ID
9200
Beskrivning
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
Länk
Nyckelord
Versioner (2)
- 2012-09-19 2012-09-19 -
- 2015-01-09 2015-01-09 - Martin Dugas
Uppladdad den
9 januari 2015
DOI
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Licens
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.
Beskrivning
Bone Marrow
Beskrivning
Bone Marrow Differential
Beskrivning
BoneMarrow,Promyelocytes,CellPercentage
Datatyp
float
Beskrivning
BoneMarrow,Blasts,CellPercentage
Datatyp
float
Beskrivning
BoneMarrow,Lymphocytes,CellPercentage
Datatyp
float
Beskrivning
MarrowMonocytes(%)
Datatyp
text
Beskrivning
MarrowMonoblasts(%)
Datatyp
text
Beskrivning
BoneMarrow,Eosinophils,CellPercentage
Datatyp
float
Beskrivning
BoneMarrow,Basophils,CellPercentage
Datatyp
float
Beskrivning
LaboratoryProcedureErythroidCellBoneMarrowResultPercentageValue
Datatyp
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
Beskrivning
MarrowPlasmaCells(%)
Datatyp
text
Beskrivning
MegakaryocyteStatus
Datatyp
text
Beskrivning
%Marrowneutrophils
Datatyp
text
Beskrivning
%MarrowMetamyeocytesandMarrowMyelocytes
Datatyp
text
Beskrivning
Peripheral Blood Differential
Beskrivning
Lab,Hematology,SampleCollectionDate
Datatyp
date
Beskrivning
Lab,Hematology,Hemoglobin
Datatyp
float
Beskrivning
Lab,Hematology,Platelets
Datatyp
float
Beskrivning
Lab,Hematology,WBC
Datatyp
float
Beskrivning
Lab,Hematology,Neutrophils,CellPercentage
Datatyp
float
Beskrivning
PeripheralMetamyelocytesandMyelocytes(%)
Datatyp
text
Beskrivning
Lab,Hematology,Promyelocytes,CellPercentage
Datatyp
float
Beskrivning
Lab,Hematology,Blasts,CellPercentage
Datatyp
float
Beskrivning
Lab,Hematology,Lymphocytes,CellPercentage
Datatyp
float
Beskrivning
Lab,Hematology,Monocytes,CellPercentage
Datatyp
float
Beskrivning
PeripheralMonoblasts(%)
Datatyp
text
Beskrivning
Lab,Hematology,Eosinophils,CellPercentage
Datatyp
float
Beskrivning
Lab,Hematology,Basophils,CellPercentage
Datatyp
float
Beskrivning
Degree Of Dyspoiesis Present
Beskrivning
MyelopoiesisPresentRate
Datatyp
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
Beskrivning
Erythropoiesis
Datatyp
text
Beskrivning
Megakaryopoiesis
Datatyp
text
Beskrivning
CompletedBy
Datatyp
text
Beskrivning
DateCompleted
Datatyp
date
Alias
- NCI Thesaurus ValueDomain
- C25164
- UMLS 2011AA ValueDomain
- C0011008
Beskrivning
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)