ID
9200
Beschreibung
CALGB: 10201 PERIPHERAL BLOOD AND BONE MARROW REPORT 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=AD85FF2B-39F3-35D3-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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Lizenz
Creative Commons BY-NC 3.0 Legacy
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Leukemia NCT00085124 Lab - CALGB: 10201 PERIPHERAL BLOOD AND BONE MARROW REPORT FORM - 2031273v3.0
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
Bone Marrow
Beschreibung
Bone Marrow Differential
Beschreibung
BoneMarrow,Promyelocytes,CellPercentage
Datentyp
float
Beschreibung
BoneMarrow,Blasts,CellPercentage
Datentyp
float
Beschreibung
BoneMarrow,Lymphocytes,CellPercentage
Datentyp
float
Beschreibung
MarrowMonocytes(%)
Datentyp
text
Beschreibung
MarrowMonoblasts(%)
Datentyp
text
Beschreibung
BoneMarrow,Eosinophils,CellPercentage
Datentyp
float
Beschreibung
BoneMarrow,Basophils,CellPercentage
Datentyp
float
Beschreibung
LaboratoryProcedureErythroidCellBoneMarrowResultPercentageValue
Datentyp
float
Alias
- NCI Thesaurus ObjectClass
- C25294
- UMLS 2011AA ObjectClass
- C0022885
- NCI Thesaurus Property
- C12431
- UMLS 2011AA Property
- C0005953
- NCI Thesaurus Property-2
- C20200
- UMLS 2011AA Property-2
- C1274040
- NCI Thesaurus Property-3
- C12508
- UMLS 2011AA Property-3
- C0007634
- NCI Thesaurus Property-4
- C13805
- UMLS 2011AA Property-4
- C1516960
- NCI Thesaurus ValueDomain
- C25613
- UMLS 2011AA ValueDomain
- C0439165
- NCI Thesaurus ValueDomain-2
- C25712
- UMLS 2011AA ValueDomain-2
- C1522609
Beschreibung
MarrowPlasmaCells(%)
Datentyp
text
Beschreibung
MegakaryocyteStatus
Datentyp
text
Beschreibung
%Marrowneutrophils
Datentyp
text
Beschreibung
%MarrowMetamyeocytesandMarrowMyelocytes
Datentyp
text
Beschreibung
Peripheral Blood Differential
Beschreibung
Lab,Hematology,SampleCollectionDate
Datentyp
date
Beschreibung
Lab,Hematology,Hemoglobin
Datentyp
float
Beschreibung
Lab,Hematology,Platelets
Datentyp
float
Beschreibung
Lab,Hematology,WBC
Datentyp
float
Beschreibung
Lab,Hematology,Neutrophils,CellPercentage
Datentyp
float
Beschreibung
PeripheralMetamyelocytesandMyelocytes(%)
Datentyp
text
Beschreibung
Lab,Hematology,Promyelocytes,CellPercentage
Datentyp
float
Beschreibung
Lab,Hematology,Blasts,CellPercentage
Datentyp
float
Beschreibung
Lab,Hematology,Lymphocytes,CellPercentage
Datentyp
float
Beschreibung
Lab,Hematology,Monocytes,CellPercentage
Datentyp
float
Beschreibung
PeripheralMonoblasts(%)
Datentyp
text
Beschreibung
Lab,Hematology,Eosinophils,CellPercentage
Datentyp
float
Beschreibung
Lab,Hematology,Basophils,CellPercentage
Datentyp
float
Beschreibung
Degree Of Dyspoiesis Present
Beschreibung
MyelopoiesisPresentRate
Datentyp
text
Alias
- NCI Thesaurus Property
- C25626
- UMLS 2011AA Property
- C0150312
- NCI Thesaurus ObjectClass
- C21143
- UMLS 2011AA ObjectClass
- C0525006
- NCI Thesaurus ValueDomain
- C25636
- UMLS 2011AA ValueDomain
- C1521828
Beschreibung
Erythropoiesis
Datentyp
text
Beschreibung
Megakaryopoiesis
Datentyp
text
Beschreibung
CompletedBy
Datentyp
text
Beschreibung
DateCompleted
Datentyp
date
Alias
- NCI Thesaurus ValueDomain
- C25164
- UMLS 2011AA ValueDomain
- C0011008
Beschreibung
Ccrr Module For Calgb: 10201 Peripheral Blood And Bone Marrow Report 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)
C1705108 (UMLS 2011AA)
C2986440 (UMLS CUI-1)
C16960 (NCI Thesaurus ObjectClass)
C25536 (NCI Thesaurus Property)
C1257890 (UMLS 2011AA ObjectClass)
C25364 (NCI Thesaurus Property)
C0600091 (UMLS 2011AA Property)
C0022885 (UMLS 2011AA ObjectClass)
C12431 (NCI Thesaurus Property)
C0005953 (UMLS 2011AA Property)
C20200 (NCI Thesaurus Property-2)
C1274040 (UMLS 2011AA Property-2)
C12508 (NCI Thesaurus Property-3)
C0007634 (UMLS 2011AA Property-3)
C13805 (NCI Thesaurus Property-4)
C1516960 (UMLS 2011AA Property-4)
C25613 (NCI Thesaurus ValueDomain)
C0439165 (UMLS 2011AA ValueDomain)
C25712 (NCI Thesaurus ValueDomain-2)
C1522609 (UMLS 2011AA ValueDomain-2)
C0549184 (UMLS 2011AA)
C0205307 (UMLS 2011AA)
C0439673 (UMLS 2011AA)
C0150312 (UMLS 2011AA Property)
C21143 (NCI Thesaurus ObjectClass)
C0525006 (UMLS 2011AA ObjectClass)
C25636 (NCI Thesaurus ValueDomain)
C1521828 (UMLS 2011AA ValueDomain)
C1706089 (UMLS 2011AA)
C1706089 (UMLS 2011AA)
C1706089 (UMLS 2011AA)
C0011008 (UMLS 2011AA ValueDomain)