Information: Detta är inte den senaste versionen av datamodellen. Du hittar en versionsöversikt till vänster under versioner. Den senaste versionen hittar du här.
Information:
Fel:
ID
2241
Beskrivning
OFF TREATMENT NOTICE 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=9CA62D43-4EE1-361C-E034-080020C9C0E0
Länk
Nyckelord
Versioner (2)
- 2012-09-19 2012-09-19 -
- 2015-04-30 2015-04-30 - Martin Dugas
Uppladdad den
19 september 2012
DOI
För en begäran logga in.
Licens
Creative Commons BY-NC 3.0 Legacy
Modellkommentarer :
Här kan du kommentera modellen. Med hjälp av pratbubblor i Item-grupperna och Item kan du lägga in specifika kommentarer.
Itemgroup-kommentar för :
Item-kommentar för :
Du måste vara inloggad för att kunna ladda ner formulär. Var vänlig logga in eller registrera dig utan kostnad.
Lung Cancer NCT00020709 Off Treatment - OFF TREATMENT NOTICE - 2030406v3.0
No Instruction available.
- StudyEvent: OFF TREATMENT NOTICE
Similar models
No Instruction available.
- StudyEvent: OFF TREATMENT NOTICE
Name
Typ
Description | Question | Decode (Coded Value)
Datatyp
Alias
SWOGPatientID
Item
SWOG Patient ID
text
SWOGStudyNo.
Item
SWOG Study No.
text
RegistrationStep
Item
Registration Step
text
C25337 (NCI Thesaurus ValueDomain)
C0237753 (UMLS 2011AA ValueDomain)
C16154 (NCI Thesaurus ValueDomain)
C1704379 (UMLS 2011AA ValueDomain)
C0237753 (UMLS 2011AA ValueDomain)
C16154 (NCI Thesaurus ValueDomain)
C1704379 (UMLS 2011AA ValueDomain)
PatientInitials
Item
Patient Initials (L, F,M)
text
Institution/Affiliate
Item
Institution / Affiliate
text
Physician
Item
Physician
text
GroupName
Item
Group Name (Groups other than SWOG )
text
StudyNo.
Item
Study No. (Groups other than SWOG )
double
Pt.ID
Item
Pt. ID (Groups other than SWOG )
text
TreatmentStartDate
Item
Treatment Start Date
date
TreatmentEndDate
Item
Treatment End Date
date
RegimenorProcedureorSite(s)
Item
Regimen or Procedure or Site(s)
text
CL Item
Treatment completed per protocol criteria (Treatment completed per protocol criteria)
CL Item
Medically required, due to toxicity, specify (Medically required, due to toxicity, specify)
CL Item
Pt_refused_due_to_toxic2006857 (Patient refused, due to toxicity, specify)
CL Item
Pt_refused_oth_than_tox2006859 (Patient refused, other than toxicity, specify)
CL Item
Prog_or_relapse_sites_2006860 (Progression or relapse. Sites)
CL Item
Death_attach_notice_of_2006862 (Death (attach Notice of Death form))
CL Item
Other_specify_2006863 (Other, specify)
Other,specify:
Item
Other, specify
text
Dateofcompletion,progression,deathordecisiontodiscontinuetherapy:
Item
Date of completion, progression, death or decision to discontinue therapy (Off Treatment Date)
text
CL Item
No (No)
CL Item
Yes, specify (Yes, specify)
CL Item
Unknown (Unknown)
DateofLastContact(ordeath):
Item
Date of Last Contact (or death)
text
CL Item
Alive (Alive)
CL Item
Dead (Dead)
Notes
Item
Notes
text