0 Ratings

ID

8595

Description

BIG 2-06 / NCCTG N063D / EGF106708 - Unscheduled ECG ALTTO (Adjuvant Lapatinib And/Or Trastuzumab Treatment Optimisation) Study; BIG 2-06/N063D Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=313C56F0-CDB4-544C-E044-0003BA3F9857

Link

https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=313C56F0-CDB4-544C-E044-0003BA3F9857

Keywords

  1. 9/19/12 9/19/12 -
  2. 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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    Neoplasms, Breast DRKS00003651 NCT00490139 On-Study - BIG 2-06 / NCCTG N063D / EGF106708 - Unscheduled ECG - 2644256v1.0

    No Instruction available.

    1. StudyEvent: BIG 2-06 / NCCTG N063D / EGF106708 - Unscheduled ECG
      1. No Instruction available.
    Header Module
    Description

    Header Module

    Centre No.
    Description

    Institution Number

    Data type

    text

    Alias
    NCI Thesaurus ValueDomain
    C25337 (undefined)
    UMLS CUI-1
    C1301943 (Institution name)
    SNOMED
    398321007
    NCI Thesaurus ObjectClass
    C21541 (undefined)
    UMLS CUI-2
    C0805701 (Code)
    NCI Thesaurus Property
    C25364 (undefined)
    Subject No.
    Description

    Patient Study ID

    Data type

    text

    Alias
    NCI Thesaurus ValueDomain
    C25337 (undefined)
    UMLS CUI-1
    C2348585 (Clinical Trial Subject Unique Identifier)
    NCI Thesaurus ObjectClass
    C16960 (undefined)
    NCI Thesaurus Property
    C25462 (undefined)
    NCI Thesaurus Property-2
    C25364 (undefined)
    Ecg
    Description

    Ecg

    Date of EKG
    Description

    DiagnosticElectrocardiogramPerformedDate

    Data type

    date

    Alias
    NCI Thesaurus ValueDomain
    C25164 (undefined)
    UMLS 2011AA ValueDomain
    C0011008 (Date in time)
    SNOMED
    410671006
    NCI Thesaurus Property
    C38000 (undefined)
    UMLS 2011AA Property
    C0884358 (Performed)
    SNOMED
    398166005
    LOINC
    LA19974-7
    NCI Thesaurus ObjectClass
    C25482 (undefined)
    UMLS 2011AA ObjectClass
    C0348026 (Diagnostic)
    SNOMED
    261004008
    LOINC
    LP249287-6
    NCI Metathesaurus ObjectClass
    C0013798 (Electrocardiogram)
    LOINC
    LP149975-7
    Result
    Description

    DiagnosticElectrocardiogramPerformedStatus

    Data type

    text

    Alias
    NCI Thesaurus Property
    C38000 (undefined)
    UMLS 2011AA Property
    C0884358 (Performed)
    SNOMED
    398166005
    LOINC
    LA19974-7
    NCI Thesaurus ObjectClass
    C25482 (undefined)
    UMLS 2011AA ObjectClass
    C0348026 (Diagnostic)
    SNOMED
    261004008
    LOINC
    LP249287-6
    NCI Metathesaurus ObjectClass
    C0013798 (Electrocardiogram)
    LOINC
    LP149975-7
    NCI Thesaurus ValueDomain
    C25688 (undefined)
    UMLS 2011AA ValueDomain
    C0449438 (Status)
    SNOMED
    263490005
    LOINC
    LP73412-6

    Similar models

    No Instruction available.

    1. StudyEvent: BIG 2-06 / NCCTG N063D / EGF106708 - Unscheduled ECG
      1. No Instruction available.
    Name
    Type
    Description | Question | Decode (Coded Value)
    Data type
    Alias
    Item Group
    Header Module
    Institution Number
    Item
    Centre No.
    text
    C25337 (NCI Thesaurus ValueDomain)
    C1301943 (UMLS CUI-1)
    C21541 (NCI Thesaurus ObjectClass)
    C0805701 (UMLS CUI-2)
    C25364 (NCI Thesaurus Property)
    Patient Study ID
    Item
    Subject No.
    text
    C25337 (NCI Thesaurus ValueDomain)
    C2348585 (UMLS CUI-1)
    C16960 (NCI Thesaurus ObjectClass)
    C25462 (NCI Thesaurus Property)
    C25364 (NCI Thesaurus Property-2)
    Item Group
    Ecg
    DiagnosticElectrocardiogramPerformedDate
    Item
    Date of EKG
    date
    C25164 (NCI Thesaurus ValueDomain)
    C0011008 (UMLS 2011AA ValueDomain)
    C38000 (NCI Thesaurus Property)
    C0884358 (UMLS 2011AA Property)
    C25482 (NCI Thesaurus ObjectClass)
    C0348026 (UMLS 2011AA ObjectClass)
    C0013798 (NCI Metathesaurus ObjectClass)
    Item
    Result
    text
    C38000 (NCI Thesaurus Property)
    C0884358 (UMLS 2011AA Property)
    C25482 (NCI Thesaurus ObjectClass)
    C0348026 (UMLS 2011AA ObjectClass)
    C0013798 (NCI Metathesaurus ObjectClass)
    C25688 (NCI Thesaurus ValueDomain)
    C0449438 (UMLS 2011AA ValueDomain)
    Code List
    Result
    CL Item
    Normal (Normal)
    C14165 (NCI Thesaurus)
    C0205307 (UMLS 2011AA)
    CL Item
    Abnormal - Not Clinically Significant (Abnormal - Not clinically significant)
    CL Item
    Abnormal - Clinically Significant (Abnormal - Clinically significant)

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