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ID

9291

Beschreibung

E1900 Cover Page for Hematology Form Combination Chemotherapy With or Without Monoclonal Antibody Therapy Followed by Stem Cell Transplant in Treating Patients With Acute Myeloid Leukemia Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=B19AB29D-AC61-25E1-E034-0003BA12F5E7

Link

https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=B19AB29D-AC61-25E1-E034-0003BA12F5E7

Stichworte

  1. 25.05.12 25.05.12 -
  2. 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 NCT00049517 Lab - E1900 Cover Page for Hematology Form - 2075140v3.0

    No Instruction available.

    1. StudyEvent: E1900 Cover Page for Hematology Form
      1. No Instruction available.
    Header
    Beschreibung

    Header

    DCI Name
    Beschreibung

    Generic drug form

    Datentyp

    text

    Alias
    NCI Thesaurus ValueDomain
    C25191 (undefined)
    UMLS CUI-1
    C3242750 (generic drug form)
    NCI Thesaurus Property
    C19464 (undefined)
    NCI Thesaurus ObjectClass
    C25474 (undefined)
    NCI Thesaurus ObjectClass-2
    C25452 (undefined)
    Patient Initials
    Beschreibung

    Patient Initials

    Datentyp

    text

    Alias
    NCI Thesaurus ValueDomain
    C25191 (undefined)
    UMLS CUI-1
    C2986440 (Person Initials)
    NCI Thesaurus ObjectClass
    C16960 (undefined)
    NCI Thesaurus Property
    C25536 (undefined)
    ECOG Protocol Number
    Beschreibung

    ECOGProtocolNumber

    Datentyp

    text

    ECOG Protocol Number
    Beschreibung

    ECOGProtocolNumber

    Datentyp

    text

    ECOG Protocol Number
    Beschreibung

    ECOGProtocolNumber

    Datentyp

    text

    ECOG Patient ID
    Beschreibung

    ECOGPatientID

    Datentyp

    text

    ECOG Patient ID
    Beschreibung

    ECOGPatientID

    Datentyp

    text

    Participating Group Protocol No.
    Beschreibung

    ParticipatingGroupProtocolNo.

    Datentyp

    text

    Participating Group Patient ID
    Beschreibung

    ParticipatingGroupPatientID

    Datentyp

    text

    Institution/Affiliate
    Beschreibung

    MainMemberInstitution/Affiliate

    Datentyp

    text

    On Treatment
    Beschreibung

    On Treatment

    On Treatment Time Period
    Beschreibung

    OnTreatmentTimePeriod

    Datentyp

    text

    Off Treatment
    Beschreibung

    Off Treatment

    Off Treatment Time Period
    Beschreibung

    OffTreatmentTimePeriod

    Datentyp

    text

    Alias
    NCI Thesaurus ObjectClass
    C25190 (undefined)
    UMLS 2011AA ObjectClass
    C0027361 (Persons)
    SNOMED
    125676002
    NCI Thesaurus Property
    C25616 (undefined)
    UMLS 2011AA Property
    C1948053 (Period (temporal qualifier))
    SNOMED
    272117007
    NCI Thesaurus Property-2
    C25601 (undefined)
    UMLS 2011AA Property-2
    C1518544 (Off Treatment)
    NCI Thesaurus Property-3
    C25207 (undefined)
    UMLS 2011AA Property-3
    C0040223 (Time)
    SNOMED
    410670007
    LOINC
    LP73517-2
    NCI Thesaurus ValueDomain
    C25284 (undefined)
    UMLS 2011AA ValueDomain
    C0332307 (Type - attribute)
    SNOMED
    261664005
    Ccrr Module For E1900 Cover Page For Hematology Form
    Beschreibung

    Ccrr Module For E1900 Cover Page For Hematology Form

    Ähnliche Modelle

    No Instruction available.

    1. StudyEvent: E1900 Cover Page for Hematology Form
      1. No Instruction available.
    Name
    Typ
    Description | Question | Decode (Coded Value)
    Datentyp
    Alias
    Item Group
    Header
    Generic drug form
    Item
    DCI Name
    text
    C25191 (NCI Thesaurus ValueDomain)
    C3242750 (UMLS CUI-1)
    C19464 (NCI Thesaurus Property)
    C25474 (NCI Thesaurus ObjectClass)
    C25452 (NCI Thesaurus ObjectClass-2)
    Patient Initials
    Item
    Patient Initials
    text
    C25191 (NCI Thesaurus ValueDomain)
    C2986440 (UMLS CUI-1)
    C16960 (NCI Thesaurus ObjectClass)
    C25536 (NCI Thesaurus Property)
    ECOGProtocolNumber
    Item
    ECOG Protocol Number
    text
    ECOGProtocolNumber
    Item
    ECOG Protocol Number
    text
    ECOGProtocolNumber
    Item
    ECOG Protocol Number
    text
    ECOGPatientID
    Item
    ECOG Patient ID
    text
    ECOGPatientID
    Item
    ECOG Patient ID
    text
    ParticipatingGroupProtocolNo.
    Item
    Participating Group Protocol No.
    text
    ParticipatingGroupPatientID
    Item
    Participating Group Patient ID
    text
    MainMemberInstitution/Affiliate
    Item
    Institution/Affiliate
    text
    Item Group
    On Treatment
    Item
    On Treatment Time Period
    text
    Code List
    On Treatment Time Period
    CL Item
    Induction (Induction)
    CL042203 (NCI Metathesaurus)
    CL Item
    Induction, Additional Forms (Induction, additional Forms)
    CL Item
    Consolidation (Consolidation)
    CL Item
    Post-transplant (Post-Transplant)
    Item Group
    Off Treatment
    Item
    Off Treatment Time Period
    text
    C25190 (NCI Thesaurus ObjectClass)
    C0027361 (UMLS 2011AA ObjectClass)
    C25616 (NCI Thesaurus Property)
    C1948053 (UMLS 2011AA Property)
    C25601 (NCI Thesaurus Property-2)
    C1518544 (UMLS 2011AA Property-2)
    C25207 (NCI Thesaurus Property-3)
    C0040223 (UMLS 2011AA Property-3)
    C25284 (NCI Thesaurus ValueDomain)
    C0332307 (UMLS 2011AA ValueDomain)
    Code List
    Off Treatment Time Period
    CL Item
    3 Months (3 months)
    CL Item
    6 Months (6 months)
    CL Item
    9 Months (9 months)
    CL Item
    12 Months (12 months)
    CL Item
    15 Months (15 months)
    CL Item
    18 Months (18 months)
    CL Item
    24 Months (24 months)
    CL Item
    30 Months (30 months)
    CL Item
    36 Months (36 months)
    CL Item
    42 Months (42 months)
    CL Item
    48 Months (48 months)
    CL Item
    54 Months (54 months)
    CL Item
    60 Months (60 months)
    CL Item
    2 Years (2 years)
    CL Item
    3 Years (3 years)
    CL Item
    4 Years (4 years)
    CL Item
    5 Years (5 years)
    CL Item
    6 Years (6 years)
    CL Item
    7 Years (7 years)
    CL Item
    8 Years (8 years)
    CL Item
    9 Years (9 years)
    CL Item
    10 Years (10 years)
    Item Group
    Ccrr Module For E1900 Cover Page For Hematology Form

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