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ID
2861
Descripción
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
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Versiones (2)
- 19/9/12 19/9/12 -
- 20/9/17 20/9/17 -
Subido en
19 de septiembre de 2012
DOI
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Licencia
Creative Commons BY-NC 3.0 Legacy
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Pre-Study - PRIOR TREATMENT SUMMARY - 2394184v1.0
Dates will appear as 'DD-MON-YYYY'
- StudyEvent: PRIOR TREATMENT SUMMARY
Similar models
Dates will appear as 'DD-MON-YYYY'
- StudyEvent: PRIOR TREATMENT SUMMARY
Name
Tipo
Description | Question | Decode (Coded Value)
Tipo de datos
Alias
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)
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)
CL Item
Anti-retroviral Therapy (AR)
C16165 (NCI Thesaurus)
C0887947 (UMLS 2011AA)
C0887947 (UMLS 2011AA)
CL Item
Antisense Therapy (AS)
C16236 (NCI Thesaurus)
C0935882 (UMLS 2011AA)
C0935882 (UMLS 2011AA)
CL Item
Bone Marrow Transplantation (BM)
C15194 (NCI Thesaurus)
C0005961 (UMLS 2011AA)
C0005961 (UMLS 2011AA)
CL Item
Chemotherapy, Nos (C)
C15632 (NCI Thesaurus)
C0392920 (UMLS 2011AA)
C19594 (NCI Thesaurus)
C1518425 (UMLS 2011AA)
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)
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)
C0854619 (UMLS 2011AA)
CL Item
Extensive Radiation (ER)
C16230 (NCI Thesaurus)
C1517030 (UMLS 2011AA)
C1517030 (UMLS 2011AA)
CL Item
Gene Transfer (G)
C20185 (NCI Thesaurus)
C1517499 (UMLS 2011AA)
C1517499 (UMLS 2011AA)
CL Item
Hormone Therapy (H)
C15445 (NCI Thesaurus)
C0279025 (UMLS 2011AA)
C0279025 (UMLS 2011AA)
CL Item
Hematopoietic Stem Cell Transplantation (HE)
C12551 (NCI Thesaurus)
C0018956 (UMLS 2011AA)
C15342 (NCI Thesaurus)
C0029216 (UMLS 2011AA)
C0018956 (UMLS 2011AA)
C15342 (NCI Thesaurus)
C0029216 (UMLS 2011AA)
CL Item
Immunotherapy (I)
C15262 (NCI Thesaurus)
C0021083 (UMLS 2011AA)
C0021083 (UMLS 2011AA)
CL Item
Image Directed Local Therapy (ID)
C15687 (NCI Thesaurus)
C1517925 (UMLS 2011AA)
C17369 (NCI Thesaurus)
C0079595 (UMLS 2011AA)
C1517925 (UMLS 2011AA)
C17369 (NCI Thesaurus)
C0079595 (UMLS 2011AA)
CL Item
Limited Radiation Therapy (LR)
C54225 (NCI Thesaurus)
C1711365 (UMLS 2011AA)
C1711365 (UMLS 2011AA)
CL Item
No Prior Therapy (N)
C15903 (NCI Thesaurus)
C1518341 (UMLS 2011AA)
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)
C1514463 (UMLS 2011AA)
CL Item
Radiation Therapy (R)
C15313 (NCI Thesaurus)
C1522449 (UMLS 2011AA)
C1522449 (UMLS 2011AA)
CL Item
Surgery (S)
C17173 (NCI Thesaurus)
C0038894 (UMLS 2011AA)
C0038894 (UMLS 2011AA)
CL Item
Vaccine Therapy (V)
C15347 (NCI Thesaurus)
C0042209 (UMLS 2011AA)
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)
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)
C1527021 (UMLS 2011AA ValueDomain)
C15319 (NCI Thesaurus ObjectClass)
C25393 (NCI Thesaurus Property)
C0282411 (UMLS 2011AA Property)