ID
9795
Beskrivning
E2905 Follow Up Disease Evaluation Form Lenalidomide With or Without Epoetin Alfa in Treating Patients With Myelodysplastic Syndrome and Anemia NCT00843882 Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=0F12A9EE-8D74-6165-E044-0003BA3F9857
Länk
Nyckelord
Versioner (4)
- 2014-12-18 2014-12-18 - Martin Dugas
- 2015-01-08 2015-01-08 - Martin Dugas
- 2015-01-23 2015-01-23 - Martin Dugas
- 2021-09-20 2021-09-20 -
Uppladdad den
23 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.
Itemgroup-kommentar för :
Item-kommentar för :
Du måste vara inloggad för att kunna ladda ner formulär. Var vänlig logga in eller registrera dig utan kostnad.
Follow Up Disease Evaluation Form (E2905 NCT00843882)
INSTRUCTIONS: Complete this form and submit original to the ECOG Coordinating Center within one week of registration. Keep a copy for your files
- StudyEvent: E2905 Follow Up Disease Evaluation Form
Beskrivning
On Treatment
Beskrivning
Cycle number
Datatyp
text
Alias
- NCI Thesaurus ValueDomain
- C25284
- UMLS CUI-1
- C2045829
- NCI Thesaurus Property
- C25214
- NCI Thesaurus Property-2
- C25616
- NCI Thesaurus ObjectClass
- C15368
Beskrivning
Chemotherapy cycle
Datatyp
text
Alias
- NCI Thesaurus ObjectClass
- C15368
- NCI Thesaurus Property
- C25214
- UMLS CUI-1
- C1302181
- NCI Thesaurus Property-2
- C25616
- NCI Thesaurus ValueDomain
- C25685
- NCI Thesaurus ValueDomain-2
- C25472
- NCI Thesaurus ValueDomain-3
- C25275
Beskrivning
Off Treatment
Beskrivning
PersonOff-TreatmentTimePeriodType
Datatyp
text
Alias
- NCI Thesaurus ObjectClass
- C25190
- UMLS 2011AA ObjectClass
- C0027361
- NCI Thesaurus Property
- C25616
- UMLS 2011AA Property
- C1948053
- NCI Thesaurus Property-2
- C25601
- UMLS 2011AA Property-2
- C1518544
- NCI Thesaurus Property-3
- C25207
- UMLS 2011AA Property-3
- C0040223
- NCI Thesaurus ValueDomain
- C25284
- UMLS 2011AA ValueDomain
- C0332307
Beskrivning
Unnamed5
Beskrivning
MyelodysplasticSyndromeWorldHealthOrganizationClassificationCategory
Datatyp
text
Alias
- NCI Thesaurus ValueDomain
- C25372
- NCI Thesaurus ObjectClass
- C3247
- NCI Thesaurus Property
- C25161
- NCI Thesaurus Property-2
- C75419
- UMLS CUI-1
- C0026986
- UMLS CUI-2
- C0008902
Beskrivning
BoneMarrowBiopsyInd
Datatyp
boolean
Alias
- NCI Thesaurus ValueDomain
- C25180
- NCI Thesaurus Property
- C15189
- NCI Thesaurus ObjectClass
- C12431
- UMLS CUI-1
- C0005954
Beskrivning
BoneMarrowBiopsyDate
Datatyp
date
Alias
- NCI Thesaurus ValueDomain
- C25164
- NCI Thesaurus ValueDomain-2
- C25367
- NCI Thesaurus Property
- C15189
- NCI Thesaurus ObjectClass
- C12431
- UMLS CUI-1
- C0005954
- UMLS CUI-2
- C0011008
Beskrivning
LaboratoryProcedureBoneMarrowBlastCellOutcomePercentageValue
Datatyp
float
Måttenheter
- %
Alias
- NCI Thesaurus ObjectClass
- C25294
- NCI Thesaurus Property
- C12431
- NCI Thesaurus Property-2
- C20200
- NCI Thesaurus Property-3
- C12918
- NCI Thesaurus ValueDomain
- C25613
- NCI Thesaurus ValueDomain-2
- C25712
- UMLS CUI-1
- C1982687
Beskrivning
LaboratoryProcedureBoneMarrowCellularityOutcomePercentageValue
Datatyp
float
Måttenheter
- %
Alias
- NCI Thesaurus ObjectClass
- C25294
- NCI Thesaurus Property
- C12431
- NCI Thesaurus Property-2
- C20200
- NCI Thesaurus Property-3
- C37923
- NCI Thesaurus ValueDomain
- C25613
- NCI Thesaurus ValueDomain-2
- C25712
- UMLS CUI-1
- C1561532
Beskrivning
LaboratoryProcedureBoneMarrowCellularityNegationReportOutcomeReason
Datatyp
text
Alias
- NCI Thesaurus ObjectClass
- C25294
- NCI Thesaurus Property
- C25594
- NCI Thesaurus Property-2
- C12431
- NCI Thesaurus Property-3
- C25375
- NCI Thesaurus Property-4
- C20200
- NCI Thesaurus Property-5
- C37923
- NCI Thesaurus ValueDomain
- C25638
- UMLS CUI-1
- C1561532
- UMLS CUI-2
- C1546437
Beskrivning
DysplasiaPresentInd-3
Datatyp
text
Alias
- NCI Thesaurus ValueDomain
- C38148
- NCI Thesaurus Property
- C25626
- NCI Thesaurus ObjectClass
- C4086
- UMLS CUI-1
- C0334044
Beskrivning
DysplasiaHistologyType
Datatyp
integer
Alias
- NCI Thesaurus ValueDomain
- C25284
- NCI Thesaurus Property
- C16681
- NCI Thesaurus ObjectClass
- C4086
- UMLS CUI-1
- C0334044
- UMLS CUI-2
- C0683312
Beskrivning
CytogeneticAbnormalityPresentIndicator
Datatyp
text
Alias
- NCI Thesaurus Property
- C25626
- NCI Thesaurus ObjectClass
- C2950
- NCI Metathesaurus ValueDomain
- C0021212
- UMLS CUI-1
- C0008625
Beskrivning
Section Ii
Beskrivning
PackedRedBloodCellTransfusionRequirementInd-3
Datatyp
text
Alias
- NCI Thesaurus ValueDomain
- C38148
- UMLS 2011AA ValueDomain
- C1512699
- NCI Thesaurus ObjectClass
- C15409
- UMLS 2011AA ObjectClass
- C0199962
- NCI Thesaurus Property
- C25382
- UMLS 2011AA Property
- C1521801
Beskrivning
PackedRedBloodCellTransfusionReceivedUnitCount
Datatyp
float
Alias
- NCI Thesaurus ValueDomain
- C44278
- UMLS 2011AA ValueDomain
- C0439148
- NCI Thesaurus Property
- C25639
- UMLS 2011AA Property
- C1514756
- NCI Thesaurus ValueDomain-2
- C25463
- UMLS 2011AA ValueDomain-2
- C0750480
- NCI Thesaurus ObjectClass
- C15409
- UMLS 2011AA ObjectClass
- C0199962
Beskrivning
PackedRedBloodCellTransfusionReceivedFirstDate
Datatyp
date
Alias
- NCI Thesaurus ValueDomain
- C25164
- UMLS 2011AA ValueDomain
- C0011008
- NCI Thesaurus Property
- C25639
- UMLS 2011AA Property
- C1514756
- NCI Thesaurus ValueDomain-2
- C25509
- UMLS 2011AA ValueDomain-2
- C1279901
- NCI Thesaurus ObjectClass
- C15409
- UMLS 2011AA ObjectClass
- C0199962
Beskrivning
PackedRedBloodCellTransfusionReceivedMostRecentDate
Datatyp
date
Alias
- NCI Thesaurus ValueDomain
- C25164
- UMLS 2011AA ValueDomain
- C0011008
- NCI Thesaurus Property
- C25639
- UMLS 2011AA Property
- C1514756
- NCI Thesaurus ObjectClass
- C15409
- UMLS 2011AA ObjectClass
- C0199962
- NCI Thesaurus ValueDomain-2
- C25577
- UMLS 2011AA ValueDomain-2
- C1513491
Beskrivning
Mds Response
Beskrivning
MyelodysplasticSyndromeResponseType
Datatyp
text
Alias
- NCI Thesaurus ValueDomain
- C25284
- UMLS 2011AA ValueDomain
- C0332307
- NCI Thesaurus Property
- C25755
- UMLS 2011AA Property
- C0871261
- NCI Thesaurus ObjectClass
- C3247
- UMLS 2011AA ObjectClass
- C0026986
Beskrivning
MyelodysplasticSyndromeResponseFirstDate
Datatyp
date
Alias
- NCI Thesaurus ValueDomain
- C25164
- UMLS 2011AA ValueDomain
- C0011008
- NCI Thesaurus Property
- C25755
- UMLS 2011AA Property
- C0871261
- NCI Thesaurus ObjectClass
- C3247
- UMLS 2011AA ObjectClass
- C0026986
- NCI Thesaurus ValueDomain-2
- C25509
- UMLS 2011AA ValueDomain-2
- C1279901
Beskrivning
MyelodysplasticSyndromeResponseDiagnosisDate
Datatyp
date
Alias
- NCI Thesaurus ValueDomain
- C25164
- UMLS 2011AA ValueDomain
- C0011008
- NCI Thesaurus Property
- C25755
- UMLS 2011AA Property
- C0871261
- NCI Thesaurus ObjectClass
- C3247
- UMLS 2011AA ObjectClass
- C0026986
- NCI Thesaurus ValueDomain-2
- C15220
- UMLS 2011AA ValueDomain-2
- C0011900
Beskrivning
DiseaseRelapseInd-3
Datatyp
boolean
Alias
- NCI Thesaurus ValueDomain
- C38148
- NCI Thesaurus Property
- C18265
- NCI Thesaurus ObjectClass
- C2991
- UMLS CUI-1
- C0277556
Beskrivning
DiseaseRelapseDate
Datatyp
date
Alias
- NCI Thesaurus ValueDomain
- C25164
- NCI Thesaurus Property
- C18265
- NCI Thesaurus ObjectClass
- C2991
- UMLS CUI-1
- C0035020
- UMLS CUI-2
- C0011008
Beskrivning
DiseaseMyelodysplasticSyndromeHematologyResponseType
Datatyp
text
Alias
- NCI Thesaurus ObjectClass
- C2991
- NCI Thesaurus Property
- C3247
- NCI Thesaurus Property-2
- C16673
- NCI Thesaurus Property-3
- C50995
- NCI Thesaurus ValueDomain
- C25284
- UMLS CUI-1
- C0012634
- UMLS CUI-2
- C0026986
- UMLS CUI-3
- C0018943
- UMLS CUI-4
- C1704632
- UMLS CUI-5
- C0332307
Beskrivning
DiseaseMyelodysplasticSyndromeHematologyResponseFirstDate
Datatyp
date
Alias
- NCI Thesaurus ObjectClass
- C2991
- NCI Thesaurus Property
- C3247
- NCI Thesaurus Property-2
- C16673
- NCI Thesaurus Property-3
- C50995
- NCI Thesaurus ValueDomain
- C25164
- NCI Thesaurus ValueDomain-2
- C25509
- UMLS CUI-1
- C0012634
- UMLS CUI-2
- C0026986
- UMLS CUI-3
- C0018943
- UMLS CUI-4
- C1704632
- UMLS CUI-5
- C0011008
- UMLS CUI-6
- C1279901
Beskrivning
DiseaseMyelodysplasticSyndromeHematologyResponseDiagnosisDate
Datatyp
date
Alias
- NCI Thesaurus ObjectClass
- C2991
- NCI Thesaurus Property
- C3247
- NCI Thesaurus Property-2
- C16673
- NCI Thesaurus Property-3
- C50995
- NCI Thesaurus ValueDomain
- C25164
- NCI Thesaurus ValueDomain-2
- C15220
- UMLS CUI-1
- C0012634
- UMLS CUI-2
- C0026986
- UMLS CUI-3
- C0018943
- UMLS CUI-4
- C1704632
- UMLS CUI-5
- C0011008
- UMLS CUI-6
- C0011900
Beskrivning
CytogeneticResponseType
Datatyp
text
Alias
- NCI Thesaurus ValueDomain
- C25284
- UMLS 2011AA ValueDomain
- C0332307
- NCI Thesaurus Property
- C50995
- UMLS 2011AA Property
- C1704632
- NCI Thesaurus ObjectClass
- C17938
- UMLS 2011AA ObjectClass
- C0314603
Similar models
INSTRUCTIONS: Complete this form and submit original to the ECOG Coordinating Center within one week of registration. Keep a copy for your files
- StudyEvent: E2905 Follow Up Disease Evaluation Form
C3274381 (UMLS CUI-1)
C25320 (NCI Thesaurus ObjectClass)
C1512162 (UMLS CUI-2)
C25364 (NCI Thesaurus Property)
C25491 (NCI Thesaurus Property-2)
C2348585 (UMLS CUI-1)
C16960 (NCI Thesaurus ObjectClass)
C1512162 (UMLS CUI-2)
C25364 (NCI Thesaurus Property)
C25491 (NCI Thesaurus Property-2)
C3242750 (UMLS CUI-1)
C19464 (NCI Thesaurus Property)
C25474 (NCI Thesaurus ObjectClass)
C25452 (NCI Thesaurus ObjectClass-2)
C1514821 (UMLS CUI-1)
C25646 (NCI Thesaurus ObjectClass)
C0237753 (UMLS CUI-2)
C16154 (NCI Thesaurus Property)
C16154 (NCI Thesaurus ValueDomain-2)
C2986440 (UMLS CUI-1)
C16960 (NCI Thesaurus ObjectClass)
C25536 (NCI Thesaurus Property)
C3274381 (UMLS CUI-1)
C25320 (NCI Thesaurus ObjectClass)
C2347449 (UMLS CUI-2)
C25608 (NCI Thesaurus Property)
C25364 (NCI Thesaurus Property-2)
C2348585 (UMLS CUI-1)
C16960 (NCI Thesaurus ObjectClass)
C2347449 (UMLS CUI-2)
C25608 (NCI Thesaurus Property)
C25364 (NCI Thesaurus Property-2)
C1301943 (UMLS CUI-1)
C21541 (NCI Thesaurus ObjectClass-2)
C25364 (NCI Thesaurus Property)
C25191 (NCI Thesaurus ValueDomain)
C21541 (NCI Thesaurus ValueDomain-2)
C0680532 (UMLS CUI-1)
C25474 (NCI Thesaurus ObjectClass)
C25416 (NCI Thesaurus Property)
C0680532 (UMLS CUI-1)
C25474 (NCI Thesaurus ObjectClass)
C0011008 (UMLS CUI-2)
C25416 (NCI Thesaurus Property)
C25367 (NCI Thesaurus ValueDomain-2)
C2346576 (UMLS CUI-1)
C25678 (NCI Thesaurus Property)
C17089 (NCI Thesaurus ObjectClass)
C2346576 (UMLS CUI-1)
C25678 (NCI Thesaurus Property)
C0011008 (UMLS CUI-2)
C25367 (NCI Thesaurus ValueDomain-2)
C17089 (NCI Thesaurus ObjectClass)
C2045829 (UMLS CUI-1)
C25214 (NCI Thesaurus Property)
C25616 (NCI Thesaurus Property-2)
C15368 (NCI Thesaurus ObjectClass)
C25214 (NCI Thesaurus Property)
C1302181 (UMLS CUI-1)
C25616 (NCI Thesaurus Property-2)
C25685 (NCI Thesaurus ValueDomain)
C25472 (NCI Thesaurus ValueDomain-2)
C25275 (NCI Thesaurus ValueDomain-3)
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)
C3247 (NCI Thesaurus ObjectClass)
C25161 (NCI Thesaurus Property)
C75419 (NCI Thesaurus Property-2)
C0026986 (UMLS CUI-1)
C0008902 (UMLS CUI-2)
C1292779 (UMLS 2011AA)
C0796466 (UMLS 2011AA)
C1301356 (UMLS 2011AA)
C15189 (NCI Thesaurus Property)
C12431 (NCI Thesaurus ObjectClass)
C0005954 (UMLS CUI-1)
C25367 (NCI Thesaurus ValueDomain-2)
C15189 (NCI Thesaurus Property)
C12431 (NCI Thesaurus ObjectClass)
C0005954 (UMLS CUI-1)
C0011008 (UMLS CUI-2)
C12431 (NCI Thesaurus Property)
C20200 (NCI Thesaurus Property-2)
C12918 (NCI Thesaurus Property-3)
C25613 (NCI Thesaurus ValueDomain)
C25712 (NCI Thesaurus ValueDomain-2)
C1982687 (UMLS CUI-1)
C12431 (NCI Thesaurus Property)
C20200 (NCI Thesaurus Property-2)
C37923 (NCI Thesaurus Property-3)
C25613 (NCI Thesaurus ValueDomain)
C25712 (NCI Thesaurus ValueDomain-2)
C1561532 (UMLS CUI-1)
C25594 (NCI Thesaurus Property)
C12431 (NCI Thesaurus Property-2)
C25375 (NCI Thesaurus Property-3)
C20200 (NCI Thesaurus Property-4)
C37923 (NCI Thesaurus Property-5)
C25638 (NCI Thesaurus ValueDomain)
C1561532 (UMLS CUI-1)
C1546437 (UMLS CUI-2)
C25626 (NCI Thesaurus Property)
C4086 (NCI Thesaurus ObjectClass)
C0334044 (UMLS CUI-1)
C1298908 (UMLS 2011AA)
C1705108 (UMLS 2011AA)
C0439673 (UMLS 2011AA)
C16681 (NCI Thesaurus Property)
C4086 (NCI Thesaurus ObjectClass)
C0334044 (UMLS CUI-1)
C0683312 (UMLS CUI-2)
C2950 (NCI Thesaurus ObjectClass)
C0021212 (NCI Metathesaurus ValueDomain)
C0008625 (UMLS CUI-1)
C1298908 (UMLS 2011AA)
C1705108 (UMLS 2011AA)
C1512699 (UMLS 2011AA ValueDomain)
C15409 (NCI Thesaurus ObjectClass)
C0199962 (UMLS 2011AA ObjectClass)
C25382 (NCI Thesaurus Property)
C1521801 (UMLS 2011AA Property)
C1298908 (UMLS 2011AA)
C0439673 (UMLS 2011AA)
C1705108 (UMLS 2011AA)
C0439148 (UMLS 2011AA ValueDomain)
C25639 (NCI Thesaurus Property)
C1514756 (UMLS 2011AA Property)
C25463 (NCI Thesaurus ValueDomain-2)
C0750480 (UMLS 2011AA ValueDomain-2)
C15409 (NCI Thesaurus ObjectClass)
C0199962 (UMLS 2011AA ObjectClass)
C0011008 (UMLS 2011AA ValueDomain)
C25639 (NCI Thesaurus Property)
C1514756 (UMLS 2011AA Property)
C25509 (NCI Thesaurus ValueDomain-2)
C1279901 (UMLS 2011AA ValueDomain-2)
C15409 (NCI Thesaurus ObjectClass)
C0199962 (UMLS 2011AA ObjectClass)
C0011008 (UMLS 2011AA ValueDomain)
C25639 (NCI Thesaurus Property)
C1514756 (UMLS 2011AA Property)
C15409 (NCI Thesaurus ObjectClass)
C0199962 (UMLS 2011AA ObjectClass)
C25577 (NCI Thesaurus ValueDomain-2)
C1513491 (UMLS 2011AA ValueDomain-2)
C0332307 (UMLS 2011AA ValueDomain)
C25755 (NCI Thesaurus Property)
C0871261 (UMLS 2011AA Property)
C3247 (NCI Thesaurus ObjectClass)
C0026986 (UMLS 2011AA ObjectClass)
C0677874 (UMLS 2011AA)
C1521726 (UMLS 2011AA)
C0677946 (UMLS 2011AA)
C0205488 (UMLS 2011AA)
C71685 (NCI Thesaurus-3)
C0332272 (UMLS 2011AA-4)
C1335499 (UMLS 2011AA)
C0011008 (UMLS 2011AA ValueDomain)
C25755 (NCI Thesaurus Property)
C0871261 (UMLS 2011AA Property)
C3247 (NCI Thesaurus ObjectClass)
C0026986 (UMLS 2011AA ObjectClass)
C25509 (NCI Thesaurus ValueDomain-2)
C1279901 (UMLS 2011AA ValueDomain-2)
C0011008 (UMLS 2011AA ValueDomain)
C25755 (NCI Thesaurus Property)
C0871261 (UMLS 2011AA Property)
C3247 (NCI Thesaurus ObjectClass)
C0026986 (UMLS 2011AA ObjectClass)
C15220 (NCI Thesaurus ValueDomain-2)
C0011900 (UMLS 2011AA ValueDomain-2)
C18265 (NCI Thesaurus Property)
C2991 (NCI Thesaurus ObjectClass)
C0277556 (UMLS CUI-1)
C18265 (NCI Thesaurus Property)
C2991 (NCI Thesaurus ObjectClass)
C0035020 (UMLS CUI-1)
C0011008 (UMLS CUI-2)
C3247 (NCI Thesaurus Property)
C16673 (NCI Thesaurus Property-2)
C50995 (NCI Thesaurus Property-3)
C25284 (NCI Thesaurus ValueDomain)
C0012634 (UMLS CUI-1)
C0026986 (UMLS CUI-2)
C0018943 (UMLS CUI-3)
C1704632 (UMLS CUI-4)
C0332307 (UMLS CUI-5)
C3247 (NCI Thesaurus Property)
C16673 (NCI Thesaurus Property-2)
C50995 (NCI Thesaurus Property-3)
C25164 (NCI Thesaurus ValueDomain)
C25509 (NCI Thesaurus ValueDomain-2)
C0012634 (UMLS CUI-1)
C0026986 (UMLS CUI-2)
C0018943 (UMLS CUI-3)
C1704632 (UMLS CUI-4)
C0011008 (UMLS CUI-5)
C1279901 (UMLS CUI-6)
C3247 (NCI Thesaurus Property)
C16673 (NCI Thesaurus Property-2)
C50995 (NCI Thesaurus Property-3)
C25164 (NCI Thesaurus ValueDomain)
C15220 (NCI Thesaurus ValueDomain-2)
C0012634 (UMLS CUI-1)
C0026986 (UMLS CUI-2)
C0018943 (UMLS CUI-3)
C1704632 (UMLS CUI-4)
C0011008 (UMLS CUI-5)
C0011900 (UMLS CUI-6)
C0332307 (UMLS 2011AA ValueDomain)
C50995 (NCI Thesaurus Property)
C1704632 (UMLS 2011AA Property)
C17938 (NCI Thesaurus ObjectClass)
C0314603 (UMLS 2011AA ObjectClass)