ID

320

Descrizione

ACNS0122 PBSC Harvest Worksheet Neoadjuvant Chemotherapy With or Without Second-Look Surgery Followed by Radiation Therapy With or Without Peripheral Stem Cell Transplantation in Treating Patients With Intracranial Germ Cell Tumors Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=BD8E5AF7-9FAF-0089-E034-0003BA12F5E7

collegamento

https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=BD8E5AF7-9FAF-0089-E034-0003BA12F5E7

Keywords

versioni (4)
  1. 19/04/12 19/04/12 -
  2. 09/01/15 09/01/15 - Martin Dugas
  3. 03/07/15 03/07/15 -
  4. 31/07/15 31/07/15 - Martin Dugas
Caricato su

19 aprile 2012

DOI

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Licenza

Creative Commons BY-NC 3.0 Legacy
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Brain and Central Nervous System Tumors NCT00047320 Treatment - ACNS0122 PBSC Harvest Worksheet 2168771_v3_0

Tedesco Inglese

Keine Anleitung vorhanden.

1 moduli  
  1. StudyEvent: ACNS0122 PBSC Harvest Worksheet
    1. Keine Anleitung vorhanden.
Unbenannt1
Descrizione

Unbenannt1

Institutsname
Descrizione

InstitutionName

Tipo di dati

text

Alias
NCI Thesaurus ValueDomain
C25191
UMLS 2011AA ValueDomain
C1547383
NCI Thesaurus ObjectClass
C21541
UMLS 2011AA ObjectClass
C0018704
NCI Thesaurus ValueDomain
C21541
UMLS 2011AA ValueDomain
C0018704
NCI Thesaurus Property
C25364
UMLS 2011AA Property
C0600091
COG Studiennummer
Descrizione

ProtocolCOGIdentifierNumber

Tipo di dati

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
COG Studiennummer
Descrizione

ProtocolCOGIdentifierNumber

Tipo di dati

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
COG Patienten-ID
Descrizione

PatientCOGIdentifierNumber

Tipo di dati

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
C39353
UMLS 2011AA Property
C1516477
Patienteninitialen
Descrizione

PatientInitialsName

Tipo di dati

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
Heutiges Datum
Descrizione

FormOriginalCompleteDate

Tipo di dati

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
Datum: Arbeitsblatt wurde ins RDE eingegeben
Descrizione

DataEnteredDate

Tipo di dati

date

Alias
NCI Thesaurus ValueDomain
C25164
UMLS 2011AA ValueDomain
C0011008
NCI Thesaurus ObjectClass
C25474
UMLS 2011AA ObjectClass
C1511726
NCI Thesaurus Property
C37949
UMLS 2011AA Property
C1521975
Unbenannt2
Descrizione

Unbenannt2

Höhe in
Descrizione

PatientHeightMeasurement

Tipo di dati

double

Unità di misura
  • cm
Alias
NCI Thesaurus ValueDomain
C25209
UMLS 2011AA ValueDomain
C0242485
NCI Thesaurus ObjectClass
C16960
UMLS 2011AA ObjectClass
C0030705
NCI Thesaurus Property
C25347
UMLS 2011AA Property
C0489786
cm
Gewicht
Descrizione

PatientWeightMeasurement

Tipo di dati

double

Unità di misura
  • Kg
Alias
NCI Thesaurus ValueDomain
C25209
UMLS 2011AA ValueDomain
C0242485
NCI Thesaurus ObjectClass
C16960
UMLS 2011AA ObjectClass
C0030705
NCI Thesaurus Property
C25208
UMLS 2011AA Property
C0043100
Kg
Unbenannt3
Descrizione

Unbenannt3

Hat der Patient PBSC Ertrag während des Berichtszeitraums?
Descrizione

PBSCHarvestPerformedInd-2

Tipo di dati

text

Alias
NCI Thesaurus ValueDomain
C38147
UMLS 2011AA ValueDomain
C1512698
NCI Thesaurus Property
C38000
UMLS 2011AA Property
C0884358
Datum [PBSC Ertrag]
Descrizione

PBSCHarvestPerformedDate

Tipo di dati

date

Alias
NCI Thesaurus ValueDomain
C25164
UMLS 2011AA ValueDomain
C0011008
NCI Thesaurus Property
C38000
UMLS 2011AA Property
C0884358
Beschreibung (Anzahl der gesammelten Zellen)
Descrizione

PBSCHarvestCellValue

Tipo di dati

double

Alias
NCI Thesaurus Property
C38000
UMLS 2011AA Property
C0884358
Wurde Knochenmark Sammlung durchgeführt?
Descrizione

BoneMarrowHarvestPerformedInd-2

Tipo di dati

text

Alias
NCI Thesaurus ValueDomain
C38147
UMLS 2011AA ValueDomain
C1512698
NCI Thesaurus Property
C38000
UMLS 2011AA Property
C0884358
Datum der Durchgeführung
Descrizione

BoneMarrowHarvestPerformedDate

Tipo di dati

date

Alias
NCI Thesaurus ValueDomain
C25164
UMLS 2011AA ValueDomain
C0011008
NCI Thesaurus Property
C38000
UMLS 2011AA Property
C0884358
Unbenannt4
Descrizione

Unbenannt4

Hat der Patient angemessene CD34 +-Zellen gesammelt?
Descrizione

PeripheralBloodStemCellCD34+CellHarvestPerformedValue

Tipo di dati

double

Alias
NCI Thesaurus ObjectClass
C12946
UMLS 2011AA ObjectClass
C1518999
NCI Thesaurus ObjectClass
C37963
UMLS 2011AA ObjectClass
C1512335
NCI Metathesaurus ObjectClass
C0882849
NCI Thesaurus Property
C38000
UMLS 2011AA Property
C0884358
NCI Thesaurus ValueDomain
C25712
UMLS 2011AA ValueDomain
C1522609
Hat der Patient ausreichende Knochenmarksfunktionen?
Descrizione

PatientBoneMarrowFunctionRequiredInd-2

Tipo di dati

text

Alias
NCI Thesaurus ValueDomain
C38147
UMLS 2011AA ValueDomain
C1512698
NCI Thesaurus ObjectClass
C16960
UMLS 2011AA ObjectClass
C0030705
NCI Thesaurus Property
C25518
UMLS 2011AA Property
C0542341
Hat der Patient ausreichende Nierenfunktion?
Descrizione

PatientRenalFunctionRequiredInd-2

Tipo di dati

text

Alias
NCI Thesaurus ValueDomain
C38147
UMLS 2011AA ValueDomain
C1512698
NCI Thesaurus ObjectClass
C16960
UMLS 2011AA ObjectClass
C0030705
NCI Thesaurus Property
C25518
UMLS 2011AA Property
C0542341
Hat der Patient ausreichende Leberfunktion?
Descrizione

PatientLiverFunctionRequiredInd-2

Tipo di dati

text

Alias
NCI Thesaurus ValueDomain
C38147
UMLS 2011AA ValueDomain
C1512698
NCI Thesaurus ObjectClass
C16960
UMLS 2011AA ObjectClass
C0030705
NCI Thesaurus Property
C25518
UMLS 2011AA Property
C0542341
Hat der Patient ausreichende Funktion des zentralen Nervensystems?
Descrizione

PatientCNSFunctionRequiredInd-2

Tipo di dati

text

Alias
NCI Thesaurus ValueDomain
C38147
UMLS 2011AA ValueDomain
C1512698
NCI Thesaurus ObjectClass
C16960
UMLS 2011AA ObjectClass
C0030705
NCI Thesaurus Property
C25518
UMLS 2011AA Property
C0542341
Unbenannt5
Descrizione

Unbenannt5

Kommentare
Descrizione

ResearchCommentsText

Tipo di dati

text

Alias
NCI Thesaurus ValueDomain
C25704
UMLS 2011AA ValueDomain
C1527021
NCI Thesaurus ObjectClass
C15319
NCI Thesaurus Property
C25393
UMLS 2011AA Property
C0282411
CCRR Modul für Acns0122 PBSC Ertrags-Arbeitsblatt
Descrizione

CCRR Modul für Acns0122 PBSC Ertrags-Arbeitsblatt

Ritorna all'inizio della pagina

Similar models

Keine Anleitung vorhanden.

1 moduli
  1. StudyEvent: ACNS0122 PBSC Harvest Worksheet
    1. Keine Anleitung vorhanden.
Name
genere
Description | Question | Decode (Coded Value)
Tipo di dati
Alias
Item Group
Unbenannt1
InstitutionName
Item
Institutsname
text
C25191 (NCI Thesaurus ValueDomain)
C1547383 (UMLS 2011AA ValueDomain)
C21541 (NCI Thesaurus ObjectClass)
C0018704 (UMLS 2011AA ObjectClass)
C21541 (NCI Thesaurus ValueDomain)
C0018704 (UMLS 2011AA ValueDomain)
C25364 (NCI Thesaurus Property)
C0600091 (UMLS 2011AA Property)
ProtocolCOGIdentifierNumber
Item
COG Studiennummer
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)
ProtocolCOGIdentifierNumber
Item
COG Studiennummer
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)
PatientCOGIdentifierNumber
Item
COG Patienten-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)
C39353 (NCI Thesaurus Property)
C1516477 (UMLS 2011AA Property)
PatientInitialsName
Item
Patienteninitialen
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)
FormOriginalCompleteDate
Item
Heutiges Datum
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)
DataEnteredDate
Item
Datum: Arbeitsblatt wurde ins RDE eingegeben
date
C25164 (NCI Thesaurus ValueDomain)
C0011008 (UMLS 2011AA ValueDomain)
C25474 (NCI Thesaurus ObjectClass)
C1511726 (UMLS 2011AA ObjectClass)
C37949 (NCI Thesaurus Property)
C1521975 (UMLS 2011AA Property)
Item Group
Unbenannt2
PatientHeightMeasurement
Item
Höhe in
double
C25209 (NCI Thesaurus ValueDomain)
C0242485 (UMLS 2011AA ValueDomain)
C16960 (NCI Thesaurus ObjectClass)
C0030705 (UMLS 2011AA ObjectClass)
C25347 (NCI Thesaurus Property)
C0489786 (UMLS 2011AA Property)
PatientWeightMeasurement
Item
Gewicht
double
C25209 (NCI Thesaurus ValueDomain)
C0242485 (UMLS 2011AA ValueDomain)
C16960 (NCI Thesaurus ObjectClass)
C0030705 (UMLS 2011AA ObjectClass)
C25208 (NCI Thesaurus Property)
C0043100 (UMLS 2011AA Property)
Item Group
Unbenannt3
Item
Hat der Patient PBSC Ertrag während des Berichtszeitraums?
text
C38147 (NCI Thesaurus ValueDomain)
C1512698 (UMLS 2011AA ValueDomain)
C38000 (NCI Thesaurus Property)
C0884358 (UMLS 2011AA Property)
CL.1
Code List
Hat der Patient PBSC Ertrag während des Berichtszeitraums?
CL Item
ja (Yes)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
CL Item
nein (No)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
PBSCHarvestPerformedDate
Item
Datum [PBSC Ertrag]
date
C25164 (NCI Thesaurus ValueDomain)
C0011008 (UMLS 2011AA ValueDomain)
C38000 (NCI Thesaurus Property)
C0884358 (UMLS 2011AA Property)
PBSCHarvestCellValue
Item
Beschreibung (Anzahl der gesammelten Zellen)
double
C38000 (NCI Thesaurus Property)
C0884358 (UMLS 2011AA Property)
Item
Wurde Knochenmark Sammlung durchgeführt?
text
C38147 (NCI Thesaurus ValueDomain)
C1512698 (UMLS 2011AA ValueDomain)
C38000 (NCI Thesaurus Property)
C0884358 (UMLS 2011AA Property)
CL.2
Code List
Wurde Knochenmark Sammlung durchgeführt?
CL Item
ja (Yes)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
CL Item
nein (No)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
BoneMarrowHarvestPerformedDate
Item
Datum der Durchgeführung
date
C25164 (NCI Thesaurus ValueDomain)
C0011008 (UMLS 2011AA ValueDomain)
C38000 (NCI Thesaurus Property)
C0884358 (UMLS 2011AA Property)
Item Group
Unbenannt4
Item
Hat der Patient angemessene CD34 +-Zellen gesammelt?
double
C12946 (NCI Thesaurus ObjectClass)
C1518999 (UMLS 2011AA ObjectClass)
C37963 (NCI Thesaurus ObjectClass)
C1512335 (UMLS 2011AA ObjectClass)
C0882849 (NCI Metathesaurus ObjectClass)
C38000 (NCI Thesaurus Property)
C0884358 (UMLS 2011AA Property)
C25712 (NCI Thesaurus ValueDomain)
C1522609 (UMLS 2011AA ValueDomain)
CL.3
Code List
Hat der Patient angemessene CD34 +-Zellen gesammelt?
CL Item
ja (Yes)
CL Item
nein (No)
Item
Hat der Patient ausreichende Knochenmarksfunktionen?
text
C38147 (NCI Thesaurus ValueDomain)
C1512698 (UMLS 2011AA ValueDomain)
C16960 (NCI Thesaurus ObjectClass)
C0030705 (UMLS 2011AA ObjectClass)
C25518 (NCI Thesaurus Property)
C0542341 (UMLS 2011AA Property)
CL.4
Code List
Hat der Patient ausreichende Knochenmarksfunktionen?
CL Item
ja (Yes)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
CL Item
nein (No)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
Item
Hat der Patient ausreichende Nierenfunktion?
text
C38147 (NCI Thesaurus ValueDomain)
C1512698 (UMLS 2011AA ValueDomain)
C16960 (NCI Thesaurus ObjectClass)
C0030705 (UMLS 2011AA ObjectClass)
C25518 (NCI Thesaurus Property)
C0542341 (UMLS 2011AA Property)
CL.5
Code List
Hat der Patient ausreichende Nierenfunktion?
CL Item
ja (Yes)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
CL Item
nein (No)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
Item
Hat der Patient ausreichende Leberfunktion?
text
C38147 (NCI Thesaurus ValueDomain)
C1512698 (UMLS 2011AA ValueDomain)
C16960 (NCI Thesaurus ObjectClass)
C0030705 (UMLS 2011AA ObjectClass)
C25518 (NCI Thesaurus Property)
C0542341 (UMLS 2011AA Property)
CL.6
Code List
Hat der Patient ausreichende Leberfunktion?
CL Item
ja (Yes)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
CL Item
nein (No)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
Item
Hat der Patient ausreichende Funktion des zentralen Nervensystems?
text
C38147 (NCI Thesaurus ValueDomain)
C1512698 (UMLS 2011AA ValueDomain)
C16960 (NCI Thesaurus ObjectClass)
C0030705 (UMLS 2011AA ObjectClass)
C25518 (NCI Thesaurus Property)
C0542341 (UMLS 2011AA Property)
CL.7
Code List
Hat der Patient ausreichende Funktion des zentralen Nervensystems?
CL Item
ja (Yes)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
CL Item
nein (No)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
Item Group
Unbenannt5
ResearchCommentsText
Item
Kommentare
text
C25704 (NCI Thesaurus ValueDomain)
C1527021 (UMLS 2011AA ValueDomain)
C15319 (NCI Thesaurus ObjectClass)
C25393 (NCI Thesaurus Property)
C0282411 (UMLS 2011AA Property)
Item Group
CCRR Modul für Acns0122 PBSC Ertrags-Arbeitsblatt
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