ID
7880
Beskrivning
ECOG-E1505 Baseline Smoking Survey Chemotherapy With or Without Bevacizumab in Treating Patients With Stage IB, Stage II, or Stage IIIA Non-Small Lung Cancer That Was Removed By Surgery Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=080E30C9-4544-68FF-E044-0003BA3F9857
Länk
Nyckelord
Versioner (5)
- 2012-09-19 2012-09-19 -
- 2014-08-11 2014-08-11 - Martin Dugas
- 2014-08-11 2014-08-11 - Martin Dugas
- 2014-08-11 2014-08-11 - Martin Dugas
- 2015-01-09 2015-01-09 - Martin Dugas
Uppladdad den
9 januari 2015
DOI
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Licens
Creative Commons BY-NC 3.0 Legacy
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Lung Cancer NCT00324805 Demographic - ECOG-E1505 Baseline Smoking Survey - 2438323v1.0
INSTRUCTIONS: Use this form to capture the first occurrence of non-protocol anti-tumor therapy per registration step
- StudyEvent: ECOG-E1505 Baseline Smoking Survey
Beskrivning
Smoking history and status
Beskrivning
DataObtainedDate
Datatyp
date
Alias
- NCI Thesaurus ValueDomain
- C25164
- UMLS 2011AA ValueDomain
- C0011008
- NCI Thesaurus ObjectClass
- C25474
- UMLS 2011AA ObjectClass
- C1511726
- NCI Thesaurus Property
- C52349
- UMLS 2011AA Property
- C1301820
Beskrivning
SmokingUseIndicator
Datatyp
text
Alias
- NCI Thesaurus ValueDomain
- C25180
- UMLS 2011AA ValueDomain
- C1522602
- NCI Thesaurus ObjectClass
- C17934
- UMLS 2011AA ObjectClass
- C0453996
- NCI Thesaurus Property
- C25340
- UMLS 2011AA Property
- C0457083
Beskrivning
Smoking Quantity Indicator
Datatyp
text
Alias
- NCI Thesaurus ValueDomain
- C25180
- NCI Thesaurus ObjectClass
- C17934
- NCI Thesaurus Property
- C25256
- UMLS CUI-1
- C1608325
Beskrivning
PatientInitialCigaretteSmokingAgeYearCount
Datatyp
float
Alias
- NCI Thesaurus ObjectClass
- C16960
- UMLS 2011AA ObjectClass
- C0030705
- NCI Thesaurus Property
- C25536
- UMLS 2011AA Property
- C1555582
- NCI Thesaurus Property-2
- C18270
- UMLS 2011AA Property-2
- C0700219
- NCI Thesaurus ValueDomain
- C29848
- UMLS 2011AA ValueDomain
- C0439234
- NCI Thesaurus ValueDomain-2
- C25463
- UMLS 2011AA ValueDomain-2
- C0750480
Beskrivning
Smoking Current Use
Datatyp
text
Alias
- NCI Thesaurus ValueDomain
- C25180
- UMLS CUI-1
- C3241966
- NCI Thesaurus Property
- C25471
- NCI Thesaurus ObjectClass
- C17934
- NCI Metathesaurus Property
- C0449865
Beskrivning
PatientSmokingCessationAgeYear
Datatyp
float
Alias
- NCI Thesaurus ObjectClass
- C16960
- UMLS 2011AA ObjectClass
- C0030705
- NCI Thesaurus ValueDomain
- C29848
- UMLS 2011AA ValueDomain
- C0439234
- NCI Thesaurus ValueDomain-2
- C25463
- UMLS 2011AA ValueDomain-2
- C0750480
- NCI Metathesaurus Property
- C0085134
Beskrivning
PostDiagnosisSmokingEndUseIndicator
Datatyp
text
Alias
- NCI Thesaurus ObjectClass
- C38008
- UMLS 2011AA ObjectClass
- C0687676
- NCI Thesaurus ObjectClass-2
- C15220
- UMLS 2011AA ObjectClass-2
- C0011900
- NCI Thesaurus ObjectClass-3
- C17934
- UMLS 2011AA ObjectClass-3
- C0453996
- NCI Thesaurus Property
- C25496
- UMLS 2011AA Property
- C2746065
- NCI Thesaurus Property-2
- C25340
- UMLS 2011AA Property-2
- C0457083
- NCI Thesaurus ValueDomain
- C25180
- UMLS 2011AA ValueDomain
- C1522602
Beskrivning
Smoker amount smoked
Datatyp
float
Alias
- NCI Thesaurus ValueDomain
- C25337
- UMLS CUI-1
- C1608325
- NCI Thesaurus ObjectClass
- C17934
- NCI Thesaurus Property
- C25340
Beskrivning
CigarSmokingUseIndicator
Datatyp
text
Alias
- NCI Thesaurus ValueDomain
- C25180
- UMLS 2011AA ValueDomain
- C1522602
- NCI Thesaurus ObjectClass
- C1813
- UMLS 2011AA ObjectClass
- C0182504
- NCI Thesaurus ObjectClass-2
- C17934
- UMLS 2011AA ObjectClass-2
- C0453996
- NCI Thesaurus Property
- C25340
- UMLS 2011AA Property
- C0457083
Beskrivning
CigarAverageDailyUseCount
Datatyp
float
Alias
- NCI Thesaurus ObjectClass
- C1813
- UMLS 2011AA ObjectClass
- C0182504
- NCI Thesaurus Property
- C25473
- UMLS 2011AA Property
- C0332173
- NCI Thesaurus Property-2
- C37917
- UMLS 2011AA Property-2
- C1510992
- NCI Thesaurus Property-3
- C25340
- UMLS 2011AA Property-3
- C0457083
- NCI Thesaurus ValueDomain
- C25463
- UMLS 2011AA ValueDomain
- C0750480
Beskrivning
Nic Alert Test Result
Beskrivning
LaboratoryProcedureCotinineResultInd-2
Datatyp
boolean
Alias
- NCI Thesaurus ValueDomain
- C38147
- UMLS 2011AA ValueDomain
- C1512698
- NCI Thesaurus Property
- C20200
- UMLS 2011AA Property
- C1274040
- NCI Thesaurus ObjectClass
- C25294
- UMLS 2011AA ObjectClass
- C0022885
- NCI Thesaurus Property-2
- C70941
- UMLS 2011AA Property-2
- C0010194
Beskrivning
LaboratoryProcedureCotinineResultStatus
Datatyp
text
Alias
- NCI Thesaurus Property
- C20200
- UMLS 2011AA Property
- C1274040
- NCI Thesaurus ObjectClass
- C25294
- UMLS 2011AA ObjectClass
- C0022885
- NCI Thesaurus ValueDomain
- C25688
- UMLS 2011AA ValueDomain
- C0449438
- NCI Thesaurus Property-2
- C70941
- UMLS 2011AA Property-2
- C0010194
Beskrivning
LaboratoryProcedureCotinineResultDate
Datatyp
date
Alias
- NCI Thesaurus ValueDomain
- C25164
- UMLS 2011AA ValueDomain
- C0011008
- NCI Thesaurus Property
- C20200
- UMLS 2011AA Property
- C1274040
- NCI Thesaurus ObjectClass
- C25294
- UMLS 2011AA ObjectClass
- C0022885
- NCI Thesaurus Property-2
- C70941
- UMLS 2011AA Property-2
- C0010194
Beskrivning
Investigator signature
Beskrivning
Investigator Signature
Datatyp
text
Alias
- NCI Thesaurus ValueDomain
- C25704
- UMLS CUI-1
- C2346576
- NCI Thesaurus Property
- C25678
- NCI Thesaurus ObjectClass
- C17089
Beskrivning
Investigator Signature Date
Datatyp
date
Alias
- NCI Thesaurus ValueDomain
- C25164
- UMLS CUI-1
- C2346576
- NCI Thesaurus Property
- C25678
- UMLS CUI-2
- C0011008
- NCI Thesaurus ValueDomain-2
- C25367
- NCI Thesaurus ObjectClass
- C17089
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C1298908 (UMLS 2011AA)
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