ID
8159
Beschrijving
RTOG-0522 S1: Radiation Therapy Oncology Group Phase III Head and Neck Cancer Surgery Form Radiation Therapy and Cisplatin With or Without Cetuximab in Treating Patients With Stage III or Stage IV Head and Neck Cancer Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=F7024665-89F4-412D-E034-0003BA3F9857
Link
Trefwoorden
Versies (2)
- 19-09-12 19-09-12 -
- 09-01-15 09-01-15 - Martin Dugas
Geüploaded op
9 januari 2015
DOI
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Licentie
Creative Commons BY-NC 3.0 Legacy
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NCT00265941 Treatment - RTOG-0522 S1: Radiation Therapy Oncology Group Phase III Head and Neck Cancer Surgery Form - 2228661v1.0
Radiation Therapy Oncology Group Phase III Lung Pre-Op Chemotherapy vs. Pre-Op Concurrent Chemoradiation for NSCLC
- StudyEvent: RTOG-0522 S1: Radiation Therapy Oncology Group Phase III Head and Neck Cancer Surgery Form
Beschrijving
Module 2
Beschrijving
SurgicalProcedureHeadandNeckMalignantNeoplasmResultStatus
Datatype
text
Alias
- NCI Thesaurus ObjectClass
- C15329
- UMLS 2011AA ObjectClass
- C0543467
- NCI Thesaurus Property
- C12418
- UMLS 2011AA Property
- C0460004
- NCI Thesaurus Property-2
- C9305
- UMLS 2011AA Property-2
- C0006826
- NCI Thesaurus Property-3
- C20200
- UMLS 2011AA Property-3
- C1274040
- NCI Thesaurus ValueDomain
- C25688
- UMLS 2011AA ValueDomain
- C0449438
Beschrijving
SurgicalProcedureHeadandNeckMalignantNeoplasmResultStatus
Datatype
text
Alias
- NCI Thesaurus ObjectClass
- C15329
- UMLS 2011AA ObjectClass
- C0543467
- NCI Thesaurus Property
- C12418
- UMLS 2011AA Property
- C0460004
- NCI Thesaurus Property-2
- C9305
- UMLS 2011AA Property-2
- C0006826
- NCI Thesaurus Property-3
- C20200
- UMLS 2011AA Property-3
- C1274040
- NCI Thesaurus ValueDomain
- C25688
- UMLS 2011AA ValueDomain
- C0449438
Beschrijving
PrimarySurgeryDate
Datatype
date
Alias
- NCI Thesaurus ObjectClass
- C25251
- UMLS 2011AA ObjectClass
- C0205225
- NCI Thesaurus ObjectClass-2
- C15329
- UMLS 2011AA ObjectClass-2
- C0543467
- NCI Thesaurus Property
- C25275
- UMLS 2011AA Property
- C2745955
- NCI Thesaurus ValueDomain
- C25164
- UMLS 2011AA ValueDomain
- C0011008
- NCI Thesaurus ValueDomain-2
- C25367
Beschrijving
SurgicalProcedureHeadandNeckLymphadenectomyPerformedType
Datatype
text
Alias
- NCI Thesaurus ObjectClass
- C15329
- UMLS 2011AA ObjectClass
- C0543467
- NCI Thesaurus Property
- C12418
- UMLS 2011AA Property
- C0460004
- NCI Thesaurus Property-2
- C38000
- UMLS 2011AA Property-2
- C0884358
- NCI Thesaurus Property-3
- C15275
- UMLS 2011AA Property-3
- C0024203
- NCI Thesaurus ValueDomain
- C25284
- UMLS 2011AA ValueDomain
- C0332307
Beschrijving
SurgicalProcedureNoHeadandNeckLymphadenectomyPerformedReason
Datatype
text
Alias
- NCI Thesaurus ObjectClass
- C15329
- UMLS 2011AA ObjectClass
- C0543467
- NCI Thesaurus Property
- C49487
- UMLS 2011AA Property
- C1298908
- NCI Thesaurus Property-2
- C12418
- UMLS 2011AA Property-2
- C0460004
- NCI Thesaurus Property-3
- C38000
- UMLS 2011AA Property-3
- C0884358
- NCI Thesaurus Property-4
- C15275
- UMLS 2011AA Property-4
- C0024203
- NCI Thesaurus ValueDomain
- C25638
- UMLS 2011AA ValueDomain
- C0392360
Beschrijving
SurgicalProcedureNoHeadandNeckLymphadenectomyPerformedSpecify
Datatype
text
Alias
- NCI Thesaurus ObjectClass
- C15329
- UMLS 2011AA ObjectClass
- C0543467
- NCI Thesaurus Property
- C49487
- UMLS 2011AA Property
- C1298908
- NCI Thesaurus Property-2
- C12418
- UMLS 2011AA Property-2
- C0460004
- NCI Thesaurus Property-3
- C38000
- UMLS 2011AA Property-3
- C0884358
- NCI Thesaurus Property-4
- C15275
- UMLS 2011AA Property-4
- C0024203
- NCI Thesaurus ValueDomain
- C25685
- UMLS 2011AA ValueDomain
- C1521902
Beschrijving
HeadandNeckRightLymphNodeNeoplasmInvolvementStatus
Datatype
text
Alias
- NCI Thesaurus ObjectClass
- C25228
- UMLS 2011AA ObjectClass
- C0205090
- NCI Thesaurus ObjectClass-2
- C12418
- UMLS 2011AA ObjectClass-2
- C0460004
- NCI Thesaurus ObjectClass-3
- C12745
- UMLS 2011AA ObjectClass-3
- C0024204
- NCI Thesaurus Property
- C3262
- UMLS 2011AA Property
- C0027651
- NCI Thesaurus Property-2
- C25548
- UMLS 2011AA Property-2
- C1314939
- NCI Thesaurus ValueDomain
- C25688
- UMLS 2011AA ValueDomain
- C0449438
Beschrijving
HeadandNeckLeftLymphNodeNeoplasmInvolvementStatus
Datatype
text
Alias
- NCI Thesaurus ObjectClass
- C25229
- UMLS 2011AA ObjectClass
- C0205091
- NCI Thesaurus ObjectClass-2
- C12418
- UMLS 2011AA ObjectClass-2
- C0460004
- NCI Thesaurus ObjectClass-3
- C12745
- UMLS 2011AA ObjectClass-3
- C0024204
- NCI Thesaurus Property
- C3262
- UMLS 2011AA Property
- C0027651
- NCI Thesaurus Property-2
- C25548
- UMLS 2011AA Property-2
- C1314939
- NCI Thesaurus ValueDomain
- C25688
- UMLS 2011AA ValueDomain
- C0449438
Beschrijving
ResidualDiseaseAnatomicalLocationText
Datatype
text
Alias
- NCI Thesaurus ValueDomain
- C25704
- UMLS 2011AA ValueDomain
- C1527021
- NCI Thesaurus ObjectClass
- C4809
- UMLS 2011AA ObjectClass
- C0543478
- NCI Metathesaurus Property
- C0923870
Beschrijving
ResidualDiseaseAnatomicalLocationText
Datatype
text
Alias
- NCI Thesaurus ValueDomain
- C25704
- UMLS 2011AA ValueDomain
- C1527021
- NCI Thesaurus ObjectClass
- C4809
- UMLS 2011AA ObjectClass
- C0543478
- NCI Metathesaurus Property
- C0923870
Beschrijving
ResidualDiseaseAnatomicalLocationText
Datatype
text
Alias
- NCI Thesaurus ValueDomain
- C25704
- UMLS 2011AA ValueDomain
- C1527021
- NCI Thesaurus ObjectClass
- C4809
- UMLS 2011AA ObjectClass
- C0543478
- NCI Metathesaurus Property
- C0923870
Beschrijving
SurgicalProcedureHeadandNeckLymphadenectomyPerformedDate
Datatype
date
Alias
- NCI Thesaurus ObjectClass
- C15329
- UMLS 2011AA ObjectClass
- C0543467
- NCI Thesaurus Property
- C12418
- UMLS 2011AA Property
- C0460004
- NCI Thesaurus Property-2
- C38000
- UMLS 2011AA Property-2
- C0884358
- NCI Thesaurus Property-3
- C15275
- UMLS 2011AA Property-3
- C0024203
- NCI Thesaurus ValueDomain
- C25164
- UMLS 2011AA ValueDomain
- C0011008
Beschrijving
SurgicalProcedureHeadandNeckLymphadenectomyPerformedDate
Datatype
date
Alias
- NCI Thesaurus ObjectClass
- C15329
- UMLS 2011AA ObjectClass
- C0543467
- NCI Thesaurus Property
- C12418
- UMLS 2011AA Property
- C0460004
- NCI Thesaurus Property-2
- C38000
- UMLS 2011AA Property-2
- C0884358
- NCI Thesaurus Property-3
- C15275
- UMLS 2011AA Property-3
- C0024203
- NCI Thesaurus ValueDomain
- C25164
- UMLS 2011AA ValueDomain
- C0011008
Beschrijving
Neck Nodal Sites (pathologic Assessment)
Beschrijving
HeadandNeckLymphNodeAssessmentSite
Datatype
text
Alias
- NCI Thesaurus ValueDomain
- C13717
- UMLS 2011AA ValueDomain
- C1515974
- NCI Thesaurus Property
- C20989
- UMLS 2011AA Property
- C0031809
- NCI Thesaurus ObjectClass
- C12418
- UMLS 2011AA ObjectClass
- C0460004
- NCI Thesaurus ObjectClass-2
- C12745
- UMLS 2011AA ObjectClass-2
- C0024204
Beschrijving
HeadandNeckLymphNodeRightRemovedSpecify
Datatype
text
Alias
- NCI Thesaurus ObjectClass
- C12418
- UMLS 2011AA ObjectClass
- C0460004
- NCI Thesaurus ObjectClass-2
- C12745
- UMLS 2011AA ObjectClass-2
- C0024204
- NCI Thesaurus Property
- C25228
- UMLS 2011AA Property
- C0205090
- NCI Thesaurus Property-2
- C25650
- UMLS 2011AA Property-2
- C0849355
- NCI Thesaurus ValueDomain
- C25685
- UMLS 2011AA ValueDomain
- C1521902
Beschrijving
HeadandNeckLymphNodeLeftRemovedSpecify
Datatype
text
Alias
- NCI Thesaurus ObjectClass
- C12418
- UMLS 2011AA ObjectClass
- C0460004
- NCI Thesaurus ObjectClass-2
- C12745
- UMLS 2011AA ObjectClass-2
- C0024204
- NCI Thesaurus Property
- C25229
- UMLS 2011AA Property
- C0205091
- NCI Thesaurus Property-2
- C25650
- UMLS 2011AA Property-2
- C0849355
- NCI Thesaurus ValueDomain
- C25685
- UMLS 2011AA ValueDomain
- C1521902
Beschrijving
LymphNodePositiveCount
Datatype
float
Alias
- NCI Thesaurus Property
- C25246
- UMLS 2011AA Property
- C1446409
- NCI Thesaurus ObjectClass
- C12745
- UMLS 2011AA ObjectClass
- C0024204
- NCI Thesaurus ValueDomain
- C25463
- UMLS 2011AA ValueDomain
- C0750480
Beschrijving
LymphNodeExaminedCount
Datatype
float
Alias
- NCI Thesaurus Property
- C25500
- UMLS 2011AA Property
- C0332128
- NCI Thesaurus ObjectClass
- C12745
- UMLS 2011AA ObjectClass
- C0024204
- NCI Thesaurus ValueDomain
- C25463
- UMLS 2011AA ValueDomain
- C0750480
Beschrijving
DiseaseExtracapsularExtensionInd-3
Datatype
text
Alias
- NCI Thesaurus ValueDomain
- C38148
- UMLS 2011AA ValueDomain
- C1512699
- NCI Thesaurus ObjectClass
- C2991
- UMLS 2011AA ObjectClass
- C0012634
- NCI Thesaurus Property
- C25270
- UMLS 2011AA Property
- C0231448
Beschrijving
RightLymphNodePositiveTotalCount
Datatype
float
Alias
- NCI Thesaurus ObjectClass
- C25228
- UMLS 2011AA ObjectClass
- C0205090
- NCI Thesaurus ObjectClass-2
- C12745
- UMLS 2011AA ObjectClass-2
- C0024204
- NCI Thesaurus Property
- C25246
- UMLS 2011AA Property
- C1446409
- NCI Thesaurus ValueDomain
- C25304
- UMLS 2011AA ValueDomain
- C0439810
- NCI Thesaurus ValueDomain-2
- C25463
- UMLS 2011AA ValueDomain-2
- C0750480
Beschrijving
RightLymphNodeExaminedTotalCount
Datatype
float
Alias
- NCI Thesaurus ObjectClass
- C25228
- UMLS 2011AA ObjectClass
- C0205090
- NCI Thesaurus ObjectClass-2
- C12745
- UMLS 2011AA ObjectClass-2
- C0024204
- NCI Thesaurus Property
- C25500
- UMLS 2011AA Property
- C0332128
- NCI Thesaurus ValueDomain
- C25304
- UMLS 2011AA ValueDomain
- C0439810
- NCI Thesaurus ValueDomain-2
- C25463
- UMLS 2011AA ValueDomain-2
- C0750480
Beschrijving
LeftLymphNodePositiveTotalCount
Datatype
float
Alias
- NCI Thesaurus ObjectClass
- C25229
- UMLS 2011AA ObjectClass
- C0205091
- NCI Thesaurus ObjectClass-2
- C12745
- UMLS 2011AA ObjectClass-2
- C0024204
- NCI Thesaurus Property
- C25246
- UMLS 2011AA Property
- C1446409
- NCI Thesaurus ValueDomain
- C25304
- UMLS 2011AA ValueDomain
- C0439810
- NCI Thesaurus ValueDomain-2
- C25463
- UMLS 2011AA ValueDomain-2
- C0750480
Beschrijving
LeftLymphNodeExaminedTotalCount
Datatype
float
Alias
- NCI Thesaurus ObjectClass
- C25229
- UMLS 2011AA ObjectClass
- C0205091
- NCI Thesaurus ObjectClass-2
- C12745
- UMLS 2011AA ObjectClass-2
- C0024204
- NCI Thesaurus Property
- C25500
- UMLS 2011AA Property
- C0332128
- NCI Thesaurus ValueDomain
- C25304
- UMLS 2011AA ValueDomain
- C0439810
- NCI Thesaurus ValueDomain-2
- C25463
- UMLS 2011AA ValueDomain-2
- C0750480
Beschrijving
HeadandNeckConnectiveTissueNeoplasmWithoutLymphNodePresentIndicator
Datatype
text
Alias
- NCI Thesaurus ObjectClass
- C3262
- UMLS 2011AA ObjectClass
- C0027651
- NCI Thesaurus ObjectClass-2
- C12418
- UMLS 2011AA ObjectClass-2
- C0460004
- NCI Thesaurus ObjectClass-3
- C12374
- UMLS 2011AA ObjectClass-3
- C0009780
- NCI Thesaurus Property
- C25626
- UMLS 2011AA Property
- C0150312
- NCI Thesaurus Property-2
- C12745
- UMLS 2011AA Property-2
- C0024204
- NCI Thesaurus Property-3
- C25718
- UMLS 2011AA Property-3
- C0332288
- NCI Thesaurus ValueDomain
- C25180
- UMLS 2011AA ValueDomain
- C1522602
Beschrijving
HeadandNeckConnectiveTissueNeoplasmWithoutLymphNodePresentSpecify
Datatype
text
Alias
- NCI Thesaurus ObjectClass
- C3262
- UMLS 2011AA ObjectClass
- C0027651
- NCI Thesaurus ObjectClass-2
- C12418
- UMLS 2011AA ObjectClass-2
- C0460004
- NCI Thesaurus ObjectClass-3
- C12374
- UMLS 2011AA ObjectClass-3
- C0009780
- NCI Thesaurus Property
- C25626
- UMLS 2011AA Property
- C0150312
- NCI Thesaurus Property-2
- C12745
- UMLS 2011AA Property-2
- C0024204
- NCI Thesaurus Property-3
- C25718
- UMLS 2011AA Property-3
- C0332288
- NCI Thesaurus ValueDomain
- C25685
- UMLS 2011AA ValueDomain
- C1521902
Beschrijving
Footer
Beschrijving
Responsible Person Signature
Datatype
text
Alias
- NCI Thesaurus ValueDomain
- C25704
- UMLS CUI-1
- C1550483
- NCI Thesaurus ObjectClass
- C25190
- NCI Thesaurus ObjectClass-2
- C25657
- NCI Thesaurus Property
- C25678
Beschrijving
Form Completion Date
Datatype
date
Alias
- NCI Thesaurus ObjectClass
- C19464
- UMLS CUI-1
- C1549507
- NCI Thesaurus Property
- C25250
- NCI Thesaurus Property-2
- C25604
- NCI Thesaurus ValueDomain
- C25164
- NCI Thesaurus ValueDomain-2
- C25367
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C0231448 (UMLS 2011AA Property)
C1298908 (UMLS 2011AA)
C0439673 (UMLS 2011AA)
C1705108 (UMLS 2011AA)
C0205090 (UMLS 2011AA ObjectClass)
C12745 (NCI Thesaurus ObjectClass-2)
C0024204 (UMLS 2011AA ObjectClass-2)
C25246 (NCI Thesaurus Property)
C1446409 (UMLS 2011AA Property)
C25304 (NCI Thesaurus ValueDomain)
C0439810 (UMLS 2011AA ValueDomain)
C25463 (NCI Thesaurus ValueDomain-2)
C0750480 (UMLS 2011AA ValueDomain-2)
C0205090 (UMLS 2011AA ObjectClass)
C12745 (NCI Thesaurus ObjectClass-2)
C0024204 (UMLS 2011AA ObjectClass-2)
C25500 (NCI Thesaurus Property)
C0332128 (UMLS 2011AA Property)
C25304 (NCI Thesaurus ValueDomain)
C0439810 (UMLS 2011AA ValueDomain)
C25463 (NCI Thesaurus ValueDomain-2)
C0750480 (UMLS 2011AA ValueDomain-2)
C0205091 (UMLS 2011AA ObjectClass)
C12745 (NCI Thesaurus ObjectClass-2)
C0024204 (UMLS 2011AA ObjectClass-2)
C25246 (NCI Thesaurus Property)
C1446409 (UMLS 2011AA Property)
C25304 (NCI Thesaurus ValueDomain)
C0439810 (UMLS 2011AA ValueDomain)
C25463 (NCI Thesaurus ValueDomain-2)
C0750480 (UMLS 2011AA ValueDomain-2)
C0205091 (UMLS 2011AA ObjectClass)
C12745 (NCI Thesaurus ObjectClass-2)
C0024204 (UMLS 2011AA ObjectClass-2)
C25500 (NCI Thesaurus Property)
C0332128 (UMLS 2011AA Property)
C25304 (NCI Thesaurus ValueDomain)
C0439810 (UMLS 2011AA ValueDomain)
C25463 (NCI Thesaurus ValueDomain-2)
C0750480 (UMLS 2011AA ValueDomain-2)
C0027651 (UMLS 2011AA ObjectClass)
C12418 (NCI Thesaurus ObjectClass-2)
C0460004 (UMLS 2011AA ObjectClass-2)
C12374 (NCI Thesaurus ObjectClass-3)
C0009780 (UMLS 2011AA ObjectClass-3)
C25626 (NCI Thesaurus Property)
C0150312 (UMLS 2011AA Property)
C12745 (NCI Thesaurus Property-2)
C0024204 (UMLS 2011AA Property-2)
C25718 (NCI Thesaurus Property-3)
C0332288 (UMLS 2011AA Property-3)
C25180 (NCI Thesaurus ValueDomain)
C1522602 (UMLS 2011AA ValueDomain)
C1298908 (UMLS 2011AA)
C0439673 (UMLS 2011AA)
C1705108 (UMLS 2011AA)
C0027651 (UMLS 2011AA ObjectClass)
C12418 (NCI Thesaurus ObjectClass-2)
C0460004 (UMLS 2011AA ObjectClass-2)
C12374 (NCI Thesaurus ObjectClass-3)
C0009780 (UMLS 2011AA ObjectClass-3)
C25626 (NCI Thesaurus Property)
C0150312 (UMLS 2011AA Property)
C12745 (NCI Thesaurus Property-2)
C0024204 (UMLS 2011AA Property-2)
C25718 (NCI Thesaurus Property-3)
C0332288 (UMLS 2011AA Property-3)
C25685 (NCI Thesaurus ValueDomain)
C1521902 (UMLS 2011AA ValueDomain)
C1550483 (UMLS CUI-1)
C25190 (NCI Thesaurus ObjectClass)
C25657 (NCI Thesaurus ObjectClass-2)
C25678 (NCI Thesaurus Property)
C1549507 (UMLS CUI-1)
C25250 (NCI Thesaurus Property)
C25604 (NCI Thesaurus Property-2)
C25164 (NCI Thesaurus ValueDomain)
C25367 (NCI Thesaurus ValueDomain-2)