ID
8021
Description
GOG Common Toxicity Reporting 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=ABA3B3D1-8528-2473-E034-0003BA12F5E7
Lien
Mots-clés
Versions (2)
- 27/08/2012 27/08/2012 -
- 09/01/2015 09/01/2015 - Martin Dugas
Téléchargé le
9 janvier 2015
DOI
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Licence
Creative Commons BY-NC 3.0 Legacy
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Cervical Cancer NCT00064077 Toxicity - GOG Common Toxicity Reporting Form - 2059265v3.0
FORM T
- StudyEvent: GOG Common Toxicity Reporting Form
Description
Adverse Events - Section 1
Description
Cycle Number Chemotherapeutics
Type de données
float
Alias
- UMLS CUI-1
- C2045829
Description
TransfusionInd
Type de données
text
Description
InpatientHospitalizationInd
Type de données
boolean
Description
Cytokine Therapy
Type de données
text
Alias
- NCI Thesaurus ValueDomain
- C38148
- UMLS CUI-1
- C0199974
- NCI Thesaurus Property
- C20464
- NCI Thesaurus ObjectClass
- C1708
- NCI Thesaurus Property-2
- C25382
Description
AgentCytokineAdministeredSpecify
Type de données
text
Alias
- NCI Thesaurus ValueDomain
- C25685
- UMLS 2011AA ValueDomain
- C1521902
- NCI Thesaurus Property
- C20464
- UMLS 2011AA Property
- C0079189
- NCI Thesaurus ObjectClass
- C1708
- UMLS 2011AA ObjectClass
- C0450442
- NCI Thesaurus Property-2
- C25382
- UMLS 2011AA Property-2
- C1521801
Description
ADRFiledInd
Type de données
boolean
Alias
- NCI Thesaurus ObjectClass
- C25410
- UMLS 2011AA ObjectClass
- C1521800
- NCI Thesaurus Property
- C25175
- UMLS 2011AA Property
- C1522646
Description
Adverse Events - Section 2
Description
WBC done
Type de données
boolean
Alias
- NCI Thesaurus ValueDomain
- C38148
- UMLS CUI-1
- C0023508
- NCI Thesaurus Property
- C12529
- NCI Thesaurus Property-2
- C20200
- NCI Thesaurus ObjectClass
- C25294
Description
Lab,Hematology,WBC
Type de données
float
Description
Lab,Hematology,WBCDate
Type de données
date
Description
LaboratoryProcedureAbsoluteNeutrophilCountGranulocyteOutcomeInd-3
Type de données
boolean
Alias
- NCI Thesaurus ObjectClass
- C25294
- UMLS 2011AA ObjectClass
- C0022885
- NCI Thesaurus Property
- C20200
- UMLS 2011AA Property
- C1274040
- NCI Thesaurus Property-2
- C12530
- UMLS 2011AA Property-2
- C0018183
- NCI Thesaurus Property-3
- C63321
- UMLS 2011AA Property-3
- C0948762
- NCI Thesaurus ValueDomain
- C38148
- UMLS 2011AA ValueDomain
- C1512699
Description
Lab,Hematology,GranulocyteCount
Type de données
float
Description
Lab,Hematology,GranDate
Type de données
date
Description
Platelets
Type de données
boolean
Alias
- NCI Thesaurus ValueDomain
- C38148
- UMLS CUI-1
- C0005821
- NCI Thesaurus Property
- C20200
- NCI Thesaurus Property-2
- C12520
- NCI Thesaurus ObjectClass
- C25294
Description
Lab,Hematology,Platelets
Type de données
float
Description
Lab,Hematology,PlateletDate
Type de données
date
Description
Hemoglobin
Type de données
boolean
Alias
- NCI Thesaurus ValueDomain
- C38148
- UMLS CUI-1
- C0019046
- NCI Thesaurus Property
- C16676
- NCI Thesaurus Property-2
- C20200
- NCI Thesaurus ObjectClass
- C25294
Description
Lab,Hematology,Hemoglobin
Type de données
float
Description
Lab,Hematology,HGBDate
Type de données
date
Description
CTCAdverseEventGrade
Type de données
text
Description
CTCAdverseEventAttributionCode
Type de données
text
Description
Adverse Events - Section 3
Description
CTCAdverseEventTerm
Type de données
text
Description
CTCAdverseEventGrade
Type de données
text
Description
CTCAdverseEventAttributionCode
Type de données
text
Description
Comments
Description
Footer Module
Description
ParticipatingGroupCode
Type de données
text
Alias
- NCI Thesaurus ValueDomain
- C25162
- UMLS 2011AA ValueDomain
- C0805701
Description
ParticipatingGroupProtocolNumber
Type de données
float
Description
Trial subject ID Participating Group
Type de données
text
Alias
- NCI Thesaurus ValueDomain
- C25337
- UMLS CUI-1
- C2348585
- NCI Thesaurus ObjectClass
- C16960
- UMLS CUI-2
- C2347449
- NCI Thesaurus Property
- C25608
- NCI Thesaurus Property-2
- C25364
Description
Ccrr Module For Gog Common Toxicity Reporting Form
Similar models
FORM T
- StudyEvent: GOG Common Toxicity Reporting Form
C0680532 (UMLS CUI-1)
C25190 (NCI Thesaurus ObjectClass)
C1547383 (UMLS CUI-2)
C25364 (NCI Thesaurus Property)
C1298908 (UMLS 2011AA)
C0199974 (UMLS CUI-1)
C20464 (NCI Thesaurus Property)
C1708 (NCI Thesaurus ObjectClass)
C25382 (NCI Thesaurus Property-2)
C1298908 (UMLS 2011AA)
C1705108 (UMLS 2011AA)
C1521902 (UMLS 2011AA ValueDomain)
C20464 (NCI Thesaurus Property)
C0079189 (UMLS 2011AA Property)
C1708 (NCI Thesaurus ObjectClass)
C0450442 (UMLS 2011AA ObjectClass)
C25382 (NCI Thesaurus Property-2)
C1521801 (UMLS 2011AA Property-2)
C1521800 (UMLS 2011AA ObjectClass)
C25175 (NCI Thesaurus Property)
C1522646 (UMLS 2011AA Property)
C0023508 (UMLS CUI-1)
C12529 (NCI Thesaurus Property)
C20200 (NCI Thesaurus Property-2)
C25294 (NCI Thesaurus ObjectClass)
C0022885 (UMLS 2011AA ObjectClass)
C20200 (NCI Thesaurus Property)
C1274040 (UMLS 2011AA Property)
C12530 (NCI Thesaurus Property-2)
C0018183 (UMLS 2011AA Property-2)
C63321 (NCI Thesaurus Property-3)
C0948762 (UMLS 2011AA Property-3)
C38148 (NCI Thesaurus ValueDomain)
C1512699 (UMLS 2011AA ValueDomain)
C0005821 (UMLS CUI-1)
C20200 (NCI Thesaurus Property)
C12520 (NCI Thesaurus Property-2)
C25294 (NCI Thesaurus ObjectClass)
C0019046 (UMLS CUI-1)
C16676 (NCI Thesaurus Property)
C20200 (NCI Thesaurus Property-2)
C25294 (NCI Thesaurus ObjectClass)
C0445356 (UMLS 2011AA)
C0445356 (UMLS 2011AA)
C0805701 (UMLS 2011AA ValueDomain)
C2348585 (UMLS CUI-1)
C16960 (NCI Thesaurus ObjectClass)
C2347449 (UMLS CUI-2)
C25608 (NCI Thesaurus Property)
C25364 (NCI Thesaurus Property-2)