ID

8976

Descripción

E1908 Registration Worksheet (step 1) Rituximab and Alemtuzumab in Treating Older Patients With Progressive Chronic Lymphocytic Leukemia Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=7D742C85-295F-A7C8-E040-BB89AD432037

Link

https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=7D742C85-295F-A7C8-E040-BB89AD432037

Palabras clave

Versiones (2)
  1. 19/9/12 19/9/12 -
  2. 9/1/15 9/1/15 - Martin Dugas
Subido en

9 de enero de 2015

DOI

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Licencia

Creative Commons BY-NC 3.0 Legacy
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Leukemia NCT01013961 Eligibility - E1908 Registration Worksheet (step 1) - 2988263v1.0

Inglés

No Instruction available.

1 formularios  
  1. StudyEvent: E1908 Registration Worksheet (step 1)
    1. No Instruction available.
Eligibility
Descripción

Eligibility

Has the eligibility checklist been completed
Descripción

EligibilityDeterminationChecklistCompleteEligibilityInd-2

Tipo de datos

boolean

Alias
NCI Thesaurus ValueDomain
C38147
UMLS 2011AA ValueDomain
C1512698
NCI Thesaurus Property
C25250
UMLS 2011AA Property
C0205197
NCI Thesaurus ObjectClass
C25171
UMLS 2011AA ObjectClass
C0013893
NCI Thesaurus Property-2
C49073
UMLS 2011AA Property-2
C1707357
In the opinion of the investigator, is the patient eligible?
Descripción

Eligibility for trial

Tipo de datos

boolean

Alias
NCI Thesaurus ValueDomain
C38148
UMLS CUI-1
C1302261
NCI Thesaurus ObjectClass
C16960
NCI Thesaurus Property
C25171
Indicate the level/status that was determined centrally and reported to you.
Descripción

PatientFluorescenceinsituHybridizationStratificationStatus

Tipo de datos

text

Alias
NCI Thesaurus ObjectClass
C16960
UMLS 2011AA ObjectClass
C0030705
NCI Thesaurus Property
C17563
UMLS 2011AA Property
C0162789
NCI Thesaurus ValueDomain
C25688
UMLS 2011AA ValueDomain
C0449438
NCI Thesaurus Property-2
C25689
UMLS 2011AA Property-2
C1514983
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Similar models

No Instruction available.

1 formularios
  1. StudyEvent: E1908 Registration Worksheet (step 1)
    1. No Instruction available.
Name
Tipo
Description | Question | Decode (Coded Value)
Tipo de datos
Alias
Item Group
Eligibility
EligibilityDeterminationChecklistCompleteEligibilityInd-2
Item
Has the eligibility checklist been completed
boolean
C38147 (NCI Thesaurus ValueDomain)
C1512698 (UMLS 2011AA ValueDomain)
C25250 (NCI Thesaurus Property)
C0205197 (UMLS 2011AA Property)
C25171 (NCI Thesaurus ObjectClass)
C0013893 (UMLS 2011AA ObjectClass)
C49073 (NCI Thesaurus Property-2)
C1707357 (UMLS 2011AA Property-2)
Eligibility for trial
Item
In the opinion of the investigator, is the patient eligible?
boolean
C38148 (NCI Thesaurus ValueDomain)
C1302261 (UMLS CUI-1)
C16960 (NCI Thesaurus ObjectClass)
C25171 (NCI Thesaurus Property)
Item
Indicate the level/status that was determined centrally and reported to you.
text
C16960 (NCI Thesaurus ObjectClass)
C0030705 (UMLS 2011AA ObjectClass)
C17563 (NCI Thesaurus Property)
C0162789 (UMLS 2011AA Property)
C25688 (NCI Thesaurus ValueDomain)
C0449438 (UMLS 2011AA ValueDomain)
C25689 (NCI Thesaurus Property-2)
C1514983 (UMLS 2011AA Property-2)
CL.3
Code List
Indicate the level/status that was determined centrally and reported to you.
CL Item
High Risk (1 - High Risk)
CL Item
Intermediate Risk (2 - Intermediate Risk)
CL Item
Low Risk (3 - Low Risk)
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