ID
6937
Description
NCI Cooperative Group Follow-Up 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=A9C23658-5AE0-303F-E034-0003BA12F5E7
Link
Keywords
Versions (2)
- 8/26/12 8/26/12 -
- 1/8/15 1/8/15 - Martin Dugas
Uploaded on
January 8, 2015
DOI
To request one please log in.
License
Creative Commons BY-NC 3.0 Legacy
Model comments :
You can comment on the data model here. Via the speech bubbles at the itemgroups and items you can add comments to those specificially.
Itemgroup comments for :
Item comments for :
In order to download data models you must be logged in. Please log in or register for free.
Bladder Cancer NCT00014534 Follow-Up - NCI Cooperative Group Follow-Up Form (CALGB-90104) - 2056490v3.0
No Instruction available.
- StudyEvent: NCI Cooperative Group Follow-Up Form (CALGB-90104)
Description
Form Administration
Description
PersonCompletingForm,LastName
Data type
text
Description
PersonCompletingForm,FirstName
Data type
text
Alias
- NCI Thesaurus ObjectClass
- C25190
- UMLS 2011AA ObjectClass
- C0027361
- NCI Thesaurus Property
- C25364
- UMLS 2011AA Property
- C0600091
Description
AmendedDataInd
Data type
boolean
Alias
- NCI Thesaurus ObjectClass
- C25474
- UMLS 2011AA ObjectClass
- C1511726
- NCI Thesaurus Property
- C25416
- UMLS 2011AA Property
- C1691222
Description
Vital Status
Description
Patient'sVitalStatus
Data type
text
Description
DeathReason
Data type
text
Description
DeathReason,Specify
Data type
text
Description
DeathDate/LastContactDate
Data type
date
Description
Disease Follow-up Status
Description
CancerFollow-upStatusInd
Data type
boolean
Description
CancerFollow-upStatusDate
Data type
date
Alias
- NCI Thesaurus ObjectClass
- C2991
- UMLS 2011AA ObjectClass
- C0012634
- NCI Thesaurus Property
- C25365
- UMLS 2011AA Property
- C0678257
Description
ChestX-RayAssessmentDate
Data type
date
Alias
- NCI Thesaurus ValueDomain
- C25164
- UMLS 2011AA ValueDomain
- C0011008
Description
Abdominal/PelvicCTAssessmentDate
Data type
text
Description
Notice Of Progression
Description
ProgressionInd,LocalAdvanced
Data type
boolean
Description
ProgressionDate,FirstLocal
Data type
date
Description
ProgressionSite,FirstLocal
Data type
text
Description
ProgressionSite,FirstLocal,Other
Data type
text
Description
ProgressionInd,LocalNodes
Data type
boolean
Description
ProgressionDate,FirstLocalNode
Data type
date
Description
ProgressionSite,FirstLocalNode
Data type
text
Description
ProgressionInd,DistantMetastatic
Data type
boolean
Description
ProgressionDate,FirstDistant
Data type
date
Description
ProgressionSite,FirstDistant
Data type
text
Description
LymphNodes,DistantLocation
Data type
text
Description
Other,specify
Data type
text
Description
Other,specify
Data type
text
Description
Notice Of New Primary
Description
NewPrimaryCancerInd
Data type
boolean
Description
NewPrimaryCancerDate
Data type
date
Alias
- NCI Thesaurus ValueDomain
- C25164
- UMLS 2011AA ValueDomain
- C0011008
Description
NewPrimarySite
Data type
text
Description
Notice Of Long Term Toxicity
Description
LateAdverseEventInd
Data type
text
Description
LateAdverseEventTerm
Data type
text
Description
LateAdverseEventGrade
Data type
text
Description
LateAdverseEventOnsetDate
Data type
date
Description
Comments
Description
Ccrr Module For Nci Cooperative Group Follow-up Form (calgb-90104)
Similar models
No Instruction available.
- StudyEvent: NCI Cooperative Group Follow-Up Form (CALGB-90104)
C0805701 (UMLS 2011AA ValueDomain)
C2986303 (UMLS CUI-1)
C42774 (NCI Thesaurus Property)
C0805701 (UMLS 2011AA ValueDomain)
C0027361 (UMLS 2011AA ObjectClass)
C25364 (NCI Thesaurus Property)
C0600091 (UMLS 2011AA Property)
C1511726 (UMLS 2011AA ObjectClass)
C25416 (NCI Thesaurus Property)
C1691222 (UMLS 2011AA Property)
C0439673 (UMLS 2011AA)
C0012634 (UMLS 2011AA ObjectClass)
C25365 (NCI Thesaurus Property)
C0678257 (UMLS 2011AA Property)
C0011008 (UMLS 2011AA ValueDomain)
C0262950 (UMLS 2011AA)
C0023884 (UMLS 2011AA)
C0024109 (UMLS 2011AA)
C1123023 (UMLS 2011AA)
C0011008 (UMLS 2011AA ValueDomain)
C1705108 (UMLS 2011AA)
C1298908 (UMLS 2011AA)
C0439673 (UMLS 2011AA)