Information:
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- StudyEvent: CALGB: HOSPITALIZATION FORM
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Patient Initials
Item
Patient Initials
text
C2986440 (UMLS CUI [1])
Patient Hospital Number
Item
Patient Hospital No.
text
C0421459 (UMLS CUI [1])
Institution/Affiliate
Item
Institution/Affiliate
text
C1301943 (UMLS CUI [1])
Participating Group
Item
Participating Group
text
C2347449 (UMLS CUI [1])
Participating Group Protocol Number
Item
Participating Group Protocol No.
text
C3274381 (UMLS CUI [1,1])
C2347449 (UMLS CUI [1,2])
C2347449 (UMLS CUI [1,2])
Participating Group Patient ID
Item
Participating Group Patient ID
text
C2348585 (UMLS CUI [1,1])
C2347449 (UMLS CUI [1,2])
C2347449 (UMLS CUI [1,2])
CALGB Study Number
Item
CALGB Study No.
text
C3274381 (UMLS CUI [1,1])
C1516238 (UMLS CUI [1,2])
C1516238 (UMLS CUI [1,2])
CALGB Patient ID
Item
CALGB Patient ID
text
C2348585 (UMLS CUI [1,1])
C1516238 (UMLS CUI [1,2])
C1516238 (UMLS CUI [1,2])
Hospital admit date
Item
Hospital admit date
date
C0806429 (UMLS CUI [1])
Hospital discharge date
Item
Hospital discharge date
date
C2361123 (UMLS CUI [1])
CL Item
Treatment of disease related complications (1)
CL Item
Treatment of complications related to protocol therapy (2)
CL Item
Non-study indication (3)
CL Item
Other, specify (4)
C3845569 (UMLS CUI-1)
Other,specify
Item
Other, specify
text
C3845569 (UMLS CUI [1])
Completed by
Item
Completed by
text
C1550483 (UMLS CUI [1])
Form completion date
Item
Date form originally completed
date
C1115437 (UMLS CUI [1])