ID

10567

Beskrivning

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

Länk

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

Nyckelord

Versioner (3)
  1. 2012-09-19 2012-09-19 -
  2. 2015-05-28 2015-05-28 -
  3. 2015-06-03 2015-06-03 -
Uppladdad den

3 juni 2015

DOI

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Licens

Creative Commons BY-NC 3.0 Legacy
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Southwest Oncology Group Registration Form (25757) NCT00020709

Engelsk

No Instruction available.

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

SWOG clinical trial administrative data

SWOG Study No.
Beskrivning

SWOGStudyNo.

Datatyp

text

Registration Step
Beskrivning

RegistrationStep

Datatyp

text

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

ActivationDate

Datatyp

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
Beskrivning

DataAmendedLastDate

Datatyp

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
Beskrivning

Patient'sName

Datatyp

text

SWOG Patient ID
Beskrivning

SWOGPatientID

Datatyp

text

Other Group Patient ID
Beskrivning

OtherGroupPatientID

Datatyp

text

Other Group Name/Protocol Number
Beskrivning

OtherGroupName/ProtocolNumber

Datatyp

text

Caller's SWOG Roster ID
Beskrivning

Caller'sSWOGRosterID

Datatyp

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
Beskrivning

ProjectedTreatmentBeginDate

Datatyp

date

SWOG Investigator Number
Beskrivning

SouthwestOncologyGroupInvestigatorIdentifierNumber

Datatyp

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
Beskrivning

OtherGroupInvestigatorName

Datatyp

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
Beskrivning

OtherGroupInvestigatorNumber

Datatyp

float

SWOG Treating Institution Number
Beskrivning

SWOGTreatingInstitutionNumber

Datatyp

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
Beskrivning

OtherGroupTreatingInstitutionName

Datatyp

text

Other Group Treating Institution Number
Beskrivning

OtherGroupTreatingInstitutionNumber

Datatyp

float

Treating Institution CTEP Code
Beskrivning

TreatingInstitutionCTEPCode

Datatyp

text

Stratification Factors
Beskrivning

Stratification Factors

Clinical Stage
Beskrivning

ClinicalStage

Datatyp

text

Disease
Beskrivning

Disease

Datatyp

text

Histologic Subtype
Beskrivning

HistologicSubtype

Datatyp

text

Notes
Beskrivning

Notes

Notes
Beskrivning

Notes

Datatyp

text

Tillbaka till toppen

Similar models

No Instruction available.

1 Formulär
  1. StudyEvent: Southwest Oncology Group Registration Form (25757)
    1. No Instruction available.
Name
Typ
Description | Question | Decode (Coded Value)
Datatyp
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
CL.1
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
CL.2
Code List
Clinical Stage
CL Item
IIIA (IIIA)
CL Item
IIIB (IIIB)
Item
Disease
text
CL.3
Code List
Disease
CL Item
Measurable (Measurable)
CL Item
Non-measurable (Non-measurable)
Item
Histologic Subtype
text
CL.4
Code List
Histologic Subtype
CL Item
Squamous (Squamous)
CL Item
Nonsquamous (Nonsquamous)
Item Group
Notes
Notes
Item
Notes
text
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