ID
9194
Beschreibung
CALGB: 10201 Treatment FORM Daunorubicin and Cytarabine With or Without Oblimersen in Treating Older Patients With Previously Untreated Acute Myeloid Leukemia Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=AD83D624-B33F-3003-E034-0003BA12F5E7
Link
Stichworte
Versionen (2)
- 19.09.12 19.09.12 -
- 09.01.15 09.01.15 - Martin Dugas
Hochgeladen am
9. Januar 2015
DOI
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Creative Commons BY-NC 3.0 Legacy
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Leukemia NCT00085124 Treatment - CALGB: 10201 Treatment FORM - 2031608v3.0
Instructions: Complete and submit thie form as required by the protocol. Information in the upper right box must be completed for this form to be accepted. For optimal accuracy use black ink. Mark an X in the appropriate box for fields with a choice. Print text in capital letters. Avoid contact with the edges of the boxes. Cirlce amended items and check "Amended data" box to teh right. If submitting by mail, retain a copy for your records and send the original form for mazimum clarity in transmission and fax to 919-416-4990. If submistting electronically, click the Send button when you have completed the PDF version of the form.
Beschreibung
Treatment Phase Information
Beschreibung
Leukemia Treatment Plan
Beschreibung
ProtocolTreatmentInd
Datentyp
boolean
Beschreibung
TreatmentFirstDoseBeginDate
Datentyp
date
Beschreibung
TotalCourseNumber
Datentyp
float
Beschreibung
TreatmentLastDoseEndDate
Datentyp
date
Beschreibung
AgentTotalDose
Datentyp
float
Beschreibung
AgentTotalDose
Datentyp
float
Beschreibung
AgentTotalDose
Datentyp
float
Beschreibung
OffTreatmentReason
Datentyp
text
Beschreibung
OffTreatmentReason,Other
Datentyp
text
Beschreibung
DoseModification(Change)
Datentyp
text
Beschreibung
DoseModificationReason
Datentyp
text
Beschreibung
CompletedBy
Datentyp
text
Beschreibung
Ccrr Module For Calgb: 10201 Treatment Form
Ähnliche Modelle
Instructions: Complete and submit thie form as required by the protocol. Information in the upper right box must be completed for this form to be accepted. For optimal accuracy use black ink. Mark an X in the appropriate box for fields with a choice. Print text in capital letters. Avoid contact with the edges of the boxes. Cirlce amended items and check "Amended data" box to teh right. If submitting by mail, retain a copy for your records and send the original form for mazimum clarity in transmission and fax to 919-416-4990. If submistting electronically, click the Send button when you have completed the PDF version of the form.
C1511726 (UMLS 2011AA ObjectClass)
C25416 (NCI Thesaurus Property)
C1691222 (UMLS 2011AA Property)
C2986440 (UMLS CUI-1)
C16960 (NCI Thesaurus ObjectClass)
C25536 (NCI Thesaurus Property)
C1257890 (UMLS 2011AA ObjectClass)
C25364 (NCI Thesaurus Property)
C0600091 (UMLS 2011AA Property)
C0205394 (UMLS 2011AA)
C1298908 (UMLS 2011AA)
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