ID
9309
Description
S1011 Notice of Death Form (#49467) Standard or Extended Pelvic Lymphadenectomy in Treating Patients Undergoing Surgery for Invasive Bladder Cancer Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=9339E952-BBCA-996A-E040-BB89AD43480C
Link
Keywords
Versions (2)
- 8/26/12 8/26/12 -
- 1/9/15 1/9/15 - Martin Dugas
Uploaded on
January 9, 2015
DOI
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License
Creative Commons BY-NC 3.0 Legacy
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Bladder Cancer NCT01224665 Off Treatment - S1011 Notice of Death Form (#49467) - 3152396v1.0
Instructions: Answer all questions and explain any blank fields or blank dates in the Comments section. Place an X in appropriate boxes. Circle AMENDED items in red
- StudyEvent: S1011 Notice of Death Form (#49467)
Description
Unnamed2
Description
Causes Of Death
Description
PersonCancerAssociatedDeathIndicator
Data type
text
Alias
- NCI Thesaurus ObjectClass
- C25190
- UMLS 2011AA ObjectClass
- C0027361
- NCI Thesaurus Property
- C28554
- UMLS 2011AA Property
- C0011065
- NCI Thesaurus Property-2
- C9305
- UMLS 2011AA Property-2
- C0006826
- NCI Thesaurus Property-3
- C25281
- UMLS 2011AA Property-3
- C0332281
- NCI Thesaurus ValueDomain
- C25180
- UMLS 2011AA ValueDomain
- C1522602
Description
PersonCancerAssociatedDeathType
Data type
text
Alias
- NCI Thesaurus ObjectClass
- C25190
- UMLS 2011AA ObjectClass
- C0027361
- NCI Thesaurus Property
- C28554
- UMLS 2011AA Property
- C0011065
- NCI Thesaurus Property-2
- C9305
- UMLS 2011AA Property-2
- C0006826
- NCI Thesaurus Property-3
- C25281
- UMLS 2011AA Property-3
- C0332281
- NCI Thesaurus ValueDomain
- C25284
- UMLS 2011AA ValueDomain
- C0332307
Description
SouthwestOncologyGroupMalignantNeoplasmMostRecentProtocolSpecify
Data type
text
Alias
- NCI Thesaurus ObjectClass
- C25699
- UMLS 2011AA ObjectClass
- C1519429
- NCI Thesaurus ObjectClass-2
- C9305
- UMLS 2011AA ObjectClass-2
- C0006826
- NCI Thesaurus Property
- C25320
- UMLS 2011AA Property
- C1507394
- NCI Thesaurus Property-2
- C25577
- UMLS 2011AA Property-2
- C1513491
- NCI Thesaurus ValueDomain
- C25685
- UMLS 2011AA ValueDomain
- C1521902
Description
SouthwestOncologyGroupMalignantNeoplasmOtherProtocolSpecify
Data type
text
Alias
- NCI Thesaurus ObjectClass
- C25699
- UMLS 2011AA ObjectClass
- C1519429
- NCI Thesaurus ObjectClass-2
- C9305
- UMLS 2011AA ObjectClass-2
- C0006826
- NCI Thesaurus Property
- C17649
- UMLS 2011AA Property
- C0205394
- NCI Thesaurus Property-2
- C25320
- UMLS 2011AA Property-2
- C1507394
- NCI Thesaurus ValueDomain
- C25685
- UMLS 2011AA ValueDomain
- C1521902
Description
PersonCancerAssociatedDeathSpecify
Data type
text
Alias
- NCI Thesaurus ObjectClass
- C25190
- UMLS 2011AA ObjectClass
- C0027361
- NCI Thesaurus Property
- C28554
- UMLS 2011AA Property
- C0011065
- NCI Thesaurus Property-2
- C9305
- UMLS 2011AA Property-2
- C0006826
- NCI Thesaurus Property-3
- C25281
- UMLS 2011AA Property-3
- C0332281
- NCI Thesaurus ValueDomain
- C25685
- UMLS 2011AA ValueDomain
- C1521902
Description
TherapyRelatedToxicityAssessmentIndicator
Data type
text
Alias
- NCI Thesaurus ObjectClass
- C25648
- UMLS 2011AA ObjectClass
- C0439849
- NCI Thesaurus ObjectClass-2
- C27990
- UMLS 2011AA ObjectClass-2
- C0600688
- NCI Thesaurus ObjectClass-3
- C15368
- NCI Thesaurus Property
- C25367
- NCI Thesaurus ValueDomain
- C25180
- UMLS 2011AA ValueDomain
- C1522602
Description
TreatmentRelatedToxicityAssessmentSpecify
Data type
text
Alias
- NCI Thesaurus ObjectClass
- C25648
- UMLS 2011AA ObjectClass
- C0439849
- NCI Thesaurus ObjectClass-2
- C27990
- UMLS 2011AA ObjectClass-2
- C0600688
- NCI Thesaurus ObjectClass-3
- C15368
- NCI Thesaurus Property
- C25367
- NCI Thesaurus ValueDomain
- C25685
- UMLS 2011AA ValueDomain
- C1521902
Description
PersonNotCancerNotTherapyAssociatedDeathIndicator
Data type
text
Alias
- NCI Thesaurus ObjectClass
- C25190
- UMLS 2011AA ObjectClass
- C0027361
- NCI Thesaurus Property
- C28554
- UMLS 2011AA Property
- C0011065
- NCI Thesaurus Property-2
- C25594
- UMLS 2011AA Property-2
- C1518422
- NCI Thesaurus Property-3
- C9305
- UMLS 2011AA Property-3
- C0006826
- NCI Thesaurus Property-4
- C15368
- NCI Thesaurus Property-5
- C25281
- UMLS 2011AA Property-4
- C0332281
- NCI Thesaurus ValueDomain
- C25180
- UMLS 2011AA ValueDomain
- C1522602
Description
PersonNotCancerNotTherapyAssociatedDeathSpecify
Data type
text
Alias
- NCI Thesaurus ObjectClass
- C25190
- UMLS 2011AA ObjectClass
- C0027361
- NCI Thesaurus Property
- C28554
- UMLS 2011AA Property
- C0011065
- NCI Thesaurus Property-2
- C25594
- UMLS 2011AA Property-2
- C1518422
- NCI Thesaurus Property-3
- C9305
- UMLS 2011AA Property-3
- C0006826
- NCI Thesaurus Property-4
- C15368
- NCI Thesaurus Property-5
- C25281
- UMLS 2011AA Property-4
- C0332281
- NCI Thesaurus ValueDomain
- C25685
- UMLS 2011AA ValueDomain
- C1521902
Description
AutopsyPerformedInd-3
Data type
text
Alias
- NCI Thesaurus ValueDomain
- C38148
- UMLS 2011AA ValueDomain
- C1512699
- NCI Thesaurus ObjectClass
- C25153
- UMLS 2011AA ObjectClass
- C0004398
- NCI Thesaurus Property
- C38000
- UMLS 2011AA Property
- C0884358
Description
SouthwestOncologyGroupPatientDeathSource
Data type
text
Alias
- NCI Thesaurus ObjectClass
- C16960
- UMLS 2011AA ObjectClass
- C0030705
- NCI Thesaurus Property
- C28554
- UMLS 2011AA Property
- C0011065
- NCI Thesaurus ValueDomain
- C25683
- UMLS 2011AA ValueDomain
- C0449416
Description
PatientDeathSourceSpecify
Data type
text
Alias
- NCI Thesaurus ValueDomain
- C25685
- UMLS 2011AA ValueDomain
- C1521902
- NCI Thesaurus ObjectClass
- C16960
- UMLS 2011AA ObjectClass
- C0030705
- NCI Thesaurus Property
- C28554
- UMLS 2011AA Property
- C0011065
Description
Comments
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Instructions: Answer all questions and explain any blank fields or blank dates in the Comments section. Place an X in appropriate boxes. Circle AMENDED items in red
- StudyEvent: S1011 Notice of Death Form (#49467)
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