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Falhas:
ID
575
Descrição
NCI Cooperative Group Hematology Laboratory Test Form (CALGB-90104) Combination Chemotherapy in Treating Patients With Bladder Cancer Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=A9C02B5C-8C97-26B5-E034-0003BA12F5E7
Link
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Versões (6)
- 26/08/2012 26/08/2012 -
- 22/12/2014 22/12/2014 - Martin Dugas
- 08/01/2015 08/01/2015 - Martin Dugas
- 22/01/2015 22/01/2015 - Martin Dugas
- 22/01/2015 22/01/2015 - Martin Dugas
- 22/01/2015 22/01/2015 - Martin Dugas
Transferido a
26 de agosto de 2012
DOI
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Licença
Creative Commons BY-NC 3.0 Legacy
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Bladder Cancer NCT00014534 Lab - NCI Cooperative Group Hematology Laboratory Test Form (CALGB-90104) - 2056366v3.0
No Instruction available.
- StudyEvent: NCI Cooperative Group Hematology Laboratory Test Form (CALGB-90104)
Similar models
No Instruction available.
- StudyEvent: NCI Cooperative Group Hematology Laboratory Test Form (CALGB-90104)
Name
Tipo
Description | Question | Decode (Coded Value)
Tipo de dados
Alias
CoordinatingGroupProtocolNumber
Item
Coordinating Group Protocol Number
text
CoordinatingGroupCode
Item
Coordinating Group Code
text
C25162 (NCI Thesaurus ValueDomain)
C0805701 (UMLS 2011AA ValueDomain)
C0805701 (UMLS 2011AA ValueDomain)
ProtocolTitle
Item
Protocol Title
text
C25320 (NCI Thesaurus ObjectClass)
C1507394 (UMLS 2011AA ObjectClass)
C42774 (NCI Thesaurus Property)
C1705823 (UMLS 2011AA Property)
C1507394 (UMLS 2011AA ObjectClass)
C42774 (NCI Thesaurus Property)
C1705823 (UMLS 2011AA Property)
PatientStudyID,CoordinatingGroup
Item
Patient Study ID, Coordinating Group
text
PatientStudyID,ParticipatingGroup
Item
Patient Study ID, Participating Group
text
ParticipatingGroupCode
Item
Participating Group Code
text
C25162 (NCI Thesaurus ValueDomain)
C0805701 (UMLS 2011AA ValueDomain)
C0805701 (UMLS 2011AA ValueDomain)
InstitutionName
Item
Institution Name
text
AffiliateName
Item
Affiliate
text
PatientName,Last
Item
Patient Last Name (initials acceptable)
text
PatientName,First
Item
Patient First Name (initials acceptable)
text
PatientName,Middle
Item
Patient Middle Name (initials acceptable)
text
PersonCompletingForm,LastName
Item
Person Completing Form, Last Name
text
PersonCompletingForm,FirstName
Item
Person Completing Form, First Name
text
C25190 (NCI Thesaurus ObjectClass)
C0027361 (UMLS 2011AA ObjectClass)
C25364 (NCI Thesaurus Property)
C0600091 (UMLS 2011AA Property)
C0027361 (UMLS 2011AA ObjectClass)
C25364 (NCI Thesaurus Property)
C0600091 (UMLS 2011AA Property)
Item
Are data amended?
text
C25474 (NCI Thesaurus ObjectClass)
C1511726 (UMLS 2011AA ObjectClass)
C25416 (NCI Thesaurus Property)
C1691222 (UMLS 2011AA Property)
C1511726 (UMLS 2011AA ObjectClass)
C25416 (NCI Thesaurus Property)
C1691222 (UMLS 2011AA Property)
CL Item
Yes (Yes)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
C1705108 (UMLS 2011AA)
CL Item
No (No)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
C1298908 (UMLS 2011AA)
Lab,Hematology,WBC
Item
Peripheral WBC Count
double
Lab,Hematology,Hemoglobin
Item
Hemoglobin
double
PeripheralHematocritCount(%)
Item
Peripheral Hematocrit Count (%)
text
Lab,Hematology,Platelets
Item
Peripheral Platelet Count
double
Lab,Hematology,Neutrophils,CellPercentage
Item
Peripheral Neutrophils (%)
double
Lab,Hematology,NeutrophilCount
Item
Peripheral Neutrophil Count
double
CL Item
K/uL (K/uL)
CL Item
G/dl (g/dL)
CL Item
% (%)
WBCcount(x1000),LLN
Item
Normal Range-Peripheral WBC Count
text
Hemoglobin(g/dl),LLN
Item
Normal Range-Hemoglobin
text
NormalRange-PeripheralHematocritCount(%)
Item
Normal Range-Peripheral Hematocrit Count (%)
text
Plateletscount(x1000),LLN
Item
Normal Range-Peripheral Platelet Count
double
C25712 (NCI Thesaurus ValueDomain)
C1522609 (UMLS 2011AA ValueDomain)
C25555 (NCI Thesaurus ValueDomain)
C1518030 (UMLS 2011AA ValueDomain)
C1522609 (UMLS 2011AA ValueDomain)
C25555 (NCI Thesaurus ValueDomain)
C1518030 (UMLS 2011AA ValueDomain)
NormalRange-PeripheralNeutrophils(%)
Item
Normal Range-Peripheral Neutrophils (%)
text
NormalRange-PeripheralNeutrophilCount
Item
Normal Range-Peripheral Neutrophil Count
text
Labs,SampleCollectionDate
Item
Dates
date
Comments
Item
Comments
text
Item Group
Ccrr Module For Nci Cooperative Group Hematology Laboratory Test Form (calgb-90104)