ID
11602
Beskrivning
S1011 Registration Worksheet Step 2 (#8470) 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=9386BABC-0E79-AC8D-E040-BB89AD4309BA
Länk
Nyckelord
Versioner (2)
- 2012-08-26 2012-08-26 -
- 2015-07-08 2015-07-08 -
Uppladdad den
8 juli 2015
DOI
För en begäran logga in.
Licens
Creative Commons BY-NC 3.0 Legacy
Modellkommentarer :
Här kan du kommentera modellen. Med hjälp av pratbubblor i Item-grupperna och Item kan du lägga in specifika kommentarer.
Itemgroup-kommentar för :
Item-kommentar för :
Du måste vara inloggad för att kunna ladda ner formulär. Var vänlig logga in eller registrera dig utan kostnad.
S1011 Registration Worksheet Step 2 (#8470)
INSTRUCTIONS: All of the information on this Registration Worksheet and the Protocol Eligibility Section must be answered appropriately for a patient to be considered eligible for registration. This Registration Worksheet must be entirely filled out and referred to during the registration. Do NOT submit this worksheet as part of the patient data
- StudyEvent: S1011 Registration Worksheet Step 2 (#8470)
Beskrivning
Swog Patient Id
Beskrivning
SWOG Patient ID
Datatyp
text
Alias
- NCI Thesaurus ValueDomain
- C25337
- NCI Thesaurus ObjectClass
- C16960
- NCI Thesaurus Property
- C25364
- NCI Thesaurus Property-2
- C25699
- UMLS CUI-1
- C1519429
- UMLS CUI-2
- C3259154
Beskrivning
Registrar's SWOG Roster ID Number
Datatyp
text
Alias
- NCI Thesaurus ValueDomain
- C25337
- NCI Thesaurus Property
- C25364
- NCI Thesaurus Property-2
- C25699
- NCI Thesaurus ObjectClass
- C25357
- UMLS CUI-1
- C0600091
- UMLS CUI-2
- C1519429
Beskrivning
SWOG Investigator Number
Datatyp
float
Alias
- NCI Thesaurus ValueDomain
- C25337
- NCI Thesaurus Property
- C25364
- NCI Thesaurus ObjectClass
- C25699
- NCI Thesaurus ObjectClass-2
- C17089
- UMLS CUI-1
- C0600091
- UMLS CUI-2
- C1519429
Beskrivning
SWOG Treating Institution Number
Datatyp
float
Alias
- NCI Thesaurus ObjectClass
- C25699
- NCI Thesaurus ObjectClass-2
- C25705
- NCI Thesaurus ObjectClass-3
- C41206
- NCI Thesaurus Property
- C25364
- NCI Thesaurus ValueDomain
- C25337
- UMLS CUI-1
- C1519429
- UMLS CUI-2
- C1522326
- UMLS CUI-3
- C0600091
Beskrivning
Stratification Questions
Beskrivning
Chemotherapy basis
Datatyp
text
Alias
- NCI Thesaurus ObjectClass
- C25320
- NCI Thesaurus Property
- C15632
- NCI Thesaurus Property-2
- C15665
- NCI Thesaurus Property-3
- C25689
- NCI Thesaurus ValueDomain
- C25162
- UMLS CUI-1
- C0600558
- UMLS CUI-2
- C3665472
Beskrivning
Clinical statge
Datatyp
text
Alias
- NCI Thesaurus ObjectClass
- C15206
- NCI Thesaurus Property
- C4912
- NCI Thesaurus Property-2
- C16899
- NCI Thesaurus Property-3
- C25689
- NCI Thesaurus ValueDomain
- C25162
- UMLS CUI-1
- C0699885
- UMLS CUI-2
- C1300072
Beskrivning
Zubrod performance status
Datatyp
text
Alias
- NCI Thesaurus ValueDomain
- C25162
- NCI Thesaurus ObjectClass
- C25400
- NCI Thesaurus Property
- C25689
- UMLS CUI-1
- C3714786
Beskrivning
Patient Eligibility
Beskrivning
Eligibility Determination
Datatyp
boolean
Alias
- NCI Thesaurus ObjectClass
- C16960
- NCI Thesaurus ObjectClass-2
- C25699
- NCI Thesaurus Property
- C25646
- NCI Thesaurus Property-2
- C25171
- NCI Thesaurus ValueDomain
- C38147
- UMLS CUI-1
- C1519429
- UMLS CUI-2
- C0013893
Similar models
INSTRUCTIONS: All of the information on this Registration Worksheet and the Protocol Eligibility Section must be answered appropriately for a patient to be considered eligible for registration. This Registration Worksheet must be entirely filled out and referred to during the registration. Do NOT submit this worksheet as part of the patient data
- StudyEvent: S1011 Registration Worksheet Step 2 (#8470)
C25320 (NCI Thesaurus ObjectClass)
C64382 (NCI Thesaurus Property)
C41200 (NCI Thesaurus Property-2)
C1515882 (UMLS CUI-1)
C25474 (NCI Thesaurus ObjectClass)
C25416 (NCI Thesaurus Property)
C25551 (NCI Thesaurus ValueDomain-2)
C0011008 (UMLS CUI-1)
C1517741 (UMLS CUI-2)
C25646 (NCI Thesaurus ObjectClass)
C16154 (NCI Thesaurus Property)
C16154 (NCI Thesaurus ValueDomain-2)
C0585727 (UMLS CUI-1)
C16960 (NCI Thesaurus ObjectClass)
C25364 (NCI Thesaurus Property)
C25699 (NCI Thesaurus Property-2)
C1519429 (UMLS CUI-1)
C3259154 (UMLS CUI-2)
C25364 (NCI Thesaurus Property)
C25699 (NCI Thesaurus Property-2)
C25357 (NCI Thesaurus ObjectClass)
C0600091 (UMLS CUI-1)
C1519429 (UMLS CUI-2)
C25364 (NCI Thesaurus Property)
C25699 (NCI Thesaurus ObjectClass)
C17089 (NCI Thesaurus ObjectClass-2)
C0600091 (UMLS CUI-1)
C1519429 (UMLS CUI-2)
C25705 (NCI Thesaurus ObjectClass-2)
C41206 (NCI Thesaurus ObjectClass-3)
C25364 (NCI Thesaurus Property)
C25337 (NCI Thesaurus ValueDomain)
C1519429 (UMLS CUI-1)
C1522326 (UMLS CUI-2)
C0600091 (UMLS CUI-3)
C15632 (NCI Thesaurus Property)
C15665 (NCI Thesaurus Property-2)
C25689 (NCI Thesaurus Property-3)
C25162 (NCI Thesaurus ValueDomain)
C0600558 (UMLS CUI-1)
C3665472 (UMLS CUI-2)
C0178499 (UMLS CUI-2)
C0178499 (UMLS CUI-2)
C0205394 (UMLS CUI-1)
C0549184 (UMLS CUI-1)
C4912 (NCI Thesaurus Property)
C16899 (NCI Thesaurus Property-2)
C25689 (NCI Thesaurus Property-3)
C25162 (NCI Thesaurus ValueDomain)
C0699885 (UMLS CUI-1)
C1300072 (UMLS CUI-2)
C25400 (NCI Thesaurus ObjectClass)
C25689 (NCI Thesaurus Property)
C3714786 (UMLS CUI-1)
C25699 (NCI Thesaurus ObjectClass-2)
C25646 (NCI Thesaurus Property)
C25171 (NCI Thesaurus Property-2)
C38147 (NCI Thesaurus ValueDomain)
C1519429 (UMLS CUI-1)
C0013893 (UMLS CUI-2)