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ID

10567

Description

Southwest Oncology Group Registration Form (25757) NCT00020709 S0023: Combination Chemo Plus RT With or Without Gefitinib in Treating Patients With Unresectable Stage III NSCLC Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=9CA62D43-4FA4-361C-E034-080020C9C0E0

Lien

https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=9CA62D43-4FA4-361C-E034-080020C9C0E0

Mots-clés

  1. 19/09/2012 19/09/2012 -
  2. 28/05/2015 28/05/2015 -
  3. 03/06/2015 03/06/2015 -
Téléchargé le

3 juin 2015

DOI

Pour une demande vous connecter.

Licence

Creative Commons BY-NC 3.0 Legacy

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    Southwest Oncology Group Registration Form (25757) NCT00020709

    No Instruction available.

    1. StudyEvent: Southwest Oncology Group Registration Form (25757)
      1. No Instruction available.
    SWOG clinical trial administrative data
    Description

    SWOG clinical trial administrative data

    SWOG Study No.
    Description

    SWOGStudyNo.

    Type de données

    text

    Registration Step
    Description

    RegistrationStep

    Type de données

    text

    Alias
    NCI Thesaurus ValueDomain
    C25337
    UMLS 2011AA ValueDomain
    C0237753
    NCI Thesaurus ValueDomain-2
    C16154
    UMLS 2011AA ValueDomain-2
    C1704379
    Activation Date
    Description

    ActivationDate

    Type de données

    text

    Alias
    NCI Thesaurus ObjectClass
    C25320
    UMLS 2011AA ObjectClass
    C1507394
    NCI Thesaurus Property
    C64382
    UMLS 2011AA Property
    C1879547
    NCI Thesaurus Property-2
    C41200
    UMLS 2011AA Property-2
    C0680532
    Last Amended Date
    Description

    DataAmendedLastDate

    Type de données

    date

    Alias
    NCI Thesaurus ValueDomain
    C25164
    UMLS 2011AA ValueDomain
    C0011008
    NCI Thesaurus ObjectClass
    C25474
    UMLS 2011AA ObjectClass
    C1511726
    NCI Thesaurus Property
    C25416
    UMLS 2011AA Property
    C1691222
    NCI Thesaurus ValueDomain-2
    C25551
    UMLS 2011AA ValueDomain-2
    C1517741
    Patient's Name
    Description

    Patient'sName

    Type de données

    text

    SWOG Patient ID
    Description

    SWOGPatientID

    Type de données

    text

    Other Group Patient ID
    Description

    OtherGroupPatientID

    Type de données

    text

    Other Group Name/Protocol Number
    Description

    OtherGroupName/ProtocolNumber

    Type de données

    text

    Caller's SWOG Roster ID
    Description

    Caller'sSWOGRosterID

    Type de données

    text

    Alias
    NCI Thesaurus Property
    C25364
    UMLS 2011AA Property
    C0600091
    NCI Thesaurus Property-2
    C25699
    UMLS 2011AA Property-2
    C1519429
    NCI Thesaurus ObjectClass
    C25357
    UMLS 2011AA ObjectClass
    C0557514
    Projected Start Date of Treatment
    Description

    ProjectedTreatmentBeginDate

    Type de données

    date

    SWOG Investigator Number
    Description

    SouthwestOncologyGroupInvestigatorIdentifierNumber

    Type de données

    float

    Alias
    NCI Thesaurus ValueDomain
    C25337
    UMLS 2011AA ValueDomain
    C0237753
    NCI Thesaurus Property
    C25364
    UMLS 2011AA Property
    C0600091
    NCI Thesaurus ObjectClass
    C25699
    UMLS 2011AA ObjectClass
    C1519429
    NCI Thesaurus ObjectClass-2
    C17089
    UMLS 2011AA ObjectClass-2
    C0035173
    Other Group Investigator Name
    Description

    OtherGroupInvestigatorName

    Type de données

    text

    Alias
    NCI Thesaurus ObjectClass
    C17649
    UMLS 2011AA ObjectClass
    C0205394
    NCI Thesaurus Property
    C25364
    UMLS 2011AA Property
    C0600091
    NCI Thesaurus ObjectClass-2
    C25936
    UMLS 2011AA ObjectClass-2
    C0035173
    NCI Thesaurus ObjectClass-3
    C43359
    UMLS 2011AA ObjectClass-3
    C0441833
    Other Group Investigator Number
    Description

    OtherGroupInvestigatorNumber

    Type de données

    float

    SWOG Treating Institution Number
    Description

    SWOGTreatingInstitutionNumber

    Type de données

    text

    Alias
    NCI Thesaurus Property
    C25364
    UMLS 2011AA Property
    C0600091
    NCI Thesaurus ObjectClass
    C25699
    UMLS 2011AA ObjectClass
    C1519429
    NCI Thesaurus ObjectClass-2
    C25705
    UMLS 2011AA ObjectClass-2
    C1522326
    NCI Thesaurus ObjectClass-3
    C41206
    UMLS 2011AA ObjectClass-3
    C1272753
    Other Group Treating Institution Name
    Description

    OtherGroupTreatingInstitutionName

    Type de données

    text

    Other Group Treating Institution Number
    Description

    OtherGroupTreatingInstitutionNumber

    Type de données

    float

    Treating Institution CTEP Code
    Description

    TreatingInstitutionCTEPCode

    Type de données

    text

    Stratification Factors
    Description

    Stratification Factors

    Clinical Stage
    Description

    ClinicalStage

    Type de données

    text

    Disease
    Description

    Disease

    Type de données

    text

    Histologic Subtype
    Description

    HistologicSubtype

    Type de données

    text

    Notes
    Description

    Notes

    Notes
    Description

    Notes

    Type de données

    text

    Similar models

    No Instruction available.

    1. StudyEvent: Southwest Oncology Group Registration Form (25757)
      1. No Instruction available.
    Name
    Type
    Description | Question | Decode (Coded Value)
    Type de données
    Alias
    Item Group
    SWOG clinical trial administrative data
    SWOGStudyNo.
    Item
    SWOG Study No.
    text
    RegistrationStep
    Item
    Registration Step
    text
    C25337 (NCI Thesaurus ValueDomain)
    C0237753 (UMLS 2011AA ValueDomain)
    C16154 (NCI Thesaurus ValueDomain-2)
    C1704379 (UMLS 2011AA ValueDomain-2)
    ActivationDate
    Item
    Activation Date
    text
    C25320 (NCI Thesaurus ObjectClass)
    C1507394 (UMLS 2011AA ObjectClass)
    C64382 (NCI Thesaurus Property)
    C1879547 (UMLS 2011AA Property)
    C41200 (NCI Thesaurus Property-2)
    C0680532 (UMLS 2011AA Property-2)
    DataAmendedLastDate
    Item
    Last Amended Date
    date
    C25164 (NCI Thesaurus ValueDomain)
    C0011008 (UMLS 2011AA ValueDomain)
    C25474 (NCI Thesaurus ObjectClass)
    C1511726 (UMLS 2011AA ObjectClass)
    C25416 (NCI Thesaurus Property)
    C1691222 (UMLS 2011AA Property)
    C25551 (NCI Thesaurus ValueDomain-2)
    C1517741 (UMLS 2011AA ValueDomain-2)
    Patient'sName
    Item
    Patient's Name
    text
    SWOGPatientID
    Item
    SWOG Patient ID
    text
    Item
    Other Group Patient ID
    text
    Code List
    Other Group Patient ID
    CL Item
    9977 - ACOSOG (9977 - ACOSOG)
    CL Item
    9981 - NCIC (9981 - NCIC)
    CL Item
    9982 - CALGB (9982 - CALGB)
    CL Item
    9984 - GOG (9984 - GOG)
    CL Item
    9987 - MDACC (9987 - MDACC)
    CL Item
    9995 - ECOG (9995 - ECOG)
    CL Item
    9996 - NCCTG (9996 - NCCTG)
    CL Item
    9997 - RTOG (9997 - RTOG)
    OtherGroupName/ProtocolNumber
    Item
    Other Group Name/Protocol Number
    text
    Caller'sSWOGRosterID
    Item
    Caller's SWOG Roster ID
    text
    C25364 (NCI Thesaurus Property)
    C0600091 (UMLS 2011AA Property)
    C25699 (NCI Thesaurus Property-2)
    C1519429 (UMLS 2011AA Property-2)
    C25357 (NCI Thesaurus ObjectClass)
    C0557514 (UMLS 2011AA ObjectClass)
    ProjectedTreatmentBeginDate
    Item
    Projected Start Date of Treatment
    date
    SouthwestOncologyGroupInvestigatorIdentifierNumber
    Item
    SWOG Investigator Number
    float
    C25337 (NCI Thesaurus ValueDomain)
    C0237753 (UMLS 2011AA ValueDomain)
    C25364 (NCI Thesaurus Property)
    C0600091 (UMLS 2011AA Property)
    C25699 (NCI Thesaurus ObjectClass)
    C1519429 (UMLS 2011AA ObjectClass)
    C17089 (NCI Thesaurus ObjectClass-2)
    C0035173 (UMLS 2011AA ObjectClass-2)
    OtherGroupInvestigatorName
    Item
    Other Group Investigator Name
    text
    C17649 (NCI Thesaurus ObjectClass)
    C0205394 (UMLS 2011AA ObjectClass)
    C25364 (NCI Thesaurus Property)
    C0600091 (UMLS 2011AA Property)
    C25936 (NCI Thesaurus ObjectClass-2)
    C0035173 (UMLS 2011AA ObjectClass-2)
    C43359 (NCI Thesaurus ObjectClass-3)
    C0441833 (UMLS 2011AA ObjectClass-3)
    OtherGroupInvestigatorNumber
    Item
    Other Group Investigator Number
    float
    SWOGTreatingInstitutionNumber
    Item
    SWOG Treating Institution Number
    text
    C25364 (NCI Thesaurus Property)
    C0600091 (UMLS 2011AA Property)
    C25699 (NCI Thesaurus ObjectClass)
    C1519429 (UMLS 2011AA ObjectClass)
    C25705 (NCI Thesaurus ObjectClass-2)
    C1522326 (UMLS 2011AA ObjectClass-2)
    C41206 (NCI Thesaurus ObjectClass-3)
    C1272753 (UMLS 2011AA ObjectClass-3)
    OtherGroupTreatingInstitutionName
    Item
    Other Group Treating Institution Name
    text
    OtherGroupTreatingInstitutionNumber
    Item
    Other Group Treating Institution Number
    float
    TreatingInstitutionCTEPCode
    Item
    Treating Institution CTEP Code
    text
    Item Group
    Stratification Factors
    Item
    Clinical Stage
    text
    Code List
    Clinical Stage
    CL Item
    IIIA (IIIA)
    CL Item
    IIIB (IIIB)
    Item
    Disease
    text
    Code List
    Disease
    CL Item
    Measurable (Measurable)
    CL Item
    Non-measurable (Non-measurable)
    Item
    Histologic Subtype
    text
    Code List
    Histologic Subtype
    CL Item
    Squamous (Squamous)
    CL Item
    Nonsquamous (Nonsquamous)
    Item Group
    Notes
    Notes
    Item
    Notes
    text

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