INSTRUCTIONS: Complete and submit this form as required by the protocol. Information in the upper right box must be completed for this form to be accepted. Do not leave any entries blank.

1 Formulare

StudyEvent: CALGB: 90401 Solid Tumor Evaluation Form
1. INSTRUCTIONS: Complete and submit this form as required by the protocol. Information in the upper right box must be completed for this form to be accepted. Do not leave any entries blank.

Unnamed1

Beschreibung

Unnamed1

CALGB Form

Beschreibung

CALGBFormIdentifierNumber

Datentyp

text

Alias

NCI Thesaurus ValueDomain: C25337

UMLS 2011AA ValueDomain: C0237753

NCI Thesaurus ObjectClass: C19464

UMLS 2011AA ObjectClass: C0376315

NCI Thesaurus Property: C25364

UMLS 2011AA Property: C0600091

NCI Thesaurus ObjectClass: C25442

UMLS 2011AA ObjectClass: C1516238

CALGB Study No.

Beschreibung

ProtocolCALGBIdentifierNumber

Datentyp

text

Alias

NCI Thesaurus ValueDomain: C25337

UMLS 2011AA ValueDomain: C0237753

NCI Thesaurus ObjectClass: C25320

UMLS 2011AA ObjectClass: C1507394

NCI Thesaurus Property: C25364

UMLS 2011AA Property: C0600091

NCI Thesaurus Property: C25442

UMLS 2011AA Property: C1516238

CALGB Patient ID

Beschreibung

PatientCALGBIdentifierNumber

Datentyp

text

Alias

NCI Thesaurus ValueDomain: C25337

UMLS 2011AA ValueDomain: C0237753

NCI Thesaurus ObjectClass: C16960

UMLS 2011AA ObjectClass: C0030705

NCI Thesaurus Property: C25364

UMLS 2011AA Property: C0600091

NCI Thesaurus Property: C25442

UMLS 2011AA Property: C1516238

Are data amended?

Beschreibung

DataAmendedInd-3

Datentyp

text

Alias

NCI Thesaurus ValueDomain: C38148

UMLS 2011AA ValueDomain: C1512699

NCI Thesaurus ObjectClass: C25474

UMLS 2011AA ObjectClass: C1511726

NCI Thesaurus Property: C25416

UMLS 2011AA Property: C1691222

Yes (Yes)

Unnamed2

Beschreibung

Unnamed2

Patient Initials

Beschreibung

PatientInitialsName

Datentyp

text

Alias

NCI Thesaurus ValueDomain: C25191

UMLS 2011AA ValueDomain: C1547383

NCI Thesaurus ObjectClass: C16960

UMLS 2011AA ObjectClass: C0030705

NCI Thesaurus Property: C25536

UMLS 2011AA Property: C1555582

Patient Hospital No.

Beschreibung

PatientMedicalRecordNumber

Datentyp

text

Alias

NCI Thesaurus ValueDomain: C25337

UMLS 2011AA ValueDomain: C0237753

NCI Thesaurus ObjectClass: C16960

UMLS 2011AA ObjectClass: C0030705

NCI Thesaurus Property: C25261

UMLS 2011AA Property: C0205476

NCI Thesaurus Property: C25198

UMLS 2011AA Property: C0034869

Institution/Affiliate

Beschreibung

CombinedInstitutionName

Datentyp

text

Alias

NCI Thesaurus ObjectClass: C25454

UMLS 2011AA ObjectClass: C0205195

NCI Thesaurus ObjectClass: C21541

UMLS 2011AA ObjectClass: C0018704

NCI Thesaurus Property: C25364

UMLS 2011AA Property: C0600091

NCI Thesaurus ValueDomain: C25191

UMLS 2011AA ValueDomain: C1547383

NCI Thesaurus ValueDomain: C21541

UMLS 2011AA ValueDomain: C0018704

Participating Group

Beschreibung

ParticipatingGroupName

Datentyp

text

Alias

NCI Thesaurus ValueDomain: C25191

UMLS 2011AA ValueDomain: C1547383

NCI Thesaurus ObjectClass: C25608

UMLS 2011AA ObjectClass: C0679823

NCI Thesaurus ObjectClass: C17005

UMLS 2011AA ObjectClass: C1257890

NCI Thesaurus Property: C25364

UMLS 2011AA Property: C0600091

Participating Group Study No.

Beschreibung

ProtocolParticipatingIdentifierNumber

Datentyp

text

Alias

NCI Thesaurus ValueDomain: C25337

UMLS 2011AA ValueDomain: C0237753

NCI Thesaurus ObjectClass: C25320

UMLS 2011AA ObjectClass: C1507394

NCI Thesaurus Property: C25608

UMLS 2011AA Property: C0679823

NCI Thesaurus Property: C25364

UMLS 2011AA Property: C0600091

Participating Group Patient ID

Beschreibung

PatientParticipatingIdentifierNumber

Datentyp

text

Alias

NCI Thesaurus ValueDomain: C25337

UMLS 2011AA ValueDomain: C0237753

NCI Thesaurus ObjectClass: C16960

UMLS 2011AA ObjectClass: C0030705

NCI Thesaurus Property: C25608

UMLS 2011AA Property: C0679823

NCI Thesaurus Property: C25364

UMLS 2011AA Property: C0600091

List All Target And Non-target Sites To Be Used For Response:

Beschreibung

List All Target And Non-target Sites To Be Used For Response:

Treating Physician

Beschreibung

TreatingPhysicianName

Datentyp

text

Alias

NCI Thesaurus ValueDomain: C25191

UMLS 2011AA ValueDomain: C1547383

NCI Thesaurus Property: C25364

UMLS 2011AA Property: C0600091

NCI Thesaurus ObjectClass: C25741

UMLS 2011AA ObjectClass: C0031831

NCI Thesaurus ObjectClass: C25705

UMLS 2011AA ObjectClass: C1522326

Date of evaluation

Beschreibung

LesionAssessmentDate

Datentyp

date

Alias

NCI Thesaurus ValueDomain: C25164

UMLS 2011AA ValueDomain: C0011008

NCI Thesaurus ObjectClass: C3824

UMLS 2011AA ObjectClass: C0221198

NCI Thesaurus Property: C20989

UMLS 2011AA Property: C0031809

NCI Thesaurus ValueDomain: C25367

Target Lesion(s)

Beschreibung

Target Lesion(s)

Response status at this assessment (CR, Incomplete Response/SD, PD:)

Beschreibung

LeukemiaDiseaseResponseType

Datentyp

text

Alias

NCI Thesaurus ValueDomain: C25284

UMLS 2011AA ValueDomain: C0332307

NCI Thesaurus Property: C25755

UMLS 2011AA Property: C0871261

NCI Thesaurus ObjectClass: C2991

UMLS 2011AA ObjectClass: C0012634

NCI Thesaurus ObjectClass: C3161

UMLS 2011AA ObjectClass: C0023418

Complete Response; Disapperance Of All Target Lesions (CR)

Incomplete Response Or Stable Disesase (Incomplete Response/SD)

Progressive Disease (PD)

Lesion, anatomic site, target

Beschreibung

LesionTargetSite

Datentyp

text

Alias

NCI Thesaurus ValueDomain: C13717

UMLS 2011AA ValueDomain: C1515974

NCI Thesaurus ObjectClass: C3824

UMLS 2011AA ObjectClass: C0221198

NCI Thesaurus Property: C25341

UMLS 2011AA Property: C0450429

NCI Thesaurus Property: C25702

UMLS 2011AA Property: C1521840

Method of Evaluation

Beschreibung

AssessmentMethodType

Datentyp

text

Alias

NCI Thesaurus ValueDomain: C25284

UMLS 2011AA ValueDomain: C0332307

NCI Thesaurus ObjectClass: C20989

UMLS 2011AA ObjectClass: C0031809

NCI Thesaurus Property: C16847

UMLS 2011AA Property: C0449851

Longest diameter of lesion (s cm)

Beschreibung

LesionLongestDiameterMeasurement

Datentyp

double

Maßeinheiten

Alias

NCI Thesaurus ObjectClass: C3824

UMLS 2011AA ObjectClass: C0221198

NCI Thesaurus Property: C25285

UMLS 2011AA Property: C1301886

NCI Thesaurus Property: C25558

UMLS 2011AA Property: C1522425

NCI Thesaurus ValueDomain: C25209

UMLS 2011AA ValueDomain: C0242485

NCI Thesaurus ValueDomain: C25285

UMLS 2011AA ValueDomain: C1301886

Sum of longest diameters of all target lesions

Beschreibung

LongestLesionSumDiameterMeasurement

Datentyp

double

Alias

NCI Thesaurus ObjectClass: C25558

UMLS 2011AA ObjectClass: C1522425

NCI Thesaurus ObjectClass: C3824

UMLS 2011AA ObjectClass: C0221198

NCI Thesaurus Property: C25285

UMLS 2011AA Property: C1301886

NCI Thesaurus Property: C25697

UMLS 2011AA Property: C1515051

NCI Thesaurus ValueDomain: C25209

UMLS 2011AA ValueDomain: C0242485

Non-target Lesion(s)

Beschreibung

Non-target Lesion(s)

Response status at this assessment (CR, Incomplete Response/SD, PD:)

Beschreibung

LeukemiaDiseaseResponseType

Datentyp

text

Alias

NCI Thesaurus ValueDomain: C25284

UMLS 2011AA ValueDomain: C0332307

NCI Thesaurus Property: C25755

UMLS 2011AA Property: C0871261

NCI Thesaurus ObjectClass: C2991

UMLS 2011AA ObjectClass: C0012634

NCI Thesaurus ObjectClass: C3161

UMLS 2011AA ObjectClass: C0023418

Complete Response; Disapperance Of All Target Lesions (CR)

Incomplete Response Or Stable Disesase (Incomplete Response/SD)

Progressive Disease (PD)

Lesion, anatomic site, non-target

Beschreibung

LesionNontargetSite

Datentyp

text

Alias

NCI Thesaurus ValueDomain: C13717

UMLS 2011AA ValueDomain: C1515974

NCI Thesaurus ObjectClass: C3824

UMLS 2011AA ObjectClass: C0221198

NCI Thesaurus Property: C25592

UMLS 2011AA Property: C1518389

NCI Thesaurus Property: C25341

UMLS 2011AA Property: C0450429

Method of Evaluation

Beschreibung

AssessmentMethodType

Datentyp

text

Alias

NCI Thesaurus ValueDomain: C25284

UMLS 2011AA ValueDomain: C0332307

NCI Thesaurus ObjectClass: C20989

UMLS 2011AA ObjectClass: C0031809

NCI Thesaurus Property: C16847

UMLS 2011AA Property: C0449851

Follow-up Status of Lesion* (*)

Beschreibung

Non-TargetLesionFollow-upStatus

Datentyp

text

Alias

NCI Thesaurus ObjectClass: C3824

UMLS 2011AA ObjectClass: C0221198

NCI Thesaurus ObjectClass: C25592

UMLS 2011AA ObjectClass: C1518389

NCI Thesaurus ValueDomain: C25688

UMLS 2011AA ValueDomain: C0449438

NCI Thesaurus Property: C25365

UMLS 2011AA Property: C0678257

Present (Present)

Absent (Absent)

Completed by (Print or Type Name)

Beschreibung

ResponsiblePersonName

Datentyp

text

Alias

NCI Thesaurus ValueDomain: C25191

UMLS 2011AA ValueDomain: C1547383

NCI Thesaurus ObjectClass: C25657

UMLS 2011AA ObjectClass: C1273518

NCI Thesaurus Property: C25364

UMLS 2011AA Property: C0600091

Date form originally completed

Beschreibung

FormOriginalCompleteDate

Datentyp

date

Alias

NCI Thesaurus ObjectClass: C19464

UMLS 2011AA ObjectClass: C0376315

NCI Thesaurus Property: C25250

UMLS 2011AA Property: C0205197

NCI Thesaurus Property: C25604

UMLS 2011AA Property: C0205313

NCI Thesaurus ValueDomain: C25164

UMLS 2011AA ValueDomain: C0011008

NCI Thesaurus ValueDomain: C25367

Zum Seitenanfang zurückkehren

INSTRUCTIONS: Complete and submit this form as required by the protocol. Information in the upper right box must be completed for this form to be accepted. Do not leave any entries blank.

1 Formulare

StudyEvent: CALGB: 90401 Solid Tumor Evaluation Form
1. INSTRUCTIONS: Complete and submit this form as required by the protocol. Information in the upper right box must be completed for this form to be accepted. Do not leave any entries blank.

Name

Typ

Description | Question | Decode (Coded Value)

Datentyp

Alias

Unnamed1

Item Group

Unnamed1

CALGBFormIdentifierNumber

Item

CALGB Form

text

C25337 (NCI Thesaurus ValueDomain)
C0237753 (UMLS 2011AA ValueDomain)
C19464 (NCI Thesaurus ObjectClass)
C0376315 (UMLS 2011AA ObjectClass)
C25364 (NCI Thesaurus Property)
C0600091 (UMLS 2011AA Property)
C25442 (NCI Thesaurus ObjectClass)
C1516238 (UMLS 2011AA ObjectClass)

ProtocolCALGBIdentifierNumber

Item

CALGB Study No.

text

C25337 (NCI Thesaurus ValueDomain)
C0237753 (UMLS 2011AA ValueDomain)
C25320 (NCI Thesaurus ObjectClass)
C1507394 (UMLS 2011AA ObjectClass)
C25364 (NCI Thesaurus Property)
C0600091 (UMLS 2011AA Property)
C25442 (NCI Thesaurus Property)
C1516238 (UMLS 2011AA Property)

PatientCALGBIdentifierNumber

Item

CALGB Patient ID

text

C25337 (NCI Thesaurus ValueDomain)
C0237753 (UMLS 2011AA ValueDomain)
C16960 (NCI Thesaurus ObjectClass)
C0030705 (UMLS 2011AA ObjectClass)
C25364 (NCI Thesaurus Property)
C0600091 (UMLS 2011AA Property)
C25442 (NCI Thesaurus Property)
C1516238 (UMLS 2011AA Property)

DataAmendedInd-3

Item

Are data amended?

text

C38148 (NCI Thesaurus ValueDomain)
C1512699 (UMLS 2011AA ValueDomain)
C25474 (NCI Thesaurus ObjectClass)
C1511726 (UMLS 2011AA ObjectClass)
C25416 (NCI Thesaurus Property)
C1691222 (UMLS 2011AA Property)

CL.1

Code List

Are data amended?

CL Item

Yes (Yes)

C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)

Unnamed2

Item Group

Unnamed2

PatientInitialsName

Item

Patient Initials

text

C25191 (NCI Thesaurus ValueDomain)
C1547383 (UMLS 2011AA ValueDomain)
C16960 (NCI Thesaurus ObjectClass)
C0030705 (UMLS 2011AA ObjectClass)
C25536 (NCI Thesaurus Property)
C1555582 (UMLS 2011AA Property)

PatientMedicalRecordNumber

Item

Patient Hospital No.

text

C25337 (NCI Thesaurus ValueDomain)
C0237753 (UMLS 2011AA ValueDomain)
C16960 (NCI Thesaurus ObjectClass)
C0030705 (UMLS 2011AA ObjectClass)
C25261 (NCI Thesaurus Property)
C0205476 (UMLS 2011AA Property)
C25198 (NCI Thesaurus Property)
C0034869 (UMLS 2011AA Property)

CombinedInstitutionName

Item

Institution/Affiliate

text

C25454 (NCI Thesaurus ObjectClass)
C0205195 (UMLS 2011AA ObjectClass)
C21541 (NCI Thesaurus ObjectClass)
C0018704 (UMLS 2011AA ObjectClass)
C25364 (NCI Thesaurus Property)
C0600091 (UMLS 2011AA Property)
C25191 (NCI Thesaurus ValueDomain)
C1547383 (UMLS 2011AA ValueDomain)
C21541 (NCI Thesaurus ValueDomain)
C0018704 (UMLS 2011AA ValueDomain)

ParticipatingGroupName

Item

Participating Group

text

C25191 (NCI Thesaurus ValueDomain)
C1547383 (UMLS 2011AA ValueDomain)
C25608 (NCI Thesaurus ObjectClass)
C0679823 (UMLS 2011AA ObjectClass)
C17005 (NCI Thesaurus ObjectClass)
C1257890 (UMLS 2011AA ObjectClass)
C25364 (NCI Thesaurus Property)
C0600091 (UMLS 2011AA Property)

ProtocolParticipatingIdentifierNumber

Item

Participating Group Study No.

text

C25337 (NCI Thesaurus ValueDomain)
C0237753 (UMLS 2011AA ValueDomain)
C25320 (NCI Thesaurus ObjectClass)
C1507394 (UMLS 2011AA ObjectClass)
C25608 (NCI Thesaurus Property)
C0679823 (UMLS 2011AA Property)
C25364 (NCI Thesaurus Property)
C0600091 (UMLS 2011AA Property)

PatientParticipatingIdentifierNumber

Item

Participating Group Patient ID

text

C25337 (NCI Thesaurus ValueDomain)
C0237753 (UMLS 2011AA ValueDomain)
C16960 (NCI Thesaurus ObjectClass)
C0030705 (UMLS 2011AA ObjectClass)
C25608 (NCI Thesaurus Property)
C0679823 (UMLS 2011AA Property)
C25364 (NCI Thesaurus Property)
C0600091 (UMLS 2011AA Property)

LIST ALL TARGET AND NON-TARGET SITES TO BE USED FOR RESPONSE:

Item Group

List All Target And Non-target Sites To Be Used For Response:

TreatingPhysicianName

Item

Treating Physician

text

C25191 (NCI Thesaurus ValueDomain)
C1547383 (UMLS 2011AA ValueDomain)
C25364 (NCI Thesaurus Property)
C0600091 (UMLS 2011AA Property)
C25741 (NCI Thesaurus ObjectClass)
C0031831 (UMLS 2011AA ObjectClass)
C25705 (NCI Thesaurus ObjectClass)
C1522326 (UMLS 2011AA ObjectClass)

LesionAssessmentDate

Item

Date of evaluation

date

C25164 (NCI Thesaurus ValueDomain)
C0011008 (UMLS 2011AA ValueDomain)
C3824 (NCI Thesaurus ObjectClass)
C0221198 (UMLS 2011AA ObjectClass)
C20989 (NCI Thesaurus Property)
C0031809 (UMLS 2011AA Property)
C25367 (NCI Thesaurus ValueDomain)

TARGET LESION(S)

Item Group

Target Lesion(s)

LeukemiaDiseaseResponseType

Item

Response status at this assessment (CR, Incomplete Response/SD, PD:)

text

C25284 (NCI Thesaurus ValueDomain)
C0332307 (UMLS 2011AA ValueDomain)
C25755 (NCI Thesaurus Property)
C0871261 (UMLS 2011AA Property)
C2991 (NCI Thesaurus ObjectClass)
C0012634 (UMLS 2011AA ObjectClass)
C3161 (NCI Thesaurus ObjectClass)
C0023418 (UMLS 2011AA ObjectClass)

CL.3

Code List

Response status at this assessment (CR, Incomplete Response/SD, PD:)

CL Item

Complete Response; Disapperance Of All Target Lesions (CR)

CL Item

Incomplete Response Or Stable Disesase (Incomplete Response/SD)

CL Item

Progressive Disease (PD)

C35571 (NCI Thesaurus)
C1335499 (UMLS 2011AA)

LesionTargetSite

Item

Lesion, anatomic site, target

text

C13717 (NCI Thesaurus ValueDomain)
C1515974 (UMLS 2011AA ValueDomain)
C3824 (NCI Thesaurus ObjectClass)
C0221198 (UMLS 2011AA ObjectClass)
C25341 (NCI Thesaurus Property)
C0450429 (UMLS 2011AA Property)
C25702 (NCI Thesaurus Property)
C1521840 (UMLS 2011AA Property)

AssessmentMethodType

Item

Method of Evaluation

text

C25284 (NCI Thesaurus ValueDomain)
C0332307 (UMLS 2011AA ValueDomain)
C20989 (NCI Thesaurus ObjectClass)
C0031809 (UMLS 2011AA ObjectClass)
C16847 (NCI Thesaurus Property)
C0449851 (UMLS 2011AA Property)

LesionLongestDiameterMeasurement

Item

Longest diameter of lesion (s cm)

double

C3824 (NCI Thesaurus ObjectClass)
C0221198 (UMLS 2011AA ObjectClass)
C25285 (NCI Thesaurus Property)
C1301886 (UMLS 2011AA Property)
C25558 (NCI Thesaurus Property)
C1522425 (UMLS 2011AA Property)
C25209 (NCI Thesaurus ValueDomain)
C0242485 (UMLS 2011AA ValueDomain)
C25285 (NCI Thesaurus ValueDomain)
C1301886 (UMLS 2011AA ValueDomain)

LongestLesionSumDiameterMeasurement

Item

Sum of longest diameters of all target lesions

double

C25558 (NCI Thesaurus ObjectClass)
C1522425 (UMLS 2011AA ObjectClass)
C3824 (NCI Thesaurus ObjectClass)
C0221198 (UMLS 2011AA ObjectClass)
C25285 (NCI Thesaurus Property)
C1301886 (UMLS 2011AA Property)
C25697 (NCI Thesaurus Property)
C1515051 (UMLS 2011AA Property)
C25209 (NCI Thesaurus ValueDomain)
C0242485 (UMLS 2011AA ValueDomain)

NON-TARGET LESION(S)

Item Group

Non-target Lesion(s)

LeukemiaDiseaseResponseType

Item

Response status at this assessment (CR, Incomplete Response/SD, PD:)

text

CL.3

Code List

Response status at this assessment (CR, Incomplete Response/SD, PD:)

CL Item

Complete Response; Disapperance Of All Target Lesions (CR)

CL Item

Incomplete Response Or Stable Disesase (Incomplete Response/SD)

CL Item

Progressive Disease (PD)

C35571 (NCI Thesaurus)
C1335499 (UMLS 2011AA)

LesionNontargetSite

Item

Lesion, anatomic site, non-target

text

C13717 (NCI Thesaurus ValueDomain)
C1515974 (UMLS 2011AA ValueDomain)
C3824 (NCI Thesaurus ObjectClass)
C0221198 (UMLS 2011AA ObjectClass)
C25592 (NCI Thesaurus Property)
C1518389 (UMLS 2011AA Property)
C25341 (NCI Thesaurus Property)
C0450429 (UMLS 2011AA Property)

AssessmentMethodType

Item

Method of Evaluation

text

Non-TargetLesionFollow-upStatus

Item

Follow-up Status of Lesion* (*)

text

C3824 (NCI Thesaurus ObjectClass)
C0221198 (UMLS 2011AA ObjectClass)
C25592 (NCI Thesaurus ObjectClass)
C1518389 (UMLS 2011AA ObjectClass)
C25688 (NCI Thesaurus ValueDomain)
C0449438 (UMLS 2011AA ValueDomain)
C25365 (NCI Thesaurus Property)
C0678257 (UMLS 2011AA Property)

CL.4

Code List

Follow-up Status of Lesion* (*)

CL Item

Present (Present)

C25626 (NCI Thesaurus)
C0150312 (UMLS 2011AA)

CL Item

Absent (Absent)

C48190 (NCI Thesaurus)
C0332197 (UMLS 2011AA)

ResponsiblePersonName

Item

Completed by (Print or Type Name)

text

C25191 (NCI Thesaurus ValueDomain)
C1547383 (UMLS 2011AA ValueDomain)
C25657 (NCI Thesaurus ObjectClass)
C1273518 (UMLS 2011AA ObjectClass)
C25364 (NCI Thesaurus Property)
C0600091 (UMLS 2011AA Property)

FormOriginalCompleteDate

Item

Date form originally completed

date

C19464 (NCI Thesaurus ObjectClass)
C0376315 (UMLS 2011AA ObjectClass)
C25250 (NCI Thesaurus Property)
C0205197 (UMLS 2011AA Property)
C25604 (NCI Thesaurus Property)
C0205313 (UMLS 2011AA Property)
C25164 (NCI Thesaurus ValueDomain)
C0011008 (UMLS 2011AA ValueDomain)
C25367 (NCI Thesaurus ValueDomain)

Zum Seitenanfang zurückkehren

INSTRUCTIONS: Complete and submit this form as required by the protocol. Information in the upper right box must be completed for this form to be accepted. Do not leave any entries blank.

Beschreibung

Beschreibung

Datentyp

Alias

Beschreibung

Datentyp

Alias

Beschreibung

Datentyp

Alias

Beschreibung

Datentyp

Alias

Beschreibung

Beschreibung

Datentyp

Alias

Beschreibung

Datentyp

Alias

Beschreibung

Datentyp

Alias

Beschreibung

Datentyp

Alias

Beschreibung

Datentyp

Alias

Beschreibung

Datentyp

Alias

Beschreibung

Beschreibung

Datentyp

Alias

Beschreibung

Datentyp

Alias

Beschreibung

Beschreibung

Datentyp

Alias

Beschreibung

Datentyp

Alias

Beschreibung

Datentyp

Alias

Beschreibung

Datentyp

Maßeinheiten

Alias

Beschreibung

Datentyp

Alias

Beschreibung

Beschreibung

Datentyp

Alias

Beschreibung

Datentyp

Alias

Beschreibung

Datentyp

Alias

Beschreibung

Datentyp

Alias

Beschreibung

Datentyp

Alias

Beschreibung

Datentyp

Alias

Ähnliche Modelle

INSTRUCTIONS: Complete and submit this form as required by the protocol. Information in the upper right box must be completed for this form to be accepted. Do not leave any entries blank.