ID
25262
Beschreibung
Southwest Oncology Group S0816 REGISTRATION WORKSHEET - Step 2 Fludeoxyglucose F 18-PET/CT Imaging and Combination Chemotherapy With or Without Additional Chemotherapy and G-CSF in Treating Patients With Stage III or Stage IV Hodgkin Lymphoma Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=9D88149E-29DD-7E58-E040-BB89AD432F8E
Link
Stichworte
Versionen (2)
- 19.09.12 19.09.12 -
- 29.08.17 29.08.17 -
Hochgeladen am
29. August 2017
DOI
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Lizenz
Creative Commons BY-NC 3.0 Legacy
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Southwest Oncology Group S0816 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: Southwest Oncology Group S0816 REGISTRATION WORKSHEET - Step 2
Beschreibung
For SWOG Institutions
Alias
- UMLS CUI-1
- C1519429
- UMLS CUI-2
- C1320722
- UMLS CUI-3
- C0019829
Beschreibung
RegistrarSouthwestOncologyGroupIdentifierNumber
Datentyp
text
Alias
- NCI Thesaurus ValueDomain
- C25337
- UMLS 2011AA ValueDomain
- C0237753
- NCI Thesaurus Property
- C25364
- UMLS 2011AA Property
- C0600091
- NCI Thesaurus Property-2
- C25699
- UMLS 2011AA Property-2
- C1519429
- NCI Thesaurus ObjectClass
- C25357
- UMLS 2011AA ObjectClass
- C0557514
Beschreibung
SouthwestOncologyGroupInvestigatorIdentifierNumber
Datentyp
integer
Alias
- NCI Thesaurus ValueDomain
- C25337
- NCI Thesaurus Property
- C25364
- NCI Thesaurus ObjectClass
- C25699
- NCI Thesaurus ObjectClass-2
- C17089
- UMLS CUI [1,1]
- C0237753
- UMLS CUI [1,2]
- C0600091
- UMLS CUI [1,3]
- C1519429
- UMLS CUI [1,4]
- C0035173
Beschreibung
SouthwestOncologyGroupTreatingInstitutionIdentifierNumber
Datentyp
integer
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]
- C1522326
- UMLS CUI [1,3]
- C1272753
- UMLS CUI [1,4]
- C0600091
- UMLS CUI [1,5]
- C0237753
Beschreibung
Patient Information
Alias
- UMLS CUI-1
- C1955348
- UMLS CUI-2
- C0019829
Beschreibung
Treatment Start Date
Datentyp
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
- UMLS CUI [2]
- C0019829
Beschreibung
Stratification Questions
Alias
- UMLS CUI-1
- C1514983
- UMLS CUI-2
- C0019829
Beschreibung
CentralPathologyReviewPostABVDRegimenHodgkinLymphomaPositronEmissionTomographyConfirmedCode
Datentyp
boolean
Alias
- NCI Thesaurus ObjectClass
- C71684
- NCI Thesaurus Property
- C25458
- NCI Thesaurus Property-2
- C17007
- NCI Thesaurus Property-3
- C9357
- NCI Thesaurus Property-4
- C38008
- NCI Thesaurus Property-5
- C9509
- NCI Thesaurus ValueDomain
- C25162
- UMLS CUI [1,1]
- C0032743
- UMLS CUI [1,2]
- C0019829
- UMLS CUI [2]
- C0050380
- UMLS CUI [3]
- C2347585
Beschreibung
Patient Eligibility
Alias
- UMLS CUI-1
- C1516637
- UMLS CUI-2
- C0013893
- UMLS CUI-3
- C0019829
Beschreibung
SouthwestOncologyGroupPatientRegistrationEligibilityDeterminationInd-2
Datentyp
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]
- C1514821
- UMLS CUI [1,3]
- C1519429
Ähnliche Modelle
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: Southwest Oncology Group S0816 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])
C1320722 (UMLS CUI-2)
C0019829 (UMLS CUI-3)
C0237753 (UMLS 2011AA ValueDomain)
C25364 (NCI Thesaurus Property)
C0600091 (UMLS 2011AA Property)
C25699 (NCI Thesaurus Property-2)
C1519429 (UMLS 2011AA Property-2)
C25357 (NCI Thesaurus ObjectClass)
C0557514 (UMLS 2011AA ObjectClass)
C25364 (NCI Thesaurus Property)
C25699 (NCI Thesaurus ObjectClass)
C17089 (NCI Thesaurus ObjectClass-2)
C0237753 (UMLS CUI [1,1])
C0600091 (UMLS CUI [1,2])
C1519429 (UMLS CUI [1,3])
C0035173 (UMLS CUI [1,4])
C25705 (NCI Thesaurus ObjectClass-2)
C41206 (NCI Thesaurus ObjectClass-3)
C25364 (NCI Thesaurus Property)
C25337 (NCI Thesaurus ValueDomain)
C1519429 (UMLS CUI [1,1])
C1522326 (UMLS CUI [1,2])
C1272753 (UMLS CUI [1,3])
C0600091 (UMLS CUI [1,4])
C0237753 (UMLS CUI [1,5])
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])
C0019829 (UMLS CUI [2])
C0019829 (UMLS CUI-2)
C25458 (NCI Thesaurus Property)
C17007 (NCI Thesaurus Property-2)
C9357 (NCI Thesaurus Property-3)
C38008 (NCI Thesaurus Property-4)
C9509 (NCI Thesaurus Property-5)
C25162 (NCI Thesaurus ValueDomain)
C0032743 (UMLS CUI [1,1])
C0019829 (UMLS CUI [1,2])
C0050380 (UMLS CUI [2])
C2347585 (UMLS CUI [3])
C0013893 (UMLS CUI-2)
C0019829 (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])
C1514821 (UMLS CUI [1,2])
C1519429 (UMLS CUI [1,3])