ID

11774

Description

ACNS0122 PBSC Harvest Worksheet NCT00047320 Neoadjuvant Chemotherapy With or Without Second-Look Surgery Followed by Radiation Therapy With or Without Peripheral Stem Cell Transplantation in Treating Patients With Intracranial Germ Cell Tumors Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=BD8E5AF7-9FAF-0089-E034-0003BA12F5E7

Link

https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=BD8E5AF7-9FAF-0089-E034-0003BA12F5E7

Keywords

  1. 4/19/12 4/19/12 -
  2. 1/9/15 1/9/15 - Martin Dugas
  3. 7/3/15 7/3/15 -
  4. 7/31/15 7/31/15 - Martin Dugas
Uploaded on

July 31, 2015

DOI

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License

Creative Commons BY-NC 3.0 Legacy

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PBSC Harvest Worksheet Germ Cell Tumors ACNS0122 NCT00047320

Keine Anleitung vorhanden.

  1. StudyEvent: ACNS0122 PBSC Harvest Worksheet
    1. Keine Anleitung vorhanden.
Unbenannt1
Description

Unbenannt1

COG Studiennummer
Description

Protocol ID COG

Data type

text

Alias
NCI Thesaurus ValueDomain
C25337
UMLS CUI-1
C3274381
NCI Thesaurus ObjectClass
C25320
UMLS CUI-2
C1516477
NCI Thesaurus Property
C25364
Institutsname
Description

Institution Name

Data type

text

Alias
NCI Thesaurus ValueDomain
C25191
UMLS CUI-1
C1301943
NCI Thesaurus ObjectClass
C21541
NCI Thesaurus ValueDomain-2
C21541
NCI Thesaurus Property
C25364
COG Patienten-ID
Description

PatientCOGIdentifierNumber

Data type

text

Alias
NCI Thesaurus ValueDomain
C25337
UMLS 2011AA ValueDomain
C0237753
NCI Thesaurus ObjectClass
C16960
UMLS 2011AA ObjectClass
C0030705
NCI Thesaurus Property
C25364
UMLS 2011AA Property
C0600091
NCI Thesaurus Property-2
C39353
UMLS 2011AA Property-2
C1516477
Patienteninitialen
Description

Patient Initials

Data type

text

Alias
NCI Thesaurus ValueDomain
C25191
UMLS CUI-1
C2986440
NCI Thesaurus ObjectClass
C16960
NCI Thesaurus Property
C25536
Heutiges Datum
Description

Form Completion Date

Data type

date

Alias
NCI Thesaurus ObjectClass
C19464
UMLS CUI-1
C1549507
NCI Thesaurus Property
C25250
NCI Thesaurus Property-2
C25604
NCI Thesaurus ValueDomain
C25164
NCI Thesaurus ValueDomain-2
C25367
Datum: Arbeitsblatt wurde ins RDE eingegeben
Description

DataEnteredDate

Data type

date

Alias
NCI Thesaurus ValueDomain
C25164
UMLS 2011AA ValueDomain
C0011008
NCI Thesaurus ObjectClass
C25474
UMLS 2011AA ObjectClass
C1511726
NCI Thesaurus Property
C37949
UMLS 2011AA Property
C1521975
Unbenannt2
Description

Unbenannt2

Höhe in
Description

Height

Data type

float

Measurement units
  • cm
Alias
NCI Thesaurus ValueDomain
C25209
NCI Thesaurus ObjectClass
C16960
NCI Thesaurus Property
C25347
UMLS CUI [1]
C0005890
cm
Gewicht
Description

Weight

Data type

float

Measurement units
  • kg
Alias
NCI Thesaurus ValueDomain
C25209
NCI Thesaurus ObjectClass
C16960
NCI Thesaurus Property
C25208
UMLS CUI [1]
C0005910
kg
Unbenannt3
Description

Unbenannt3

Alias
UMLS CUI-1
C0242602
Hat der Patient PBSC Ertrag während des Berichtszeitraums?
Description

PBSCHarvestPerformedInd-2

Data type

boolean

Alias
NCI Thesaurus ValueDomain
C38147
UMLS 2011AA ValueDomain
C1512698
NCI Thesaurus Property
C38000
UMLS 2011AA Property
C0884358
Datum [PBSC Ertrag]
Description

PBSCHarvestPerformedDate

Data type

date

Alias
NCI Thesaurus ValueDomain
C25164
UMLS 2011AA ValueDomain
C0011008
NCI Thesaurus Property
C38000
UMLS 2011AA Property
C0884358
Beschreibung (Anzahl der gesammelten Zellen)
Description

PBSCHarvestCellValue

Data type

float

Alias
NCI Thesaurus Property
C38000
UMLS 2011AA Property
C0884358
Wurde Knochenmark Sammlung durchgeführt?
Description

BoneMarrowHarvestPerformedInd-2

Data type

boolean

Alias
NCI Thesaurus ValueDomain
C38147
UMLS 2011AA ValueDomain
C1512698
NCI Thesaurus Property
C38000
UMLS 2011AA Property
C0884358
Datum der Durchgeführung
Description

BoneMarrowHarvestPerformedDate

Data type

date

Alias
NCI Thesaurus ValueDomain
C25164
UMLS 2011AA ValueDomain
C0011008
NCI Thesaurus Property
C38000
UMLS 2011AA Property
C0884358
Unbenannt4
Description

Unbenannt4

Hat der Patient angemessene CD34 +-Zellen gesammelt?
Description

CD34 cell count

Data type

boolean

Alias
NCI Thesaurus ObjectClass
C12946
NCI Thesaurus ObjectClass-2
C37963
NCI Metathesaurus ObjectClass
C0882849
NCI Thesaurus Property
C38000
NCI Thesaurus ValueDomain
C25712
UMLS CUI [1]
C2366946
Hat der Patient ausreichende Knochenmarksfunktionen?
Description

Bone marrow function adequate

Data type

boolean

Alias
NCI Thesaurus ValueDomain
C38147
NCI Thesaurus ObjectClass
C16960
NCI Thesaurus Property
C25518
UMLS CUI [1]
C0427695
Hat der Patient ausreichende Nierenfunktion?
Description

Renal function normal

Data type

boolean

Alias
NCI Thesaurus ValueDomain
C38147
NCI Thesaurus ObjectClass
C16960
NCI Thesaurus Property
C25518
UMLS CUI [1]
C0232805
Hat der Patient ausreichende Leberfunktion?
Description

Liver function

Data type

boolean

Alias
NCI Thesaurus ValueDomain
C38147
NCI Thesaurus ObjectClass
C16960
NCI Thesaurus Property
C25518
UMLS CUI [1]
C0232741
Hat der Patient ausreichende Funktion des zentralen Nervensystems?
Description

CNS function

Data type

boolean

Alias
NCI Thesaurus ValueDomain
C38147
NCI Thesaurus ObjectClass
C16960
NCI Thesaurus Property
C25518
UMLS CUI [1]
C0683212
Unbenannt5
Description

Unbenannt5

Kommentare
Description

Research Comments

Data type

text

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

Similar models

Keine Anleitung vorhanden.

  1. StudyEvent: ACNS0122 PBSC Harvest Worksheet
    1. Keine Anleitung vorhanden.
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Unbenannt1
Protocol ID COG
Item
COG Studiennummer
text
C25337 (NCI Thesaurus ValueDomain)
C3274381 (UMLS CUI-1)
C25320 (NCI Thesaurus ObjectClass)
C1516477 (UMLS CUI-2)
C25364 (NCI Thesaurus Property)
Institution Name
Item
Institutsname
text
C25191 (NCI Thesaurus ValueDomain)
C1301943 (UMLS CUI-1)
C21541 (NCI Thesaurus ObjectClass)
C21541 (NCI Thesaurus ValueDomain-2)
C25364 (NCI Thesaurus Property)
PatientCOGIdentifierNumber
Item
COG Patienten-ID
text
C25337 (NCI Thesaurus ValueDomain)
C0237753 (UMLS 2011AA ValueDomain)
C16960 (NCI Thesaurus ObjectClass)
C0030705 (UMLS 2011AA ObjectClass)
C25364 (NCI Thesaurus Property)
C0600091 (UMLS 2011AA Property)
C39353 (NCI Thesaurus Property-2)
C1516477 (UMLS 2011AA Property-2)
Patient Initials
Item
Patienteninitialen
text
C25191 (NCI Thesaurus ValueDomain)
C2986440 (UMLS CUI-1)
C16960 (NCI Thesaurus ObjectClass)
C25536 (NCI Thesaurus Property)
Form Completion Date
Item
Heutiges Datum
date
C19464 (NCI Thesaurus ObjectClass)
C1549507 (UMLS CUI-1)
C25250 (NCI Thesaurus Property)
C25604 (NCI Thesaurus Property-2)
C25164 (NCI Thesaurus ValueDomain)
C25367 (NCI Thesaurus ValueDomain-2)
DataEnteredDate
Item
Datum: Arbeitsblatt wurde ins RDE eingegeben
date
C25164 (NCI Thesaurus ValueDomain)
C0011008 (UMLS 2011AA ValueDomain)
C25474 (NCI Thesaurus ObjectClass)
C1511726 (UMLS 2011AA ObjectClass)
C37949 (NCI Thesaurus Property)
C1521975 (UMLS 2011AA Property)
Item Group
Unbenannt2
Height
Item
Höhe in
float
C25209 (NCI Thesaurus ValueDomain)
C16960 (NCI Thesaurus ObjectClass)
C25347 (NCI Thesaurus Property)
C0005890 (UMLS CUI [1])
Weight
Item
Gewicht
float
C25209 (NCI Thesaurus ValueDomain)
C16960 (NCI Thesaurus ObjectClass)
C25208 (NCI Thesaurus Property)
C0005910 (UMLS CUI [1])
Item Group
Unbenannt3
C0242602 (UMLS CUI-1)
PBSCHarvestPerformedInd-2
Item
Hat der Patient PBSC Ertrag während des Berichtszeitraums?
boolean
C38147 (NCI Thesaurus ValueDomain)
C1512698 (UMLS 2011AA ValueDomain)
C38000 (NCI Thesaurus Property)
C0884358 (UMLS 2011AA Property)
PBSCHarvestPerformedDate
Item
Datum [PBSC Ertrag]
date
C25164 (NCI Thesaurus ValueDomain)
C0011008 (UMLS 2011AA ValueDomain)
C38000 (NCI Thesaurus Property)
C0884358 (UMLS 2011AA Property)
PBSCHarvestCellValue
Item
Beschreibung (Anzahl der gesammelten Zellen)
float
C38000 (NCI Thesaurus Property)
C0884358 (UMLS 2011AA Property)
BoneMarrowHarvestPerformedInd-2
Item
Wurde Knochenmark Sammlung durchgeführt?
boolean
C38147 (NCI Thesaurus ValueDomain)
C1512698 (UMLS 2011AA ValueDomain)
C38000 (NCI Thesaurus Property)
C0884358 (UMLS 2011AA Property)
BoneMarrowHarvestPerformedDate
Item
Datum der Durchgeführung
date
C25164 (NCI Thesaurus ValueDomain)
C0011008 (UMLS 2011AA ValueDomain)
C38000 (NCI Thesaurus Property)
C0884358 (UMLS 2011AA Property)
Item Group
Unbenannt4
CD34 cell count
Item
Hat der Patient angemessene CD34 +-Zellen gesammelt?
boolean
C12946 (NCI Thesaurus ObjectClass)
C37963 (NCI Thesaurus ObjectClass-2)
C0882849 (NCI Metathesaurus ObjectClass)
C38000 (NCI Thesaurus Property)
C25712 (NCI Thesaurus ValueDomain)
C2366946 (UMLS CUI [1])
Bone marrow function adequate
Item
Hat der Patient ausreichende Knochenmarksfunktionen?
boolean
C38147 (NCI Thesaurus ValueDomain)
C16960 (NCI Thesaurus ObjectClass)
C25518 (NCI Thesaurus Property)
C0427695 (UMLS CUI [1])
Renal function normal
Item
Hat der Patient ausreichende Nierenfunktion?
boolean
C38147 (NCI Thesaurus ValueDomain)
C16960 (NCI Thesaurus ObjectClass)
C25518 (NCI Thesaurus Property)
C0232805 (UMLS CUI [1])
Liver function
Item
Hat der Patient ausreichende Leberfunktion?
boolean
C38147 (NCI Thesaurus ValueDomain)
C16960 (NCI Thesaurus ObjectClass)
C25518 (NCI Thesaurus Property)
C0232741 (UMLS CUI [1])
CNS function
Item
Hat der Patient ausreichende Funktion des zentralen Nervensystems?
boolean
C38147 (NCI Thesaurus ValueDomain)
C16960 (NCI Thesaurus ObjectClass)
C25518 (NCI Thesaurus Property)
C0683212 (UMLS CUI [1])
Item Group
Unbenannt5
Research Comments
Item
Kommentare
text
C25704 (NCI Thesaurus ValueDomain)
C0947611 (UMLS CUI-1)
C15319 (NCI Thesaurus ObjectClass)
C25393 (NCI Thesaurus Property)

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