ID
6927
Description
Melanoma-Adverse Event Form Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=99CD59C5-A99A-3FA4-E034-080020C9C0E0
Link
Keywords
Versions (2)
- 9/20/12 9/20/12 -
- 1/8/15 1/8/15 - Martin Dugas
Uploaded on
January 8, 2015
DOI
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License
Creative Commons BY-NC 3.0 Legacy
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Toxicity - Melanoma-Adverse Event Form - 2020197v2.31
No Instruction available.
- StudyEvent: Melanoma-Adverse Event Form
Description
Melanoma: Form Administration
Description
PersonCompletingForm,LastName
Data type
text
Description
PersonCompletingForm,FirstName
Data type
text
Alias
- NCI Thesaurus ObjectClass
- C25190
- UMLS 2011AA ObjectClass
- C0027361
- NCI Thesaurus Property
- C25364
- UMLS 2011AA Property
- C0600091
Description
AmendedDataInd
Data type
text
Alias
- NCI Thesaurus ObjectClass
- C25474
- UMLS 2011AA ObjectClass
- C1511726
- NCI Thesaurus Property
- C25416
- UMLS 2011AA Property
- C1691222
Description
Melanoma: Adverse Events
Description
CTCAdverseEventReportBeginDate
Data type
date
Description
CTCAdverseEventReportEndDate
Data type
date
Description
CTCAdverseEventTerm
Data type
text
Description
CTCAdverseEventGrade
Data type
text
Description
CTCAdverseEventTerm,Other
Data type
text
Description
Melanoma: Vaccine Injection Site Reacton
Description
AssessmentDate
Data type
date
Description
VitiligoInd
Data type
text
Description
VaccineSite
Data type
text
Description
Erythema
Data type
float
Alias
- NCI Thesaurus ValueDomain
- C25209
- UMLS 2011AA ValueDomain
- C0242485
Description
Induration
Data type
float
Alias
- NCI Thesaurus ValueDomain
- C25209
- UMLS 2011AA ValueDomain
- C0242485
Description
VaccineSite,Other
Data type
text
Description
Allows Documentation Of Any Additional Cooments
Similar models
No Instruction available.
- StudyEvent: Melanoma-Adverse Event Form
C0805701 (UMLS 2011AA ValueDomain)
C2986303 (UMLS CUI-1)
C42774 (NCI Thesaurus Property)
C0805701 (UMLS 2011AA ValueDomain)
C0027361 (UMLS 2011AA ObjectClass)
C25364 (NCI Thesaurus Property)
C0600091 (UMLS 2011AA Property)
C1511726 (UMLS 2011AA ObjectClass)
C25416 (NCI Thesaurus Property)
C1691222 (UMLS 2011AA Property)
C1705108 (UMLS 2011AA)
C0439673 (UMLS 2011AA)
C1298908 (UMLS 2011AA)
C1298908 (UMLS 2011AA)
C0439673 (UMLS 2011AA)
C1705108 (UMLS 2011AA)
C0460005 (UMLS 2011AA)
C0242485 (UMLS 2011AA ValueDomain)
C0242485 (UMLS 2011AA ValueDomain)