Description:

NCI Cooperative Group Clinical Chemistry Laboratory Test 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=A9C02D4A-83A3-26C1-E034-0003BA12F5E7

Link:

https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=A9C02D4A-83A3-26C1-E034-0003BA12F5E7

Keywords:

Urinary Bladder Neoplasms

8/26/12 8/26/12 -
1/8/15 1/8/15 - Martin Dugas

Uploaded on:

January 8, 2015

DOI:

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License :

Creative Commons BY-NC 3.0 Legacy

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Bladder Cancer NCT00014534 Lab - NCI Cooperative Group Clinical Chemistry Laboratory Test Form (CALGB-90104) - 2056328v3.0

Details

No Instruction available.

1 forms

StudyEvent: NCI Cooperative Group Clinical Chemistry Laboratory Test Form (CALGB-90104)
1. No Instruction available.

Mskcc 00-138; Calgb-90104; Ecog

Coordinating Group Protocol Number

Coordinating Group Code

Protocol Title

Patient Study ID, Coordinating Group

Patient Study ID, Participating Group

Participating Group Code

Institution Name

Affiliate

Patient Last Name (initials acceptable)

Patient First Name (initials acceptable)

Patient Middle Name (initials acceptable)

Form Administration

Person Completing Form, Last Name

Person Completing Form, First Name

Are data amended?

Yes

BUN

Calcium

Bilirubin

Total Protein

Albumin

Alkaline Phosphatase

SGOT (AST)

Glucose

Creatinine

Sodium

Potassium

Chloride

Carbon Dioxide

Magnesium

mmol/L

SGPT (ALT)

Normal Range-BUN

Normal Range-Calcium

Normal Range-Bilirubin

Normal Range-Total Protein

Normal Range-Albumin

Normal Range-Alkaline Phosphatase

Normal Range-SGOT (AST)

Normal Range-Glucose

Normal Range-Creatinine

Normal Range-Sodium

Normal Range-Potassium

Normal Range-Chloride

Normal Range-Carbon Dioxide

Normal Range-Magnesium

Normal Range-SGPT (ALT)

Labs, Sample Collection Dates

Comments

Ccrr Module For Nci Cooperative Group Clinical Chemistry Laboratory Test Form (calgb-90104)

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