ID

6188

Descripción

E4599 On-Study Form Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=A1346A5B-91C6-6A0E-E034-080020C9C0E0

Link

https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=A1346A5B-91C6-6A0E-E034-080020C9C0E0

Palabras clave

  1. 16/12/14 16/12/14 - Martin Dugas
  2. 20/9/21 20/9/21 -
Subido en

16 de diciembre de 2014

DOI

Para solicitar uno, por favor iniciar sesión.

Licencia

Creative Commons BY-NC 3.0 Legacy

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Lung Cancer null On-Study - E4599 On-Study Form - 2036140v3.0

No Instruction available.

  1. StudyEvent: E4599 On-Study Form
    1. No Instruction available.
On-study form
Descripción

On-study form

Date of data transfer
Descripción

Dateofdatatransfer

Tipo de datos

text

Transfer Method
Descripción

TransferMethod

Tipo de datos

text

Specify other transfer method
Descripción

Specifyothertransfermethod

Tipo de datos

text

Patient Name
Descripción

PatientName

Tipo de datos

text

Particip. Group Protocol Number
Descripción

Particip.GroupProtocolNumber

Tipo de datos

double

Patient Study ID, Participating Group
Descripción

PatientStudyID,ParticipatingGroup

Tipo de datos

text

Institution Name
Descripción

InstitutionName

Tipo de datos

text

Affiliate Name
Descripción

AffiliateName

Tipo de datos

text

Patient Height
Descripción

Patient Height

Tipo de datos

integer

Unidades de medida
  • cm
Alias
NCI Thesaurus ObjectClass
C16960
NCI Thesaurus Property
C25347
UMLS CUI-1
C0489786
cm
Body Surface Area
Descripción

Body Surface Area

Tipo de datos

float

Unidades de medida
  • m2
Alias
NCI Thesaurus ObjectClass
C16960
NCI Thesaurus Property
C25157
UMLS CUI-1
C0005902
m2
Patient Weight
Descripción

Patient Weight

Tipo de datos

float

Unidades de medida
  • kg
Alias
UMLS CUI-1
C1305866
kg
Performance Status
Descripción

PerformanceStatus

Tipo de datos

text

Urine dipstick result
Descripción

Urinedipstickresult

Tipo de datos

text

Date of urine dipstick
Descripción

Dateofurinedipstick

Tipo de datos

text

Date of 24 hour urine for protein
Descripción

Dateof24hoururineforprotein

Tipo de datos

text

Weight Loss Prior Six Months
Descripción

Weight Loss past 6 months

Tipo de datos

float

Alias
NCI Thesaurus ObjectClass
C16960
NCI Thesaurus Property
C3445
UMLS CUI-1
C0043096
UMLS CUI-2
C3828652
Protein in urine (mg/24hr)
Descripción

Proteininurine(mg/24hr)

Tipo de datos

text

Stage Grouping
Descripción

StageGrouping

Tipo de datos

text

Histologic Type
Descripción

HistologicType

Tipo de datos

text

Histologic Type, Other Name
Descripción

HistologicType,OtherName

Tipo de datos

text

Disease Assessment, Measurable Ind
Descripción

DiseaseAssessment,MeasurableInd

Tipo de datos

text

Disease Assessment, Non-measurable Ind
Descripción

DiseaseAssessment,Non-measurableInd

Tipo de datos

text

Metastatic Site
Descripción

MetastaticSite

Tipo de datos

text

Metastatic Site Indicator
Descripción

MetastaticSiteIndicator

Tipo de datos

text

Pleural Effusion Ind
Descripción

PleuralEffusionInd

Tipo de datos

text

Pleural Effusion, Malignant Ind
Descripción

PleuralEffusion,MalignantInd

Tipo de datos

text

Lab Unit Type
Descripción

LabUnitType

Tipo de datos

text

Assessment Type, Target
Descripción

AssessmentType

Tipo de datos

text

Lab, Chemistry, Albumin
Descripción

Lab,Chemistry,Albumin

Tipo de datos

double

Date Albumin Obtained
Descripción

DateAlbuminObtained

Tipo de datos

text

LDH LLN
Descripción

LDHLLN

Tipo de datos

text

Lab, Chemistry, Lactate Dehydrogenase
Descripción

Lab,Chemistry,LactateDehydrogenase

Tipo de datos

double

Date LDH Obtained
Descripción

DateLDHObtained

Tipo de datos

text

Prior Surgery Ind
Descripción

PriorSurgeryInd

Tipo de datos

text

Prior Chemotherapy Ind
Descripción

PriorChemotherapyInd

Tipo de datos

text

Prior RT Ind
Descripción

PriorRTInd

Tipo de datos

text

Prior other systemic therapy
Descripción

Prior Other Systemic Therapy

Tipo de datos

boolean

Alias
NCI Thesaurus ObjectClass
C17649
NCI Thesaurus ObjectClass
C15698
NCI Thesaurus ObjectClass
C25629
NCI Thesaurus Property
C25382
NCI Thesaurus ValueDomain
C38147
Prior RT End Date
Descripción

PriorRTEndDate

Tipo de datos

date

Other systemic therapy, specify
Descripción

Othersystemictherapy,specify

Tipo de datos

text

Date of last dose
Descripción

Last Dose Date

Tipo de datos

date

Alias
NCI Thesaurus ValueDomain
C25164
NCI Thesaurus ObjectClass
C25488
NCI Thesaurus ObjectClass
C25551
NCI Thesaurus Property
C25275
Comments
Descripción

Comments

Tipo de datos

text

Comments2
Descripción

Comments2

Tipo de datos

text

Patient Race/Ethnicity
Descripción

Patient Race

Tipo de datos

text

Alias
NCI Thesaurus ObjectClass
C16960
NCI Thesaurus Property
C17049
UMLS CUI-1
C0034510
Payment Method
Descripción

PaymentMethod

Tipo de datos

text

Amended Data Ind
Descripción

AmendedDataInd

Tipo de datos

text

Alias
NCI Thesaurus ObjectClass
C25474
UMLS 2011AA ObjectClass
C1511726
NCI Thesaurus Property
C25416
UMLS 2011AA Property
C1691222
Step Number
Descripción

StepNumber

Tipo de datos

text

Similar models

No Instruction available.

  1. StudyEvent: E4599 On-Study Form
    1. No Instruction available.
Name
Tipo
Description | Question | Decode (Coded Value)
Tipo de datos
Alias
Item Group
On-study form
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
InstitutionName
Item
Institution Name
text
AffiliateName
Item
Affiliate Name
text
Patient Height
Item
Patient Height
integer
C16960 (NCI Thesaurus ObjectClass)
C25347 (NCI Thesaurus Property)
C0489786 (UMLS CUI-1)
Body Surface Area
Item
Body Surface Area
float
C16960 (NCI Thesaurus ObjectClass)
C25157 (NCI Thesaurus Property)
C0005902 (UMLS CUI-1)
Patient Weight
Item
Patient Weight
float
C1305866 (UMLS CUI-1)
PerformanceStatus
Item
Performance Status
text
Urinedipstickresult
Item
Urine dipstick result
text
Dateofurinedipstick
Item
Date of urine dipstick
text
Dateof24hoururineforprotein
Item
Date of 24 hour urine for protein
text
Weight Loss past 6 months
Item
Weight Loss Prior Six Months
float
C16960 (NCI Thesaurus ObjectClass)
C3445 (NCI Thesaurus Property)
C0043096 (UMLS CUI-1)
C3828652 (UMLS CUI-2)
Proteininurine(mg/24hr)
Item
Protein in urine (mg/24hr)
text
StageGrouping
Item
Stage Grouping
text
HistologicType
Item
Histologic Type
text
HistologicType,OtherName
Item
Histologic Type, Other Name
text
DiseaseAssessment,MeasurableInd
Item
Disease Assessment, Measurable Ind
text
DiseaseAssessment,Non-measurableInd
Item
Disease Assessment, Non-measurable Ind
text
MetastaticSite
Item
Metastatic Site
text
MetastaticSiteIndicator
Item
Metastatic Site Indicator
text
PleuralEffusionInd
Item
Pleural Effusion Ind
text
PleuralEffusion,MalignantInd
Item
Pleural Effusion, Malignant Ind
text
LabUnitType
Item
Lab Unit Type
text
AssessmentType
Item
Assessment Type, Target
text
Lab,Chemistry,Albumin
Item
Lab, Chemistry, Albumin
double
DateAlbuminObtained
Item
Date Albumin Obtained
text
LDHLLN
Item
LDH LLN
text
Lab,Chemistry,LactateDehydrogenase
Item
Lab, Chemistry, Lactate Dehydrogenase
double
DateLDHObtained
Item
Date LDH Obtained
text
PriorSurgeryInd
Item
Prior Surgery Ind
text
PriorChemotherapyInd
Item
Prior Chemotherapy Ind
text
PriorRTInd
Item
Prior RT Ind
text
Prior Other Systemic Therapy
Item
Prior other systemic therapy
boolean
C17649 (NCI Thesaurus ObjectClass)
C15698 (NCI Thesaurus ObjectClass)
C25629 (NCI Thesaurus ObjectClass)
C25382 (NCI Thesaurus Property)
C38147 (NCI Thesaurus ValueDomain)
PriorRTEndDate
Item
Prior RT End Date
date
Othersystemictherapy,specify
Item
Other systemic therapy, specify
text
Last Dose Date
Item
Date of last dose
date
C25164 (NCI Thesaurus ValueDomain)
C25488 (NCI Thesaurus ObjectClass)
C25551 (NCI Thesaurus ObjectClass)
C25275 (NCI Thesaurus Property)
Comments
Item
Comments
text
Comments2
Item
Comments2
text
Patient Race
Item
Patient Race/Ethnicity
text
C16960 (NCI Thesaurus ObjectClass)
C17049 (NCI Thesaurus Property)
C0034510 (UMLS CUI-1)
PaymentMethod
Item
Payment Method
text
AmendedDataInd
Item
Amended Data Ind
text
C25474 (NCI Thesaurus ObjectClass)
C1511726 (UMLS 2011AA ObjectClass)
C25416 (NCI Thesaurus Property)
C1691222 (UMLS 2011AA Property)
StepNumber
Item
Step Number
text

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