ID

11164

Description

RTOG-0421 I6: Radiation Therapy Oncology Group Phase III Recurrent Head and Neck Study Staging Diagrams / Larynx NCT00113399 Combination Chemotherapy With or Without Radiation Therapy in Treating Patients With Recurrent Head and Neck Cancer That Cannot Be Removed By Surgery Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=EB4905D5-B71C-6C3A-E034-0003BA3F9857

Link

https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=EB4905D5-B71C-6C3A-E034-0003BA3F9857

Keywords

  1. 9/19/12 9/19/12 -
  2. 1/9/15 1/9/15 - Martin Dugas
  3. 6/21/15 6/21/15 -
Uploaded on

June 21, 2015

DOI

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License

Creative Commons BY-NC 3.0 Legacy

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RTOG-0421 I6: Radiation Therapy Oncology Group Phase III Recurrent Head and Neck Study Staging Diagrams / Larynx NCT00113399

No Instruction available.

  1. StudyEvent: RTOG-0421 I6: Radiation Therapy Oncology Group Phase III Recurrent Head and Neck Study Staging Diagrams / Larynx
    1. No Instruction available.
RTOG clinical trial administrative data
Description

RTOG clinical trial administrative data

RTOG Study
Description

Protocol ID RTOG

Data type

text

Alias
NCI Thesaurus ValueDomain
C25337
UMLS CUI-1
C3274381
NCI Thesaurus ObjectClass
C25320
UMLS CUI-2
C1514695
NCI Thesaurus Property
C19778
NCI Thesaurus Property-2
C25364
Case #
Description

RadiationTherapyOncologyGroupPatientCaseIdentifierNumber

Data type

text

Alias
NCI Thesaurus ObjectClass
C16960
UMLS 2011AA ObjectClass
C0030705
NCI Thesaurus ObjectClass-2
C19778
UMLS 2011AA ObjectClass-2
C1514695
NCI Thesaurus Property
C25364
UMLS 2011AA Property
C0600091
NCI Thesaurus Property-2
C49152
UMLS 2011AA Property-2
C1706256
NCI Thesaurus ValueDomain
C25337
UMLS 2011AA ValueDomain
C0237753
Institution Name
Description

Institution Name

Data type

text

Alias
NCI Thesaurus ValueDomain
C25191
UMLS CUI-1
C1301943
NCI Thesaurus ObjectClass
C21541
NCI Thesaurus ValueDomain-2
C21541
NCI Thesaurus Property
C25364
Institution No.
Description

Institution Number

Data type

text

Alias
NCI Thesaurus ValueDomain
C25337
UMLS CUI-1
C1301943
NCI Thesaurus ObjectClass
C21541
UMLS CUI-2
C0805701
NCI Thesaurus Property
C25364
Patient Initials
Description

Patient Initials

Data type

text

Alias
NCI Thesaurus ValueDomain
C25191
UMLS CUI-1
C2986440
NCI Thesaurus ObjectClass
C16960
NCI Thesaurus Property
C25536
Patient Study No.
Description

Trial subject ID RTOG

Data type

text

Alias
NCI Thesaurus ValueDomain
C25337
UMLS CUI-1
C2348585
NCI Thesaurus ObjectClass
C16960
UMLS CUI-2
C1514695
NCI Thesaurus Property
C19778
NCI Thesaurus Property-2
C25364
If this is a revised or corrected form, indicate by checking box.
Description

CaseReportFormModifiedInd-2

Data type

text

Alias
NCI Thesaurus ValueDomain
C38147
UMLS 2011AA ValueDomain
C1512698
NCI Thesaurus ObjectClass
C40988
UMLS 2011AA ObjectClass
C1516308
NCI Thesaurus Property
C25573
Larynx Tumor
Description

Larynx Tumor

SITE CHARACTERISTICS ( all that apply)
Description

LarynxTumorCharacteristicsSite

Data type

text

Alias
NCI Thesaurus ValueDomain
C13717
UMLS 2011AA ValueDomain
C1515974
NCI Thesaurus ObjectClass
C3262
UMLS 2011AA ObjectClass
C0027651
NCI Thesaurus ObjectClass-2
C12420
UMLS 2011AA ObjectClass-2
C0023078
NCI Thesaurus Property
C25447
UMLS 2011AA Property
C1521970
Supraglottis
Description

LarynxTumorCharacteristicsSupraglottisSite

Data type

text

Alias
NCI Thesaurus ValueDomain
C13717
UMLS 2011AA ValueDomain
C1515974
NCI Thesaurus ObjectClass
C3262
UMLS 2011AA ObjectClass
C0027651
NCI Thesaurus ObjectClass-2
C12420
UMLS 2011AA ObjectClass-2
C0023078
NCI Thesaurus Property
C25447
UMLS 2011AA Property
C1521970
Glottis
Description

LarynxTumorCharacteristicsGlottisSite

Data type

text

Alias
NCI Thesaurus ValueDomain
C13717
UMLS 2011AA ValueDomain
C1515974
NCI Thesaurus ObjectClass
C3262
UMLS 2011AA ObjectClass
C0027651
NCI Thesaurus ObjectClass-2
C12420
UMLS 2011AA ObjectClass-2
C0023078
NCI Thesaurus Property
C25447
UMLS 2011AA Property
C1521970
Subglottis
Description

LarynxTumorCharacteristicsSubglottisSite

Data type

text

Alias
NCI Thesaurus ValueDomain
C13717
UMLS 2011AA ValueDomain
C1515974
NCI Thesaurus ObjectClass
C3262
UMLS 2011AA ObjectClass
C0027651
NCI Thesaurus ObjectClass-2
C12420
UMLS 2011AA ObjectClass-2
C0023078
NCI Thesaurus Property
C25447
UMLS 2011AA Property
C1521970
GENERAL CHARACTERISTICS ( all that apply)
Description

LarynxTumorGeneralizedCharacteristicsSite

Data type

text

Alias
NCI Thesaurus ObjectClass
C3262
UMLS 2011AA ObjectClass
C0027651
NCI Thesaurus ObjectClass-2
C12420
UMLS 2011AA ObjectClass-2
C0023078
NCI Thesaurus Property
C63764
UMLS 2011AA Property
C0205246
NCI Thesaurus Property-2
C25447
UMLS 2011AA Property-2
C1521970
NCI Thesaurus ValueDomain
C13717
UMLS 2011AA ValueDomain
C1515974

Similar models

No Instruction available.

  1. StudyEvent: RTOG-0421 I6: Radiation Therapy Oncology Group Phase III Recurrent Head and Neck Study Staging Diagrams / Larynx
    1. No Instruction available.
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
RTOG clinical trial administrative data
Protocol ID RTOG
Item
RTOG Study
text
C25337 (NCI Thesaurus ValueDomain)
C3274381 (UMLS CUI-1)
C25320 (NCI Thesaurus ObjectClass)
C1514695 (UMLS CUI-2)
C19778 (NCI Thesaurus Property)
C25364 (NCI Thesaurus Property-2)
RadiationTherapyOncologyGroupPatientCaseIdentifierNumber
Item
Case #
text
C16960 (NCI Thesaurus ObjectClass)
C0030705 (UMLS 2011AA ObjectClass)
C19778 (NCI Thesaurus ObjectClass-2)
C1514695 (UMLS 2011AA ObjectClass-2)
C25364 (NCI Thesaurus Property)
C0600091 (UMLS 2011AA Property)
C49152 (NCI Thesaurus Property-2)
C1706256 (UMLS 2011AA Property-2)
C25337 (NCI Thesaurus ValueDomain)
C0237753 (UMLS 2011AA ValueDomain)
Institution Name
Item
Institution Name
text
C25191 (NCI Thesaurus ValueDomain)
C1301943 (UMLS CUI-1)
C21541 (NCI Thesaurus ObjectClass)
C21541 (NCI Thesaurus ValueDomain-2)
C25364 (NCI Thesaurus Property)
Institution Number
Item
Institution No.
text
C25337 (NCI Thesaurus ValueDomain)
C1301943 (UMLS CUI-1)
C21541 (NCI Thesaurus ObjectClass)
C0805701 (UMLS CUI-2)
C25364 (NCI Thesaurus Property)
Patient Initials
Item
Patient Initials
text
C25191 (NCI Thesaurus ValueDomain)
C2986440 (UMLS CUI-1)
C16960 (NCI Thesaurus ObjectClass)
C25536 (NCI Thesaurus Property)
Trial subject ID RTOG
Item
Patient Study No.
text
C25337 (NCI Thesaurus ValueDomain)
C2348585 (UMLS CUI-1)
C16960 (NCI Thesaurus ObjectClass)
C1514695 (UMLS CUI-2)
C19778 (NCI Thesaurus Property)
C25364 (NCI Thesaurus Property-2)
Item
If this is a revised or corrected form, indicate by checking box.
text
C38147 (NCI Thesaurus ValueDomain)
C1512698 (UMLS 2011AA ValueDomain)
C40988 (NCI Thesaurus ObjectClass)
C1516308 (UMLS 2011AA ObjectClass)
C25573 (NCI Thesaurus Property)
Code List
If this is a revised or corrected form, indicate by checking box.
CL Item
Yes (Yes)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
Item Group
Larynx Tumor
Item
SITE CHARACTERISTICS ( all that apply)
text
C13717 (NCI Thesaurus ValueDomain)
C1515974 (UMLS 2011AA ValueDomain)
C3262 (NCI Thesaurus ObjectClass)
C0027651 (UMLS 2011AA ObjectClass)
C12420 (NCI Thesaurus ObjectClass-2)
C0023078 (UMLS 2011AA ObjectClass-2)
C25447 (NCI Thesaurus Property)
C1521970 (UMLS 2011AA Property)
Code List
SITE CHARACTERISTICS ( all that apply)
CL Item
Supraglottis (Supraglottis)
CL Item
Glottis (Glottis)
C12724 (NCI Thesaurus)
C0017681 (UMLS 2011AA)
CL Item
Subglottis (Subglottis)
Item
Supraglottis
text
C13717 (NCI Thesaurus ValueDomain)
C1515974 (UMLS 2011AA ValueDomain)
C3262 (NCI Thesaurus ObjectClass)
C0027651 (UMLS 2011AA ObjectClass)
C12420 (NCI Thesaurus ObjectClass-2)
C0023078 (UMLS 2011AA ObjectClass-2)
C25447 (NCI Thesaurus Property)
C1521970 (UMLS 2011AA Property)
Code List
Supraglottis
CL Item
Limited To One Subsite (Limited to one subsite)
CL Item
Involves >1 Subsite (Involves >1 subsite)
Item
Glottis
text
C13717 (NCI Thesaurus ValueDomain)
C1515974 (UMLS 2011AA ValueDomain)
C3262 (NCI Thesaurus ObjectClass)
C0027651 (UMLS 2011AA ObjectClass)
C12420 (NCI Thesaurus ObjectClass-2)
C0023078 (UMLS 2011AA ObjectClass-2)
C25447 (NCI Thesaurus Property)
C1521970 (UMLS 2011AA Property)
Code List
Glottis
CL Item
Extends To Supraglottis And/or Subglottis (Extends to Supraglottis and/or Subglottis)
Item
Subglottis
text
C13717 (NCI Thesaurus ValueDomain)
C1515974 (UMLS 2011AA ValueDomain)
C3262 (NCI Thesaurus ObjectClass)
C0027651 (UMLS 2011AA ObjectClass)
C12420 (NCI Thesaurus ObjectClass-2)
C0023078 (UMLS 2011AA ObjectClass-2)
C25447 (NCI Thesaurus Property)
C1521970 (UMLS 2011AA Property)
Code List
Subglottis
CL Item
Extends To Vocal Cord(s) (Extends to vocal cord(s))
Item
GENERAL CHARACTERISTICS ( all that apply)
text
C3262 (NCI Thesaurus ObjectClass)
C0027651 (UMLS 2011AA ObjectClass)
C12420 (NCI Thesaurus ObjectClass-2)
C0023078 (UMLS 2011AA ObjectClass-2)
C63764 (NCI Thesaurus Property)
C0205246 (UMLS 2011AA Property)
C25447 (NCI Thesaurus Property-2)
C1521970 (UMLS 2011AA Property-2)
C13717 (NCI Thesaurus ValueDomain)
C1515974 (UMLS 2011AA ValueDomain)
Code List
GENERAL CHARACTERISTICS ( all that apply)
CL Item
Exophytic Only (Exophytic only)
CL Item
Deeply Infiltrating (Deeply infiltrating)
CL Item
Normal Mobility Of Vocal Cords (Normal mobility of vocal cords)
CL Item
Impaired Mobility Of Vocal Cord (Impaired mobility of vocal cord)
CL Item
Fixed Vocal Cord (Fixed vocal cord)
CL Item
No Cartilage Involvement (No cartilage involvement)
CL Item
Gross Cartilage Involvement (Gross cartilage involvement)
CL Item
Invasion Beyond Larynx (Invasion beyond larynx)

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