ID

9741

Description

E1900 Hematology Form Combination Chemotherapy With or Without Monoclonal Antibody Therapy Followed by Stem Cell Transplant in Treating Patients With Acute Myeloid Leukemia NCT00049517 Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=A729522D-1C90-2FD4-E034-0003BA0B1A09

Link

https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=A729522D-1C90-2FD4-E034-0003BA0B1A09

Keywords

Versions (2)
  1. 9/19/12 9/19/12 -
  2. 1/21/15 1/21/15 - Martin Dugas
Uploaded on

January 21, 2015

DOI

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License

Creative Commons BY-NC 3.0 Legacy
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Hematology Form AML (E1900, NCT00049517)

German English

Hematology Form AML (E1900, NCT00049517)

1 forms  
  1. StudyEvent: E1900 Hematology Form
    1. Hematology Form AML (E1900, NCT00049517)
Header
Description

Header

ECOG Protocol Number
Description

ECOG Protocol Number

Data type

text

Alias
UMLS CUI-1
C3274381
UMLS CUI-2
C1512162
ECOG Patient ID
Description

ECOG Patient ID

Data type

text

Alias
UMLS CUI-1
C2348585
UMLS CUI-2
C1512162
Registration Step
Description

Registration Step

Data type

text

Alias
UMLS CUI-1
C1514821
Treatment Phase
Description

Treatment Phase

Data type

text

Alias
UMLS CUI-1
C3538994
Patient Name
Description

Patient Name

Data type

text

Alias
UMLS CUI-1
C1299487
Participating Group Protocol Number
Description

Participating Group Protocol Number

Data type

text

Alias
UMLS CUI-1
C3274381
UMLS CUI-2
C2347449
Participating Group Patient ID
Description

Participating Group Patient ID

Data type

text

Alias
UMLS CUI-1
C2348585
UMLS CUI-2
C2347449
Institution
Description

Institution

Data type

text

Alias
UMLS CUI-1
C1301943
Data amended
Description

Data amended

Data type

boolean

Alias
NCI Thesaurus ObjectClass
C25474
NCI Thesaurus Property
C25416
UMLS CUI-1
C0680532
Comments
Description

Comments

Data type

text

InvestigatorSignature
Description

InvestigatorSignature

Data type

text

Alias
NCI Thesaurus Property
C25678
UMLS 2011AA Property
C1519316
NCI Thesaurus ObjectClass
C17089
UMLS 2011AA ObjectClass
C0035173
InvestigatorSignatureDate
Description

InvestigatorSignatureDate

Data type

date

Hämatologie Labor
Description

Hämatologie Labor

Alias
UMLS CUI-1
C0474523
Laboratory Name
Description

Laboratory Name

Data type

text

Alias
NCI Thesaurus ValueDomain
C25191
NCI Thesaurus Property
C25364
NCI Thesaurus ObjectClass
C37984
NCI Thesaurus ObjectClass-2
C19157
UMLS CUI-1
C1882331
Sample Collection Date
Description

Sample Collection Date

Data type

date

Measurement units
  • M D Y
Alias
UMLS CUI-1
C1317250
M D Y
WBC LLN
Description

WBC LLN

Data type

float

Alias
UMLS CUI-1
C0023508
UMLS CUI-2
C1518030
WBC count
Description

WBC count

Data type

float

Alias
UMLS CUI-1
C0023508
Granulocyte count
Description

Granulocyte count

Data type

float

Alias
UMLS CUI-1
C0857490
Platelets LLN
Description

Platelets LLN

Data type

float

Alias
NCI Thesaurus ValueDomain
C25712
NCI Thesaurus ValueDomain-2
C25555
UMLS CUI-1
C0005821
UMLS CUI-2
C1518030
Platelets
Description

Platelets

Data type

float

Alias
UMLS CUI-1
C0005821
Hemoglobin LLN
Description

Hemoglobin LLN

Data type

float

Measurement units
  • g/dl
Alias
UMLS CUI-1
C0019046
UMLS CUI-2
C1518030
g/dl
Hemoglobin
Description

Hemoglobin

Data type

float

Measurement units
  • g/dl
Alias
UMLS CUI-1
C0019046
g/dl
Blasts
Description

Blasts

Data type

float

Measurement units
  • %
Alias
UMLS CUI-1
C1982687
%
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Similar models

Hematology Form AML (E1900, NCT00049517)

1 forms
  1. StudyEvent: E1900 Hematology Form
    1. Hematology Form AML (E1900, NCT00049517)
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
ECOG Protocol Number
Item
text
C3274381 (UMLS CUI-1)
C1512162 (UMLS CUI-2)
ECOG Patient ID
Item
text
C2348585 (UMLS CUI-1)
C1512162 (UMLS CUI-2)
Registration Step
Item
text
C1514821 (UMLS CUI-1)
Item
text
C3538994 (UMLS CUI-1)
CL.1
Code List
Treatment Phase
CL Item
 (induction)
CL Item
 (consolidation)
CL Item
 (post transplant)
Patient Name
Item
text
C1299487 (UMLS CUI-1)
Participating Group Protocol Number
Item
text
C3274381 (UMLS CUI-1)
C2347449 (UMLS CUI-2)
Participating Group Patient ID
Item
text
C2348585 (UMLS CUI-1)
C2347449 (UMLS CUI-2)
Institution
Item
text
C1301943 (UMLS CUI-1)
Data amended
Item
boolean
C25474 (NCI Thesaurus ObjectClass)
C25416 (NCI Thesaurus Property)
C0680532 (UMLS CUI-1)
Comments
Item
text
InvestigatorSignature
Item
text
C25678 (NCI Thesaurus Property)
C1519316 (UMLS 2011AA Property)
C17089 (NCI Thesaurus ObjectClass)
C0035173 (UMLS 2011AA ObjectClass)
InvestigatorSignatureDate
Item
date
Item Group
Hämatologie Labor
C0474523 (UMLS CUI-1)
Laboratory Name
Item
text
C25191 (NCI Thesaurus ValueDomain)
C25364 (NCI Thesaurus Property)
C37984 (NCI Thesaurus ObjectClass)
C19157 (NCI Thesaurus ObjectClass-2)
C1882331 (UMLS CUI-1)
Sample Collection Date
Item
date
C1317250 (UMLS CUI-1)
WBC LLN
Item
float
C0023508 (UMLS CUI-1)
C1518030 (UMLS CUI-2)
WBC count
Item
float
C0023508 (UMLS CUI-1)
Granulocyte count
Item
float
C0857490 (UMLS CUI-1)
Platelets LLN
Item
float
C25712 (NCI Thesaurus ValueDomain)
C25555 (NCI Thesaurus ValueDomain-2)
C0005821 (UMLS CUI-1)
C1518030 (UMLS CUI-2)
Platelets
Item
float
C0005821 (UMLS CUI-1)
Hemoglobin LLN
Item
float
C0019046 (UMLS CUI-1)
C1518030 (UMLS CUI-2)
Hemoglobin
Item
float
C0019046 (UMLS CUI-1)
Blasts
Item
float
C1982687 (UMLS CUI-1)
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