ID

9757

Beschrijving

NCI Cooperative Group Hematology Laboratory Test Form (CALGB-90104) Combination Chemotherapy in Treating Patients With Bladder Cancer Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=A9C02B5C-8C97-26B5-E034-0003BA12F5E7

Link

https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=A9C02B5C-8C97-26B5-E034-0003BA12F5E7

Trefwoorden

Versies (6)
  1. 26-08-12 26-08-12 -
  2. 22-12-14 22-12-14 - Martin Dugas
  3. 08-01-15 08-01-15 - Martin Dugas
  4. 22-01-15 22-01-15 - Martin Dugas
  5. 22-01-15 22-01-15 - Martin Dugas
  6. 22-01-15 22-01-15 - Martin Dugas
Geüploaded op

22 januari 2015

DOI

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Licentie

Creative Commons BY-NC 3.0 Legacy
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Hematology Laboratory Test Form (CALGB-90104)

Engels

No Instruction available.

1 Formulieren  
  1. StudyEvent: NCI Cooperative Group Hematology Laboratory Test Form (CALGB-90104)
    1. No Instruction available.
Administrative documentation
Beschrijving

Administrative documentation

Alias
UMLS CUI-1
C1320722
Coordinating Group Protocol Number
Beschrijving

CoordinatingGroupProtocolNumber

Datatype

text

Coordinating Group Code
Beschrijving

CoordinatingGroupCode

Datatype

text

Alias
NCI Thesaurus ValueDomain
C25162
UMLS 2011AA ValueDomain
C0805701
Protocol Title
Beschrijving

Protocol Title

Datatype

text

Alias
NCI Thesaurus ObjectClass
C25320
UMLS CUI-1
C2986303
NCI Thesaurus Property
C42774
Patient Study ID, Coordinating Group
Beschrijving

PatientStudyID,CoordinatingGroup

Datatype

text

Alias
UMLS CUI-1
C2348585
Patient Study ID, Participating Group
Beschrijving

PatientStudyID,ParticipatingGroup

Datatype

text

Alias
UMLS CUI-1
C2348585
UMLS CUI-2
C2347449
Participating Group Code
Beschrijving

ParticipatingGroupCode

Datatype

text

Alias
NCI Thesaurus ValueDomain
C25162
UMLS 2011AA ValueDomain
C0805701
Institution Name
Beschrijving

InstitutionName

Datatype

text

Affiliate
Beschrijving

AffiliateName

Datatype

text

Patient Last Name (initials acceptable)
Beschrijving

PatientName,Last

Datatype

text

Patient First Name (initials acceptable)
Beschrijving

PatientName,First

Datatype

text

Patient Middle Name (initials acceptable)
Beschrijving

PatientName,Middle

Datatype

text

Person Completing Form, Last Name
Beschrijving

PersonCompletingForm,LastName

Datatype

text

Person Completing Form, First Name
Beschrijving

PersonCompletingForm,FirstName

Datatype

text

Alias
NCI Thesaurus ObjectClass
C25190
UMLS 2011AA ObjectClass
C0027361
NCI Thesaurus Property
C25364
UMLS 2011AA Property
C0600091
Are data amended?
Beschrijving

Amended Data

Datatype

boolean

Alias
NCI Thesaurus ObjectClass
C25474
NCI Thesaurus Property
C25416
UMLS CUI-1
C0680532
Hematology Laboratory Tests
Beschrijving

Hematology Laboratory Tests

Alias
UMLS CUI-1
C0474523
Peripheral WBC Count
Beschrijving

Lab,Hematology,WBC

Datatype

float

Alias
UMLS CUI-1
C0023508
Hemoglobin
Beschrijving

Lab,Hematology,Hemoglobin

Datatype

float

Alias
UMLS CUI-1
C0019046
Peripheral Hematocrit Count
Beschrijving

Peripheral Hematocrit Count (%)

Datatype

float

Maateenheden
  • %
Alias
UMLS CUI-1
C0518014
%
Peripheral Platelet Count
Beschrijving

Lab,Hematology,Platelets

Datatype

float

Alias
UMLS CUI-1
C1287267
Peripheral Neutrophils
Beschrijving

Lab,Hematology,Neutrophils,CellPercentage

Datatype

float

Maateenheden
  • %
Alias
UMLS CUI-1
C0362987
%
Peripheral Neutrophil Count
Beschrijving

Lab,Hematology,NeutrophilCount

Datatype

float

Alias
UMLS CUI-1
C0200633
Unit (Normal Range)
Beschrijving

Lab,UnitsofMeasure

Datatype

text

Alias
UMLS CUI-1
C1519795
Normal Range-Peripheral WBC Count
Beschrijving

WBC count(x1000),LLN

Datatype

float

Alias
UMLS CUI-1
C0023508
UMLS CUI-2
C1518030
Normal Range-Hemoglobin
Beschrijving

Hemoglobin LLN

Datatype

float

Maateenheden
  • g/dl
Alias
UMLS CUI-1
C0019046
UMLS CUI-2
C1518030
g/dl
Normal Range-Peripheral Hematocrit Count (%)
Beschrijving

Hematocrit normal range

Datatype

text

Alias
UMLS CUI-1
C0518014
UMLS CUI-2
C0086715
Normal Range-Peripheral Platelet Count
Beschrijving

Platelets LLN

Datatype

float

Alias
NCI Thesaurus ValueDomain
C25712
NCI Thesaurus ValueDomain-2
C25555
UMLS CUI-1
C0005821
UMLS CUI-2
C1518030
Normal Range-Peripheral Neutrophils
Beschrijving

Peripheral Neutrophils Normal Range

Datatype

text

Maateenheden
  • %
Alias
UMLS CUI-1
C0362987
UMLS CUI-2
C0086715
%
Normal Range-Peripheral Neutrophil Count
Beschrijving

Peripheral Neutrophil Count Normal Range

Datatype

text

Alias
UMLS CUI-1
C0200633
UMLS CUI-2
C0086715
Date
Beschrijving

Labs,SampleCollectionDate

Datatype

date

Alias
UMLS CUI-1
C1317250
Comments
Beschrijving

Comments

Datatype

text

Alias
UMLS CUI-1
C0947611
Terug naar het begin van de pagina

Similar models

No Instruction available.

1 Formulieren
  1. StudyEvent: NCI Cooperative Group Hematology Laboratory Test Form (CALGB-90104)
    1. No Instruction available.
Name
Type
Description | Question | Decode (Coded Value)
Datatype
Alias
Item Group
Administrative documentation
C1320722 (UMLS CUI-1)
CoordinatingGroupProtocolNumber
Item
Coordinating Group Protocol Number
text
CoordinatingGroupCode
Item
Coordinating Group Code
text
C25162 (NCI Thesaurus ValueDomain)
C0805701 (UMLS 2011AA ValueDomain)
Protocol Title
Item
Protocol Title
text
C25320 (NCI Thesaurus ObjectClass)
C2986303 (UMLS CUI-1)
C42774 (NCI Thesaurus Property)
Patient ID Coordinating Group
Item
Patient Study ID, Coordinating Group
text
C2348585 (UMLS CUI-1)
Patient ID Participating Group
Item
Patient Study ID, Participating Group
text
C2348585 (UMLS CUI-1)
C2347449 (UMLS CUI-2)
ParticipatingGroupCode
Item
Participating Group Code
text
C25162 (NCI Thesaurus ValueDomain)
C0805701 (UMLS 2011AA ValueDomain)
InstitutionName
Item
Institution Name
text
AffiliateName
Item
Affiliate
text
PatientName,Last
Item
Patient Last Name (initials acceptable)
text
PatientName,First
Item
Patient First Name (initials acceptable)
text
PatientName,Middle
Item
Patient Middle Name (initials acceptable)
text
PersonCompletingForm,LastName
Item
Person Completing Form, Last Name
text
PersonCompletingForm,FirstName
Item
Person Completing Form, First Name
text
C25190 (NCI Thesaurus ObjectClass)
C0027361 (UMLS 2011AA ObjectClass)
C25364 (NCI Thesaurus Property)
C0600091 (UMLS 2011AA Property)
Amended Data
Item
Are data amended?
boolean
C25474 (NCI Thesaurus ObjectClass)
C25416 (NCI Thesaurus Property)
C0680532 (UMLS CUI-1)
Item Group
Hematology Laboratory Tests
C0474523 (UMLS CUI-1)
WBC
Item
Peripheral WBC Count
float
C0023508 (UMLS CUI-1)
Hemoglobin
Item
Hemoglobin
float
C0019046 (UMLS CUI-1)
Hematocrit
Item
Peripheral Hematocrit Count
float
C0518014 (UMLS CUI-1)
Platelets
Item
Peripheral Platelet Count
float
C1287267 (UMLS CUI-1)
Peripheral Neutrophils
Item
Peripheral Neutrophils
float
C0362987 (UMLS CUI-1)
Peripheral Neutrophil Count
Item
Peripheral Neutrophil Count
float
C0200633 (UMLS CUI-1)
Item
Unit (Normal Range)
text
C1519795 (UMLS CUI-1)
CL.2
Code List
Unit (Normal Range)
CL Item
K/uL (K/uL)
CL Item
G/dl (g/dL)
CL Item
% (%)
WBC LLN
Item
Normal Range-Peripheral WBC Count
float
C0023508 (UMLS CUI-1)
C1518030 (UMLS CUI-2)
Hemoglobin LLN
Item
Normal Range-Hemoglobin
float
C0019046 (UMLS CUI-1)
C1518030 (UMLS CUI-2)
Hematocrit normal range
Item
Normal Range-Peripheral Hematocrit Count (%)
text
C0518014 (UMLS CUI-1)
C0086715 (UMLS CUI-2)
Platelets LLN
Item
Normal Range-Peripheral Platelet Count
float
C25712 (NCI Thesaurus ValueDomain)
C25555 (NCI Thesaurus ValueDomain-2)
C0005821 (UMLS CUI-1)
C1518030 (UMLS CUI-2)
Peripheral Neutrophils Normal Range
Item
Normal Range-Peripheral Neutrophils
text
C0362987 (UMLS CUI-1)
C0086715 (UMLS CUI-2)
Peripheral Neutrophil Count Normal Range
Item
Normal Range-Peripheral Neutrophil Count
text
C0200633 (UMLS CUI-1)
C0086715 (UMLS CUI-2)
Sample Collection Date
Item
Date
date
C1317250 (UMLS CUI-1)
Comments
Item
Comments
text
C0947611 (UMLS CUI-1)
Terug naar het begin van de pagina 

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