ID
42648
Descripción
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
Palabras clave
Versiones (3)
- 18/12/14 18/12/14 - Martin Dugas
- 9/1/15 9/1/15 - Martin Dugas
- 17/9/21 17/9/21 -
Subido en
17 de septiembre de 2021
DOI
Para solicitar uno, por favor iniciar sesión.
Licencia
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
Descripción
Eortc Qlq-h&n35
Descripción
PersonGenderTextType
Tipo de datos
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
Descripción
PatientAgeValue
Tipo de datos
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
Descripción
EthnicGroupCategoryText
Tipo de datos
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
Descripción
RaceCategoryText
Tipo de datos
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
Descripción
PaternalRaceCategory
Tipo de datos
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
Descripción
MaternalRaceCategory
Tipo de datos
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
Descripción
PersonMaritalStatusCategory
Tipo de datos
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
Descripción
PatientResidenceRadiationTherapyOncologyGroupType
Tipo de datos
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
Descripción
CurrentEmploymentDescriptionStatus
Tipo de datos
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
Descripción
CurrentEmploymentDescriptionSpecify
Tipo de datos
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
Descripción
PersonEducationLevelSummaryRadiationTherapyOncologyGroupType
Tipo de datos
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
Descripción
EmploymentPastInteger::12MonthCount
Tipo de datos
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
Descripción
EmploymentWeekHourCount
Tipo de datos
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
Descripción
EmploymentDescriptionType
Tipo de datos
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
Descripción
EmploymentDescriptionSpecify
Tipo de datos
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
Descripción
EmploymentCategoryDescriptionType
Tipo de datos
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
Descripción
EmploymentCategoryDescriptionSpecify
Tipo de datos
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
Descripción
EmploymentHealthInsuranceIndicator
Tipo de datos
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
Descripción
EmploymentHealthOtherPersonInsuranceType
Tipo de datos
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
Descripción
EmploymentBenefitsIndicator
Tipo de datos
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
Descripción
IndividualIncomeRange
Tipo de datos
text
Alias
- NCI Thesaurus Property
- C41150
- UMLS 2011AA Property
- C0021162
- NCI Thesaurus ObjectClass
- C17719
- NCI Thesaurus ValueDomain
- C38013
- UMLS 2011AA ValueDomain
- C1514721
Descripción
PersonHouseholdIncomeRange
Tipo de datos
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
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C3274381 (UMLS CUI-1)
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C25372 (NCI Thesaurus ValueDomain)
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C0034510 (UMLS 2011AA ObjectClass)
CL162064 (NCI Metathesaurus Property)
C1515945 (UMLS 2011AA)
C0078988 (UMLS 2011AA)
C0085756 (UMLS 2011AA)
C1513907 (UMLS 2011AA)
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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)
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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)
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C0332307 (UMLS 2011AA ValueDomain)
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