0 Bedömningar
ID

9307

Beskrivning

AMC-045 Delayed Toxicity Form (TOX) Cisplatin, Fluorouracil, Cetuximab, and Radiation Therapy in Treating Patients With HIV and Stage I, Stage II, or Stage III Anal Cancer Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=1BB3598F-7655-640C-E044-0003BA3F9857

Länk

https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=1BB3598F-7655-640C-E044-0003BA3F9857

Nyckelord

Versioner (2)
  1. 2012-08-26 2012-08-26 -
  2. 2015-01-09 2015-01-09 - Martin Dugas
Uppladdad den

9 januari 2015

DOI

För en begäran logga in.

Licens

Creative Commons BY-NC 3.0 Legacy
Modellkommentarer :

Här kan du kommentera modellen. Med hjälp av pratbubblor i Item-grupperna och Item kan du lägga in specifika kommentarer.

Tillbaka till modellkommentarer
Itemgroup-kommentar för :

Item-kommentar för :

  • Senaste
  • Äldsta
  • Önskad
  • Senaste
    • Senaste
    • Äldsta
    • Önskad

    Inga kommentarer

    Du måste vara inloggad för att kunna ladda ner formulär. Var vänlig logga in eller registrera dig utan kostnad.

    Anal Cancer NCT00324415 Toxicity - AMC-045 Delayed Toxicity Form (TOX) - 2514820v1.0

    Engelsk

    Please reference the protocol for a description of adverse event grading

    1 Formulär  
    Header
    Beskrivning

    Header

    Visit number
    Beskrivning

    Visit number

    Datatyp

    float

    Alias
    NCI Thesaurus ValueDomain
    C25337
    UMLS CUI-1
    C1549755
    NCI Thesaurus ObjectClass
    C16696
    NCI Thesaurus Property
    C25385
    Unnamed2
    Beskrivning

    Unnamed2

    CTC Select AE
    Beskrivning

    CTC Adverse Event Term

    Datatyp

    text

    Alias
    NCI Thesaurus ValueDomain
    C25284
    UMLS CUI-1
    C1516728
    NCI Thesaurus ObjectClass
    C49704
    UMLS CUI-2
    C2826934
    NCI Thesaurus Property
    C38024
    NCI Thesaurus Property-2
    C45559
    Other, specify
    Beskrivning

    AdverseEventDescriptionSpecify

    Datatyp

    text

    Alias
    NCI Thesaurus ValueDomain
    C25685
    UMLS 2011AA ValueDomain
    C1521902
    NCI Thesaurus ObjectClass
    C41331
    UMLS 2011AA ObjectClass
    C0877248
    NCI Thesaurus Property
    C25365
    UMLS 2011AA Property
    C0678257
    CTC Adverse Event Grade
    Beskrivning

    CTC Adverse Event Grade

    Datatyp

    float

    Alias
    NCI Thesaurus ObjectClass
    C49704
    UMLS CUI-1
    C2985911
    NCI Thesaurus ValueDomain
    C18000
    NCI Thesaurus Property
    C25365
    Comments
    Beskrivning

    Comments

    Comments
    Beskrivning

    Research Comments

    Datatyp

    text

    Alias
    NCI Thesaurus ValueDomain
    C25704
    UMLS CUI-1
    C0947611
    NCI Thesaurus ObjectClass
    C15319
    NCI Thesaurus Property
    C25393
    Tillbaka till toppen

    Similar models

    Please reference the protocol for a description of adverse event grading

    1 Formulär
    Name
    Typ
    Description | Question | Decode (Coded Value)
    Datatyp
    Alias
    Item Group
    Header
    Visit number
    Item
    Visit number
    float
    C25337 (NCI Thesaurus ValueDomain)
    C1549755 (UMLS CUI-1)
    C16696 (NCI Thesaurus ObjectClass)
    C25385 (NCI Thesaurus Property)
    Item Group
    Unnamed2
    Item
    CTC Select AE
    text
    C25284 (NCI Thesaurus ValueDomain)
    C1516728 (UMLS CUI-1)
    C49704 (NCI Thesaurus ObjectClass)
    C2826934 (UMLS CUI-2)
    C38024 (NCI Thesaurus Property)
    C45559 (NCI Thesaurus Property-2)
    CL.1
    Code List
    CTC Select AE
    CL Item
    Bladder (Bladder)
    CL Item
    Bone (Bone)
    CL Item
    Brain (Brain)
    CL Item
    Esophagus (Esophagus)
    C12389 (NCI Thesaurus)
    C0014876 (UMLS 2011AA)
    CL Item
    Eye (Eye)
    C12401 (NCI Thesaurus)
    C0015392 (UMLS 2011AA)
    C12401 (NCI Thesaurus-3)
    C0015392 (UMLS 2011AA-4)
    CL Item
    Heart (Heart)
    C12727 (NCI Thesaurus)
    C0018787 (UMLS 2011AA)
    CL Item
    Joint (Joint)
    CL Item
    Kidney (Kidney)
    C12415 (NCI Thesaurus)
    C0022646 (UMLS 2011AA)
    CL Item
    Large Bowel (Large bowel)
    CL Item
    Larynx (Larynx)
    C12420 (NCI Thesaurus)
    C0023078 (UMLS 2011AA)
    CL Item
    Liver (Liver)
    C12392 (NCI Thesaurus)
    C0023884 (UMLS 2011AA)
    CL Item
    Lung (Lung)
    C12468 (NCI Thesaurus)
    C0024109 (UMLS 2011AA)
    CL Item
    Mucosa (Mucosa)
    CL Item
    Salivary Gland (Salivary gland)
    C12426 (NCI Thesaurus)
    C0036098 (UMLS 2011AA)
    CL Item
    Skin (Skin)
    C12470 (NCI Thesaurus)
    C1123023 (UMLS 2011AA)
    CL Item
    Small Bowel (Small bowel)
    CL Item
    Spinal Cord (Spinal cord)
    C12464 (NCI Thesaurus)
    C0037925 (UMLS 2011AA)
    CL Item
    Radiation (Radiation)
    C54648 (NCI Thesaurus)
    C1882536 (UMLS 2011AA)
    CL Item
    Other (Other NOS)
    C17649 (NCI Thesaurus)
    C0205394 (UMLS 2011AA)
    AdverseEventDescriptionSpecify
    Item
    Other, specify
    text
    C25685 (NCI Thesaurus ValueDomain)
    C1521902 (UMLS 2011AA ValueDomain)
    C41331 (NCI Thesaurus ObjectClass)
    C0877248 (UMLS 2011AA ObjectClass)
    C25365 (NCI Thesaurus Property)
    C0678257 (UMLS 2011AA Property)
    CTC Adverse Event Grade
    Item
    CTC Adverse Event Grade
    float
    C49704 (NCI Thesaurus ObjectClass)
    C2985911 (UMLS CUI-1)
    C18000 (NCI Thesaurus ValueDomain)
    C25365 (NCI Thesaurus Property)
    Item Group
    Comments
    Research Comments
    Item
    Comments
    text
    C25704 (NCI Thesaurus ValueDomain)
    C0947611 (UMLS CUI-1)
    C15319 (NCI Thesaurus ObjectClass)
    C25393 (NCI Thesaurus Property)
    Tillbaka till toppen 

    Hjälp

    Do you need help on how to use the search function? Please watch the corresponding tutorial video for more details and learn how to use the search function most efficiently.

    Watch Tutorial