ID

6187

Beskrivning

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

Länk

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

Nyckelord

  1. 2012-09-19 2012-09-19 -
  2. 2014-12-16 2014-12-16 - Martin Dugas
Uppladdad den

16 december 2014

DOI

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Licens

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
Beskrivning

General information

Alias
UMLS CUI-1
C1508263
Date of data transfer
Beskrivning

Dateofdatatransfer

Datatyp

text

Transfer Method
Beskrivning

TransferMethod

Datatyp

text

Specify other transfer method
Beskrivning

Specifyothertransfermethod

Datatyp

text

Patient Name
Beskrivning

PatientName

Datatyp

text

Particip. Group Protocol Number
Beskrivning

Particip.GroupProtocolNumber

Datatyp

double

Patient Study ID, Participating Group
Beskrivning

PatientStudyID,ParticipatingGroup

Datatyp

text

Step Number
Beskrivning

StepNumber

Datatyp

text

Institution Name
Beskrivning

InstitutionName

Datatyp

text

Affiliate Name
Beskrivning

AffiliateName

Datatyp

text

Data amended
Beskrivning

Data amended

Datatyp

boolean

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

Data amended

Datatyp

boolean

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

Non-ProtocolChemotherapyInd

Datatyp

text

Non-Protocol HDC/ASCT Ind
Beskrivning

Non-ProtocolHDC/ASCTInd

Datatyp

text

Non-Protocol Hormonal Therapy Ind
Beskrivning

Non-ProtocolHormonalTherapyInd

Datatyp

text

Non-Protocol Therapy Date, First
Beskrivning

Non-ProtocolTherapyDate,First

Datatyp

date

Non-Protocol RT Ind
Beskrivning

Non-ProtocolRTInd

Datatyp

text

Other Non-Protocol Therapy Name
Beskrivning

OtherNon-ProtocolTherapyName

Datatyp

text

Non-Protocol Immunotherapy Ind
Beskrivning

Non-ProtocolImmunotherapyInd

Datatyp

text

Other Non-Protocol Therapy Ind
Beskrivning

OtherNon-ProtocolTherapyInd

Datatyp

text

Step No.
Beskrivning

StepNo.

Datatyp

text

Comments
Beskrivning

Comments

Datatyp

text

Comments
Beskrivning

Comments

Datatyp

text

Non-Protocol Surgery performed
Beskrivning

Non-protocol Surgery Performed

Datatyp

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
Typ
Description | Question | Decode (Coded Value)
Datatyp
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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