ID

43228

Beskrivning

NCT00020709 S0023: Combination Chemo Plus RT With or Without Gefitinib in Treating Patients With Unresectable Stage III NSCLC Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=9CA62D43-4AA8-361C-E034-080020C9C0E0

Länk

https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=9CA62D43-4AA8-361C-E034-080020C9C0E0

Nyckelord

Versioner (5)
  1. 2012-09-19 2012-09-19 -
  2. 2015-05-28 2015-05-28 -
  3. 2015-06-03 2015-06-03 -
  4. 2015-07-31 2015-07-31 - Martin Dugas
  5. 2021-09-20 2021-09-20 -
Uppladdad den

20 september 2021

DOI

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Licens

Creative Commons BY-NC 3.0 Legacy
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Prestudy form NSCLC Stage III NCT00020709

Engelsk

No Instruction available.

1 Formulär  
  1. StudyEvent: STAGE I - III BREAST CANCER PRESTUDY FORM (With SI Units for use by NCIC institutions only)
    1. No Instruction available.
SWOG clinical trial administrative data
Beskrivning

SWOG clinical trial administrative data

SWOG Patient ID
Beskrivning

SWOGPatientID

Datatyp

text

SWOG Study No.
Beskrivning

SWOGStudyNo.

Datatyp

text

Registration Step
Beskrivning

Registration Step

Datatyp

text

Alias
NCI Thesaurus ValueDomain
C25337
NCI Thesaurus ValueDomain-2
C16154
UMLS CUI-1-1
C1514821
UMLS CUI-1-2
C0237753
Patient Initials (L, F M)
Beskrivning

PatientInitials

Datatyp

text

Institution / Affiliate
Beskrivning

Institution/Affiliate

Datatyp

text

Physician
Beskrivning

Physician

Datatyp

text

Group Name (Groups other than SWOG )
Beskrivning

GroupName

Datatyp

text

Study No. (Groups other than SWOG )
Beskrivning

StudyNo.

Datatyp

float

Pt. ID (Groups other than SWOG )
Beskrivning

Pt.ID

Datatyp

text

Patient And Disease Description
Beskrivning

Patient And Disease Description

Height
Beskrivning

Height

Datatyp

float

Måttenheter
  • cm
Alias
UMLS CUI-1-1
C0005890
cm
Body weight
Beskrivning

Body weight

Datatyp

float

Måttenheter
  • kg
Alias
UMLS CUI-1-1
C0005910
kg
Body surface area
Beskrivning

Body surface area

Datatyp

float

Måttenheter
  • m²
Alias
UMLS CUI-1-1
C0005902
m²
Performance Status
Beskrivning

Performance Status

Datatyp

text

Alias
UMLS CUI-1-1
C1520224
Weight Loss in Previous Six Months
Beskrivning

WeightLossPriorSixMonths

Datatyp

text

Alias
NCI Thesaurus ObjectClass
C16960
UMLS 2011AA ObjectClass
C0030705
NCI Thesaurus Property
C3445
UMLS 2011AA Property
C1262477
FEV1
Beskrivning

FEV1

Datatyp

float

Måttenheter
  • L
Alias
UMLS CUI-1-1
C0748133
L
DLCO
Beskrivning

DLCO

Datatyp

float

Måttenheter
  • %
Alias
UMLS CUI-1-1
C1516251
%
Date of Initial Diagnosis of Primary Tumor
Beskrivning

FirstPositiveBiopsyDate

Datatyp

date

Histologic Type
Beskrivning

Histologic Type

Datatyp

text

Alias
UMLS CUI-1-1
C0449574
Other, Specify
Beskrivning

Other,Specify

Datatyp

text

Tumor Stage T-status
Beskrivning

Tumor Stage T-status

Datatyp

text

Alias
UMLS CUI-1-1
C0475455
Node Stage N-status
Beskrivning

Node Stage N-status

Datatyp

text

Alias
UMLS CUI-1-1
C1272457
Current Laboratory Values (si Units)
Beskrivning

Current Laboratory Values (si Units)

Albumin
Beskrivning

Albumin

Datatyp

float

Måttenheter
  • g/dL
Alias
UMLS CUI-1-1
C0201838
g/dL
Lactate Dehydrogenase (LDH)
Beskrivning

Lactate Dehydrogenase (LDH)

Datatyp

float

Måttenheter
  • U/L
Alias
UMLS CUI-1-1
C0202113
U/L
Lactate Dehydrogenase ULN (LDH)
Beskrivning

Lactate Dehydrogenase ULN (LDH)

Datatyp

float

Måttenheter
  • U/L
Alias
UMLS CUI-1-1
C0202113
UMLS CUI-1-2
C1519815
U/L
Notes
Beskrivning

Notes

Notes
Beskrivning

Notes

Datatyp

text

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Similar models

No Instruction available.

1 Formulär
  1. StudyEvent: STAGE I - III BREAST CANCER PRESTUDY FORM (With SI Units for use by NCIC institutions only)
    1. No Instruction available.
Name
Typ
Description | Question | Decode (Coded Value)
Datatyp
Alias
Item Group
SWOG clinical trial administrative data
SWOGPatientID
Item
SWOG Patient ID
text
SWOGStudyNo.
Item
SWOG Study No.
text
Registration Number
Item
Registration Step
text
C25337 (NCI Thesaurus ValueDomain)
C16154 (NCI Thesaurus ValueDomain-2)
C1514821 (UMLS CUI-1-1)
C0237753 (UMLS CUI-1-2)
PatientInitials
Item
Patient Initials (L, F M)
text
Institution/Affiliate
Item
Institution / Affiliate
text
Physician
Item
Physician
text
GroupName
Item
Group Name (Groups other than SWOG )
text
StudyNo.
Item
Study No. (Groups other than SWOG )
float
Pt.ID
Item
Pt. ID (Groups other than SWOG )
text
Item Group
Patient And Disease Description
Height
Item
Height
float
C0005890 (UMLS CUI-1-1)
Weight
Item
Body weight
float
C0005910 (UMLS CUI-1-1)
BSA
Item
Body surface area
float
C0005902 (UMLS CUI-1-1)
ECOG Performance Status
Item
Performance Status
text
C1520224 (UMLS CUI-1-1)
Item
Weight Loss in Previous Six Months
text
C16960 (NCI Thesaurus ObjectClass)
C0030705 (UMLS 2011AA ObjectClass)
C3445 (NCI Thesaurus Property)
C1262477 (UMLS 2011AA Property)
CL.1
Code List
Weight Loss in Previous Six Months
CL Item
<5% (<5%)
CL Item
5 - < 10% (5 - < 10%)
CL Item
10 - < 20% (10 - < 20%)
CL Item
>=20% (>=20%)
FEV1
Item
FEV1
float
C0748133 (UMLS CUI-1-1)
DLCO
Item
DLCO
float
C1516251 (UMLS CUI-1-1)
FirstPositiveBiopsyDate
Item
Date of Initial Diagnosis of Primary Tumor
date
Item
Histologic Type
text
C0449574 (UMLS CUI-1-1)
CL.2
Code List
Histologic Type
CL Item
Squamous (Squamous)
C1182670 (UMLS CUI-1)
CL Item
Adenocarcinoma (Adenocarcinoma)
C0001418 (UMLS CUI-1)
CL Item
Large Cell Undifferentiated (Large Cell Undifferentiated)
C0345958 (UMLS CUI-1)
CL Item
Bronchioloalveolar (BAC) (Bronchioloalveolar (BAC))
C0007120 (UMLS CUI-1)
CL Item
NSCLC, NOS (NSCLC, NOS)
C0007131 (UMLS CUI-1)
C1518425 (UMLS CUI-2)
CL Item
Other, Specify (Other, Specify)
C1299220 (UMLS CUI-1)
Other,Specify
Item
Other, Specify
text
Item
Tumor Stage T-status
text
C0475455 (UMLS CUI-1-1)
CL.3
Code List
Tumor Stage T-status
CL Item
T1 (T1)
CL Item
T2 (T2)
CL Item
T3 (T3)
CL Item
T4 (T4)
Item
Node Stage N-status
text
C1272457 (UMLS CUI-1-1)
CL.4
Code List
Node Stage N-status
CL Item
N0 (N0)
CL Item
N1 (N1)
CL Item
N2 (N2)
CL Item
N3 (N3)
Item Group
Current Laboratory Values (si Units)
Albumin
Item
Albumin
float
C0201838 (UMLS CUI-1-1)
LDH
Item
Lactate Dehydrogenase (LDH)
float
C0202113 (UMLS CUI-1-1)
LDH ULN
Item
Lactate Dehydrogenase ULN (LDH)
float
C0202113 (UMLS CUI-1-1)
C1519815 (UMLS CUI-1-2)
Item Group
Notes
Notes
Item
Notes
text
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