ID

809

Descrizione

SOUTHWEST ONCOLOGY GROUP OFF TREATMENT NOTICE Adjuvant Doxorubicin, Cyclophosphamide, and Paclitaxel in Treating Patients With Breast Cancer Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=A678BAD9-E0F6-50A4-E034-0003BA0B1A09

collegamento

https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=A678BAD9-E0F6-50A4-E034-0003BA0B1A09

Keywords

  1. 26/08/12 26/08/12 -
  2. 09/01/15 09/01/15 - Martin Dugas
  3. 05/07/15 05/07/15 -
Caricato su

26 agosto 2012

DOI

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Licenza

Creative Commons BY-NC 3.0 Legacy

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Breast Cancer NCT00070564 Off Treatment - SOUTHWEST ONCOLOGY GROUP OFF TREATMENT NOTICE - 2050111v3.0

No Instruction available.

  1. StudyEvent: SOUTHWEST ONCOLOGY GROUP OFF TREATMENT NOTICE
    1. No Instruction available.
Unnamed1
Descrizione

Unnamed1

SWOG Patient ID
Descrizione

SWOGPatientID

Tipo di dati

text

SWOG Study No.
Descrizione

SWOGStudyNo.

Tipo di dati

text

Registration Step
Descrizione

RegistrationStep

Tipo di dati

text

Patient Initials (L, F M)
Descrizione

PatientInitialsName

Tipo di dati

text

Alias
NCI Thesaurus ValueDomain
C25191
UMLS 2011AA ValueDomain
C1547383
NCI Thesaurus ObjectClass
C16960
UMLS 2011AA ObjectClass
C0030705
NCI Thesaurus Property
C25536
UMLS 2011AA Property
C1555582
Institution / Affiliate
Descrizione

MainMemberInstitution/AffiliateNumber

Tipo di dati

text

Alias
NCI Thesaurus ValueDomain
C25337
UMLS 2011AA ValueDomain
C0237753
Physician (Groups other than SWOG)
Descrizione

RegisteredInvestigator

Tipo di dati

text

Group Name (Groups other than SWOG)
Descrizione

ParticipatingGroupName

Tipo di dati

text

Study No. (Groups other than SWOG)
Descrizione

Particip.GroupProtocolNumber

Tipo di dati

double

Pt. ID (Groups other than SWOG)
Descrizione

PatientStudyID,ParticipatingGroup

Tipo di dati

text

Unnamed2
Descrizione

Unnamed2

Treatment Start Date
Descrizione

TreatmentStartDate

Tipo di dati

date

Treatment End Date
Descrizione

TreatmentEndDate

Tipo di dati

date

Regimen or Procedure or Site(s)
Descrizione

RegimenorProcedureorSite(s)

Tipo di dati

text

Unnamed3
Descrizione

Unnamed3

Off Treatment Reason (select one)
Descrizione

OffTreatmentReason

Tipo di dati

text

Patient refused, due to toxicity, specify
Descrizione

OffTreatmentReason,Toxicity

Tipo di dati

text

Patient refused, due to toxicity, specify
Descrizione

OffTreatmentReason,Toxicity

Tipo di dati

text

Progression or relapse. Sites
Descrizione

ProgressionSite

Tipo di dati

text

Other, specify (Off Treatment Date)
Descrizione

OffTreatmentReason,Other

Tipo di dati

text

Other, specify (Off Treatment Date)
Descrizione

OffTreatmentReason,Other

Tipo di dati

text

Date of completion, progression, death or decision to discontinue therapy
Descrizione

OffTreatmentDate

Tipo di dati

date

Unnamed4
Descrizione

Unnamed4

Will patient receive further treatment?
Descrizione

FurtherTreatmentInd

Tipo di dati

text

Yes, specify
Descrizione

TreatmentType,Specify

Tipo di dati

text

Unnamed5
Descrizione

Unnamed5

Date of Last Contact (or death)
Descrizione

DeathDate/LastContactDate

Tipo di dati

date

Vital Status
Descrizione

Patient'sVitalStatus

Tipo di dati

text

Notes
Descrizione

Notes

Comments
Descrizione

Comments

Tipo di dati

text

Ccrr Module For Southwest Oncology Group Off Treatment Notice
Descrizione

Ccrr Module For Southwest Oncology Group Off Treatment Notice

Similar models

No Instruction available.

  1. StudyEvent: SOUTHWEST ONCOLOGY GROUP OFF TREATMENT NOTICE
    1. No Instruction available.
Name
genere
Description | Question | Decode (Coded Value)
Tipo di dati
Alias
Item Group
Unnamed1
SWOGPatientID
Item
SWOG Patient ID
text
SWOGStudyNo.
Item
SWOG Study No.
text
RegistrationStep
Item
Registration Step
text
PatientInitialsName
Item
Patient Initials (L, F M)
text
C25191 (NCI Thesaurus ValueDomain)
C1547383 (UMLS 2011AA ValueDomain)
C16960 (NCI Thesaurus ObjectClass)
C0030705 (UMLS 2011AA ObjectClass)
C25536 (NCI Thesaurus Property)
C1555582 (UMLS 2011AA Property)
MainMemberInstitution/AffiliateNumber
Item
Institution / Affiliate
text
C25337 (NCI Thesaurus ValueDomain)
C0237753 (UMLS 2011AA ValueDomain)
RegisteredInvestigator
Item
Physician (Groups other than SWOG)
text
ParticipatingGroupName
Item
Group Name (Groups other than SWOG)
text
Particip.GroupProtocolNumber
Item
Study No. (Groups other than SWOG)
double
PatientStudyID,ParticipatingGroup
Item
Pt. ID (Groups other than SWOG)
text
Item Group
Unnamed2
TreatmentStartDate
Item
Treatment Start Date
date
TreatmentEndDate
Item
Treatment End Date
date
RegimenorProcedureorSite(s)
Item
Regimen or Procedure or Site(s)
text
Item Group
Unnamed3
Item
Off Treatment Reason (select one)
text
Code List
Off Treatment Reason (select one)
CL Item
Treatment Completed Per Protocol Criteria (Treatment completed per protocol criteria)
CL Item
Medically required, due to toxicity, specify (Medically required, due to toxicity, specify)
CL Item
Patient refused, due to toxicity, specify (Patient refused, due to toxicity, specify)
CL Item
Patient refused, other than toxicity, specify (Patient refused, other than toxicity, specify)
CL Item
Progression or relapse. Sites (Progression or relapse. Sites)
CL Item
Death (Death)
CL Item
Other, Specify (Other, specify)
OffTreatmentReason,Toxicity
Item
Patient refused, due to toxicity, specify
text
OffTreatmentReason,Toxicity
Item
Patient refused, due to toxicity, specify
text
ProgressionSite
Item
Progression or relapse. Sites
text
OffTreatmentReason,Other
Item
Other, specify (Off Treatment Date)
text
OffTreatmentReason,Other
Item
Other, specify (Off Treatment Date)
text
OffTreatmentDate
Item
Date of completion, progression, death or decision to discontinue therapy
date
Item Group
Unnamed4
Item
Will patient receive further treatment?
text
Code List
Will patient receive further treatment?
CL Item
No (No)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
CL Item
Yes (Yes, specify)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
CL Item
Unknown (Unknown)
C17998 (NCI Thesaurus)
C0439673 (UMLS 2011AA)
TreatmentType,Specify
Item
Yes, specify
text
Item Group
Unnamed5
DeathDate/LastContactDate
Item
Date of Last Contact (or death)
date
Item
Vital Status
text
Code List
Vital Status
CL Item
Alive (Alive)
CL Item
Dead (Dead)
Item Group
Notes
Comments
Item
Comments
text
Item Group
Ccrr Module For Southwest Oncology Group Off Treatment Notice

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