ID
6232
Beskrivning
GOG Cycle Dose Drug Form Comparison of Four Combination Chemotherapy Regimens Using Cisplatin in Treating Patients With Stage IVB, Recurrent, or Persistent Cancer of the Cervix Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=ABA3A924-559C-246C-E034-0003BA12F5E7
Länk
Nyckelord
Versioner (2)
- 2014-12-18 2014-12-18 - Martin Dugas
- 2015-08-22 2015-08-22 - Martin Dugas
Uppladdad den
18 december 2014
DOI
För en begäran logga in.
Licens
Creative Commons BY-NC 3.0 Legacy
Modellkommentarer :
Här kan du kommentera modellen. Med hjälp av pratbubblor i Item-grupperna och Item kan du lägga in specifika kommentarer.
Itemgroup-kommentar för :
Item-kommentar för :
Du måste vara inloggad för att kunna ladda ner formulär. Var vänlig logga in eller registrera dig utan kostnad.
Cervical Cancer NCT00064077 Treatment - GOG Cycle Dose Drug Form - 2059160v3.0
FORM D2R
- StudyEvent: GOG Cycle Dose Drug Form
Beskrivning
Treatment Cycle And Modification
Beskrivning
CourseBeginDate
Datatyp
date
Beskrivning
CourseIdentification
Datatyp
text
Beskrivning
CycleDelayedInd
Datatyp
text
Beskrivning
CourseDelayDayCount
Datatyp
double
Beskrivning
AgentName
Datatyp
text
Beskrivning
AgentDoseLevelValue
Datatyp
text
Alias
- NCI Thesaurus Property
- C25488
- UMLS 2011AA Property
- C0178602
- NCI Thesaurus ObjectClass
- C1708
- UMLS 2011AA ObjectClass
- C0450442
- NCI Thesaurus ValueDomain
- C25712
- UMLS 2011AA ValueDomain
- C1522609
- NCI Thesaurus Property
- C25554
- UMLS 2011AA Property
- C0441889
Beskrivning
DoseModification(Change)
Datatyp
text
Beskrivning
AgentTotalDose(percourse)
Datatyp
double
Beskrivning
AgentDoseUnits
Datatyp
text
Beskrivning
PatientWeight
Datatyp
double
Beskrivning
BodySurfaceArea
Datatyp
double
Alias
- NCI Thesaurus ObjectClass
- C16960
- UMLS 2011AA ObjectClass
- C0030705
- NCI Thesaurus Property
- C25157
- UMLS 2011AA Property
- C0005902
Beskrivning
PerformanceStatus
Datatyp
text
Beskrivning
AssessmentDate
Datatyp
date
Beskrivning
Lab,Hematology,Hemoglobin
Datatyp
double
Beskrivning
Lab,Hematology,HematocritCount
Datatyp
double
Beskrivning
Lab,Hematology,WBC
Datatyp
double
Beskrivning
Lab,Hematology,GranulocyteCount
Datatyp
double
Beskrivning
Lab,Hematology,Platelets
Datatyp
double
Beskrivning
Lab,Renal,BUN
Datatyp
double
Beskrivning
Lab,Renal,Creatinine
Datatyp
double
Beskrivning
Lab,Renal,CreatinineClearance
Datatyp
double
Beskrivning
Lab,Hepatic,SGOT
Datatyp
double
Beskrivning
Lab,Hepatic,Bilirubin
Datatyp
double
Beskrivning
TumorMarker,CA125Result
Datatyp
double
Alias
- NCI Thesaurus ValueDomain
- C25209
- UMLS 2011AA ValueDomain
- C0242485
Beskrivning
LaboratoryProcedureFirstOptionalPerformedSpecify
Datatyp
text
Alias
- NCI Thesaurus ObjectClass
- C25294
- UMLS 2011AA ObjectClass
- C0022885
- NCI Thesaurus Property
- C38000
- UMLS 2011AA Property
- C0884358
- NCI Thesaurus Property
- C25509
- UMLS 2011AA Property
- C1279901
- NCI Thesaurus Property
- C25603
- UMLS 2011AA Property
- C1518600
- NCI Thesaurus ValueDomain
- C25685
- UMLS 2011AA ValueDomain
- C1521902
Beskrivning
LaboratoryProcedureFirstOptionalPerformedValue
Datatyp
double
Alias
- NCI Thesaurus ObjectClass
- C25294
- UMLS 2011AA ObjectClass
- C0022885
- NCI Thesaurus Property
- C38000
- UMLS 2011AA Property
- C0884358
- NCI Thesaurus Property
- C25509
- UMLS 2011AA Property
- C1279901
- NCI Thesaurus Property
- C25603
- UMLS 2011AA Property
- C1518600
- NCI Thesaurus ValueDomain
- C25712
- UMLS 2011AA ValueDomain
- C1522609
Beskrivning
LaboratoryProcedureSecondOptionalPerformedSpecify
Datatyp
text
Alias
- NCI Thesaurus ObjectClass
- C25294
- UMLS 2011AA ObjectClass
- C0022885
- NCI Thesaurus Property
- C38000
- UMLS 2011AA Property
- C0884358
- NCI Thesaurus Property
- C25666
- UMLS 2011AA Property
- C0205436
- NCI Thesaurus Property
- C25603
- UMLS 2011AA Property
- C1518600
- NCI Thesaurus ValueDomain
- C25685
- UMLS 2011AA ValueDomain
- C1521902
Beskrivning
LaboratoryProcedureSecondOptionalPerformedValue
Datatyp
double
Alias
- NCI Thesaurus ObjectClass
- C25294
- UMLS 2011AA ObjectClass
- C0022885
- NCI Thesaurus Property
- C38000
- UMLS 2011AA Property
- C0884358
- NCI Thesaurus Property
- C25666
- UMLS 2011AA Property
- C0205436
- NCI Thesaurus Property
- C25603
- UMLS 2011AA Property
- C1518600
- NCI Thesaurus ValueDomain
- C25712
- UMLS 2011AA ValueDomain
- C1522609
Beskrivning
Comments
Beskrivning
Footer Module
Beskrivning
ParticipatingGroupCode
Datatyp
text
Alias
- NCI Thesaurus ValueDomain
- C25162
- UMLS 2011AA ValueDomain
- C0805701
Beskrivning
ParticipatingGroupProtocolNumber
Datatyp
double
Beskrivning
PatientParticipatingIdentifierNumber
Datatyp
text
Alias
- NCI Thesaurus ValueDomain
- C25337
- UMLS 2011AA ValueDomain
- C0237753
- NCI Thesaurus ObjectClass
- C16960
- UMLS 2011AA ObjectClass
- C0030705
- NCI Thesaurus Property
- C25608
- UMLS 2011AA Property
- C0679823
- NCI Thesaurus Property
- C25364
- UMLS 2011AA Property
- C0600091
Beskrivning
Ccrr Module For Gog Cycle Dose Drug Form
Similar models
FORM D2R
- StudyEvent: GOG Cycle Dose Drug Form
C1547383 (UMLS 2011AA ValueDomain)
C25190 (NCI Thesaurus ObjectClass)
C0027361 (UMLS 2011AA ObjectClass)
C25364 (NCI Thesaurus Property)
C0600091 (UMLS 2011AA Property)
C1298908 (UMLS 2011AA)
C1705108 (UMLS 2011AA)
C0178602 (UMLS 2011AA Property)
C1708 (NCI Thesaurus ObjectClass)
C0450442 (UMLS 2011AA ObjectClass)
C25712 (NCI Thesaurus ValueDomain)
C1522609 (UMLS 2011AA ValueDomain)
C25554 (NCI Thesaurus Property)
C0441889 (UMLS 2011AA Property)
C1298908 (UMLS 2011AA)
C0030705 (UMLS 2011AA ObjectClass)
C25157 (NCI Thesaurus Property)
C0005902 (UMLS 2011AA Property)
C0242485 (UMLS 2011AA ValueDomain)
C0022885 (UMLS 2011AA ObjectClass)
C38000 (NCI Thesaurus Property)
C0884358 (UMLS 2011AA Property)
C25509 (NCI Thesaurus Property)
C1279901 (UMLS 2011AA Property)
C25603 (NCI Thesaurus Property)
C1518600 (UMLS 2011AA Property)
C25685 (NCI Thesaurus ValueDomain)
C1521902 (UMLS 2011AA ValueDomain)
C0022885 (UMLS 2011AA ObjectClass)
C38000 (NCI Thesaurus Property)
C0884358 (UMLS 2011AA Property)
C25509 (NCI Thesaurus Property)
C1279901 (UMLS 2011AA Property)
C25603 (NCI Thesaurus Property)
C1518600 (UMLS 2011AA Property)
C25712 (NCI Thesaurus ValueDomain)
C1522609 (UMLS 2011AA ValueDomain)
C0022885 (UMLS 2011AA ObjectClass)
C38000 (NCI Thesaurus Property)
C0884358 (UMLS 2011AA Property)
C25666 (NCI Thesaurus Property)
C0205436 (UMLS 2011AA Property)
C25603 (NCI Thesaurus Property)
C1518600 (UMLS 2011AA Property)
C25685 (NCI Thesaurus ValueDomain)
C1521902 (UMLS 2011AA ValueDomain)
C0022885 (UMLS 2011AA ObjectClass)
C38000 (NCI Thesaurus Property)
C0884358 (UMLS 2011AA Property)
C25666 (NCI Thesaurus Property)
C0205436 (UMLS 2011AA Property)
C25603 (NCI Thesaurus Property)
C1518600 (UMLS 2011AA Property)
C25712 (NCI Thesaurus ValueDomain)
C1522609 (UMLS 2011AA ValueDomain)
C0805701 (UMLS 2011AA ValueDomain)
C0237753 (UMLS 2011AA ValueDomain)
C16960 (NCI Thesaurus ObjectClass)
C0030705 (UMLS 2011AA ObjectClass)
C25608 (NCI Thesaurus Property)
C0679823 (UMLS 2011AA Property)
C25364 (NCI Thesaurus Property)
C0600091 (UMLS 2011AA Property)