ID
43243
Beschrijving
E1906 Registration Worksheet (step 1) Comparing Three Different Combination Chemotherapy Regimens in Treating Patients With Relapsed or Refractory Acute Myeloid Leukemia NCT00634244 Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=580BE65D-2E90-52E8-E044-0003BA3F9857
Link
Trefwoorden
Versies (4)
- 19-09-12 19-09-12 -
- 09-01-15 09-01-15 - Martin Dugas
- 23-01-15 23-01-15 - Martin Dugas
- 20-09-21 20-09-21 -
Geüploaded op
20 september 2021
DOI
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Licentie
Creative Commons BY-NC 3.0 Legacy
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Registration Worksheet (step 1) AML (NCT00634244)
No Instruction available.
- StudyEvent: E1906 Registration Worksheet (step 1)
Beschrijving
Patient Demographics / Pre-treatment Characteristics
Alias
- UMLS CUI-1
- C1704791
Beschrijving
PatientSexCode
Datatype
text
Alias
- NCI Thesaurus ObjectClass
- C16960
- NCI Thesaurus Property
- C28421
- NCI Thesaurus ValueDomain
- C25162
- NCI Thesaurus ValueDomain-2
- C16960
- NCI Thesaurus ValueDomain-3
- C28421
- UMLS CUI-1
- C0079399
Beschrijving
Birth Date
Datatype
date
Maateenheden
- mm/yy
Alias
- NCI Thesaurus ValueDomain
- C25164
- NCI Thesaurus ObjectClass
- C16960
- NCI Thesaurus Property
- C25155
- UMLS CUI-1
- C0421451
Beschrijving
Racial Group
Datatype
text
Alias
- NCI Thesaurus ValueDomain
- C25372
- UMLS CUI-1
- C0034510
- NCI Thesaurus ObjectClass
- C16960
- NCI Thesaurus Property
- C17049
Beschrijving
AddressPostalCodeIdentifier
Datatype
text
Alias
- NCI Thesaurus ObjectClass
- C25407
- NCI Thesaurus Property
- C25621
- NCI Thesaurus ValueDomain
- C25364
- NCI Thesaurus ValueDomain-2
- C25407
- NCI Thesaurus ValueDomain-3
- C25621
- UMLS CUI-1
- C1521842
Beschrijving
Ethnic Group
Datatype
text
Alias
- NCI Thesaurus ValueDomain
- C25372
- UMLS CUI-1
- C0015031
- NCI Thesaurus ObjectClass
- C16960
- NCI Thesaurus Property
- C16564
Beschrijving
Medical Record Number
Datatype
text
Alias
- NCI Thesaurus ValueDomain
- C25337
- UMLS CUI-1
- C1301894
- NCI Thesaurus ObjectClass
- C16960
- NCI Thesaurus Property
- C25261
- NCI Thesaurus Property-2
- C25198
Beschrijving
Social Security Number
Datatype
text
Alias
- NCI Thesaurus ValueDomain
- C25337
- UMLS CUI-1
- C1301821
- NCI Thesaurus ObjectClass
- C16960
- NCI Thesaurus Property
- C25686
Beschrijving
PatientInternationalPaymentType
Datatype
text
Alias
- NCI Thesaurus ValueDomain
- C25284
- NCI Thesaurus ObjectClass
- C16960
- NCI Thesaurus Property
- C25371
- NCI Thesaurus Property-2
- C25541
- UMLS CUI-1
- C0680264
Beschrijving
PatientAddressCountryCode
Datatype
text
Alias
- NCI Thesaurus ValueDomain
- C25162
- NCI Thesaurus ObjectClass
- C16960
- NCI Thesaurus Property
- C25407
- UMLS CUI-1
- C3258975
Beschrijving
Research Comments
Datatype
text
Alias
- NCI Thesaurus ValueDomain
- C25704
- UMLS CUI-1
- C0947611
- NCI Thesaurus ObjectClass
- C15319
- NCI Thesaurus Property
- C25393
Beschrijving
I Have Reviewed The Above Data And Agree The Date Are Accurate And Correct
Beschrijving
TreatingPhysicianSignatureText
Datatype
text
Alias
- NCI Thesaurus ValueDomain
- C25704
- NCI Thesaurus Property
- C25678
- NCI Thesaurus ObjectClass
- C51883
- UMLS CUI-1
- C1527021
- UMLS CUI-2
- C1519316
- UMLS CUI-3
- C1710470
Beschrijving
TreatingPhysicianSignatureDate
Datatype
date
Alias
- NCI Thesaurus ValueDomain
- C25164
- NCI Thesaurus Property
- C25678
- NCI Thesaurus ObjectClass
- C51883
- UMLS CUI-1
- C0011008
- UMLS CUI-2
- C1519316
- UMLS CUI-3
- C1710470
Similar models
No Instruction available.
- StudyEvent: E1906 Registration Worksheet (step 1)
C2986440 (UMLS CUI-1)
C16960 (NCI Thesaurus ObjectClass)
C0205435 (UMLS CUI-2)
C25536 (NCI Thesaurus Property)
C25509 (NCI Thesaurus Property-2)
C2986440 (UMLS CUI-1)
C16960 (NCI Thesaurus ObjectClass)
C1517741 (UMLS CUI-2)
C25536 (NCI Thesaurus Property)
C25551 (NCI Thesaurus Property-2)
C25250 (NCI Thesaurus Property)
C25171 (NCI Thesaurus ObjectClass)
C49073 (NCI Thesaurus Property-2)
C0013893 (UMLS CUI-1)
C0205197 (UMLS CUI-2)
C1302261 (UMLS CUI-1)
C16960 (NCI Thesaurus ObjectClass)
C25171 (NCI Thesaurus Property)
C0742766 (UMLS CUI-1)
C16960 (NCI Thesaurus ObjectClass)
C25678 (NCI Thesaurus Property)
C25460 (NCI Thesaurus Property-2)
C25367 (NCI Thesaurus ValueDomain-2)
C16468 (NCI Thesaurus ObjectClass)
C25679 (NCI Thesaurus Property)
C2985782 (UMLS CUI-1)
C62504 (NCI Thesaurus ObjectClass)
C41192 (NCI Thesaurus Property)
C0600593 (UMLS CUI-1)
C0680281 (UMLS CUI-2)
C25679 (NCI Thesaurus Property)
C0012621 (NCI Metathesaurus Property)
C45258 (NCI Thesaurus Property-2)
C25164 (NCI Thesaurus ValueDomain)
C0600593 (UMLS CUI-1)
C0680281 (UMLS CUI-2)
C0011008 (UMLS CUI-3)
C25509 (NCI Thesaurus ObjectClass-2)
C25275 (NCI Thesaurus Property)
C25330 (NCI Thesaurus ValueDomain)
C0814126 (UMLS CUI-1)
C25190 (NCI Thesaurus ObjectClass)
C25646 (NCI Thesaurus Property)
C16041 (NCI Thesaurus Property-2)
C2348585 (UMLS CUI-1)
C1512162 (UMLS CUI-2)
C25180 (NCI Thesaurus ValueDomain)
C15189 (NCI Thesaurus Property)
C25460 (NCI Thesaurus Property-2)
C1548825 (UMLS CUI-1)
C25168 (NCI Thesaurus Property)
C19157 (NCI Thesaurus Property-2)
C25460 (NCI Thesaurus Property-3)
C25180 (NCI Thesaurus ValueDomain)
C1524062 (UMLS CUI-1)
C0370003 (UMLS CUI-2)
C15319 (NCI Thesaurus Property)
C9305 (NCI Thesaurus Property-2)
C19157 (NCI Thesaurus Property-3)
C25460 (NCI Thesaurus Property-4)
C38147 (NCI Thesaurus ValueDomain)
C0040288 (UMLS CUI-1)
C1516225 (UMLS CUI-2)
C25699 (NCI Thesaurus ObjectClass-2)
C12801 (NCI Thesaurus Property)
C19157 (NCI Thesaurus Property-2)
C25460 (NCI Thesaurus Property-3)
C38147 (NCI Thesaurus ValueDomain)
C0040288 (UMLS CUI-1)
C0242481 (UMLS CUI-2)
C15319 (NCI Thesaurus Property)
C25406 (NCI Thesaurus Property-2)
C25460 (NCI Thesaurus Property-3)
C38147 (NCI Thesaurus ValueDomain)
C1511481 (UMLS CUI-1)
C2051501 (UMLS CUI-2)
C25364 (NCI Thesaurus Property)
C16487 (NCI Thesaurus ObjectClass)
C37984 (NCI Thesaurus ObjectClass-2)
C0010802 (UMLS CUI-1)
C0022877 (UMLS CUI-2)
C37984 (NCI Thesaurus ObjectClass-2)
C25395 (NCI Thesaurus Property)
C47954 (NCI Thesaurus Property-2)
C25337 (NCI Thesaurus ValueDomain)
C1515258 (UMLS CUI-1)
C0010802 (UMLS CUI-2)
C0022877 (UMLS CUI-3)
C28421 (NCI Thesaurus Property)
C25162 (NCI Thesaurus ValueDomain)
C16960 (NCI Thesaurus ValueDomain-2)
C28421 (NCI Thesaurus ValueDomain-3)
C0079399 (UMLS CUI-1)
C0086582 (UMLS 2011AA)
C0086287 (UMLS 2011AA)
C16960 (NCI Thesaurus ObjectClass)
C25155 (NCI Thesaurus Property)
C0421451 (UMLS CUI-1)
C0034510 (UMLS CUI-1)
C16960 (NCI Thesaurus ObjectClass)
C17049 (NCI Thesaurus Property)
C1515945 (UMLS 2011AA)
C0078988 (UMLS 2011AA)
C0085756 (UMLS 2011AA)
C1513907 (UMLS 2011AA)
C1706613 (UMLS 2011AA)
C0439673 (UMLS 2011AA)
C0007457 (UMLS 2011AA)
C25621 (NCI Thesaurus Property)
C25364 (NCI Thesaurus ValueDomain)
C25407 (NCI Thesaurus ValueDomain-2)
C25621 (NCI Thesaurus ValueDomain-3)
C1521842 (UMLS CUI-1)
C0015031 (UMLS CUI-1)
C16960 (NCI Thesaurus ObjectClass)
C16564 (NCI Thesaurus Property)
C0086409 (UMLS 2011AA)
C1518424 (UMLS 2011AA)
C1706613 (UMLS 2011AA)
C0439673 (UMLS 2011AA)
C1301894 (UMLS CUI-1)
C16960 (NCI Thesaurus ObjectClass)
C25261 (NCI Thesaurus Property)
C25198 (NCI Thesaurus Property-2)
C1301821 (UMLS CUI-1)
C16960 (NCI Thesaurus ObjectClass)
C25686 (NCI Thesaurus Property)
C16960 (NCI Thesaurus ObjectClass)
C25371 (NCI Thesaurus Property)
C25541 (NCI Thesaurus Property-2)
C0680264 (UMLS CUI-1)
C0018717 (UMLS 2011AA)
C0205394 (UMLS 2011AA)
C0439673 (UMLS 2011AA)
C16960 (NCI Thesaurus ObjectClass)
C25407 (NCI Thesaurus Property)
C3258975 (UMLS CUI-1)
C0002838 (UMLS 2011AA)
C0041698 (UMLS 2011AA)
C0001732 (UMLS 2011AA)
C0003354 (UMLS 2011AA)
C0003353 (UMLS 2011AA)
C0003798 (UMLS 2011AA)
C0003023 (UMLS 2011AA)
C0454691 (UMLS 2011AA)
C0003761 (UMLS 2011AA)
C0242536 (UMLS 2011AA)
C0004348 (UMLS 2011AA)
C0004340 (UMLS 2011AA)
C0282379 (UMLS 2011AA)
C0006036 (UMLS 2011AA)
C0004739 (UMLS 2011AA)
C0004732 (UMLS 2011AA)
C0004950 (UMLS 2011AA)
C0006409 (UMLS 2011AA)
C0006368 (UMLS 2011AA)
C0004684 (UMLS 2011AA)
C0006448 (UMLS 2011AA)
C0005126 (UMLS 2011AA)
C0006320 (UMLS 2011AA)
C0005918 (UMLS 2011AA)
C0006137 (UMLS 2011AA)
C0004683 (UMLS 2011AA)
C0005341 (UMLS 2011AA)
C1511278 (UMLS 2011AA)
C0006041 (UMLS 2011AA)
C0006539 (UMLS 2011AA)
C0004952 (UMLS 2011AA)
C0006823 (UMLS 2011AA)
C0009738 (UMLS 2011AA)
C0039021 (UMLS 2011AA)
C0009956 (UMLS 2011AA)
C0006802 (UMLS 2011AA)
C0008115 (UMLS 2011AA)
C3245499 (UMLS 2011AA)
C0010182 (UMLS 2011AA)
C0010435 (UMLS 2011AA)
C0006893 (UMLS 2011AA)
C0006888 (UMLS 2011AA)
C0010622 (UMLS 2011AA)
C0206578 (UMLS 2011AA)
C0019905 (UMLS 2011AA)
C0010343 (UMLS 2011AA)
C0018510 (UMLS 2011AA)
C0020174 (UMLS 2011AA)
C0021247 (UMLS 2011AA)
C0022067 (UMLS 2011AA)
C0022271 (UMLS 2011AA)
C0021201 (UMLS 2011AA)
C0022066 (UMLS 2011AA)
C0022065 (UMLS 2011AA)
C0020750 (UMLS 2011AA)
C0022277 (UMLS 2011AA)
C0022337 (UMLS 2011AA)
C0022418 (UMLS 2011AA)
C0022341 (UMLS 2011AA)
C0022558 (UMLS 2011AA)
C0006797 (UMLS 2011AA)
C0017550 (UMLS 2011AA)
C0009490 (UMLS 2011AA)
C0022804 (UMLS 2011AA)
C0007481 (UMLS 2011AA)
C0023190 (UMLS 2011AA)
C0036056 (UMLS 2011AA)
C0023668 (UMLS 2011AA)
C0038088 (UMLS 2011AA)
C0023617 (UMLS 2011AA)
C0023879 (UMLS 2011AA)
C0024176 (UMLS 2011AA)
C0023128 (UMLS 2011AA)
C0026544 (UMLS 2011AA)
C0026405 (UMLS 2011AA)
C0026374 (UMLS 2011AA)
C0024443 (UMLS 2011AA)
C0024851 (UMLS 2011AA)
C0024581 (UMLS 2011AA)
C0006416 (UMLS 2011AA)
C0026410 (UMLS 2011AA)
C0024403 (UMLS 2011AA)
C0024943 (UMLS 2011AA)
C0026514 (UMLS 2011AA)
C0024653 (UMLS 2011AA)
C0024944 (UMLS 2011AA)
C0024553 (UMLS 2011AA)
C0024548 (UMLS 2011AA)
C0025885 (UMLS 2011AA)
C0024552 (UMLS 2011AA)
C0026655 (UMLS 2011AA)
C0027366 (UMLS 2011AA)
C0028074 (UMLS 2011AA)
C0028366 (UMLS 2011AA)
C0028075 (UMLS 2011AA)
C0028002 (UMLS 2011AA)
C0027778 (UMLS 2011AA)
C0028423 (UMLS 2011AA)
C0027689 (UMLS 2011AA)
C0027496 (UMLS 2011AA)
C0028219 (UMLS 2011AA)
C0027978 (UMLS 2011AA)
C0028971 (UMLS 2011AA)
C0030266 (UMLS 2011AA)
C0031238 (UMLS 2011AA)
C0030375 (UMLS 2011AA)
C0030211 (UMLS 2011AA)
C0032356 (UMLS 2011AA)
C0031995 (UMLS 2011AA)
C0034044 (UMLS 2011AA)
C0032729 (UMLS 2011AA)
C0242397 (UMLS 2011AA)
C0030428 (UMLS 2011AA)
C0034366 (UMLS 2011AA)
C0035826 (UMLS 2011AA)
C0035978 (UMLS 2011AA)
C0036243 (UMLS 2011AA)
C0037623 (UMLS 2011AA)
C0036919 (UMLS 2011AA)
C0038642 (UMLS 2011AA)
C0038995 (UMLS 2011AA)
C0037173 (UMLS 2011AA)
C0037334 (UMLS 2011AA)
C0206579 (UMLS 2011AA)
C0037063 (UMLS 2011AA)
C0036154 (UMLS 2011AA)
C0036644 (UMLS 2011AA)
C0037640 (UMLS 2011AA)
C0038944 (UMLS 2011AA)
C0013754 (UMLS 2011AA)
C0039138 (UMLS 2011AA)
C0038983 (UMLS 2011AA)
C0007928 (UMLS 2011AA)
C0040363 (UMLS 2011AA)
C0039725 (UMLS 2011AA)
C0220928 (UMLS 2011AA)
C0041403 (UMLS 2011AA)
C0041388 (UMLS 2011AA)
C1452561 (UMLS 2011AA)
C0041400 (UMLS 2011AA)
C0041413 (UMLS 2011AA)
C0039260 (UMLS 2011AA)
C0039298 (UMLS 2011AA)
C0041580 (UMLS 2011AA)
C0041573 (UMLS 2011AA)
C0041700 (UMLS 2011AA)
C0042113 (UMLS 2011AA)
C0042177 (UMLS 2011AA)
C0042469 (UMLS 2011AA)
C0042658 (UMLS 2011AA)
C0042321 (UMLS 2011AA)
C0043402 (UMLS 2011AA)
C0024974 (UMLS 2011AA)
C0043445 (UMLS 2011AA)
C0043476 (UMLS 2011AA)
C0947611 (UMLS CUI-1)
C15319 (NCI Thesaurus ObjectClass)
C25393 (NCI Thesaurus Property)
C25678 (NCI Thesaurus Property)
C51883 (NCI Thesaurus ObjectClass)
C1527021 (UMLS CUI-1)
C1519316 (UMLS CUI-2)
C1710470 (UMLS CUI-3)
C25678 (NCI Thesaurus Property)
C51883 (NCI Thesaurus ObjectClass)
C0011008 (UMLS CUI-1)
C1519316 (UMLS CUI-2)
C1710470 (UMLS CUI-3)