ID

6187

Beschrijving

ECOG Non-Protocol Therapy Form Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=A134152B-EFC9-660E-E034-080020C9C0E0

Link

https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=A134152B-EFC9-660E-E034-080020C9C0E0

Trefwoorden

  1. 19-09-12 19-09-12 -
  2. 16-12-14 16-12-14 - Martin Dugas
Geüploaded op

16 december 2014

DOI

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Licentie

Creative Commons BY-NC 3.0 Legacy

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Lung Cancer null Treatment - ECOG Non-Protocol Therapy Form - 2036091v3.0

No Instruction available.

  1. StudyEvent: ECOG Non-Protocol Therapy Form
    1. No Instruction available.
General information
Beschrijving

General information

Alias
UMLS CUI-1
C1508263
Date of data transfer
Beschrijving

Dateofdatatransfer

Datatype

text

Transfer Method
Beschrijving

TransferMethod

Datatype

text

Specify other transfer method
Beschrijving

Specifyothertransfermethod

Datatype

text

Patient Name
Beschrijving

PatientName

Datatype

text

Particip. Group Protocol Number
Beschrijving

Particip.GroupProtocolNumber

Datatype

double

Patient Study ID, Participating Group
Beschrijving

PatientStudyID,ParticipatingGroup

Datatype

text

Step Number
Beschrijving

StepNumber

Datatype

text

Institution Name
Beschrijving

InstitutionName

Datatype

text

Affiliate Name
Beschrijving

AffiliateName

Datatype

text

Data amended
Beschrijving

Data amended

Datatype

boolean

Alias
NCI Thesaurus ObjectClass
C25474
NCI Thesaurus Property
C25416
UMLS CUI-1
C0680532
Data amended
Beschrijving

Data amended

Datatype

boolean

Alias
NCI Thesaurus ObjectClass
C25474
NCI Thesaurus Property
C25416
UMLS CUI-1
C0680532
Non-Protocol Chemotherapy Ind
Beschrijving

Non-ProtocolChemotherapyInd

Datatype

text

Non-Protocol HDC/ASCT Ind
Beschrijving

Non-ProtocolHDC/ASCTInd

Datatype

text

Non-Protocol Hormonal Therapy Ind
Beschrijving

Non-ProtocolHormonalTherapyInd

Datatype

text

Non-Protocol Therapy Date, First
Beschrijving

Non-ProtocolTherapyDate,First

Datatype

date

Non-Protocol RT Ind
Beschrijving

Non-ProtocolRTInd

Datatype

text

Other Non-Protocol Therapy Name
Beschrijving

OtherNon-ProtocolTherapyName

Datatype

text

Non-Protocol Immunotherapy Ind
Beschrijving

Non-ProtocolImmunotherapyInd

Datatype

text

Other Non-Protocol Therapy Ind
Beschrijving

OtherNon-ProtocolTherapyInd

Datatype

text

Step No.
Beschrijving

StepNo.

Datatype

text

Comments
Beschrijving

Comments

Datatype

text

Comments
Beschrijving

Comments

Datatype

text

Non-Protocol Surgery performed
Beschrijving

Non-protocol Surgery Performed

Datatype

boolean

Alias
NCI Thesaurus ValueDomain
C38148
NCI Thesaurus Property
C38000
NCI Thesaurus ObjectClass
C15329
NCI Thesaurus ObjectClass
C25590

Similar models

No Instruction available.

  1. StudyEvent: ECOG Non-Protocol Therapy Form
    1. No Instruction available.
Name
Type
Description | Question | Decode (Coded Value)
Datatype
Alias
Item Group
General information
C1508263 (UMLS CUI-1)
Dateofdatatransfer
Item
Date of data transfer
text
TransferMethod
Item
Transfer Method
text
Specifyothertransfermethod
Item
Specify other transfer method
text
PatientName
Item
Patient Name
text
Particip.GroupProtocolNumber
Item
Particip. Group Protocol Number
double
PatientStudyID,ParticipatingGroup
Item
Patient Study ID, Participating Group
text
StepNumber
Item
Step Number
text
InstitutionName
Item
Institution Name
text
AffiliateName
Item
Affiliate Name
text
Data amended
Item
Data amended
boolean
C25474 (NCI Thesaurus ObjectClass)
C25416 (NCI Thesaurus Property)
C0680532 (UMLS CUI-1)
Data amended
Item
Data amended
boolean
C25474 (NCI Thesaurus ObjectClass)
C25416 (NCI Thesaurus Property)
C0680532 (UMLS CUI-1)
Non-ProtocolChemotherapyInd
Item
Non-Protocol Chemotherapy Ind
text
Non-ProtocolHDC/ASCTInd
Item
Non-Protocol HDC/ASCT Ind
text
Non-ProtocolHormonalTherapyInd
Item
Non-Protocol Hormonal Therapy Ind
text
Non-ProtocolTherapyDate,First
Item
Non-Protocol Therapy Date, First
date
Non-ProtocolRTInd
Item
Non-Protocol RT Ind
text
OtherNon-ProtocolTherapyName
Item
Other Non-Protocol Therapy Name
text
Non-ProtocolImmunotherapyInd
Item
Non-Protocol Immunotherapy Ind
text
OtherNon-ProtocolTherapyInd
Item
Other Non-Protocol Therapy Ind
text
StepNo.
Item
Step No.
text
Comments
Item
Comments
text
Comments
Item
Comments
text
Non-protocol Surgery Performed
Item
Non-Protocol Surgery performed
boolean
C38148 (NCI Thesaurus ValueDomain)
C38000 (NCI Thesaurus Property)
C15329 (NCI Thesaurus ObjectClass)
C25590 (NCI Thesaurus ObjectClass)

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