ID
42648
Beschrijving
RTOG 1016 FQ: Radiation Therapy Oncology Group Phase III Head and Neck Cancer Work Status Questionnaire Radiation Therapy With Cisplatin or Cetuximab in Treating Patients With Oropharyngeal Cancer Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=953353B4-562C-83C2-E040-BB89AD433EAB
Link
Trefwoorden
Versies (3)
- 18-12-14 18-12-14 - Martin Dugas
- 09-01-15 09-01-15 - Martin Dugas
- 17-09-21 17-09-21 -
Geüploaded op
17 september 2021
DOI
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Licentie
Creative Commons BY-NC 3.0 Legacy
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NCT01302834 Quality of Life - RTOG 1016 FQ: Radiation Therapy Oncology Group Phase III Head and Neck Cancer Work Status Questionnaire - 3160066v1.0
INSTRUCTIONS: Complete and submit this form as required by the protocol. Information in the upper right box must be completed for this form to be accepted. For optimal accuracy use black ink. Mark an X in the appropriate box for fields with a choice
- StudyEvent: RTOG 1016 FQ: Radiation Therapy Oncology Group Phase III Head and Neck Cancer Work Status Questionnaire
Beschrijving
Eortc Qlq-h&n35
Beschrijving
PersonGenderTextType
Datatype
text
Alias
- NCI Thesaurus ValueDomain
- C25284
- UMLS 2011AA ValueDomain
- C0332307
- NCI Thesaurus ObjectClass
- C25190
- UMLS 2011AA ObjectClass
- C0027361
- NCI Thesaurus Property
- C17357
- UMLS 2011AA Property
- C0079399
Beschrijving
PatientAgeValue
Datatype
float
Alias
- NCI Thesaurus ValueDomain
- C25337
- UMLS 2011AA ValueDomain
- C0237753
- NCI Thesaurus ObjectClass
- C16960
- UMLS 2011AA ObjectClass
- C0030705
- NCI Thesaurus Property
- C25150
- UMLS 2011AA Property
- C0001779
Beschrijving
EthnicGroupCategoryText
Datatype
text
Alias
- NCI Thesaurus Property
- C25372
- UMLS 2011AA Property
- C0683312
- NCI Thesaurus ValueDomain
- C25372
- UMLS 2011AA ValueDomain
- C0683312
- NCI Thesaurus ObjectClass
- C16564
- UMLS 2011AA ObjectClass
- C0015031
Beschrijving
RaceCategoryText
Datatype
text
Alias
- NCI Thesaurus Property
- C25372
- UMLS 2011AA Property
- C0683312
- NCI Thesaurus ValueDomain
- C25372
- UMLS 2011AA ValueDomain
- C0683312
- NCI Thesaurus ObjectClass
- C17049
- UMLS 2011AA ObjectClass
- C0034510
Beschrijving
PaternalRaceCategory
Datatype
text
Alias
- NCI Thesaurus Property
- C25372
- UMLS 2011AA Property
- C0683312
- NCI Thesaurus ValueDomain
- C25372
- UMLS 2011AA ValueDomain
- C0683312
- NCI Thesaurus ObjectClass
- C17049
- UMLS 2011AA ObjectClass
- C0034510
- NCI Metathesaurus Property
- CL162064
Beschrijving
MaternalRaceCategory
Datatype
text
Alias
- NCI Thesaurus Property
- C25372
- UMLS 2011AA Property
- C0683312
- NCI Thesaurus ValueDomain
- C25372
- UMLS 2011AA ValueDomain
- C0683312
- NCI Thesaurus ObjectClass
- C17049
- UMLS 2011AA ObjectClass
- C0034510
- NCI Thesaurus Property-2
- C89336
Beschrijving
PersonMaritalStatusCategory
Datatype
text
Alias
- NCI Thesaurus ObjectClass
- C25190
- UMLS 2011AA ObjectClass
- C0027361
- NCI Thesaurus ValueDomain
- C25372
- UMLS 2011AA ValueDomain
- C0683312
- NCI Thesaurus Property
- C25188
- UMLS 2011AA Property
- C0024819
Beschrijving
PatientResidenceRadiationTherapyOncologyGroupType
Datatype
text
Alias
- NCI Thesaurus ValueDomain
- C25284
- UMLS 2011AA ValueDomain
- C0332307
- NCI Thesaurus ObjectClass
- C16960
- UMLS 2011AA ObjectClass
- C0030705
- NCI Thesaurus ValueDomain-2
- C19778
- UMLS 2011AA ValueDomain-2
- C1514695
- NCI Thesaurus Property
- C25273
- UMLS 2011AA Property
- C0237096
Beschrijving
CurrentEmploymentDescriptionStatus
Datatype
text
Alias
- NCI Thesaurus ObjectClass
- C25471
- UMLS 2011AA ObjectClass
- C0521116
- NCI Thesaurus ObjectClass-2
- C25172
- UMLS 2011AA ObjectClass-2
- C0014003
- NCI Thesaurus ValueDomain
- C25688
- UMLS 2011AA ValueDomain
- C0449438
- NCI Thesaurus Property
- C25365
- UMLS 2011AA Property
- C0678257
Beschrijving
CurrentEmploymentDescriptionSpecify
Datatype
text
Alias
- NCI Thesaurus ValueDomain
- C25685
- UMLS 2011AA ValueDomain
- C1521902
- NCI Thesaurus ObjectClass
- C25471
- UMLS 2011AA ObjectClass
- C0521116
- NCI Thesaurus ObjectClass-2
- C25172
- UMLS 2011AA ObjectClass-2
- C0014003
- NCI Thesaurus Property
- C25365
- UMLS 2011AA Property
- C0678257
Beschrijving
PersonEducationLevelSummaryRadiationTherapyOncologyGroupType
Datatype
text
Alias
- NCI Thesaurus ObjectClass
- C25190
- UMLS 2011AA ObjectClass
- C0027361
- NCI Thesaurus Property
- C17953
- UMLS 2011AA Property
- C0013658
- NCI Thesaurus ValueDomain
- C25284
- UMLS 2011AA ValueDomain
- C0332307
- NCI Thesaurus ValueDomain-2
- C19778
- UMLS 2011AA ValueDomain-2
- C1514695
- NCI Thesaurus ValueDomain-3
- C17953
- UMLS 2011AA ValueDomain-3
- C0013658
- NCI Thesaurus ValueDomain-4
- C42581
- UMLS 2011AA ValueDomain-4
- C1706244
Beschrijving
EmploymentPastInteger::12MonthCount
Datatype
text
Alias
- NCI Thesaurus ObjectClass
- C25172
- UMLS 2011AA ObjectClass
- C0014003
- NCI Thesaurus Property
- C45255
- UMLS 2011AA Property
- C1708523
- NCI Thesaurus Property-2
- C29846
- UMLS 2011AA Property-2
- C0439231
- NCI Thesaurus Property-3
- C25609
- UMLS 2011AA Property-3
- C1444637
- NCI Thesaurus ValueDomain
- C25284
- UMLS 2011AA ValueDomain
- C0332307
- NCI Thesaurus ValueDomain-2
- C19778
- UMLS 2011AA ValueDomain-2
- C1514695
Beschrijving
EmploymentWeekHourCount
Datatype
float
Alias
- NCI Thesaurus ValueDomain
- C25463
- UMLS 2011AA ValueDomain
- C0750480
- NCI Thesaurus Property
- C25529
- UMLS 2011AA Property
- C0439227
- NCI Thesaurus Property-2
- C29844
- UMLS 2011AA Property-2
- C0439230
- NCI Thesaurus ObjectClass
- C25172
- UMLS 2011AA ObjectClass
- C0014003
Beschrijving
EmploymentDescriptionType
Datatype
text
Alias
- NCI Thesaurus ValueDomain
- C25284
- UMLS 2011AA ValueDomain
- C0332307
- NCI Thesaurus ObjectClass
- C25172
- UMLS 2011AA ObjectClass
- C0014003
- NCI Thesaurus Property
- C25365
- UMLS 2011AA Property
- C0678257
Beschrijving
EmploymentDescriptionSpecify
Datatype
text
Alias
- NCI Thesaurus ValueDomain
- C25685
- UMLS 2011AA ValueDomain
- C1521902
- NCI Thesaurus ObjectClass
- C25172
- UMLS 2011AA ObjectClass
- C0014003
- NCI Thesaurus Property
- C25365
- UMLS 2011AA Property
- C0678257
Beschrijving
EmploymentCategoryDescriptionType
Datatype
text
Alias
- NCI Thesaurus ValueDomain
- C25284
- UMLS 2011AA ValueDomain
- C0332307
- NCI Thesaurus Property
- C25372
- UMLS 2011AA Property
- C0683312
- NCI Thesaurus ObjectClass
- C25172
- UMLS 2011AA ObjectClass
- C0014003
- NCI Thesaurus Property-2
- C25365
- UMLS 2011AA Property-2
- C0678257
Beschrijving
EmploymentCategoryDescriptionSpecify
Datatype
text
Alias
- NCI Thesaurus ValueDomain
- C25685
- UMLS 2011AA ValueDomain
- C1521902
- NCI Thesaurus Property
- C25372
- UMLS 2011AA Property
- C0683312
- NCI Thesaurus ObjectClass
- C25172
- UMLS 2011AA ObjectClass
- C0014003
- NCI Thesaurus Property-2
- C25365
- UMLS 2011AA Property-2
- C0678257
Beschrijving
EmploymentHealthInsuranceIndicator
Datatype
text
Alias
- NCI Thesaurus ValueDomain
- C25180
- UMLS 2011AA ValueDomain
- C1522602
- NCI Thesaurus Property
- C16745
- UMLS 2011AA Property
- C0021672
- NCI Thesaurus Property-2
- C25178
- UMLS 2011AA Property-2
- C0018684
- NCI Thesaurus ObjectClass
- C25172
- UMLS 2011AA ObjectClass
- C0014003
Beschrijving
EmploymentHealthOtherPersonInsuranceType
Datatype
text
Alias
- NCI Thesaurus ObjectClass
- C25172
- UMLS 2011AA ObjectClass
- C0014003
- NCI Thesaurus Property
- C17649
- UMLS 2011AA Property
- C0205394
- NCI Thesaurus Property-2
- C25190
- UMLS 2011AA Property-2
- C0027361
- NCI Thesaurus Property-3
- C16745
- UMLS 2011AA Property-3
- C0021672
- NCI Thesaurus Property-4
- C25178
- UMLS 2011AA Property-4
- C0018684
- NCI Thesaurus ValueDomain
- C25284
- UMLS 2011AA ValueDomain
- C0332307
Beschrijving
EmploymentBenefitsIndicator
Datatype
text
Alias
- NCI Thesaurus ValueDomain
- C25180
- UMLS 2011AA ValueDomain
- C1522602
- NCI Thesaurus ObjectClass
- C25172
- UMLS 2011AA ObjectClass
- C0014003
- NCI Thesaurus Property
- C25387
- UMLS 2011AA Property
- C0814225
Beschrijving
IndividualIncomeRange
Datatype
text
Alias
- NCI Thesaurus Property
- C41150
- UMLS 2011AA Property
- C0021162
- NCI Thesaurus ObjectClass
- C17719
- NCI Thesaurus ValueDomain
- C38013
- UMLS 2011AA ValueDomain
- C1514721
Beschrijving
PersonHouseholdIncomeRange
Datatype
text
Alias
- NCI Thesaurus ObjectClass
- C25190
- UMLS 2011AA ObjectClass
- C0027361
- NCI Thesaurus Property
- C70811
- UMLS 2011AA Property
- C0557163
- NCI Thesaurus ValueDomain
- C38013
- UMLS 2011AA ValueDomain
- C1514721
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INSTRUCTIONS: Complete and submit this form as required by the protocol. Information in the upper right box must be completed for this form to be accepted. For optimal accuracy use black ink. Mark an X in the appropriate box for fields with a choice
- StudyEvent: RTOG 1016 FQ: Radiation Therapy Oncology Group Phase III Head and Neck Cancer Work Status Questionnaire
C3274381 (UMLS CUI-1)
C25320 (NCI Thesaurus ObjectClass)
C1514695 (UMLS CUI-2)
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C0015031 (UMLS 2011AA ObjectClass)
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C1518424 (UMLS 2011AA)
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C0007457 (UMLS 2011AA)
C0683312 (UMLS 2011AA Property)
C25372 (NCI Thesaurus ValueDomain)
C0683312 (UMLS 2011AA ValueDomain)
C17049 (NCI Thesaurus ObjectClass)
C0034510 (UMLS 2011AA ObjectClass)
CL162064 (NCI Metathesaurus Property)
C1515945 (UMLS 2011AA)
C0078988 (UMLS 2011AA)
C0085756 (UMLS 2011AA)
C1513907 (UMLS 2011AA)
C1706613 (UMLS 2011AA)
C0439673 (UMLS 2011AA)
C0007457 (UMLS 2011AA)
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C1515945 (UMLS 2011AA)
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C1513907 (UMLS 2011AA)
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C25372 (NCI Thesaurus ValueDomain)
C0683312 (UMLS 2011AA ValueDomain)
C25188 (NCI Thesaurus Property)
C0024819 (UMLS 2011AA Property)
C0086170 (UMLS 2011AA)
C1549111 (UMLS 2011AA)
C0555047 (UMLS 2011AA)
C0027952 (UMLS 2011AA)
C0086972 (UMLS 2011AA)
C0206275 (UMLS 2011AA)
C0332307 (UMLS 2011AA ValueDomain)
C16960 (NCI Thesaurus ObjectClass)
C0030705 (UMLS 2011AA ObjectClass)
C19778 (NCI Thesaurus ValueDomain-2)
C1514695 (UMLS 2011AA ValueDomain-2)
C25273 (NCI Thesaurus Property)
C0237096 (UMLS 2011AA Property)
C0521116 (UMLS 2011AA ObjectClass)
C25172 (NCI Thesaurus ObjectClass-2)
C0014003 (UMLS 2011AA ObjectClass-2)
C25688 (NCI Thesaurus ValueDomain)
C0449438 (UMLS 2011AA ValueDomain)
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C0678257 (UMLS 2011AA Property)
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C0014003 (UMLS 2011AA ObjectClass-2)
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C19778 (NCI Thesaurus ValueDomain-2)
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C1711333 (UMLS 2011AA-4)
C75558 (NCI Thesaurus-5)
C2698884 (UMLS 2011AA-6)
C25354 (NCI Thesaurus-7)
C0542560 (UMLS 2011AA-8)
C1511035 (UMLS 2011AA)
C0683859 (UMLS 2011AA)
C0870649 (UMLS 2011AA)
C37998 (NCI Thesaurus-3)
C1518602 (UMLS 2011AA-4)
C67135 (NCI Thesaurus-5)
C1880947 (UMLS 2011AA-6)
C0557286 (UMLS 2011AA)
C2825140 (UMLS 2011AA)
C1518602 (UMLS 2011AA)
C71340 (NCI Thesaurus-3)
C1549943 (UMLS 2011AA-4)
C65099 (NCI Thesaurus-5)
C0205392 (UMLS 2011AA-6)
C61514 (NCI Thesaurus-7)
C0557806 (UMLS 2011AA-8)
C0014003 (UMLS 2011AA ObjectClass)
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C0439231 (UMLS 2011AA Property-2)
C25609 (NCI Thesaurus Property-3)
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C0013622 (UMLS 2011AA)
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C25172 (NCI Thesaurus ObjectClass)
C0014003 (UMLS 2011AA ObjectClass)
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C0205394 (UMLS 2011AA Property)
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C0027361 (UMLS 2011AA Property-2)
C16745 (NCI Thesaurus Property-3)
C0021672 (UMLS 2011AA Property-3)
C25178 (NCI Thesaurus Property-4)
C0018684 (UMLS 2011AA Property-4)
C25284 (NCI Thesaurus ValueDomain)
C0332307 (UMLS 2011AA ValueDomain)
C1522602 (UMLS 2011AA ValueDomain)
C25172 (NCI Thesaurus ObjectClass)
C0014003 (UMLS 2011AA ObjectClass)
C25387 (NCI Thesaurus Property)
C0814225 (UMLS 2011AA Property)
C1298908 (UMLS 2011AA)
C1705108 (UMLS 2011AA)
C0021162 (UMLS 2011AA Property)
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C38013 (NCI Thesaurus ValueDomain)
C1514721 (UMLS 2011AA ValueDomain)
C0027361 (UMLS 2011AA ObjectClass)
C70811 (NCI Thesaurus Property)
C0557163 (UMLS 2011AA Property)
C38013 (NCI Thesaurus ValueDomain)
C1514721 (UMLS 2011AA ValueDomain)