ID
43252
Description
E2905 Follow Up Disease Evaluation Form Lenalidomide With or Without Epoetin Alfa in Treating Patients With Myelodysplastic Syndrome and Anemia NCT00843882 Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=0F12A9EE-8D74-6165-E044-0003BA3F9857
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Mots-clés
Versions (4)
- 18/12/2014 18/12/2014 - Martin Dugas
- 08/01/2015 08/01/2015 - Martin Dugas
- 23/01/2015 23/01/2015 - Martin Dugas
- 20/09/2021 20/09/2021 -
Téléchargé le
20 septembre 2021
DOI
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Licence
Creative Commons BY-NC 3.0 Legacy
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Follow Up Disease Evaluation Form (E2905 NCT00843882)
INSTRUCTIONS: Complete this form and submit original to the ECOG Coordinating Center within one week of registration. Keep a copy for your files
- StudyEvent: E2905 Follow Up Disease Evaluation Form
Description
On Treatment
Description
Cycle number
Type de données
text
Alias
- NCI Thesaurus ValueDomain
- C25284
- UMLS CUI-1
- C2045829
- NCI Thesaurus Property
- C25214
- NCI Thesaurus Property-2
- C25616
- NCI Thesaurus ObjectClass
- C15368
Description
Chemotherapy cycle
Type de données
text
Alias
- NCI Thesaurus ObjectClass
- C15368
- NCI Thesaurus Property
- C25214
- UMLS CUI-1
- C1302181
- NCI Thesaurus Property-2
- C25616
- NCI Thesaurus ValueDomain
- C25685
- NCI Thesaurus ValueDomain-2
- C25472
- NCI Thesaurus ValueDomain-3
- C25275
Description
Off Treatment
Description
PersonOff-TreatmentTimePeriodType
Type de données
text
Alias
- NCI Thesaurus ObjectClass
- C25190
- UMLS 2011AA ObjectClass
- C0027361
- NCI Thesaurus Property
- C25616
- UMLS 2011AA Property
- C1948053
- NCI Thesaurus Property-2
- C25601
- UMLS 2011AA Property-2
- C1518544
- NCI Thesaurus Property-3
- C25207
- UMLS 2011AA Property-3
- C0040223
- NCI Thesaurus ValueDomain
- C25284
- UMLS 2011AA ValueDomain
- C0332307
Description
Unnamed5
Description
MyelodysplasticSyndromeWorldHealthOrganizationClassificationCategory
Type de données
text
Alias
- NCI Thesaurus ValueDomain
- C25372
- NCI Thesaurus ObjectClass
- C3247
- NCI Thesaurus Property
- C25161
- NCI Thesaurus Property-2
- C75419
- UMLS CUI-1
- C3463824
- UMLS CUI-2
- C0008902
Description
BoneMarrowBiopsyInd
Type de données
boolean
Alias
- NCI Thesaurus ValueDomain
- C25180
- NCI Thesaurus Property
- C15189
- NCI Thesaurus ObjectClass
- C12431
- UMLS CUI-1
- C0005954
Description
BoneMarrowBiopsyDate
Type de données
date
Alias
- NCI Thesaurus ValueDomain
- C25164
- NCI Thesaurus ValueDomain-2
- C25367
- NCI Thesaurus Property
- C15189
- NCI Thesaurus ObjectClass
- C12431
- UMLS CUI-1
- C0005954
- UMLS CUI-2
- C0011008
Description
LaboratoryProcedureBoneMarrowBlastCellOutcomePercentageValue
Type de données
float
Unités de mesure
- %
Alias
- NCI Thesaurus ObjectClass
- C25294
- NCI Thesaurus Property
- C12431
- NCI Thesaurus Property-2
- C20200
- NCI Thesaurus Property-3
- C12918
- NCI Thesaurus ValueDomain
- C25613
- NCI Thesaurus ValueDomain-2
- C25712
- UMLS CUI-1
- C1982687
Description
LaboratoryProcedureBoneMarrowCellularityOutcomePercentageValue
Type de données
float
Unités de mesure
- %
Alias
- NCI Thesaurus ObjectClass
- C25294
- NCI Thesaurus Property
- C12431
- NCI Thesaurus Property-2
- C20200
- NCI Thesaurus Property-3
- C37923
- NCI Thesaurus ValueDomain
- C25613
- NCI Thesaurus ValueDomain-2
- C25712
- UMLS CUI-1
- C1561532
Description
LaboratoryProcedureBoneMarrowCellularityNegationReportOutcomeReason
Type de données
text
Alias
- NCI Thesaurus ObjectClass
- C25294
- NCI Thesaurus Property
- C25594
- NCI Thesaurus Property-2
- C12431
- NCI Thesaurus Property-3
- C25375
- NCI Thesaurus Property-4
- C20200
- NCI Thesaurus Property-5
- C37923
- NCI Thesaurus ValueDomain
- C25638
- UMLS CUI-1
- C1561532
- UMLS CUI-2
- C1546437
Description
DysplasiaPresentInd-3
Type de données
text
Alias
- NCI Thesaurus ValueDomain
- C38148
- NCI Thesaurus Property
- C25626
- NCI Thesaurus ObjectClass
- C4086
- UMLS CUI-1
- C0334044
Description
DysplasiaHistologyType
Type de données
integer
Alias
- NCI Thesaurus ValueDomain
- C25284
- NCI Thesaurus Property
- C16681
- NCI Thesaurus ObjectClass
- C4086
- UMLS CUI-1
- C0334044
- UMLS CUI-2
- C0683312
Description
CytogeneticAbnormalityPresentIndicator
Type de données
text
Alias
- NCI Thesaurus Property
- C25626
- NCI Thesaurus ObjectClass
- C2950
- NCI Metathesaurus ValueDomain
- C0021212
- UMLS CUI-1
- C0008625
Description
Section Ii
Description
PackedRedBloodCellTransfusionRequirementInd-3
Type de données
text
Alias
- NCI Thesaurus ValueDomain
- C38148
- UMLS 2011AA ValueDomain
- C1512699
- NCI Thesaurus ObjectClass
- C15409
- UMLS 2011AA ObjectClass
- C0199962
- NCI Thesaurus Property
- C25382
- UMLS 2011AA Property
- C1521801
Description
PackedRedBloodCellTransfusionReceivedUnitCount
Type de données
float
Alias
- NCI Thesaurus ValueDomain
- C44278
- UMLS 2011AA ValueDomain
- C0439148
- NCI Thesaurus Property
- C25639
- UMLS 2011AA Property
- C1514756
- NCI Thesaurus ValueDomain-2
- C25463
- UMLS 2011AA ValueDomain-2
- C0750480
- NCI Thesaurus ObjectClass
- C15409
- UMLS 2011AA ObjectClass
- C0199962
Description
PackedRedBloodCellTransfusionReceivedFirstDate
Type de données
date
Alias
- NCI Thesaurus ValueDomain
- C25164
- UMLS 2011AA ValueDomain
- C0011008
- NCI Thesaurus Property
- C25639
- UMLS 2011AA Property
- C1514756
- NCI Thesaurus ValueDomain-2
- C25509
- UMLS 2011AA ValueDomain-2
- C1279901
- NCI Thesaurus ObjectClass
- C15409
- UMLS 2011AA ObjectClass
- C0199962
Description
PackedRedBloodCellTransfusionReceivedMostRecentDate
Type de données
date
Alias
- NCI Thesaurus ValueDomain
- C25164
- UMLS 2011AA ValueDomain
- C0011008
- NCI Thesaurus Property
- C25639
- UMLS 2011AA Property
- C1514756
- NCI Thesaurus ObjectClass
- C15409
- UMLS 2011AA ObjectClass
- C0199962
- NCI Thesaurus ValueDomain-2
- C25577
- UMLS 2011AA ValueDomain-2
- C1513491
Description
Mds Response
Description
MyelodysplasticSyndromeResponseType
Type de données
text
Alias
- NCI Thesaurus ValueDomain
- C25284
- UMLS 2011AA ValueDomain
- C0332307
- NCI Thesaurus Property
- C25755
- UMLS 2011AA Property
- C0871261
- NCI Thesaurus ObjectClass
- C3247
- UMLS 2011AA ObjectClass
- C3463824
Description
MyelodysplasticSyndromeResponseFirstDate
Type de données
date
Alias
- NCI Thesaurus ValueDomain
- C25164
- UMLS 2011AA ValueDomain
- C0011008
- NCI Thesaurus Property
- C25755
- UMLS 2011AA Property
- C0871261
- NCI Thesaurus ObjectClass
- C3247
- UMLS 2011AA ObjectClass
- C3463824
- NCI Thesaurus ValueDomain-2
- C25509
- UMLS 2011AA ValueDomain-2
- C1279901
Description
MyelodysplasticSyndromeResponseDiagnosisDate
Type de données
date
Alias
- NCI Thesaurus ValueDomain
- C25164
- UMLS 2011AA ValueDomain
- C0011008
- NCI Thesaurus Property
- C25755
- UMLS 2011AA Property
- C0871261
- NCI Thesaurus ObjectClass
- C3247
- UMLS 2011AA ObjectClass
- C3463824
- NCI Thesaurus ValueDomain-2
- C15220
- UMLS 2011AA ValueDomain-2
- C0011900
Description
DiseaseRelapseInd-3
Type de données
boolean
Alias
- NCI Thesaurus ValueDomain
- C38148
- NCI Thesaurus Property
- C18265
- NCI Thesaurus ObjectClass
- C2991
- UMLS CUI-1
- C0277556
Description
DiseaseRelapseDate
Type de données
date
Alias
- NCI Thesaurus ValueDomain
- C25164
- NCI Thesaurus Property
- C18265
- NCI Thesaurus ObjectClass
- C2991
- UMLS CUI-1
- C0035020
- UMLS CUI-2
- C0011008
Description
DiseaseMyelodysplasticSyndromeHematologyResponseType
Type de données
text
Alias
- NCI Thesaurus ObjectClass
- C2991
- NCI Thesaurus Property
- C3247
- NCI Thesaurus Property-2
- C16673
- NCI Thesaurus Property-3
- C50995
- NCI Thesaurus ValueDomain
- C25284
- UMLS CUI-1
- C0012634
- UMLS CUI-2
- C3463824
- UMLS CUI-3
- C0018943
- UMLS CUI-4
- C1704632
- UMLS CUI-5
- C0332307
Description
DiseaseMyelodysplasticSyndromeHematologyResponseFirstDate
Type de données
date
Alias
- NCI Thesaurus ObjectClass
- C2991
- NCI Thesaurus Property
- C3247
- NCI Thesaurus Property-2
- C16673
- NCI Thesaurus Property-3
- C50995
- NCI Thesaurus ValueDomain
- C25164
- NCI Thesaurus ValueDomain-2
- C25509
- UMLS CUI-1
- C0012634
- UMLS CUI-2
- C3463824
- UMLS CUI-3
- C0018943
- UMLS CUI-4
- C1704632
- UMLS CUI-5
- C0011008
- UMLS CUI-6
- C1279901
Description
DiseaseMyelodysplasticSyndromeHematologyResponseDiagnosisDate
Type de données
date
Alias
- NCI Thesaurus ObjectClass
- C2991
- NCI Thesaurus Property
- C3247
- NCI Thesaurus Property-2
- C16673
- NCI Thesaurus Property-3
- C50995
- NCI Thesaurus ValueDomain
- C25164
- NCI Thesaurus ValueDomain-2
- C15220
- UMLS CUI-1
- C0012634
- UMLS CUI-2
- C3463824
- UMLS CUI-3
- C0018943
- UMLS CUI-4
- C1704632
- UMLS CUI-5
- C0011008
- UMLS CUI-6
- C0011900
Description
CytogeneticResponseType
Type de données
text
Alias
- NCI Thesaurus ValueDomain
- C25284
- UMLS 2011AA ValueDomain
- C0332307
- NCI Thesaurus Property
- C50995
- UMLS 2011AA Property
- C1704632
- NCI Thesaurus ObjectClass
- C17938
- UMLS 2011AA ObjectClass
- C0314603
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INSTRUCTIONS: Complete this form and submit original to the ECOG Coordinating Center within one week of registration. Keep a copy for your files
- StudyEvent: E2905 Follow Up Disease Evaluation Form
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C20200 (NCI Thesaurus Property-4)
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C1561532 (UMLS CUI-1)
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