ID
9764
Beskrivning
ECOG Long-Term Follow-up Form (E2100) Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=AC32795E-CBE0-2328-E034-0003BA12F5E7
Länk
Nyckelord
Versioner (2)
- 2012-08-26 2012-08-26 -
- 2015-01-22 2015-01-22 - Martin Dugas
Uppladdad den
22 januari 2015
DOI
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Licens
Creative Commons BY-NC 3.0 Legacy
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Long-Term Follow-up Form (ECOG E2100)
Form No. 1555
- StudyEvent: ECOG Long-Term Follow-up Form (E2100)
Beskrivning
Vital Status
Alias
- UMLS CUI-1
- C1148433
Beskrivning
Patient'sVitalStatus
Datatyp
text
Beskrivning
DeathDate/LastContactDate
Datatyp
date
Beskrivning
DeathReason
Datatyp
text
Beskrivning
DeathReason,Specify
Datatyp
text
Beskrivning
Disease Follow-up Status
Alias
- UMLS CUI-1
- C0589120
Beskrivning
CancerFollow-upStatusInd
Datatyp
text
Beskrivning
CancerFollow-upStatusDate
Datatyp
date
Alias
- NCI Thesaurus ObjectClass
- C2991
- UMLS 2011AA ObjectClass
- C0012634
- NCI Thesaurus Property
- C25365
- UMLS 2011AA Property
- C0678257
Beskrivning
Notice Of Progression
Alias
- UMLS CUI-1
- C0242656
Beskrivning
HASTHEPATIENTDEVELOPEDAFIRSTPROGRESSIONTHATHASNOTBEENPREVIOUSLYREPORTED?
Datatyp
text
Alias
- NCI Thesaurus ValueDomain
- C25704
- NCI Thesaurus ValueDomain-2
- C25180
- UMLS CUI-1
- C0242656
Beskrivning
ProgressionDate
Datatyp
date
Beskrivning
ProgressionSite
Datatyp
text
Beskrivning
PhysicianProgressiveDiagnosisInd-3
Datatyp
text
Alias
- NCI Thesaurus ValueDomain
- C38148
- UMLS 2011AA ValueDomain
- C1512699
- NCI Thesaurus ObjectClass
- C25741
- UMLS 2011AA ObjectClass
- C0031831
- NCI Thesaurus Property
- C25254
- UMLS 2011AA Property
- C0205329
- NCI Thesaurus Property-2
- C15220
- UMLS 2011AA Property-2
- C0011900
Beskrivning
Notice Of New Primary
Alias
- UMLS CUI-1
- C0751623
Beskrivning
Toxicity
Alias
- UMLS CUI-1
- C0040539
Beskrivning
Hasthepatientexperienced(priortodiagnosisofrecurrenceorsecondprimary)anysevere(Grade>=3)longtermtoxicitythathasnotbeenpreviouslyreported?
Datatyp
boolean
Alias
- UMLS CUI-1
- C0040539
Beskrivning
Non-protocol Therapy
Alias
- UMLS CUI-1
- C1518384
- UMLS CUI-2
- C0087111
Beskrivning
Hasthepatientreceivedanynon-protocolcancertherapypriortofirstprogression(notpreviouslyreported)?
Datatyp
boolean
Alias
- NCI Thesaurus ValueDomain
- C38148
- UMLS CUI-1
- C1518384
- UMLS CUI-2
- C0087111
Similar models
Form No. 1555
- StudyEvent: ECOG Long-Term Follow-up Form (E2100)
C0237753 (UMLS 2011AA ValueDomain)
C16154 (NCI Thesaurus ValueDomain-2)
C1704379 (UMLS 2011AA ValueDomain-2)
C1511726 (UMLS 2011AA ObjectClass)
C25416 (NCI Thesaurus Property)
C1691222 (UMLS 2011AA Property)
C1519316 (UMLS 2011AA Property)
C17089 (NCI Thesaurus ObjectClass)
C0035173 (UMLS 2011AA ObjectClass)
C0439673 (UMLS 2011AA)
C1298908 (UMLS 2011AA)
C1705108 (UMLS 2011AA)
C0439673 (UMLS 2011AA)
C0012634 (UMLS 2011AA ObjectClass)
C25365 (NCI Thesaurus Property)
C0678257 (UMLS 2011AA Property)
C25180 (NCI Thesaurus ValueDomain-2)
C0242656 (UMLS CUI-1)
C1298908 (UMLS 2011AA)
C1705108 (UMLS 2011AA)
C0439673 (UMLS 2011AA)
C1512699 (UMLS 2011AA ValueDomain)
C25741 (NCI Thesaurus ObjectClass)
C0031831 (UMLS 2011AA ObjectClass)
C25254 (NCI Thesaurus Property)
C0205329 (UMLS 2011AA Property)
C15220 (NCI Thesaurus Property-2)
C0011900 (UMLS 2011AA Property-2)
C1298908 (UMLS 2011AA)
C1705108 (UMLS 2011AA)
C0439673 (UMLS 2011AA)
C1518384 (UMLS CUI-1)
C0087111 (UMLS CUI-2)