ID
25262
Beschrijving
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
Trefwoorden
Versies (2)
- 19-09-12 19-09-12 -
- 29-08-17 29-08-17 -
Geüploaded op
29 augustus 2017
DOI
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Licentie
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
Beschrijving
For SWOG Institutions
Alias
- UMLS CUI-1
- C1519429
- UMLS CUI-2
- C1320722
- UMLS CUI-3
- C0019829
Beschrijving
RegistrarSouthwestOncologyGroupIdentifierNumber
Datatype
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
Beschrijving
SouthwestOncologyGroupInvestigatorIdentifierNumber
Datatype
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
Beschrijving
SouthwestOncologyGroupTreatingInstitutionIdentifierNumber
Datatype
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
Beschrijving
Patient Information
Alias
- UMLS CUI-1
- C1955348
- UMLS CUI-2
- C0019829
Beschrijving
Treatment Start Date
Datatype
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
Beschrijving
Stratification Questions
Alias
- UMLS CUI-1
- C1514983
- UMLS CUI-2
- C0019829
Beschrijving
CentralPathologyReviewPostABVDRegimenHodgkinLymphomaPositronEmissionTomographyConfirmedCode
Datatype
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
Beschrijving
Patient Eligibility
Alias
- UMLS CUI-1
- C1516637
- UMLS CUI-2
- C0013893
- UMLS CUI-3
- C0019829
Beschrijving
SouthwestOncologyGroupPatientRegistrationEligibilityDeterminationInd-2
Datatype
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
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: 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])