA)
CL Item
No Prior Therapy (N)
C15903 (NCI Thesaurus)
C1518341 (UMLS 2011AA)
CL Item
Chemotherapy, Non-cytotoxic (NC)
CL Item
Oncolytic Virotherapy (OV)
CL Item
Prior Therapy (PT)
C16124 (NCI Thesaurus)
C1514463 (UMLS 2011AA)
CL Item
Radiation Therapy (R)
C15313 (NCI Thesaurus)
C1522449 (UMLS 2011AA)
CL Item
Surgery (S)
C17173 (NCI Thesaurus)
C0038894 (UMLS 2011AA)
CL Item
Vaccine Therapy (V)
C15347 (NCI Thesaurus)
C0042209 (UMLS 2011AA)
NoteDate
Item
Note Date
date
C25164 (NCI Thesaurus Property)
C0011008 (UMLS 2011AA Property)
C25164 (NCI Thesaurus ValueDomain)
C0011008 (UMLS 2011AA ValueDomain)
C1317574 (NCI Metathesaurus ObjectClass)
ResearchCommentsText
Item
Research Comments Text
text
C25704 (NCI Thesaurus ValueDomain)
C1527021 (UMLS 2011AA ValueDomain)
C15319 (NCI Thesaurus ObjectClass)
C25393 (NCI Thesaurus Property)
C0282411 (UMLS 2011AA Property)

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