ID
25153
Descrizione
S1001 Registration Worksheet Step 2 PET-Directed Therapy in Treating Patients With Limited-Stage Diffuse Large B-Cell Lymphoma Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=A55DBEC7-1F59-3244-E040-BB89AD43434F
collegamento
Keywords
versioni (2)
- 19/09/12 19/09/12 -
- 28/08/17 28/08/17 -
Caricato su
28 agosto 2017
DOI
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Licenza
Creative Commons BY-NC 3.0 Legacy
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S1001 Registration Worksheet Step 2
INSTRUCTIONS: All of the information on this Registration Worksheet and the Protocol Eligibility Section must be answered appropriately for a patient to be considered eligible for registration. This Registration Worksheet must be entirely filled out and referred to during the registration. Do NOT submit this worksheet as part of the patient data.
- StudyEvent: S1001 Registration Worksheet Step 2
Descrizione
Swog Patient Id
Descrizione
SWOG Institutions
Alias
- UMLS CUI-1
- C1519429
- UMLS CUI-2
- C1320722
- UMLS CUI-3
- C0079744
Descrizione
RegistrarSouthwestOncologyGroupIdentifierNumber
Tipo di dati
text
Alias
- NCI Thesaurus ValueDomain
- C25337
- NCI Thesaurus Property
- C25364
- NCI Thesaurus Property-2
- C25699
- NCI Thesaurus ObjectClass
- C25357
- UMLS CUI [1,1]
- C0557514
- UMLS CUI [1,2]
- C0237753
- UMLS CUI [1,3]
- C0600091
- UMLS CUI [1,4]
- C1519429
Descrizione
SouthwestOncologyGroupInvestigatorIdentifierNumber
Tipo di dati
text
Alias
- NCI Thesaurus ValueDomain
- C25337
- NCI Thesaurus Property
- C25364
- NCI Thesaurus ObjectClass
- C25699
- NCI Thesaurus ObjectClass-2
- C17089
- UMLS CUI [1,1]
- C2986286
- UMLS CUI [1,2]
- C1519429
Descrizione
SouthwestOncologyGroupTreatingInstitutionIdentifierNumber
Tipo di dati
text
Alias
- NCI Thesaurus ObjectClass
- C25699
- NCI Thesaurus ObjectClass-2
- C25705
- NCI Thesaurus ObjectClass-3
- C41206
- NCI Thesaurus Property
- C25364
- NCI Thesaurus ValueDomain
- C25337
- UMLS CUI [1,1]
- C1519429
- UMLS CUI [1,2]
- C1272753
- UMLS CUI [1,3]
- C0600091
Descrizione
Patient Information
Alias
- UMLS CUI-1
- C1955348
- UMLS CUI-2
- C0079744
Descrizione
Treatment Start Date
Tipo di dati
date
Alias
- NCI Thesaurus ObjectClass
- C15368
- NCI Thesaurus ObjectClass-2
- C25631
- NCI Thesaurus Property
- C25431
- NCI Thesaurus Property-2
- C25275
- NCI Thesaurus ValueDomain
- C25164
- NCI Thesaurus ValueDomain-2
- C25431
- UMLS CUI [1,1]
- C0087111
- UMLS CUI [1,2]
- C0808070
Descrizione
Stratification Questions
Descrizione
DiffuseLargeB-CellLymphomaPositronEmissionTomographyR-CHOPRegimenDiagnosisCode
Tipo di dati
boolean
Alias
- NCI Thesaurus ObjectClass
- C8851
- NCI Thesaurus Property
- C17007
- NCI Thesaurus Property-2
- C15220
- NCI Thesaurus Property-3
- C9760
- NCI Thesaurus ValueDomain
- C25162
- UMLS CUI [1,1]
- C0079744
- UMLS CUI [1,2]
- C0032743
- UMLS CUI [1,3]
- C0011900
Descrizione
Patient Eligibility
Alias
- UMLS CUI-1
- C1516637
- UMLS CUI-2
- C0013893
- UMLS CUI-3
- C0079744
Descrizione
SouthwestOncologyGroupPatientRegistrationEligibilityDeterminationInd-2
Tipo di dati
boolean
Alias
- NCI Thesaurus ObjectClass
- C16960
- NCI Thesaurus ObjectClass-2
- C25699
- NCI Thesaurus Property
- C25646
- NCI Thesaurus Property-2
- C25171
- NCI Thesaurus ValueDomain
- C38147
- UMLS CUI [1,1]
- C0013893
- UMLS CUI [1,2]
- C1519429
Descrizione
Auxiliary Questions
Alias
- UMLS CUI-1
- C0587500
- UMLS CUI-2
- C1955348
- UMLS CUI-3
- C0079744
Descrizione
Radiation Therapy Start Date
Tipo di dati
date
Alias
- NCI Thesaurus ObjectClass
- C15313
- NCI Thesaurus Property
- C25431
- NCI Thesaurus Property-2
- C25275
- NCI Thesaurus ValueDomain
- C25164
- NCI Thesaurus ValueDomain-2
- C25367
- UMLS CUI [1,1]
- C1522449
- UMLS CUI [1,2]
- C0808070
Descrizione
InstitutionRadiationTherapyAdministrationName
Tipo di dati
text
Alias
- NCI Thesaurus ObjectClass
- C41206
- NCI Thesaurus Property
- C15313
- NCI Thesaurus Property-2
- C25409
- NCI Thesaurus ValueDomain
- C25191
- NCI Thesaurus ValueDomain-2
- C21541
- UMLS CUI [1,1]
- C1301943
- UMLS CUI [1,2]
- C1522449
Descrizione
RadiationOncologyPhysicianName
Tipo di dati
text
Alias
- NCI Thesaurus ValueDomain
- C25191
- NCI Thesaurus Property
- C25678
- NCI Thesaurus ObjectClass
- C25741
- NCI Thesaurus ObjectClass-2
- C17833
- UMLS CUI [1,1]
- C0260194
- UMLS CUI [1,2]
- C1547383
- UMLS CUI [1,3]
- C0600091
Similar models
INSTRUCTIONS: All of the information on this Registration Worksheet and the Protocol Eligibility Section must be answered appropriately for a patient to be considered eligible for registration. This Registration Worksheet must be entirely filled out and referred to during the registration. Do NOT submit this worksheet as part of the patient data.
- StudyEvent: S1001 Registration Worksheet Step 2
C25320 (NCI Thesaurus ObjectClass)
C64382 (NCI Thesaurus Property)
C41200 (NCI Thesaurus Property-2)
C1879547 (UMLS CUI [1,1])
C1507394 (UMLS CUI [1,2])
C0011008 (UMLS CUI [1,3])
C25474 (NCI Thesaurus ObjectClass)
C25416 (NCI Thesaurus Property)
C25551 (NCI Thesaurus ValueDomain-2)
C1691222 (UMLS CUI [1,1])
C1517741 (UMLS CUI [1,2])
C0011008 (UMLS CUI [1,3])
C25646 (NCI Thesaurus ObjectClass)
C16154 (NCI Thesaurus Property)
C16154 (NCI Thesaurus ValueDomain-2)
C1514821 (UMLS CUI [1,1])
C0237753 (UMLS CUI [1,2])
C1519429 (UMLS CUI [1,2])
C16960 (NCI Thesaurus ObjectClass)
C25364 (NCI Thesaurus Property)
C25699 (NCI Thesaurus Property-2)
C2348585 (UMLS CUI-1)
C1519429 (UMLS CUI-2)
C1320722 (UMLS CUI-2)
C0079744 (UMLS CUI-3)
C25364 (NCI Thesaurus Property)
C25699 (NCI Thesaurus Property-2)
C25357 (NCI Thesaurus ObjectClass)
C0557514 (UMLS CUI [1,1])
C0237753 (UMLS CUI [1,2])
C0600091 (UMLS CUI [1,3])
C1519429 (UMLS CUI [1,4])
C25364 (NCI Thesaurus Property)
C25699 (NCI Thesaurus ObjectClass)
C17089 (NCI Thesaurus ObjectClass-2)
C2986286 (UMLS CUI [1,1])
C1519429 (UMLS CUI [1,2])
C25705 (NCI Thesaurus ObjectClass-2)
C41206 (NCI Thesaurus ObjectClass-3)
C25364 (NCI Thesaurus Property)
C25337 (NCI Thesaurus ValueDomain)
C1519429 (UMLS CUI [1,1])
C1272753 (UMLS CUI [1,2])
C0600091 (UMLS CUI [1,3])
C25631 (NCI Thesaurus ObjectClass-2)
C25431 (NCI Thesaurus Property)
C25275 (NCI Thesaurus Property-2)
C25164 (NCI Thesaurus ValueDomain)
C25431 (NCI Thesaurus ValueDomain-2)
C0087111 (UMLS CUI [1,1])
C0808070 (UMLS CUI [1,2])
C17007 (NCI Thesaurus Property)
C15220 (NCI Thesaurus Property-2)
C9760 (NCI Thesaurus Property-3)
C25162 (NCI Thesaurus ValueDomain)
C0079744 (UMLS CUI [1,1])
C0032743 (UMLS CUI [1,2])
C0011900 (UMLS CUI [1,3])
C0013893 (UMLS CUI-2)
C0079744 (UMLS CUI-3)
C25699 (NCI Thesaurus ObjectClass-2)
C25646 (NCI Thesaurus Property)
C25171 (NCI Thesaurus Property-2)
C38147 (NCI Thesaurus ValueDomain)
C0013893 (UMLS CUI [1,1])
C1519429 (UMLS CUI [1,2])
C1955348 (UMLS CUI-2)
C0079744 (UMLS CUI-3)
C25431 (NCI Thesaurus Property)
C25275 (NCI Thesaurus Property-2)
C25164 (NCI Thesaurus ValueDomain)
C25367 (NCI Thesaurus ValueDomain-2)
C1522449 (UMLS CUI [1,1])
C0808070 (UMLS CUI [1,2])
C15313 (NCI Thesaurus Property)
C25409 (NCI Thesaurus Property-2)
C25191 (NCI Thesaurus ValueDomain)
C21541 (NCI Thesaurus ValueDomain-2)
C1301943 (UMLS CUI [1,1])
C1522449 (UMLS CUI [1,2])
C25678 (NCI Thesaurus Property)
C25741 (NCI Thesaurus ObjectClass)
C17833 (NCI Thesaurus ObjectClass-2)
C0260194 (UMLS CUI [1,1])
C1547383 (UMLS CUI [1,2])
C0600091 (UMLS CUI [1,3])