ID

9238

Beschrijving

Southwest Oncology Group Baseline Tumor Assessment Form Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=A50B77BD-3730-1660-E034-080020C9C0E0

Link

https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=A50B77BD-3730-1660-E034-080020C9C0E0

Trefwoorden

  1. 19-09-12 19-09-12 -
  2. 09-01-15 09-01-15 - Martin Dugas
  3. 03-07-15 03-07-15 -
Geüploaded op

9 januari 2015

DOI

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Licentie

Creative Commons BY-NC 3.0 Legacy

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Lung Cancer null Response - Southwest Oncology Group Baseline Tumor Assessment Form - 2038743v3.0

No Instruction available.

  1. StudyEvent: Southwest Oncology Group Baseline Tumor Assessment Form
    1. No Instruction available.
Unnamed 1
Beschrijving

Unnamed 1

SWOG Patient ID
Beschrijving

SWOGPatientID

Datatype

text

SWOG Study No.
Beschrijving

SWOGStudyNo.

Datatype

text

Registration Step
Beschrijving

RegistrationStep

Datatype

text

Patient Initials (L, F M)
Beschrijving

Patient Initials

Datatype

text

Alias
NCI Thesaurus ValueDomain
C25191
UMLS CUI-1
C2986440
NCI Thesaurus ObjectClass
C16960
NCI Thesaurus Property
C25536
Institution/Affiliate
Beschrijving

MainMemberInstitution/Affiliate

Datatype

text

Physician (Groups other than SWOG)
Beschrijving

RegisteredInvestigator

Datatype

text

Group Name
Beschrijving

GroupName

Datatype

text

Alias
NCI Thesaurus ValueDomain
C25191
UMLS 2011AA ValueDomain
C1547383
NCI Thesaurus ObjectClass
C17005
UMLS 2011AA ObjectClass
C1257890
NCI Thesaurus Property
C25364
UMLS 2011AA Property
C0600091
Study No.
Beschrijving

StudyNo.

Datatype

text

Pt. ID (Target Lesions)
Beschrijving

Pt.ID

Datatype

text

Unnamed 2
Beschrijving

Unnamed 2

(L1, etc. question)
Beschrijving

Lesion,ReferenceNumber,Target

Datatype

text

Site of Lesions
Beschrijving

Lesion,AnatomicSite,Target

Datatype

text

Longest Diameter of Lesions (cm)
Beschrijving

Lesion,TumorDiameter

Datatype

float

Alias
NCI Thesaurus ValueDomain
C25209
UMLS 2011AA ValueDomain
C0242485
Assessment Type
Beschrijving

AssessmentType

Datatype

text

Assessment Type
Beschrijving

AssessmentType

Datatype

text

(S1, etc. question)
Beschrijving

Lesion,ReferenceNumber,Nontarget

Datatype

text

Site of Disease
Beschrijving

Lesion,AnatomicSite,Nontarget

Datatype

text

Disease Extent
Beschrijving

DiseaseExtent

Datatype

text

Assessment Date
Beschrijving

AssessmentDate

Datatype

date

Assessment Date
Beschrijving

AssessmentDate

Datatype

date

Unnamed 3
Beschrijving

Unnamed 3

Tests/studies
Beschrijving

Tests/studies

Datatype

text

Assessment Date
Beschrijving

AssessmentDate

Datatype

date

Comments
Beschrijving

Comments

Comments
Beschrijving

Comments

Datatype

text

Ccrr Module For Southwest Oncology Group Baseline Tumor Assessment Form
Beschrijving

Ccrr Module For Southwest Oncology Group Baseline Tumor Assessment Form

Similar models

No Instruction available.

  1. StudyEvent: Southwest Oncology Group Baseline Tumor Assessment Form
    1. No Instruction available.
Name
Type
Description | Question | Decode (Coded Value)
Datatype
Alias
Item Group
Unnamed 1
SWOGPatientID
Item
SWOG Patient ID
text
SWOGStudyNo.
Item
SWOG Study No.
text
RegistrationStep
Item
Registration Step
text
Patient Initials
Item
Patient Initials (L, F M)
text
C25191 (NCI Thesaurus ValueDomain)
C2986440 (UMLS CUI-1)
C16960 (NCI Thesaurus ObjectClass)
C25536 (NCI Thesaurus Property)
MainMemberInstitution/Affiliate
Item
Institution/Affiliate
text
RegisteredInvestigator
Item
Physician (Groups other than SWOG)
text
GroupName
Item
Group Name
text
C25191 (NCI Thesaurus ValueDomain)
C1547383 (UMLS 2011AA ValueDomain)
C17005 (NCI Thesaurus ObjectClass)
C1257890 (UMLS 2011AA ObjectClass)
C25364 (NCI Thesaurus Property)
C0600091 (UMLS 2011AA Property)
StudyNo.
Item
Study No.
text
Pt.ID
Item
Pt. ID (Target Lesions)
text
Item Group
Unnamed 2
Item
(L1, etc. question)
text
Code List
(L1, etc. question)
CL Item
L1 (L1)
CL Item
L2 (L2)
CL Item
L3 (L3)
CL Item
L4 (L4)
CL Item
L5 (L5)
CL Item
L6 (L6)
CL Item
L7 (L7)
CL Item
L8 (L8)
CL Item
L9 (L9)
CL Item
L10 (L10)
Lesion,AnatomicSite,Target
Item
Site of Lesions
text
Lesion,TumorDiameter
Item
Longest Diameter of Lesions (cm)
float
C25209 (NCI Thesaurus ValueDomain)
C0242485 (UMLS 2011AA ValueDomain)
Item
Assessment Type
text
Code List
Assessment Type
CL Item
Palpation (Palpation)
CL Item
Visualization (Visualization)
CL Item
Colposcopy (Colposcopy)
CL Item
Endoscopy (Endoscopy)
CL Item
Plain film/X-ray without contrast (Plain film/X-ray without contrast)
CL Item
Plain film/X-ray with contrast (Plain film/X-ray with contrast)
CL Item
Ct Scan (CT scan)
CL Item
Mri (MRI scan)
CL Item
Radioisotope scan (Radioisotope scan)
CL Item
Ultrasound (Ultrasound)
C64384 (NCI Thesaurus)
C1456803 (UMLS 2011AA)
CL Item
PET scan (PET scan)
CL Item
Spiral Ct Scan (Sprial CT scan)
CL Item
Histology (Histologic confirmation)
C16681 (NCI Thesaurus)
C0019638 (UMLS 2011AA)
CL Item
Cytology (Cytologic confirmation)
C16491 (NCI Thesaurus)
C0010819 (UMLS 2011AA)
CL Item
Other (Other)
C17649 (NCI Thesaurus)
C0205394 (UMLS 2011AA)
Item
Assessment Type
text
Code List
Assessment Type
CL Item
Palpation (Palpation)
CL Item
Visualization (Visualization)
CL Item
Colposcopy (Colposcopy)
CL Item
Endoscopy (Endoscopy)
CL Item
Plain film/X-ray without contrast (Plain film/X-ray without contrast)
CL Item
Plain film/X-ray with contrast (Plain film/X-ray with contrast)
CL Item
Ct Scan (CT scan)
CL Item
Mri (MRI scan)
CL Item
Radioisotope scan (Radioisotope scan)
CL Item
Ultrasound (Ultrasound)
C64384 (NCI Thesaurus)
C1456803 (UMLS 2011AA)
CL Item
PET scan (PET scan)
CL Item
Spiral Ct Scan (Sprial CT scan)
CL Item
Histology (Histologic confirmation)
C16681 (NCI Thesaurus)
C0019638 (UMLS 2011AA)
CL Item
Cytology (Cytologic confirmation)
C16491 (NCI Thesaurus)
C0010819 (UMLS 2011AA)
CL Item
Other (Other)
C17649 (NCI Thesaurus)
C0205394 (UMLS 2011AA)
Item
(S1, etc. question)
text
Code List
(S1, etc. question)
CL Item
S1 (S1)
CL Item
S2 (S2)
CL Item
S3 (S3)
CL Item
S4 (S4)
CL Item
S5 (S5)
Lesion,AnatomicSite,Nontarget
Item
Site of Disease
text
DiseaseExtent
Item
Disease Extent
text
AssessmentDate
Item
Assessment Date
date
AssessmentDate
Item
Assessment Date
date
Item Group
Unnamed 3
Tests/studies
Item
Tests/studies
text
AssessmentDate
Item
Assessment Date
date
Item Group
Comments
Comments
Item
Comments
text
Item Group
Ccrr Module For Southwest Oncology Group Baseline Tumor Assessment Form

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