Instructions: SWOG institutions, please submit this form within 7 days of registration. All dates are MONTH, DAY, YEAR. Explain any blank fields or blank dates in the Comments section. Place an X in appropriate boxes. Circle AMENDED items in red and write AMENDED across top of form

1 Formulär

StudyEvent: Southwest Oncology Group S0931 Tumor Specimen Processing Form (Form #55588)
1. Instructions: SWOG institutions, please submit this form within 7 days of registration. All dates are MONTH, DAY, YEAR. Explain any blank fields or blank dates in the Comments section. Place an X in appropriate boxes. Circle AMENDED items in red and write AMENDED across top of form

Unnamed1

Beskrivning

Unnamed1

SWOG Patient ID

Beskrivning

PatientSouthwestOncologyGroupIdentifierNumber

Datatyp

double

Alias

NCI Thesaurus ValueDomain: C25337

UMLS 2011AA ValueDomain: C0237753

NCI Thesaurus ObjectClass: C16960

UMLS 2011AA ObjectClass: C0030705

NCI Thesaurus Property: C25364

UMLS 2011AA Property: C0600091

NCI Thesaurus Property: C25699

UMLS 2011AA Property: C1519429

SWOG Study No.

Beskrivning

ProtocolSWOGIdentifierNumber

Datatyp

text

Alias

NCI Thesaurus ValueDomain: C25337

UMLS 2011AA ValueDomain: C0237753

NCI Thesaurus ObjectClass: C25320

UMLS 2011AA ObjectClass: C1507394

NCI Thesaurus Property: C25364

UMLS 2011AA Property: C0600091

NCI Thesaurus Property: C25699

UMLS 2011AA Property: C1519429

Registration Step

Beskrivning

RegistrationStepNumber

Datatyp

text

Alias

NCI Thesaurus ValueDomain: C25337

UMLS 2011AA ValueDomain: C0237753

NCI Thesaurus ObjectClass: C25646

UMLS 2011AA ObjectClass: C1514821

NCI Thesaurus Property: C16154

UMLS 2011AA Property: C1704379

NCI Thesaurus ValueDomain: C16154

UMLS 2011AA ValueDomain: C1704379

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Instructions: SWOG institutions, please submit this form within 7 days of registration. All dates are MONTH, DAY, YEAR. Explain any blank fields or blank dates in the Comments section. Place an X in appropriate boxes. Circle AMENDED items in red and write AMENDED across top of form

1 Formulär

StudyEvent: Southwest Oncology Group S0931 Tumor Specimen Processing Form (Form #55588)
1. Instructions: SWOG institutions, please submit this form within 7 days of registration. All dates are MONTH, DAY, YEAR. Explain any blank fields or blank dates in the Comments section. Place an X in appropriate boxes. Circle AMENDED items in red and write AMENDED across top of form

Name

Typ

Description | Question | Decode (Coded Value)

Datatyp

Alias

Header Module

Item Group

Unnamed1

PatientSouthwestOncologyGroupIdentifierNumber

Item

SWOG Patient ID

double

C25337 (NCI Thesaurus ValueDomain)
C0237753 (UMLS 2011AA ValueDomain)
C16960 (NCI Thesaurus ObjectClass)
C0030705 (UMLS 2011AA ObjectClass)
C25364 (NCI Thesaurus Property)
C0600091 (UMLS 2011AA Property)
C25699 (NCI Thesaurus Property)
C1519429 (UMLS 2011AA Property)

ProtocolSWOGIdentifierNumber

Item

SWOG Study No.

text

C25337 (NCI Thesaurus ValueDomain)
C0237753 (UMLS 2011AA ValueDomain)
C25320 (NCI Thesaurus ObjectClass)
C1507394 (UMLS 2011AA ObjectClass)
C25364 (NCI Thesaurus Property)
C0600091 (UMLS 2011AA Property)
C25699 (NCI Thesaurus Property)
C1519429 (UMLS 2011AA Property)

RegistrationStepNumber

Item

Registration Step

text

C25337 (NCI Thesaurus ValueDomain)
C0237753 (UMLS 2011AA ValueDomain)
C25646 (NCI Thesaurus ObjectClass)
C1514821 (UMLS 2011AA ObjectClass)
C16154 (NCI Thesaurus Property)
C1704379 (UMLS 2011AA Property)
C16154 (NCI Thesaurus ValueDomain)
C1704379 (UMLS 2011AA ValueDomain)

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