ID
11916
Description
On-Study Form Bladder Cancer NCT00014534 CALGB-90104 NCT00014534 NCI Cooperative Group On-Study Form-Revised (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=BE1B6E9C-942E-7181-E034-0003BA12F5E7
Lien
Mots-clés
Versions (3)
- 26/08/2012 26/08/2012 -
- 09/01/2015 09/01/2015 - Martin Dugas
- 21/08/2015 21/08/2015 - Martin Dugas
Téléchargé le
21 août 2015
DOI
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Licence
Creative Commons BY-NC 3.0 Legacy
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On-Study Form Bladder Cancer NCT00014534 CALGB-90104
No Instruction available.
- StudyEvent: NCI Cooperative Group On-Study Form-Revised (CALGB-90104)
Description
Prior Therapy Date
Description
ChestX-RayAssessmentDate
Type de données
date
Description
ChestX-RayResult
Type de données
text
Description
Abdominal/PelvicCTAssessmentDate
Type de données
text
Description
Abdominal/pelvicCTresult
Type de données
text
Description
ANC
Type de données
float
Unités de mesure
- 1000/ul
Alias
- NCI Thesaurus Property
- C12533
- NCI Thesaurus Property-2
- C20200
- NCI Thesaurus ObjectClass
- C25294
- NCI Thesaurus ValueDomain
- C25712
- UMLS CUI [1]
- C0200633
Description
Peripheral Platelet Count
Type de données
float
Unités de mesure
- 1000/uL
Alias
- NCI Thesaurus Property
- C20200
- NCI Thesaurus Property-2
- C12520
- NCI Thesaurus ObjectClass
- C25294
- NCI Thesaurus ValueDomain
- C25712
- UMLS CUI [1]
- C0005821
Description
Bilirubin, total
Type de données
float
Unités de mesure
- mg/dL
Alias
- UMLS CUI [1]
- C0201913
Description
Bilirubin ULN
Type de données
float
Unités de mesure
- mg/dL
Alias
- NCI Thesaurus ObjectClass
- C25294
- NCI Thesaurus Property
- C20200
- NCI Thesaurus Property-2
- C305
- NCI Thesaurus ValueDomain
- C25712
- NCI Thesaurus ValueDomain-2
- C25706
- UMLS CUI [1,1]
- C0005437
- UMLS CUI [1,2]
- C1519815
Description
Creatinine
Type de données
float
Unités de mesure
- mg/dL
Alias
- NCI Thesaurus ObjectClass
- C25225
- NCI Thesaurus Property
- C399
- NCI Thesaurus Property-2
- C25294
- NCI Thesaurus ValueDomain
- C25712
- UMLS CUI [1]
- C0201976
Description
Creatinine Clearance
Type de données
float
Unités de mesure
- mL/min
Alias
- UMLS CUI [1]
- C0373595
Description
Alkaline Phosphatase
Type de données
float
Unités de mesure
- U/L
Alias
- UMLS CUI [1]
- C0201850
Description
Alkaline Phosphatase ULN
Type de données
float
Unités de mesure
- U/L
Alias
- NCI Thesaurus ObjectClass
- C25294
- NCI Thesaurus Property
- C20200
- NCI Thesaurus Property-2
- C16276
- NCI Thesaurus ValueDomain
- C25712
- NCI Thesaurus ValueDomain-2
- C25706
- UMLS CUI [1,1]
- C0151420
- UMLS CUI [1,2]
- C1519815
Description
AST (SGOT)
Type de données
float
Unités de mesure
- U/L
Alias
- NCI Thesaurus ObjectClass
- C13308
- NCI Thesaurus Property
- C25202
- NCI Thesaurus ValueDomain
- C38046
- NCI Thesaurus Property-2
- C37984
- NCI Thesaurus ValueDomain-2
- C25712
- UMLS CUI [1]
- C0201899
Description
AST (SGOT) ULN
Type de données
float
Unités de mesure
- U/L
Alias
- NCI Thesaurus ObjectClass
- C25294
- NCI Thesaurus Property
- C25202
- NCI Thesaurus Property-2
- C20200
- NCI Thesaurus ValueDomain
- C25712
- NCI Thesaurus ValueDomain-2
- C25706
- UMLS CUI [1,1]
- C0242192
- UMLS CUI [1,2]
- C1519815
Description
Person Completing Form
Type de données
text
Alias
- NCI Thesaurus ValueDomain
- C25191
- UMLS CUI-1
- C1550483
- NCI Thesaurus ObjectClass
- C25657
- NCI Thesaurus Property
- C25364
Description
Date Form Completed
Type de données
date
Alias
- NCI Thesaurus ValueDomain
- C25164
- UMLS CUI-1
- C1115437
- NCI Thesaurus ObjectClass
- C40988
- NCI Thesaurus Property
- C25250
- NCI Thesaurus ValueDomain-2
- C25367
Description
Ccrr Module For Nci Cooperative Group On-study Form-revised (calgb-90104)
Description
CALGB Form
Type de données
text
Alias
- UMLS CUI-1
- C3262252
- UMLS CUI-2
- C1516238
Description
Protocol ID CALGB
Type de données
text
Alias
- NCI Thesaurus ValueDomain
- C25337
- UMLS CUI-1
- C3274381
- NCI Thesaurus ObjectClass
- C25320
- UMLS CUI-2
- C1516238
- NCI Thesaurus Property
- C25364
- NCI Thesaurus Property-2
- C25442
Description
Trial subject ID CALGB
Type de données
text
Alias
- NCI Thesaurus ValueDomain
- C25337
- UMLS CUI-1
- C2348585
- NCI Thesaurus ObjectClass
- C16960
- UMLS CUI-2
- C1516238
- NCI Thesaurus Property
- C25364
- NCI Thesaurus Property-2
- C25442
Description
Are data amended?
Type de données
text
Alias
- NCI Thesaurus ValueDomain
- C38148
- NCI Thesaurus ObjectClass
- C25474
- NCI Thesaurus Property
- C25416
- UMLS CUI [1]
- C0680532
Description
Patient Initials
Type de données
text
Alias
- NCI Thesaurus ValueDomain
- C25191
- UMLS CUI-1
- C2986440
- NCI Thesaurus ObjectClass
- C16960
- NCI Thesaurus Property
- C25536
Description
Participating Group
Type de données
text
Alias
- NCI Thesaurus ValueDomain
- C25191
- UMLS CUI-1
- C2347449
- NCI Thesaurus ObjectClass
- C25608
- NCI Thesaurus ObjectClass-2
- C17005
- NCI Thesaurus Property
- C25364
Description
Medical Record Number
Type de données
text
Alias
- NCI Thesaurus ValueDomain
- C25337
- UMLS CUI-1
- C1301894
- NCI Thesaurus ObjectClass
- C16960
- NCI Thesaurus Property
- C25261
- NCI Thesaurus Property-2
- C25198
Description
Study Number Participating Group
Type de données
text
Alias
- NCI Thesaurus ValueDomain
- C25337
- UMLS CUI-1
- C3274381
- NCI Thesaurus ObjectClass
- C25320
- UMLS CUI-2
- C2347449
- NCI Thesaurus Property
- C25608
- NCI Thesaurus Property-2
- C25364
Description
Institution Name
Type de données
text
Alias
- NCI Thesaurus ObjectClass
- C25454
- UMLS CUI-1
- C1301943
- NCI Thesaurus ObjectClass-2
- C21541
- NCI Thesaurus Property
- C25364
- NCI Thesaurus ValueDomain
- C25191
- NCI Thesaurus ValueDomain-2
- C21541
Description
Trial subject ID Participating Group
Type de données
text
Alias
- NCI Thesaurus ValueDomain
- C25337
- UMLS CUI-1
- C2348585
- NCI Thesaurus ObjectClass
- C16960
- UMLS CUI-2
- C2347449
- NCI Thesaurus Property
- C25608
- NCI Thesaurus Property-2
- C25364
Description
ResponseSymptomaticDeteriorationDate
Type de données
date
Alias
- NCI Thesaurus ValueDomain
- C25164
- UMLS 2011AA ValueDomain
- C0011008
- NCI Thesaurus ObjectClass
- C25755
- UMLS 2011AA ObjectClass
- C0871261
- NCI Thesaurus Property
- C25269
- UMLS 2011AA Property
- C0231220
- NCI Thesaurus Property-2
- C25751
- UMLS 2011AA Property-2
- C0868945
Description
PriorDiseaseSuperficialPresentInd-3
Type de données
boolean
Alias
- NCI Thesaurus ObjectClass
- C25629
- NCI Thesaurus ObjectClass-2
- C2991
- NCI Thesaurus Property
- C25626
- NCI Thesaurus Property-2
- C25239
- NCI Thesaurus ValueDomain
- C38148
- UMLS CUI [1,1]
- C0262512
- UMLS CUI [1,2]
- C0205124
Description
Number of Prior Occurrences of Papillary
Type de données
integer
Description
PriorCISOccurrences
Type de données
float
Description
InitialDiagnosisDate,Pathologic
Type de données
date
Description
InitialDiagnosisDate,Pathologic
Type de données
date
Description
PathologicDiagnosisDate
Type de données
date
Description
PriorRecentRecurrenceDate
Type de données
date
Alias
- NCI Thesaurus ObjectClass
- C2991
- UMLS 2011AA ObjectClass
- C0012634
- NCI Thesaurus Property
- C25279
- UMLS 2011AA Property
- C0332162
Description
BladderTumorHistologicCategory
Type de données
text
Alias
- NCI Thesaurus ObjectClass
- C3262
- UMLS 2011AA ObjectClass
- C0027651
- NCI Thesaurus ObjectClass-2
- C12414
- UMLS 2011AA ObjectClass-2
- C0005682
- NCI Thesaurus Property
- C25526
- UMLS 2011AA Property
- C0205462
- NCI Thesaurus Property-2
- C25161
- UMLS 2011AA Property-2
- C0008902
- NCI Thesaurus ValueDomain
- C25372
- UMLS 2011AA ValueDomain
- C0683312
- NCI Thesaurus ValueDomain-2
- C25526
- UMLS 2011AA ValueDomain-2
- C0205462
Description
TumorHistologicCategorySpecify
Type de données
text
Alias
- NCI Thesaurus ValueDomain
- C25685
- UMLS 2011AA ValueDomain
- C1521902
- NCI Thesaurus ObjectClass
- C3262
- UMLS 2011AA ObjectClass
- C0027651
- NCI Thesaurus Property
- C25161
- UMLS 2011AA Property
- C0008902
Description
BladderTumorHistologicGrade
Type de données
text
Alias
- NCI Thesaurus ObjectClass
- C3262
- NCI Thesaurus ObjectClass-2
- C12414
- NCI Thesaurus Property
- C25526
- NCI Thesaurus Property-2
- C25365
- NCI Thesaurus ValueDomain
- C25526
- NCI Thesaurus ValueDomain-2
- C18000
- UMLS CUI [1,1]
- C0919553
- UMLS CUI [1,2]
- C0005695
Description
TStage,Pathologic
Type de données
text
Description
BladderTumorPathologicNStage
Type de données
text
Alias
- NCI Thesaurus ObjectClass
- C3262
- UMLS 2011AA ObjectClass
- C0027651
- NCI Thesaurus ObjectClass-2
- C12414
- UMLS 2011AA ObjectClass-2
- C0005682
- NCI Thesaurus Property
- C25610
- UMLS 2011AA Property
- C1521733
- NCI Thesaurus Property-2
- C25580
- UMLS 2011AA Property-2
- C0456532
- NCI Thesaurus ValueDomain
- C16899
- UMLS 2011AA ValueDomain
- C1300072
Description
BladderTumorPathologicMStage
Type de données
text
Alias
- NCI Thesaurus ObjectClass
- C3262
- UMLS 2011AA ObjectClass
- C0027651
- NCI Thesaurus ObjectClass-2
- C12414
- UMLS 2011AA ObjectClass-2
- C0005682
- NCI Thesaurus Property
- C25610
- UMLS 2011AA Property
- C1521733
- NCI Thesaurus Property-2
- C25727
- UMLS 2011AA Property-2
- C0456533
- NCI Thesaurus ValueDomain
- C16899
- UMLS 2011AA ValueDomain
- C1300072
Description
LymphNodesType
Type de données
text
Description
LymphNodesOtherType
Type de données
text
Description
LymphNodeInvolvement
Type de données
text
Description
LymphNodeExaminedCount
Type de données
float
Alias
- NCI Thesaurus Property
- C25500
- UMLS 2011AA Property
- C0332128
- NCI Thesaurus ObjectClass
- C12745
- UMLS 2011AA ObjectClass
- C0024204
- NCI Thesaurus ValueDomain
- C25463
- UMLS 2011AA ValueDomain
- C0750480
Description
LymphNodePositiveCount
Type de données
integer
Alias
- NCI Thesaurus Property
- C25246
- NCI Thesaurus ObjectClass
- C12745
- NCI Thesaurus ValueDomain
- C25463
- UMLS CUI [1,1]
- C0237753
- UMLS CUI [1,2]
- C0746319
Similar models
No Instruction available.
- StudyEvent: NCI Cooperative Group On-Study Form-Revised (CALGB-90104)
C0332152 (UMLS 2011AA ObjectClass)
C15368 (NCI Thesaurus ObjectClass-2)
C13415 (NCI Thesaurus Property)
C0442124 (UMLS 2011AA Property)
C25382 (NCI Thesaurus Property-2)
C1521801 (UMLS 2011AA Property-2)
C38148 (NCI Thesaurus ValueDomain)
C1512699 (UMLS 2011AA ValueDomain)
C0332307 (UMLS 2011AA ValueDomain)
C15262 (NCI Thesaurus ObjectClass)
C0021083 (UMLS 2011AA ObjectClass)
C25629 (NCI Thesaurus ObjectClass-2)
C0332152 (UMLS 2011AA ObjectClass-2)
C15368 (NCI Thesaurus Property)
C0733470 (UMLS 2011AA)
C0205394 (UMLS 2011AA)
C0021083 (UMLS 2011AA ObjectClass)
C25629 (NCI Thesaurus ObjectClass-2)
C0332152 (UMLS 2011AA ObjectClass-2)
C15368 (NCI Thesaurus Property)
C25463 (NCI Thesaurus ValueDomain)
C0750480 (UMLS 2011AA ValueDomain)
C1521826 (UMLS CUI-1)
C25431 (NCI Thesaurus ValueDomain-2)
C0808070 (UMLS CUI-2)
C1708 (NCI Thesaurus ObjectClass)
C25275 (NCI Thesaurus Property)
C1521826 (UMLS CUI-1)
C1708 (NCI Thesaurus ObjectClass)
C0806020 (UMLS CUI-2)
C25275 (NCI Thesaurus Property)
C0332307 (UMLS 2011AA ValueDomain)
C0039871 (UMLS 2011AA)
C0205394 (UMLS 2011AA)
C0392920 (UMLS 2011AA ObjectClass)
C15368 (NCI Thesaurus Property)
C25463 (NCI Thesaurus ValueDomain)
C0750480 (UMLS 2011AA ValueDomain)
C0392920 (UMLS 2011AA ObjectClass)
C25629 (NCI Thesaurus ObjectClass-2)
C0332152 (UMLS 2011AA ObjectClass-2)
C17649 (NCI Thesaurus Property)
C0205394 (UMLS 2011AA Property)
C25364 (NCI Thesaurus Property-2)
C0600091 (UMLS 2011AA Property-2)
C25191 (NCI Thesaurus ValueDomain)
C1547383 (UMLS 2011AA ValueDomain)
C17649 (NCI Thesaurus ValueDomain-2)
C0205394 (UMLS 2011AA ValueDomain-2)
C1512699 (UMLS 2011AA ValueDomain)
C38000 (NCI Thesaurus Property)
C0884358 (UMLS 2011AA Property)
C15329 (NCI Thesaurus ObjectClass)
C0543467 (UMLS 2011AA ObjectClass)
C0332152 (UMLS 2011AA ObjectClass)
C15368 (NCI Thesaurus ObjectClass-2)
C17649 (NCI Thesaurus Property)
C0205394 (UMLS 2011AA Property)
C25382 (NCI Thesaurus Property-2)
C1521801 (UMLS 2011AA Property-2)
C38148 (NCI Thesaurus ValueDomain)
C1512699 (UMLS 2011AA ValueDomain)
C0600091 (UMLS 2011AA Property)
C25629 (NCI Thesaurus ObjectClass)
C0332152 (UMLS 2011AA ObjectClass)
C15368 (NCI Thesaurus ObjectClass-2)
C42614 (NCI Thesaurus ValueDomain)
C0027365 (UMLS 2011AA ValueDomain)
C0205160 (UMLS 2011AA)
C1446409 (UMLS 2011AA)
C0332241 (UMLS 2011AA)
C0205307 (UMLS 2011AA)
C0332241 (UMLS 2011AA)
C0439673 (UMLS 2011AA)
C20200 (NCI Thesaurus Property-2)
C25294 (NCI Thesaurus ObjectClass)
C25712 (NCI Thesaurus ValueDomain)
C0200633 (UMLS CUI [1])
C12520 (NCI Thesaurus Property-2)
C25294 (NCI Thesaurus ObjectClass)
C25712 (NCI Thesaurus ValueDomain)
C0005821 (UMLS CUI [1])
C20200 (NCI Thesaurus Property)
C305 (NCI Thesaurus Property-2)
C25712 (NCI Thesaurus ValueDomain)
C25706 (NCI Thesaurus ValueDomain-2)
C0005437 (UMLS CUI [1,1])
C1519815 (UMLS CUI [1,2])
C399 (NCI Thesaurus Property)
C25294 (NCI Thesaurus Property-2)
C25712 (NCI Thesaurus ValueDomain)
C0201976 (UMLS CUI [1])
C20200 (NCI Thesaurus Property)
C16276 (NCI Thesaurus Property-2)
C25712 (NCI Thesaurus ValueDomain)
C25706 (NCI Thesaurus ValueDomain-2)
C0151420 (UMLS CUI [1,1])
C1519815 (UMLS CUI [1,2])
C25202 (NCI Thesaurus Property)
C38046 (NCI Thesaurus ValueDomain)
C37984 (NCI Thesaurus Property-2)
C25712 (NCI Thesaurus ValueDomain-2)
C0201899 (UMLS CUI [1])
C25202 (NCI Thesaurus Property)
C20200 (NCI Thesaurus Property-2)
C25712 (NCI Thesaurus ValueDomain)
C25706 (NCI Thesaurus ValueDomain-2)
C0242192 (UMLS CUI [1,1])
C1519815 (UMLS CUI [1,2])
C1550483 (UMLS CUI-1)
C25657 (NCI Thesaurus ObjectClass)
C25364 (NCI Thesaurus Property)
C1115437 (UMLS CUI-1)
C40988 (NCI Thesaurus ObjectClass)
C25250 (NCI Thesaurus Property)
C25367 (NCI Thesaurus ValueDomain-2)
C1516238 (UMLS CUI-2)
C3274381 (UMLS CUI-1)
C25320 (NCI Thesaurus ObjectClass)
C1516238 (UMLS CUI-2)
C25364 (NCI Thesaurus Property)
C25442 (NCI Thesaurus Property-2)
C2348585 (UMLS CUI-1)
C16960 (NCI Thesaurus ObjectClass)
C1516238 (UMLS CUI-2)
C25364 (NCI Thesaurus Property)
C25442 (NCI Thesaurus Property-2)
C25474 (NCI Thesaurus ObjectClass)
C25416 (NCI Thesaurus Property)
C0680532 (UMLS CUI [1])
C49488 (NCI Thesaurus-3)
C1705108 (UMLS CUI-1)
C2986440 (UMLS CUI-1)
C16960 (NCI Thesaurus ObjectClass)
C25536 (NCI Thesaurus Property)
C2347449 (UMLS CUI-1)
C25608 (NCI Thesaurus ObjectClass)
C17005 (NCI Thesaurus ObjectClass-2)
C25364 (NCI Thesaurus Property)
C1301894 (UMLS CUI-1)
C16960 (NCI Thesaurus ObjectClass)
C25261 (NCI Thesaurus Property)
C25198 (NCI Thesaurus Property-2)
C3274381 (UMLS CUI-1)
C25320 (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)
C2348585 (UMLS CUI-1)
C16960 (NCI Thesaurus ObjectClass)
C2347449 (UMLS CUI-2)
C25608 (NCI Thesaurus Property)
C25364 (NCI Thesaurus Property-2)
C0011008 (UMLS 2011AA ValueDomain)
C25755 (NCI Thesaurus ObjectClass)
C0871261 (UMLS 2011AA ObjectClass)
C25269 (NCI Thesaurus Property)
C0231220 (UMLS 2011AA Property)
C25751 (NCI Thesaurus Property-2)
C0868945 (UMLS 2011AA Property-2)
C2991 (NCI Thesaurus ObjectClass-2)
C25626 (NCI Thesaurus Property)
C25239 (NCI Thesaurus Property-2)
C38148 (NCI Thesaurus ValueDomain)
C0262512 (UMLS CUI [1,1])
C0205124 (UMLS CUI [1,2])
C0012634 (UMLS 2011AA ObjectClass)
C25279 (NCI Thesaurus Property)
C0332162 (UMLS 2011AA Property)
C0027651 (UMLS 2011AA ObjectClass)
C12414 (NCI Thesaurus ObjectClass-2)
C0005682 (UMLS 2011AA ObjectClass-2)
C25526 (NCI Thesaurus Property)
C0205462 (UMLS 2011AA Property)
C25161 (NCI Thesaurus Property-2)
C0008902 (UMLS 2011AA Property-2)
C25372 (NCI Thesaurus ValueDomain)
C0683312 (UMLS 2011AA ValueDomain)
C25526 (NCI Thesaurus ValueDomain-2)
C0205462 (UMLS 2011AA ValueDomain-2)
C0007138 (UMLS 2011AA)
C1521902 (UMLS 2011AA ValueDomain)
C3262 (NCI Thesaurus ObjectClass)
C0027651 (UMLS 2011AA ObjectClass)
C25161 (NCI Thesaurus Property)
C0008902 (UMLS 2011AA Property)
C12414 (NCI Thesaurus ObjectClass-2)
C25526 (NCI Thesaurus Property)
C25365 (NCI Thesaurus Property-2)
C25526 (NCI Thesaurus ValueDomain)
C18000 (NCI Thesaurus ValueDomain-2)
C0919553 (UMLS CUI [1,1])
C0005695 (UMLS CUI [1,2])
C0027651 (UMLS 2011AA ObjectClass)
C12414 (NCI Thesaurus ObjectClass-2)
C0005682 (UMLS 2011AA ObjectClass-2)
C25610 (NCI Thesaurus Property)
C1521733 (UMLS 2011AA Property)
C25580 (NCI Thesaurus Property-2)
C0456532 (UMLS 2011AA Property-2)
C16899 (NCI Thesaurus ValueDomain)
C1300072 (UMLS 2011AA ValueDomain)
C0027651 (UMLS 2011AA ObjectClass)
C12414 (NCI Thesaurus ObjectClass-2)
C0005682 (UMLS 2011AA ObjectClass-2)
C25610 (NCI Thesaurus Property)
C1521733 (UMLS 2011AA Property)
C25727 (NCI Thesaurus Property-2)
C0456533 (UMLS 2011AA Property-2)
C16899 (NCI Thesaurus ValueDomain)
C1300072 (UMLS 2011AA ValueDomain)
C0332128 (UMLS 2011AA Property)
C12745 (NCI Thesaurus ObjectClass)
C0024204 (UMLS 2011AA ObjectClass)
C25463 (NCI Thesaurus ValueDomain)
C0750480 (UMLS 2011AA ValueDomain)
C12745 (NCI Thesaurus ObjectClass)
C25463 (NCI Thesaurus ValueDomain)
C0237753 (UMLS CUI [1,1])
C0746319 (UMLS CUI [1,2])