ID
9200
Beschrijving
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
Trefwoorden
Versies (2)
- 19-09-12 19-09-12 -
- 09-01-15 09-01-15 - Martin Dugas
Geüploaded op
9 januari 2015
DOI
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Licentie
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.
Beschrijving
Bone Marrow
Beschrijving
Bone Marrow Differential
Beschrijving
BoneMarrow,Promyelocytes,CellPercentage
Datatype
float
Beschrijving
BoneMarrow,Blasts,CellPercentage
Datatype
float
Beschrijving
BoneMarrow,Lymphocytes,CellPercentage
Datatype
float
Beschrijving
MarrowMonocytes(%)
Datatype
text
Beschrijving
MarrowMonoblasts(%)
Datatype
text
Beschrijving
BoneMarrow,Eosinophils,CellPercentage
Datatype
float
Beschrijving
BoneMarrow,Basophils,CellPercentage
Datatype
float
Beschrijving
LaboratoryProcedureErythroidCellBoneMarrowResultPercentageValue
Datatype
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
Beschrijving
MarrowPlasmaCells(%)
Datatype
text
Beschrijving
MegakaryocyteStatus
Datatype
text
Beschrijving
%Marrowneutrophils
Datatype
text
Beschrijving
%MarrowMetamyeocytesandMarrowMyelocytes
Datatype
text
Beschrijving
Peripheral Blood Differential
Beschrijving
Lab,Hematology,SampleCollectionDate
Datatype
date
Beschrijving
Lab,Hematology,Hemoglobin
Datatype
float
Beschrijving
Lab,Hematology,Platelets
Datatype
float
Beschrijving
Lab,Hematology,WBC
Datatype
float
Beschrijving
Lab,Hematology,Neutrophils,CellPercentage
Datatype
float
Beschrijving
PeripheralMetamyelocytesandMyelocytes(%)
Datatype
text
Beschrijving
Lab,Hematology,Promyelocytes,CellPercentage
Datatype
float
Beschrijving
Lab,Hematology,Blasts,CellPercentage
Datatype
float
Beschrijving
Lab,Hematology,Lymphocytes,CellPercentage
Datatype
float
Beschrijving
Lab,Hematology,Monocytes,CellPercentage
Datatype
float
Beschrijving
PeripheralMonoblasts(%)
Datatype
text
Beschrijving
Lab,Hematology,Eosinophils,CellPercentage
Datatype
float
Beschrijving
Lab,Hematology,Basophils,CellPercentage
Datatype
float
Beschrijving
Degree Of Dyspoiesis Present
Beschrijving
MyelopoiesisPresentRate
Datatype
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
Beschrijving
Erythropoiesis
Datatype
text
Beschrijving
Megakaryopoiesis
Datatype
text
Beschrijving
CompletedBy
Datatype
text
Beschrijving
DateCompleted
Datatype
date
Alias
- NCI Thesaurus ValueDomain
- C25164
- UMLS 2011AA ValueDomain
- C0011008
Beschrijving
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)