ID

9759

Beschrijving

NCI Cooperative Group Hematology Laboratory Test Form (CALGB-90104) Combination Chemotherapy in Treating Patients With Bladder Cancer NCT00014534 Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=A9C02B5C-8C97-26B5-E034-0003BA12F5E7

Link

https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=A9C02B5C-8C97-26B5-E034-0003BA12F5E7

Trefwoorden

Versies (6)
  1. 26-08-12 26-08-12 -
  2. 22-12-14 22-12-14 - Martin Dugas
  3. 08-01-15 08-01-15 - Martin Dugas
  4. 22-01-15 22-01-15 - Martin Dugas
  5. 22-01-15 22-01-15 - Martin Dugas
  6. 22-01-15 22-01-15 - Martin Dugas
Geüploaded op

22 januari 2015

DOI

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Licentie

Creative Commons BY-NC 3.0 Legacy
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Hematology Laboratory Test Form Bladder Cancer (NCT00014534)

Engels

No Instruction available.

1 Formulieren  
  1. StudyEvent: NCI Cooperative Group Hematology Laboratory Test Form (CALGB-90104)
    1. No Instruction available.
Administrative documentation
Beschrijving

Administrative documentation

Alias
UMLS CUI-1
C1320722
Coordinating Group Protocol Number
Beschrijving

CoordinatingGroupProtocolNumber

Datatype

text

Alias
UMLS CUI-1
C3274381
UMLS CUI-2
C1711341
Coordinating Group Code
Beschrijving

CoordinatingGroupCode

Datatype

text

Alias
NCI Thesaurus ValueDomain
C25162
UMLS CUI-1
C0805701
Protocol Title
Beschrijving

Protocol Title

Datatype

text

Alias
NCI Thesaurus ObjectClass
C25320
UMLS CUI-1
C2986303
NCI Thesaurus Property
C42774
Patient Study ID, Coordinating Group
Beschrijving

PatientStudyID,CoordinatingGroup

Datatype

text

Alias
UMLS CUI-1
C2348585
Patient Study ID, Participating Group
Beschrijving

PatientStudyID,ParticipatingGroup

Datatype

text

Alias
UMLS CUI-1
C2348585
UMLS CUI-2
C2347449
Participating Group Code
Beschrijving

ParticipatingGroupCode

Datatype

text

Alias
NCI Thesaurus ValueDomain
C25162
UMLS CUI-1
C0805701
Institution Name
Beschrijving

InstitutionName

Datatype

text

Affiliate
Beschrijving

AffiliateName

Datatype

text

Patient Last Name (initials acceptable)
Beschrijving

PatientName,Last

Datatype

text

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

PatientName,First

Datatype

text

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

PatientName,Middle

Datatype

text

Alias
UMLS CUI-1
C1320720
Person Completing Form, Last Name
Beschrijving

PersonCompletingForm,LastName

Datatype

text

Person Completing Form, First Name
Beschrijving

PersonCompletingForm,FirstName

Datatype

text

Alias
NCI Thesaurus ObjectClass
C25190
NCI Thesaurus Property
C25364
UMLS CUI-1
C0027361
UMLS CUI-2
C0600091
Are data amended?
Beschrijving

Amended Data

Datatype

boolean

Alias
NCI Thesaurus ObjectClass
C25474
NCI Thesaurus Property
C25416
UMLS CUI-1
C0680532
Hematology Laboratory Tests
Beschrijving

Hematology Laboratory Tests

Alias
UMLS CUI-1
C0474523
Peripheral WBC Count
Beschrijving

Lab,Hematology,WBC

Datatype

float

Alias
UMLS CUI-1
C0023508
Hemoglobin
Beschrijving

Lab,Hematology,Hemoglobin

Datatype

float

Alias
UMLS CUI-1
C0019046
Peripheral Hematocrit Count
Beschrijving

Peripheral Hematocrit Count (%)

Datatype

float

Maateenheden
  • %
Alias
UMLS CUI-1
C0518014
%
Peripheral Platelet Count
Beschrijving

Lab,Hematology,Platelets

Datatype

float

Alias
UMLS CUI-1
C1287267
Peripheral Neutrophils
Beschrijving

Lab,Hematology,Neutrophils,CellPercentage

Datatype

float

Maateenheden
  • %
Alias
UMLS CUI-1
C0362987
%
Peripheral Neutrophil Count
Beschrijving

Lab,Hematology,NeutrophilCount

Datatype

float

Alias
UMLS CUI-1
C0200633
Unit (Normal Range)
Beschrijving

Lab,UnitsofMeasure

Datatype

text

Alias
UMLS CUI-1
C1519795
Normal Range-Peripheral WBC Count
Beschrijving

WBC count(x1000),LLN

Datatype

float

Alias
UMLS CUI-1
C0023508
UMLS CUI-2
C1518030
Normal Range-Hemoglobin
Beschrijving

Hemoglobin LLN

Datatype

float

Maateenheden
  • g/dl
Alias
UMLS CUI-1
C0019046
UMLS CUI-2
C1518030
g/dl
Normal Range-Peripheral Hematocrit Count (%)
Beschrijving

Hematocrit normal range

Datatype

text

Alias
UMLS CUI-1
C0518014
UMLS CUI-2
C0086715
Normal Range-Peripheral Platelet Count
Beschrijving

Platelets LLN

Datatype

float

Alias
NCI Thesaurus ValueDomain
C25712
NCI Thesaurus ValueDomain-2
C25555
UMLS CUI-1
C0005821
UMLS CUI-2
C1518030
Normal Range-Peripheral Neutrophils
Beschrijving

Peripheral Neutrophils Normal Range

Datatype

text

Maateenheden
  • %
Alias
UMLS CUI-1
C0362987
UMLS CUI-2
C0086715
%
Normal Range-Peripheral Neutrophil Count
Beschrijving

Peripheral Neutrophil Count Normal Range

Datatype

text

Alias
UMLS CUI-1
C0200633
UMLS CUI-2
C0086715
Date
Beschrijving

Labs,SampleCollectionDate

Datatype

date

Alias
UMLS CUI-1
C1317250
Comments
Beschrijving

Comments

Datatype

text

Alias
UMLS CUI-1
C0947611
Terug naar het begin van de pagina

Similar models

No Instruction available.

1 Formulieren
  1. StudyEvent: NCI Cooperative Group Hematology Laboratory Test Form (CALGB-90104)
    1. No Instruction available.
Name
Type
Description | Question | Decode (Coded Value)
Datatype
Alias
Item Group
Administrative documentation
C1320722 (UMLS CUI-1)
Coordinating Group Protocol Number
Item
Coordinating Group Protocol Number
text
C3274381 (UMLS CUI-1)
C1711341 (UMLS CUI-2)
CoordinatingGroupCode
Item
Coordinating Group Code
text
C25162 (NCI Thesaurus ValueDomain)
C0805701 (UMLS CUI-1)
Protocol Title
Item
Protocol Title
text
C25320 (NCI Thesaurus ObjectClass)
C2986303 (UMLS CUI-1)
C42774 (NCI Thesaurus Property)
Patient ID Coordinating Group
Item
Patient Study ID, Coordinating Group
text
C2348585 (UMLS CUI-1)
Patient ID Participating Group
Item
Patient Study ID, Participating Group
text
C2348585 (UMLS CUI-1)
C2347449 (UMLS CUI-2)
ParticipatingGroupCode
Item
Participating Group Code
text
C25162 (NCI Thesaurus ValueDomain)
C0805701 (UMLS CUI-1)
InstitutionName
Item
Institution Name
text
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)
PersonCompletingForm,LastName
Item
Person Completing Form, Last Name
text
PersonCompletingForm,FirstName
Item
Person Completing Form, First Name
text
C25190 (NCI Thesaurus ObjectClass)
C25364 (NCI Thesaurus Property)
C0027361 (UMLS CUI-1)
C0600091 (UMLS CUI-2)
Amended Data
Item
Are data amended?
boolean
C25474 (NCI Thesaurus ObjectClass)
C25416 (NCI Thesaurus Property)
C0680532 (UMLS CUI-1)
Item Group
Hematology Laboratory Tests
C0474523 (UMLS CUI-1)
WBC
Item
Peripheral WBC Count
float
C0023508 (UMLS CUI-1)
Hemoglobin
Item
Hemoglobin
float
C0019046 (UMLS CUI-1)
Hematocrit
Item
Peripheral Hematocrit Count
float
C0518014 (UMLS CUI-1)
Platelets
Item
Peripheral Platelet Count
float
C1287267 (UMLS CUI-1)
Peripheral Neutrophils
Item
Peripheral Neutrophils
float
C0362987 (UMLS CUI-1)
Peripheral Neutrophil Count
Item
Peripheral Neutrophil Count
float
C0200633 (UMLS CUI-1)
Item
Unit (Normal Range)
text
C1519795 (UMLS CUI-1)
CL.2
Code List
Unit (Normal Range)
CL Item
K/uL (K/uL)
CL Item
G/dl (g/dL)
CL Item
% (%)
WBC LLN
Item
Normal Range-Peripheral WBC Count
float
C0023508 (UMLS CUI-1)
C1518030 (UMLS CUI-2)
Hemoglobin LLN
Item
Normal Range-Hemoglobin
float
C0019046 (UMLS CUI-1)
C1518030 (UMLS CUI-2)
Hematocrit normal range
Item
Normal Range-Peripheral Hematocrit Count (%)
text
C0518014 (UMLS CUI-1)
C0086715 (UMLS CUI-2)
Platelets LLN
Item
Normal Range-Peripheral Platelet Count
float
C25712 (NCI Thesaurus ValueDomain)
C25555 (NCI Thesaurus ValueDomain-2)
C0005821 (UMLS CUI-1)
C1518030 (UMLS CUI-2)
Peripheral Neutrophils Normal Range
Item
Normal Range-Peripheral Neutrophils
text
C0362987 (UMLS CUI-1)
C0086715 (UMLS CUI-2)
Peripheral Neutrophil Count Normal Range
Item
Normal Range-Peripheral Neutrophil Count
text
C0200633 (UMLS CUI-1)
C0086715 (UMLS CUI-2)
Sample Collection Date
Item
Date
date
C1317250 (UMLS CUI-1)
Comments
Item
Comments
text
C0947611 (UMLS CUI-1)
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