ID
7073
Description
The Division of Cancer Prevention's compliance case report form (CRF) template. Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=51ACB3DE-4427-492A-E044-0003BA3F9857
Link
Keywords
Versions (2)
- 8/27/12 8/27/12 -
- 1/9/15 1/9/15 - Martin Dugas
Uploaded on
January 9, 2015
DOI
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License
Creative Commons BY-NC 3.0 Legacy
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Compliance - 2765075v1.0
No Instruction available.
- StudyEvent: Compliance
Description
Compliance
Description
FirstDoseDate
Data type
date
Alias
- NCI Thesaurus ValueDomain
- C25164
- UMLS 2011AA ValueDomain
- C0011008
- NCI Thesaurus ObjectClass
- C15368
- NCI Thesaurus Property
- C25509
- UMLS 2011AA Property
- C1279901
- NCI Thesaurus Property-2
- C25256
- UMLS 2011AA Property-2
- C1265611
Description
LastDosePeriodDate
Data type
date
Alias
- NCI Thesaurus Property
- C25164
- UMLS 2011AA Property
- C0011008
- NCI Thesaurus ValueDomain
- C25164
- UMLS 2011AA ValueDomain
- C0011008
- NCI Thesaurus ObjectClass
- C25488
- UMLS 2011AA ObjectClass
- C0178602
- NCI Thesaurus ObjectClass-2
- C25551
- UMLS 2011AA ObjectClass-2
- C1517741
Description
AgentInterruptedIndicator
Data type
text
Alias
- NCI Thesaurus ValueDomain
- C25180
- UMLS 2011AA ValueDomain
- C1522602
- NCI Thesaurus ObjectClass
- C1708
- UMLS 2011AA ObjectClass
- C0450442
- NCI Metathesaurus Property
- CL212531
Description
AdditionalAgentInterruptionsNumberCount
Data type
text
Alias
- NCI Thesaurus ObjectClass
- C1708
- UMLS 2011AA ObjectClass
- C0450442
- NCI Thesaurus ObjectClass-2
- C25406
- UMLS 2011AA ObjectClass-2
- C1524062
- NCI Thesaurus Property
- C25542
- UMLS 2011AA Property
- C1512900
- NCI Thesaurus ValueDomain
- C25337
- UMLS 2011AA ValueDomain
- C0237753
- NCI Thesaurus ValueDomain-2
- C25463
- UMLS 2011AA ValueDomain-2
- C0750480
Description
AgentDoseModifiedIndicator
Data type
text
Alias
- NCI Thesaurus ValueDomain
- C25180
- UMLS 2011AA ValueDomain
- C1522602
- NCI Thesaurus Property
- C25446
- UMLS 2011AA Property
- C0392747
- NCI Thesaurus ObjectClass
- C1708
- UMLS 2011AA ObjectClass
- C0450442
Description
AgentProvidedAmount
Data type
text
Alias
- NCI Thesaurus ObjectClass
- C1708
- UMLS 2011AA ObjectClass
- C0450442
- NCI Thesaurus Property
- C25256
- UMLS 2011AA Property
- C1265611
- NCI Thesaurus ValueDomain
- C1708
- UMLS 2011AA ValueDomain
- C0450442
- NCI Thesaurus ValueDomain-2
- C25417
- NCI Thesaurus ValueDomain-3
- C64658
- UMLS 2011AA ValueDomain-2
- C1880359
Description
NotObtainedIndicator
Data type
text
Alias
- NCI Thesaurus Property
- C25180
- UMLS 2011AA Property
- C1522602
- NCI Metathesaurus ObjectClass
- CL310460
- NCI Metathesaurus ObjectClass-2
- CL052458
- NCI Metathesaurus ValueDomain
- C0021212
Description
AgentReturnedAmount
Data type
text
Alias
- NCI Thesaurus ObjectClass
- C1708
- UMLS 2011AA ObjectClass
- C0450442
- NCI Thesaurus Property
- C25417
- NCI Thesaurus ValueDomain
- C25417
Description
ActualDoseAmount
Data type
text
Alias
- NCI Thesaurus ObjectClass
- C25488
- UMLS 2011AA ObjectClass
- C0178602
- NCI Thesaurus ObjectClass-2
- C25274
- UMLS 2011AA ObjectClass-2
- C0237400
- NCI Thesaurus Property
- C25382
- UMLS 2011AA Property
- C1521801
- NCI Thesaurus ValueDomain
- C1708
- UMLS 2011AA ValueDomain
- C0450442
- NCI Thesaurus ValueDomain-2
- C25417
- NCI Thesaurus ValueDomain-3
- C64658
- UMLS 2011AA ValueDomain-2
- C1880359
Description
AgentMissingAmount
Data type
text
Alias
- NCI Thesaurus ObjectClass
- C1708
- UMLS 2011AA ObjectClass
- C0450442
- NCI Thesaurus Property
- C54031
- UMLS 2011AA Property
- C1705492
- NCI Thesaurus Property-2
- C25417
- NCI Thesaurus ValueDomain
- C1708
- UMLS 2011AA ValueDomain
- C0450442
- NCI Thesaurus ValueDomain-2
- C25417
- NCI Thesaurus ValueDomain-3
- C64658
- UMLS 2011AA ValueDomain-2
- C1880359
Description
ProtocolComplianceIndicator
Data type
text
Alias
- NCI Thesaurus ObjectClass
- C15368
- NCI Thesaurus ObjectClass-2
- C42651
- UMLS 2011AA ObjectClass
- C0442711
- NCI Thesaurus Property
- C25194
- NCI Thesaurus ValueDomain
- C25704
- UMLS 2011AA ValueDomain
- C1527021
- NCI Thesaurus ValueDomain-2
- C25180
- UMLS 2011AA ValueDomain-2
- C1522602
Description
NoncomplaintReasonText
Data type
text
Alias
- NCI Thesaurus ValueDomain
- C25704
- UMLS 2011AA ValueDomain
- C1527021
- NCI Thesaurus Property
- C25638
- UMLS 2011AA Property
- C0392360
- NCI Thesaurus ObjectClass
- C25594
- UMLS 2011AA ObjectClass
- C1518422
- NCI Thesaurus ObjectClass-2
- C25217
- UMLS 2011AA ObjectClass-2
- C1516048
Description
AgentProvidedIndicator
Data type
text
Alias
- NCI Thesaurus Property
- C25180
- UMLS 2011AA Property
- C1522602
- NCI Thesaurus ValueDomain
- C25180
- UMLS 2011AA ValueDomain
- C1522602
- NCI Thesaurus ObjectClass
- C1708
- UMLS 2011AA ObjectClass
- C0450442
Description
AgentProvidedCurrentVisitAmount
Data type
text
Alias
- NCI Thesaurus ObjectClass
- C1708
- UMLS 2011AA ObjectClass
- C0450442
- NCI Thesaurus Property
- C25417
- NCI Thesaurus ValueDomain
- C1708
- UMLS 2011AA ValueDomain
- C0450442
- NCI Thesaurus ValueDomain-2
- C25417
- NCI Thesaurus ValueDomain-3
- C64658
- UMLS 2011AA ValueDomain-2
- C1880359
Description
Dcp Template Footer
Description
Protocol Title
Data type
text
Alias
- NCI Thesaurus ValueDomain
- C25191
- UMLS CUI-1
- C2986303
- NCI Thesaurus ObjectClass
- C25320
- NCI Thesaurus Property
- C42774
Description
Protocol Version
Data type
text
Alias
- NCI Thesaurus ValueDomain
- C25704
- UMLS CUI-1
- C2985700
- NCI Thesaurus ObjectClass
- C25320
- NCI Thesaurus Property
- C25364
Description
Protocol Version Date
Data type
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
Description
PageNumber
Data type
float
Alias
- NCI Thesaurus Property
- C25337
- UMLS 2011AA Property
- C0237753
- NCI Thesaurus ValueDomain
- C25337
- UMLS 2011AA ValueDomain
- C0237753
- NCI Metathesaurus ObjectClass
- C0439643
Description
CaseReportFormTotalPageNumber
Data type
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
Description
DCPTemplateVersionText
Data type
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: Compliance
C3274381 (UMLS CUI-1)
C25320 (NCI Thesaurus ObjectClass)
C1513882 (UMLS CUI-2)
C25364 (NCI Thesaurus Property)
C19202 (NCI Thesaurus Property-2)
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C25704 (NCI Thesaurus ValueDomain)
C1527021 (UMLS 2011AA ValueDomain)
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C0011008 (UMLS 2011AA ValueDomain)
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C15368 (NCI Thesaurus ObjectClass)
C25509 (NCI Thesaurus Property)
C1279901 (UMLS 2011AA Property)
C25256 (NCI Thesaurus Property-2)
C1265611 (UMLS 2011AA Property-2)
C0011008 (UMLS 2011AA Property)
C25164 (NCI Thesaurus ValueDomain)
C0011008 (UMLS 2011AA ValueDomain)
C25488 (NCI Thesaurus ObjectClass)
C0178602 (UMLS 2011AA ObjectClass)
C25551 (NCI Thesaurus ObjectClass-2)
C1517741 (UMLS 2011AA ObjectClass-2)
C1522602 (UMLS 2011AA ValueDomain)
C1708 (NCI Thesaurus ObjectClass)
C0450442 (UMLS 2011AA ObjectClass)
CL212531 (NCI Metathesaurus Property)
C1705108 (UMLS 2011AA)
C1298908 (UMLS 2011AA)
C1272460 (UMLS 2011AA)
C0450442 (UMLS 2011AA ObjectClass)
C25406 (NCI Thesaurus ObjectClass-2)
C1524062 (UMLS 2011AA ObjectClass-2)
C25542 (NCI Thesaurus Property)
C1512900 (UMLS 2011AA Property)
C25337 (NCI Thesaurus ValueDomain)
C0237753 (UMLS 2011AA ValueDomain)
C25463 (NCI Thesaurus ValueDomain-2)
C0750480 (UMLS 2011AA ValueDomain-2)
C1522602 (UMLS 2011AA ValueDomain)
C25446 (NCI Thesaurus Property)
C0392747 (UMLS 2011AA Property)
C1708 (NCI Thesaurus ObjectClass)
C0450442 (UMLS 2011AA ObjectClass)
C1705108 (UMLS 2011AA)
C1298908 (UMLS 2011AA)
C1272460 (UMLS 2011AA)
C0450442 (UMLS 2011AA ObjectClass)
C25256 (NCI Thesaurus Property)
C1265611 (UMLS 2011AA Property)
C1708 (NCI Thesaurus ValueDomain)
C0450442 (UMLS 2011AA ValueDomain)
C25417 (NCI Thesaurus ValueDomain-2)
C64658 (NCI Thesaurus ValueDomain-3)
C1880359 (UMLS 2011AA ValueDomain-2)
C1522602 (UMLS 2011AA Property)
CL310460 (NCI Metathesaurus ObjectClass)
CL052458 (NCI Metathesaurus ObjectClass-2)
C0021212 (NCI Metathesaurus ValueDomain)
C1272460 (UMLS 2011AA)
C0450442 (UMLS 2011AA ObjectClass)
C25417 (NCI Thesaurus Property)
C25417 (NCI Thesaurus ValueDomain)
C0178602 (UMLS 2011AA ObjectClass)
C25274 (NCI Thesaurus ObjectClass-2)
C0237400 (UMLS 2011AA ObjectClass-2)
C25382 (NCI Thesaurus Property)
C1521801 (UMLS 2011AA Property)
C1708 (NCI Thesaurus ValueDomain)
C0450442 (UMLS 2011AA ValueDomain)
C25417 (NCI Thesaurus ValueDomain-2)
C64658 (NCI Thesaurus ValueDomain-3)
C1880359 (UMLS 2011AA ValueDomain-2)
C0450442 (UMLS 2011AA ObjectClass)
C54031 (NCI Thesaurus Property)
C1705492 (UMLS 2011AA Property)
C25417 (NCI Thesaurus Property-2)
C1708 (NCI Thesaurus ValueDomain)
C0450442 (UMLS 2011AA ValueDomain)
C25417 (NCI Thesaurus ValueDomain-2)
C64658 (NCI Thesaurus ValueDomain-3)
C1880359 (UMLS 2011AA ValueDomain-2)
C42651 (NCI Thesaurus ObjectClass-2)
C0442711 (UMLS 2011AA ObjectClass)
C25194 (NCI Thesaurus Property)
C25704 (NCI Thesaurus ValueDomain)
C1527021 (UMLS 2011AA ValueDomain)
C25180 (NCI Thesaurus ValueDomain-2)
C1522602 (UMLS 2011AA ValueDomain-2)
C1705108 (UMLS 2011AA)
C1298908 (UMLS 2011AA)
C0439673 (UMLS 2011AA)
C1527021 (UMLS 2011AA ValueDomain)
C25638 (NCI Thesaurus Property)
C0392360 (UMLS 2011AA Property)
C25594 (NCI Thesaurus ObjectClass)
C1518422 (UMLS 2011AA ObjectClass)
C25217 (NCI Thesaurus ObjectClass-2)
C1516048 (UMLS 2011AA ObjectClass-2)
C1522602 (UMLS 2011AA Property)
C25180 (NCI Thesaurus ValueDomain)
C1522602 (UMLS 2011AA ValueDomain)
C1708 (NCI Thesaurus ObjectClass)
C0450442 (UMLS 2011AA ObjectClass)
C1705108 (UMLS 2011AA)
C1298908 (UMLS 2011AA)
C1272460 (UMLS 2011AA)
C0450442 (UMLS 2011AA ObjectClass)
C25417 (NCI Thesaurus Property)
C1708 (NCI Thesaurus ValueDomain)
C0450442 (UMLS 2011AA ValueDomain)
C25417 (NCI Thesaurus ValueDomain-2)
C64658 (NCI Thesaurus ValueDomain-3)
C1880359 (UMLS 2011AA ValueDomain-2)
C2986303 (UMLS CUI-1)
C25320 (NCI Thesaurus ObjectClass)
C42774 (NCI Thesaurus Property)
C2985700 (UMLS CUI-1)
C25320 (NCI Thesaurus ObjectClass)
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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)
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