ID

9239

Descripción

Follow-up Assessment (FA) Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=B122D2BC-9A32-4DD0-E034-0003BA12F5E7

Link

https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=B122D2BC-9A32-4DD0-E034-0003BA12F5E7

Palabras clave

  1. 19/9/12 19/9/12 -
  2. 9/1/15 9/1/15 - Martin Dugas
Subido en

9 de enero de 2015

DOI

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Licencia

Creative Commons BY-NC 3.0 Legacy

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Melanoma (Skin) Follow-Up - Follow-up Assessment (FA) - 2074729v3.0

No Instruction available.

  1. StudyEvent: Follow-up Assessment (FA)
    1. No Instruction available.
Ccrr Module For Follow-up Assessment (fa)
Descripción

Ccrr Module For Follow-up Assessment (fa)

Patient ID (Pt. ID issued during registration or previously issued patient ID)
Descripción

Pt.ID

Tipo de datos

text

Institution ID:
Descripción

InstitutionNo.

Tipo de datos

text

Alias
NCI Thesaurus ValueDomain
C25337
UMLS 2011AA ValueDomain
C0237753
Patient Initials: (F ML)
Descripción

Patient Initials

Tipo de datos

text

Alias
NCI Thesaurus ValueDomain
C25191
UMLS CUI-1
C2986440
NCI Thesaurus ObjectClass
C16960
NCI Thesaurus Property
C25536
Institution:
Descripción

InstitutionName

Tipo de datos

text

Date of History and Physical:
Descripción

DateofHistoryandPhysical:

Tipo de datos

text

Alias
NCI Thesaurus ObjectClass
C20989
UMLS 2011AA ObjectClass
C0031809
NCI Thesaurus Property
C38000
UMLS 2011AA Property
C0884358
NCI Thesaurus ObjectClass-2
C18772
UMLS 2011AA ObjectClass-2
C0262926
Date of P/A and Lateral Chest X-ray
Descripción

DateofP/AandLateralChestX-ray

Tipo de datos

text

Date of LDH: (Year Month Day)
Descripción

DateLDHObtained

Tipo de datos

text

Is LDH greater than upper limit of institutional norm:
Descripción

IsLDHgreaterthanupperlimitofinstitutionalnorm:

Tipo de datos

boolean

Alias
NCI Thesaurus ValueDomain
C38148
UMLS 2011AA ValueDomain
C1512699
Completed by:
Descripción

CompletedBy

Tipo de datos

text

Date: (Year Month Day)
Descripción

FormCompletionDate,Original

Tipo de datos

date

Similar models

No Instruction available.

  1. StudyEvent: Follow-up Assessment (FA)
    1. No Instruction available.
Name
Tipo
Description | Question | Decode (Coded Value)
Tipo de datos
Alias
Item Group
Ccrr Module For Follow-up Assessment (fa)
Pt.ID
Item
Patient ID (Pt. ID issued during registration or previously issued patient ID)
text
InstitutionNo.
Item
Institution ID:
text
C25337 (NCI Thesaurus ValueDomain)
C0237753 (UMLS 2011AA ValueDomain)
Patient Initials
Item
Patient Initials: (F ML)
text
C25191 (NCI Thesaurus ValueDomain)
C2986440 (UMLS CUI-1)
C16960 (NCI Thesaurus ObjectClass)
C25536 (NCI Thesaurus Property)
InstitutionName
Item
Institution:
text
DateofHistoryandPhysical:
Item
Date of History and Physical:
text
C20989 (NCI Thesaurus ObjectClass)
C0031809 (UMLS 2011AA ObjectClass)
C38000 (NCI Thesaurus Property)
C0884358 (UMLS 2011AA Property)
C18772 (NCI Thesaurus ObjectClass-2)
C0262926 (UMLS 2011AA ObjectClass-2)
DateofP/AandLateralChestX-ray
Item
Date of P/A and Lateral Chest X-ray
text
DateLDHObtained
Item
Date of LDH: (Year Month Day)
text
IsLDHgreaterthanupperlimitofinstitutionalnorm:
Item
Is LDH greater than upper limit of institutional norm:
boolean
C38148 (NCI Thesaurus ValueDomain)
C1512699 (UMLS 2011AA ValueDomain)
CompletedBy
Item
Completed by:
text
FormCompletionDate,Original
Item
Date: (Year Month Day)
date

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