ID
7069
Beskrivning
The Division of Cancer Prevention's screening case report form (CRF) template. Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=516F6F73-F6A7-27F0-E044-0003BA3F9857
Länk
Nyckelord
Versioner (2)
- 2012-08-27 2012-08-27 -
- 2015-01-09 2015-01-09 - Martin Dugas
Uppladdad den
9 januari 2015
DOI
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Licens
Creative Commons BY-NC 3.0 Legacy
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Eligibility - Screening - 2762748v1.0
No Instruction available.
- StudyEvent: Screening
Beskrivning
Screening
Beskrivning
ScreeningInformedConsentSignedDate
Datatyp
date
Alias
- NCI Thesaurus ValueDomain
- C25164
- UMLS 2011AA ValueDomain
- C0011008
- NCI Thesaurus ObjectClass
- C48261
- UMLS 2011AA ObjectClass
- C1710032
- NCI Thesaurus ObjectClass-2
- C16735
- UMLS 2011AA ObjectClass-2
- C0021430
- NCI Thesaurus Property
- C25679
Beskrivning
NotObtainedIndicator
Datatyp
text
Alias
- NCI Thesaurus Property
- C25180
- UMLS 2011AA Property
- C1522602
- NCI Metathesaurus ObjectClass
- CL310460
- NCI Metathesaurus ObjectClass-2
- CL052458
- NCI Metathesaurus ValueDomain
- C0021212
Beskrivning
NotObtainedIndicator
Datatyp
text
Alias
- NCI Thesaurus Property
- C25180
- UMLS 2011AA Property
- C1522602
- NCI Metathesaurus ObjectClass
- CL310460
- NCI Metathesaurus ObjectClass-2
- CL052458
- NCI Metathesaurus ValueDomain
- C0021212
Beskrivning
ScreenDate
Datatyp
date
Alias
- NCI Thesaurus ValueDomain
- C25164
- UMLS 2011AA ValueDomain
- C0011008
- NCI Thesaurus Property
- C48261
- UMLS 2011AA Property
- C1710032
- NCI Thesaurus ObjectClass
- C15207
Beskrivning
ProtocolScreenIndicator
Datatyp
boolean
Alias
- NCI Thesaurus ValueDomain
- C25180
- UMLS 2011AA ValueDomain
- C1522602
- NCI Thesaurus Property
- C48261
- UMLS 2011AA Property
- C1710032
- NCI Thesaurus ObjectClass
- C15207
Beskrivning
ProtocolScreenFailureReasonType
Datatyp
text
Alias
- NCI Thesaurus ValueDomain
- C25284
- UMLS 2011AA ValueDomain
- C0332307
- NCI Thesaurus ValueDomain-2
- C25638
- UMLS 2011AA ValueDomain-2
- C0392360
- NCI Thesaurus Property
- C48261
- UMLS 2011AA Property
- C1710032
- NCI Thesaurus ObjectClass
- C15207
Beskrivning
OtherSpecifyText
Datatyp
text
Alias
- NCI Thesaurus Property
- C25685
- UMLS 2011AA Property
- C1521902
- NCI Thesaurus ValueDomain
- C25704
- UMLS 2011AA ValueDomain
- C1527021
- NCI Thesaurus ObjectClass
- C17649
- UMLS 2011AA ObjectClass
- C0205394
- NCI Thesaurus Property-2
- C25638
- UMLS 2011AA Property-2
- C0392360
Beskrivning
Research Comments
Datatyp
text
Alias
- NCI Thesaurus ValueDomain
- C25704
- UMLS CUI-1
- C0947611
- NCI Thesaurus ObjectClass
- C15319
- NCI Thesaurus Property
- C25393
Beskrivning
PatientReferralSourceName
Datatyp
text
Alias
- NCI Thesaurus ObjectClass
- C16960
- UMLS 2011AA ObjectClass
- C0030705
- NCI Thesaurus Property
- C25683
- UMLS 2011AA Property
- C0449416
- NCI Thesaurus Property-2
- C52582
- UMLS 2011AA Property-2
- C0034927
- NCI Thesaurus ValueDomain
- C25683
- UMLS 2011AA ValueDomain
- C0449416
- NCI Thesaurus ValueDomain-2
- C42614
- UMLS 2011AA ValueDomain-2
- C0027365
- NCI Thesaurus ValueDomain-3
- C52582
- UMLS 2011AA ValueDomain-3
- C0034927
Beskrivning
PatientReferralSourceOtherSpecify
Datatyp
text
Alias
- NCI Thesaurus ValueDomain
- C25704
- UMLS 2011AA ValueDomain
- C1527021
- NCI Thesaurus ObjectClass
- C16960
- UMLS 2011AA ObjectClass
- C0030705
- NCI Thesaurus Property
- C25683
- UMLS 2011AA Property
- C0449416
- NCI Thesaurus Property-2
- C52582
- UMLS 2011AA Property-2
- C0034927
Beskrivning
ParticipantDiscoverStudySourceName
Datatyp
text
Alias
- NCI Thesaurus ObjectClass
- C29867
- UMLS 2011AA ObjectClass
- C0679646
- NCI Thesaurus Property
- C63536
- UMLS 2011AA Property
- C2603343
- NCI Thesaurus Property-2
- C62262
- UMLS 2011AA Property-2
- C1880355
- NCI Thesaurus ValueDomain
- C25683
- UMLS 2011AA ValueDomain
- C0449416
- NCI Thesaurus ValueDomain-2
- C42614
- UMLS 2011AA ValueDomain-2
- C0027365
- NCI Thesaurus ValueDomain-3
- C62262
- UMLS 2011AA ValueDomain-3
- C1880355
Beskrivning
ParticipantDiscoverStudyOtherSpecify
Datatyp
text
Alias
- NCI Thesaurus ValueDomain
- C25704
- UMLS 2011AA ValueDomain
- C1527021
- NCI Thesaurus ObjectClass
- C29867
- UMLS 2011AA ObjectClass
- C0679646
- NCI Thesaurus Property
- C63536
- UMLS 2011AA Property
- C2603343
- NCI Thesaurus Property-2
- C62262
- UMLS 2011AA Property-2
- C1880355
Beskrivning
Dcp Template Footer
Beskrivning
Protocol Title
Datatyp
text
Alias
- NCI Thesaurus ValueDomain
- C25191
- UMLS CUI-1
- C2986303
- NCI Thesaurus ObjectClass
- C25320
- NCI Thesaurus Property
- C42774
Beskrivning
Protocol Version
Datatyp
text
Alias
- NCI Thesaurus ValueDomain
- C25704
- UMLS CUI-1
- C2985700
- NCI Thesaurus ObjectClass
- C25320
- NCI Thesaurus Property
- C25364
Beskrivning
Protocol Version
Datatyp
text
Alias
- NCI Thesaurus ValueDomain
- C25704
- UMLS CUI-1
- C2985700
- NCI Thesaurus ObjectClass
- C25320
- NCI Thesaurus Property
- C25364
Beskrivning
Protocol Version Date
Datatyp
date
Alias
- NCI Thesaurus ValueDomain
- C25164
- UMLS CUI-1
- C2985700
- NCI Thesaurus ObjectClass
- C25320
- UMLS CUI-2
- C0011008
- NCI Thesaurus Property
- C25364
- NCI Thesaurus ValueDomain-2
- C25367
Beskrivning
PageNumber
Datatyp
float
Alias
- NCI Thesaurus Property
- C25337
- UMLS 2011AA Property
- C0237753
- NCI Thesaurus ValueDomain
- C25337
- UMLS 2011AA ValueDomain
- C0237753
- NCI Metathesaurus ObjectClass
- C0439643
Beskrivning
CaseReportFormTotalPageNumber
Datatyp
text
Alias
- NCI Thesaurus ObjectClass
- C40988
- UMLS 2011AA ObjectClass
- C1516308
- NCI Thesaurus Property
- C25337
- UMLS 2011AA Property
- C0237753
- NCI Thesaurus Property-2
- C25304
- UMLS 2011AA Property-2
- C0439810
- NCI Thesaurus Property-3
- C42783
- UMLS 2011AA Property-3
- C1704732
- NCI Thesaurus ValueDomain
- C25337
- UMLS 2011AA ValueDomain
- C0237753
Beskrivning
DCPTemplateVersionText
Datatyp
text
Alias
- NCI Thesaurus ValueDomain
- C25704
- UMLS 2011AA ValueDomain
- C1527021
- NCI Metathesaurus ObjectClass
- C0728990
- NCI Thesaurus Property
- C25714
- UMLS 2011AA Property
- C0333052
Similar models
No Instruction available.
- StudyEvent: Screening
C3274381 (UMLS CUI-1)
C25320 (NCI Thesaurus ObjectClass)
C1513882 (UMLS CUI-2)
C25364 (NCI Thesaurus Property)
C19202 (NCI Thesaurus Property-2)
C0805701 (UMLS 2011AA ValueDomain)
C21541 (NCI Thesaurus ObjectClass)
C0018704 (UMLS 2011AA ObjectClass)
C25364 (NCI Thesaurus Property)
C0600091 (UMLS 2011AA Property)
C0030705 (UMLS 2011AA ObjectClass)
C25364 (NCI Thesaurus Property)
C0600091 (UMLS 2011AA Property)
C25364 (NCI Thesaurus ValueDomain)
C0600091 (UMLS 2011AA ValueDomain)
C0332307 (UMLS 2011AA Property)
C25704 (NCI Thesaurus ValueDomain)
C1527021 (UMLS 2011AA ValueDomain)
C25716 (NCI Thesaurus ObjectClass)
C0545082 (UMLS 2011AA ObjectClass)
C0011008 (UMLS 2011AA Property)
C25164 (NCI Thesaurus ValueDomain)
C0011008 (UMLS 2011AA ValueDomain)
C25367 (NCI Thesaurus ValueDomain-2)
C25716 (NCI Thesaurus ObjectClass)
C0545082 (UMLS 2011AA ObjectClass)
C0011008 (UMLS 2011AA ValueDomain)
C48261 (NCI Thesaurus ObjectClass)
C1710032 (UMLS 2011AA ObjectClass)
C16735 (NCI Thesaurus ObjectClass-2)
C0021430 (UMLS 2011AA ObjectClass-2)
C25679 (NCI Thesaurus Property)
C1522602 (UMLS 2011AA Property)
CL310460 (NCI Metathesaurus ObjectClass)
CL052458 (NCI Metathesaurus ObjectClass-2)
C0021212 (NCI Metathesaurus ValueDomain)
C1272460 (UMLS 2011AA)
C1522602 (UMLS 2011AA Property)
CL310460 (NCI Metathesaurus ObjectClass)
CL052458 (NCI Metathesaurus ObjectClass-2)
C0021212 (NCI Metathesaurus ValueDomain)
C1272460 (UMLS 2011AA)
C0011008 (UMLS 2011AA ValueDomain)
C48261 (NCI Thesaurus Property)
C1710032 (UMLS 2011AA Property)
C15207 (NCI Thesaurus ObjectClass)
C1522602 (UMLS 2011AA ValueDomain)
C48261 (NCI Thesaurus Property)
C1710032 (UMLS 2011AA Property)
C15207 (NCI Thesaurus ObjectClass)
C0332307 (UMLS 2011AA ValueDomain)
C25638 (NCI Thesaurus ValueDomain-2)
C0392360 (UMLS 2011AA ValueDomain-2)
C48261 (NCI Thesaurus Property)
C1710032 (UMLS 2011AA Property)
C15207 (NCI Thesaurus ObjectClass)
C1521902 (UMLS 2011AA Property)
C25704 (NCI Thesaurus ValueDomain)
C1527021 (UMLS 2011AA ValueDomain)
C17649 (NCI Thesaurus ObjectClass)
C0205394 (UMLS 2011AA ObjectClass)
C25638 (NCI Thesaurus Property-2)
C0392360 (UMLS 2011AA Property-2)
C0947611 (UMLS CUI-1)
C15319 (NCI Thesaurus ObjectClass)
C25393 (NCI Thesaurus Property)
C0030705 (UMLS 2011AA ObjectClass)
C25683 (NCI Thesaurus Property)
C0449416 (UMLS 2011AA Property)
C52582 (NCI Thesaurus Property-2)
C0034927 (UMLS 2011AA Property-2)
C25683 (NCI Thesaurus ValueDomain)
C0449416 (UMLS 2011AA ValueDomain)
C42614 (NCI Thesaurus ValueDomain-2)
C0027365 (UMLS 2011AA ValueDomain-2)
C52582 (NCI Thesaurus ValueDomain-3)
C0034927 (UMLS 2011AA ValueDomain-3)
C0031831 (UMLS 2011AA)
C0018724 (UMLS 2011AA)
C0015576 (UMLS 2011AA)
C72884 (NCI Thesaurus-3)
C0079382 (UMLS 2011AA-4)
C0036588 (UMLS 2011AA)
C0205394 (UMLS 2011AA)
C1527021 (UMLS 2011AA ValueDomain)
C16960 (NCI Thesaurus ObjectClass)
C0030705 (UMLS 2011AA ObjectClass)
C25683 (NCI Thesaurus Property)
C0449416 (UMLS 2011AA Property)
C52582 (NCI Thesaurus Property-2)
C0034927 (UMLS 2011AA Property-2)
C0679646 (UMLS 2011AA ObjectClass)
C63536 (NCI Thesaurus Property)
C2603343 (UMLS 2011AA Property)
C62262 (NCI Thesaurus Property-2)
C1880355 (UMLS 2011AA Property-2)
C25683 (NCI Thesaurus ValueDomain)
C0449416 (UMLS 2011AA ValueDomain)
C42614 (NCI Thesaurus ValueDomain-2)
C0027365 (UMLS 2011AA ValueDomain-2)
C62262 (NCI Thesaurus ValueDomain-3)
C1880355 (UMLS 2011AA ValueDomain-3)
C0031831 (UMLS 2011AA)
C0028661 (UMLS 2011AA)
C0015576 (UMLS 2011AA)
C72884 (NCI Thesaurus-3)
C0079382 (UMLS 2011AA-4)
C1513882 (UMLS 2011AA)
C67518 (NCI Thesaurus-3)
C2349146 (UMLS 2011AA-4)
C0439673 (UMLS 2011AA)
C1521902 (UMLS 2011AA)
C17649 (NCI Thesaurus-3)
C0205394 (UMLS 2011AA-4)
C1527021 (UMLS 2011AA ValueDomain)
C29867 (NCI Thesaurus ObjectClass)
C0679646 (UMLS 2011AA ObjectClass)
C63536 (NCI Thesaurus Property)
C2603343 (UMLS 2011AA Property)
C62262 (NCI Thesaurus Property-2)
C1880355 (UMLS 2011AA Property-2)
C2986303 (UMLS CUI-1)
C25320 (NCI Thesaurus ObjectClass)
C42774 (NCI Thesaurus Property)
C2985700 (UMLS CUI-1)
C25320 (NCI Thesaurus ObjectClass)
C25364 (NCI Thesaurus Property)
C2985700 (UMLS CUI-1)
C25320 (NCI Thesaurus ObjectClass)
C25364 (NCI Thesaurus Property)
C2985700 (UMLS CUI-1)
C25320 (NCI Thesaurus ObjectClass)
C0011008 (UMLS CUI-2)
C25364 (NCI Thesaurus Property)
C25367 (NCI Thesaurus ValueDomain-2)
C0237753 (UMLS 2011AA Property)
C25337 (NCI Thesaurus ValueDomain)
C0237753 (UMLS 2011AA ValueDomain)
C0439643 (NCI Metathesaurus ObjectClass)
C1516308 (UMLS 2011AA ObjectClass)
C25337 (NCI Thesaurus Property)
C0237753 (UMLS 2011AA Property)
C25304 (NCI Thesaurus Property-2)
C0439810 (UMLS 2011AA Property-2)
C42783 (NCI Thesaurus Property-3)
C1704732 (UMLS 2011AA Property-3)
C25337 (NCI Thesaurus ValueDomain)
C0237753 (UMLS 2011AA ValueDomain)
C1527021 (UMLS 2011AA ValueDomain)
C0728990 (NCI Metathesaurus ObjectClass)
C25714 (NCI Thesaurus Property)
C0333052 (UMLS 2011AA Property)