Information:
Fel:
ID
10574
Beskrivning
RADIOTHERAPY SUBMISSION FORM - LUNG 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=9CA62D43-501A-361C-E034-080020C9C0E0
Länk
Nyckelord
Versioner (3)
- 2012-09-19 2012-09-19 -
- 2015-05-28 2015-05-28 -
- 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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RADIOTHERAPY SUBMISSION FORM - LUNG NCT00020709
No Instruction available.
- StudyEvent: RADIOTHERAPY SUBMISSION FORM - LUNG
Similar models
No Instruction available.
- StudyEvent: RADIOTHERAPY SUBMISSION FORM - LUNG
Name
Typ
Description | Question | Decode (Coded Value)
Datatyp
Alias
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)
C0237753 (UMLS 2011AA ValueDomain)
C16154 (NCI Thesaurus ValueDomain-2)
C1704379 (UMLS 2011AA ValueDomain-2)
SWOGPatientID
Item
SWOG Patient ID
text
PatientInitials
Item
Patient Initials (L, F M)
text
Institution/Affiliate
Item
Institution / Affiliate
text
Investigator
Item
Investigator
text
RTFacility
Item
RT Facility
text
RTPhysician
Item
RT Physician
text
RTEndDate
Item
Radiation Therapy End Date (month, day, year )
date
CL Item
Treatment Prescription Sheet (Treatment Prescription Sheet)
CL Item
Simulator Films or digital reconstruction rendering (Simulator Films or digital reconstruction rendering)
CL Item
CT Scan (CT Scan)
CL Item
Polaroid of Treatment Set-Up (Polaroid of Treatment Set-Up)
CL Item
Lung Carcinoma Radiation Therapy Form (Lung Carcinoma Radiation Therapy Form)
CL Item
Tumor (Tumor)
CL Item
Left Lung (Left Lung)
CL Item
Right Lung (Right Lung)
CL Item
Right + Left Lung (Right + Left Lung)
Enclosed
Item
Enclosed
boolean
Notes
Item
Notes
text