ID
9200
Description
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
Lien
Mots-clés
Versions (2)
- 19/09/2012 19/09/2012 -
- 09/01/2015 09/01/2015 - Martin Dugas
Téléchargé le
9 janvier 2015
DOI
Pour une demande vous connecter.
Licence
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.
Description
Bone Marrow
Description
Bone Marrow Differential
Description
BoneMarrow,Promyelocytes,CellPercentage
Type de données
float
Description
BoneMarrow,Blasts,CellPercentage
Type de données
float
Description
BoneMarrow,Lymphocytes,CellPercentage
Type de données
float
Description
MarrowMonocytes(%)
Type de données
text
Description
MarrowMonoblasts(%)
Type de données
text
Description
BoneMarrow,Eosinophils,CellPercentage
Type de données
float
Description
BoneMarrow,Basophils,CellPercentage
Type de données
float
Description
LaboratoryProcedureErythroidCellBoneMarrowResultPercentageValue
Type de données
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
Description
MarrowPlasmaCells(%)
Type de données
text
Description
MegakaryocyteStatus
Type de données
text
Description
%Marrowneutrophils
Type de données
text
Description
%MarrowMetamyeocytesandMarrowMyelocytes
Type de données
text
Description
Peripheral Blood Differential
Description
Lab,Hematology,SampleCollectionDate
Type de données
date
Description
Lab,Hematology,Hemoglobin
Type de données
float
Description
Lab,Hematology,Platelets
Type de données
float
Description
Lab,Hematology,WBC
Type de données
float
Description
Lab,Hematology,Neutrophils,CellPercentage
Type de données
float
Description
PeripheralMetamyelocytesandMyelocytes(%)
Type de données
text
Description
Lab,Hematology,Promyelocytes,CellPercentage
Type de données
float
Description
Lab,Hematology,Blasts,CellPercentage
Type de données
float
Description
Lab,Hematology,Lymphocytes,CellPercentage
Type de données
float
Description
Lab,Hematology,Monocytes,CellPercentage
Type de données
float
Description
PeripheralMonoblasts(%)
Type de données
text
Description
Lab,Hematology,Eosinophils,CellPercentage
Type de données
float
Description
Lab,Hematology,Basophils,CellPercentage
Type de données
float
Description
Degree Of Dyspoiesis Present
Description
MyelopoiesisPresentRate
Type de données
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
Description
Erythropoiesis
Type de données
text
Description
Megakaryopoiesis
Type de données
text
Description
CompletedBy
Type de données
text
Description
DateCompleted
Type de données
date
Alias
- NCI Thesaurus ValueDomain
- C25164
- UMLS 2011AA ValueDomain
- C0011008
Description
Ccrr Module For Calgb: 10201 Peripheral Blood And Bone Marrow Report Form
Similar models
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)