ID

6068

Beskrivning

NCI Cooperative Group Treatment by Cycle 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=A9C01F91-F376-264F-E034-0003BA12F5E7

Länk

https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=A9C01F91-F376-264F-E034-0003BA12F5E7

Nyckelord

  1. 2012-08-26 2012-08-26 -
  2. 2014-11-28 2014-11-28 - Martin Dugas
Uppladdad den

28 november 2014

DOI

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Licens

Creative Commons BY-NC 3.0 Legacy

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Bladder Cancer NCT00014534 Treatment - NCI Cooperative Group Treatment by Cycle Form-CALGB-90104 - 2056083v3.0

No Instruction available.

  1. StudyEvent: NCI Cooperative Group Treatment by Cycle Form-CALGB-90104
    1. No Instruction available.
Mskcc 00-138; Calgb-90104; Ecog
Beskrivning

Mskcc 00-138; Calgb-90104; Ecog

Coordinating Group Protocol Number
Beskrivning

CoordinatingGroupProtocolNumber

Datatyp

text

Coordinating Group Code
Beskrivning

CoordinatingGroupCode

Datatyp

text

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

Protocol Title

Datatyp

text

Alias
NCI Thesaurus ObjectClass
C25320
NCI Thesaurus Property
C42774
UMLS CUI-1
C1507394
UMLS CUI-2
C1705823
Patient Study ID, Coordinating Group
Beskrivning

PatientStudyID,CoordinatingGroup

Datatyp

text

Patient Study ID, Participating Group
Beskrivning

PatientStudyID,ParticipatingGroup

Datatyp

text

Participating Group Code
Beskrivning

ParticipatingGroupCode

Datatyp

text

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

Institution Name

Datatyp

text

Alias
UMLS CUI-1
C0565990
Affiliate
Beskrivning

AffiliateName

Datatyp

text

Patient Last Name (initials acceptable)
Beskrivning

Patient Last Name (initials acceptable)

Datatyp

text

Alias
UMLS CUI-1
C1301584
Patient First Name (initials acceptable)
Beskrivning

Patient First Name (initials acceptable)

Datatyp

text

Alias
UMLS CUI-1
C1443235
Patient Middle Name (initials acceptable)
Beskrivning

Patient Middle Name (initials acceptable)

Datatyp

text

Alias
UMLS CUI-1
C1320720
Form Administration
Beskrivning

Form Administration

Person Completing Form, Last Name
Beskrivning

PersonCompletingForm,LastName

Datatyp

text

Person Completing Form, First Name
Beskrivning

PersonCompletingForm,FirstName

Datatyp

text

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

AmendedDataInd

Datatyp

boolean

Alias
NCI Thesaurus ObjectClass
C25474
NCI Thesaurus Property
C25416
UMLS CUI-1
C1511726
UMLS CUI-2
C1691222
Treatment Cycles
Beskrivning

Treatment Cycles

Current Cycle Number
Beskrivning

CourseIdentification

Datatyp

text

Cycle Start Date
Beskrivning

CourseBeginDate

Datatyp

date

Chemotherapy Agent Name
Beskrivning

ChemotherapyAgentName

Datatyp

text

Agent Start Date
Beskrivning

AgentBeginDate

Datatyp

date

Agent End Date
Beskrivning

AgentEndDate

Datatyp

date

Agent Admin Route
Beskrivning

AgentAdminRoute

Datatyp

text

Agent Total Dose (per day)
Beskrivning

AgentTotalDose

Datatyp

double

Agent Dose Level
Beskrivning

AgentDoseLevelValue

Datatyp

text

Alias
NCI Thesaurus Property
C25488
UMLS 2011AA Property
C0178602
NCI Thesaurus ObjectClass
C1708
UMLS 2011AA ObjectClass
C0450442
NCI Thesaurus ValueDomain
C25712
UMLS 2011AA ValueDomain
C1522609
NCI Thesaurus Property
C25554
UMLS 2011AA Property
C0441889
Agent Dose Units
Beskrivning

AgentDoseUnits

Datatyp

text

Ccrr Module For Nci Cooperative Group Treatment By Cycle Form-calgb-90104
Beskrivning

Ccrr Module For Nci Cooperative Group Treatment By Cycle Form-calgb-90104

Similar models

No Instruction available.

  1. StudyEvent: NCI Cooperative Group Treatment by Cycle Form-CALGB-90104
    1. No Instruction available.
Name
Typ
Description | Question | Decode (Coded Value)
Datatyp
Alias
Item Group
Mskcc 00-138; Calgb-90104; Ecog
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)
C42774 (NCI Thesaurus Property)
C1507394 (UMLS CUI-1)
C1705823 (UMLS CUI-2)
PatientStudyID,CoordinatingGroup
Item
Patient Study ID, Coordinating Group
text
PatientStudyID,ParticipatingGroup
Item
Patient Study ID, Participating Group
text
ParticipatingGroupCode
Item
Participating Group Code
text
C25162 (NCI Thesaurus ValueDomain)
C0805701 (UMLS 2011AA ValueDomain)
Institution Name
Item
Institution Name
text
C0565990 (UMLS CUI-1)
AffiliateName
Item
Affiliate
text
Patient Last Name
Item
Patient Last Name (initials acceptable)
text
C1301584 (UMLS CUI-1)
Patient First Name
Item
Patient First Name (initials acceptable)
text
C1443235 (UMLS CUI-1)
Patient middle name
Item
Patient Middle Name (initials acceptable)
text
C1320720 (UMLS CUI-1)
Item Group
Form Administration
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)
AmendedDataInd
Item
Are data amended?
boolean
C25474 (NCI Thesaurus ObjectClass)
C25416 (NCI Thesaurus Property)
C1511726 (UMLS CUI-1)
C1691222 (UMLS CUI-2)
Item Group
Treatment Cycles
CourseIdentification
Item
Current Cycle Number
text
CourseBeginDate
Item
Cycle Start Date
date
ChemotherapyAgentName
Item
Chemotherapy Agent Name
text
AgentBeginDate
Item
Agent Start Date
date
AgentEndDate
Item
Agent End Date
date
AgentAdminRoute
Item
Agent Admin Route
text
AgentTotalDose
Item
Agent Total Dose (per day)
double
AgentDoseLevelValue
Item
Agent Dose Level
text
C25488 (NCI Thesaurus Property)
C0178602 (UMLS 2011AA Property)
C1708 (NCI Thesaurus ObjectClass)
C0450442 (UMLS 2011AA ObjectClass)
C25712 (NCI Thesaurus ValueDomain)
C1522609 (UMLS 2011AA ValueDomain)
C25554 (NCI Thesaurus Property)
C0441889 (UMLS 2011AA Property)
AgentDoseUnits
Item
Agent Dose Units
text
Item Group
Ccrr Module For Nci Cooperative Group Treatment By Cycle Form-calgb-90104

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