ID
10910
Description
SOUTHWEST ONCOLOGY GROUP DENTAL EXAMINATION FORM (S0307) NCT00127205 Zoledronate, Clodronate, or Ibandronate in Treating Women Who Have Undergone Surgery for Stage I, Stage II, or Stage III Breast Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=DF04A14D-7376-575B-E034-0003BA12F5E7
Link
Keywords
Versions (3)
- 8/26/12 8/26/12 -
- 1/9/15 1/9/15 - Martin Dugas
- 6/12/15 6/12/15 -
Uploaded on
June 12, 2015
DOI
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License
Creative Commons BY-NC 3.0 Legacy
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SOUTHWEST ONCOLOGY GROUP DENTAL EXAMINATION FORM (S0307) NCT00127205
No Instruction available.
- StudyEvent: SOUTHWEST ONCOLOGY GROUP DENTAL EXAMINATION FORM (S0307)
Description
Examination Date
Description
Periodontal Examination
Description
DentalPlaqueToothStatus
Data type
text
Alias
- NCI Thesaurus Property
- C12506
- UMLS 2011AA Property
- C0040426
- NCI Thesaurus ValueDomain
- C25688
- UMLS 2011AA ValueDomain
- C0449438
- NCI Metathesaurus ObjectClass
- C0226984
Description
DentalTartarToothStatus
Data type
text
Alias
- NCI Thesaurus Property
- C12506
- UMLS 2011AA Property
- C0040426
- NCI Thesaurus ValueDomain
- C25688
- UMLS 2011AA ValueDomain
- C0449438
- NCI Metathesaurus ObjectClass
- C0226984
Description
DentalGingivaStatus
Data type
text
Alias
- NCI Thesaurus Property
- C32677
- UMLS 2011AA Property
- C0017562
- NCI Thesaurus ValueDomain
- C25688
- UMLS 2011AA ValueDomain
- C0449438
- NCI Metathesaurus ObjectClass
- C0226984
Description
DiseasePeriodontiumStatus
Data type
text
Alias
- NCI Thesaurus ObjectClass
- C2991
- UMLS 2011AA ObjectClass
- C0012634
- NCI Thesaurus ValueDomain
- C25688
- UMLS 2011AA ValueDomain
- C0449438
- NCI Thesaurus Property
- C33304
- UMLS 2011AA Property
- C0031093
Description
DentalToothIdentifierSpecify
Data type
text
Alias
- NCI Thesaurus ValueDomain
- C25685
- UMLS 2011AA ValueDomain
- C1521902
- NCI Thesaurus Property
- C25364
- UMLS 2011AA Property
- C0600091
- NCI Thesaurus ObjectClass
- C41136
- UMLS 2011AA ObjectClass
- C0226984
- NCI Thesaurus ObjectClass-2
- C12506
- UMLS 2011AA ObjectClass-2
- C0040426
Description
OverallDiseasePeriodontiumStatus
Data type
text
Alias
- NCI Thesaurus ObjectClass
- C2991
- UMLS 2011AA ObjectClass
- C0012634
- NCI Thesaurus ValueDomain
- C25688
- UMLS 2011AA ValueDomain
- C0449438
- NCI Thesaurus Property
- C33304
- UMLS 2011AA Property
- C0031093
Description
Dentition Examination
Description
DentalToothExamInd
Data type
text
Alias
- NCI Thesaurus ValueDomain
- C25180
- UMLS 2011AA ValueDomain
- C1522602
- NCI Thesaurus Property
- C20989
- UMLS 2011AA Property
- C0031809
- NCI Thesaurus ObjectClass
- C41136
- UMLS 2011AA ObjectClass
- C0226984
Description
DentalToothCariesDescriptionSpecify
Data type
text
Alias
- NCI Thesaurus ObjectClass
- C41136
- UMLS 2011AA ObjectClass
- C0226984
- NCI Thesaurus ObjectClass-2
- C12506
- UMLS 2011AA ObjectClass-2
- C0040426
- NCI Thesaurus Property
- C25365
- UMLS 2011AA Property
- C0678257
- NCI Metathesaurus Property
- CL159156
- NCI Thesaurus ValueDomain
- C25685
- UMLS 2011AA ValueDomain
- C1521902
Description
DentalToothFractureDescriptionSpecify
Data type
text
Alias
- NCI Thesaurus ObjectClass
- C41136
- UMLS 2011AA ObjectClass
- C0226984
- NCI Thesaurus ObjectClass-2
- C12506
- UMLS 2011AA ObjectClass-2
- C0040426
- NCI Thesaurus Property
- C3046
- UMLS 2011AA Property
- C0016658
- NCI Thesaurus Property-2
- C25365
- UMLS 2011AA Property-2
- C0678257
- NCI Thesaurus ValueDomain
- C25685
- UMLS 2011AA ValueDomain
- C1521902
Description
Endodontic Examination
Description
InternalDentalToothExamInd
Data type
text
Alias
- NCI Thesaurus ValueDomain
- C25180
- UMLS 2011AA ValueDomain
- C1522602
- NCI Thesaurus Property
- C20989
- UMLS 2011AA Property
- C0031809
- NCI Thesaurus ObjectClass
- C41136
- UMLS 2011AA ObjectClass
- C0226984
Description
InternalDentalToothTreatmentText
Data type
text
Alias
- NCI Thesaurus ValueDomain
- C25704
- UMLS 2011AA ValueDomain
- C1527021
- NCI Thesaurus Property
- C15368
- NCI Metathesaurus ObjectClass
- C0226984
Description
InternalDentalToothFailureText
Data type
text
Alias
- NCI Thesaurus ValueDomain
- C25704
- UMLS 2011AA ValueDomain
- C1527021
- NCI Thesaurus Property
- C25745
- UMLS 2011AA Property
- C0231174
- NCI Metathesaurus ObjectClass
- C0226984
Description
Removable Dentures
Description
DentureUseType
Data type
text
Alias
- NCI Thesaurus ValueDomain
- C25284
- UMLS 2011AA ValueDomain
- C0332307
- NCI Thesaurus ObjectClass
- C63720
- UMLS 2011AA ObjectClass
- C0011394
- NCI Thesaurus Property
- C25340
- UMLS 2011AA Property
- C0457083
Description
DentureUseAgeYearCount
Data type
float
Alias
- NCI Thesaurus ValueDomain
- C29848
- UMLS 2011AA ValueDomain
- C0439234
- NCI Thesaurus ValueDomain-2
- C25463
- UMLS 2011AA ValueDomain-2
- C0750480
- NCI Thesaurus ObjectClass
- C63720
- UMLS 2011AA ObjectClass
- C0011394
- NCI Thesaurus Property
- C25340
- UMLS 2011AA Property
- C0457083
Description
DentureAdjustmentMostRecentDate
Data type
date
Alias
- NCI Thesaurus ValueDomain
- C25164
- UMLS 2011AA ValueDomain
- C0011008
- NCI Thesaurus ObjectClass
- C63720
- UMLS 2011AA ObjectClass
- C0011394
- NCI Thesaurus ValueDomain-2
- C25577
- UMLS 2011AA ValueDomain-2
- C1513491
- NCI Thesaurus Property
- C49157
- UMLS 2011AA Property
- C0456081
Description
DentureStabilityIndicator
Data type
text
Alias
- NCI Thesaurus ValueDomain
- C25180
- UMLS 2011AA ValueDomain
- C1522602
- NCI Thesaurus ObjectClass
- C63720
- UMLS 2011AA ObjectClass
- C0011394
- NCI Thesaurus Property
- C54072
- UMLS 2011AA Property
- C0205360
Description
DentureStabilityIndicator
Data type
text
Alias
- NCI Thesaurus ValueDomain
- C25180
- UMLS 2011AA ValueDomain
- C1522602
- NCI Thesaurus ObjectClass
- C63720
- UMLS 2011AA ObjectClass
- C0011394
- NCI Thesaurus Property
- C54072
- UMLS 2011AA Property
- C0205360
Description
DentureRetentionIndicator
Data type
text
Alias
- NCI Thesaurus ValueDomain
- C25180
- UMLS 2011AA ValueDomain
- C1522602
- NCI Thesaurus Property
- C38016
- UMLS 2011AA Property
- C0333117
- NCI Thesaurus ObjectClass
- C63720
- UMLS 2011AA ObjectClass
- C0011394
Description
DentureRetentionIndicator
Data type
text
Alias
- NCI Thesaurus ValueDomain
- C25180
- UMLS 2011AA ValueDomain
- C1522602
- NCI Thesaurus Property
- C38016
- UMLS 2011AA Property
- C0333117
- NCI Thesaurus ObjectClass
- C63720
- UMLS 2011AA ObjectClass
- C0011394
Description
DentureUseTraumaIndicator
Data type
text
Alias
- NCI Thesaurus ValueDomain
- C25180
- UMLS 2011AA ValueDomain
- C1522602
- NCI Thesaurus ObjectClass
- C63720
- UMLS 2011AA ObjectClass
- C0011394
- NCI Thesaurus Property
- C25340
- UMLS 2011AA Property
- C0457083
Description
Trial subject ID SWOG
Data type
text
Alias
- NCI Thesaurus ValueDomain
- C25337
- UMLS CUI-1
- C2348585
- NCI Thesaurus ObjectClass
- C16960
- UMLS CUI-2
- C1519429
- NCI Thesaurus Property
- C25364
- NCI Thesaurus Property-2
- C25699
Description
Protocol ID SWOG
Data type
text
Alias
- NCI Thesaurus ValueDomain
- C25337
- UMLS CUI-1
- C3274381
- NCI Thesaurus ObjectClass
- C25320
- UMLS CUI-2
- C1519429
- NCI Thesaurus Property
- C25364
- NCI Thesaurus Property-2
- C25699
Description
Registration Number
Data type
text
Alias
- NCI Thesaurus ValueDomain
- C25337
- UMLS CUI-1
- C1514821
- NCI Thesaurus ObjectClass
- C25646
- UMLS CUI-2
- C0237753
- NCI Thesaurus Property
- C16154
- NCI Thesaurus ValueDomain-2
- C16154
Description
Patient Initials
Data type
text
Alias
- NCI Thesaurus ValueDomain
- C25191
- UMLS CUI-1
- C2986440
- NCI Thesaurus ObjectClass
- C16960
- NCI Thesaurus Property
- C25536
Description
Osteonecrotic Jaw Lesions
Description
AnatomicSiteName
Data type
text
Alias
- NCI Thesaurus ValueDomain
- C25191
- UMLS 2011AA ValueDomain
- C1547383
- NCI Thesaurus ObjectClass
- C13717
- UMLS 2011AA ObjectClass
- C1515974
- NCI Thesaurus ValueDomain-2
- C25704
- UMLS 2011AA ValueDomain-2
- C1527021
- NCI Thesaurus Property
- C25367
Description
NecroticBoneLesionText
Data type
text
Alias
- NCI Thesaurus ValueDomain
- C25704
- UMLS 2011AA ValueDomain
- C1527021
- NCI Thesaurus ObjectClass
- C12366
- UMLS 2011AA ObjectClass
- C0262950
- NCI Metathesaurus Property
- C0221198
Description
DiseaseOnsetDate
Data type
date
Alias
- NCI Thesaurus ValueDomain
- C25164
- UMLS 2011AA ValueDomain
- C0011008
- NCI Thesaurus ObjectClass
- C2991
- UMLS 2011AA ObjectClass
- C0012634
- NCI Thesaurus Property
- C25279
- UMLS 2011AA Property
- C0332162
Description
AssociatedBoneNecroticLesionType
Data type
text
Alias
- NCI Thesaurus ValueDomain
- C25284
- UMLS 2011AA ValueDomain
- C0332307
- NCI Thesaurus ObjectClass
- C12366
- UMLS 2011AA ObjectClass
- C0262950
- NCI Metathesaurus Property
- C0221198
Description
DentistSignatureText
Data type
text
Alias
- NCI Thesaurus ValueDomain
- C25704
- UMLS 2011AA ValueDomain
- C1527021
- NCI Thesaurus Property
- C25678
- UMLS 2011AA Property
- C1519316
- NCI Metathesaurus ObjectClass
- C0011441
Description
Investigator Signature Date
Data type
date
Alias
- NCI Thesaurus ValueDomain
- C25164
- UMLS CUI-1
- C2346576
- NCI Thesaurus Property
- C25678
- UMLS CUI-2
- C0011008
- NCI Thesaurus ValueDomain-2
- C25367
- NCI Thesaurus ObjectClass
- C17089
Description
Comments
Similar models
No Instruction available.
- StudyEvent: SOUTHWEST ONCOLOGY GROUP DENTAL EXAMINATION FORM (S0307)
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C21541 (NCI Thesaurus ObjectClass-2)
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C0549184 (UMLS 2011AA)
C2945599 (UMLS 2011AA)
C0040426 (UMLS 2011AA Property)
C25688 (NCI Thesaurus ValueDomain)
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C33304 (NCI Thesaurus Property)
C0031093 (UMLS 2011AA Property)
C1521902 (UMLS 2011AA ValueDomain)
C25364 (NCI Thesaurus Property)
C0600091 (UMLS 2011AA Property)
C41136 (NCI Thesaurus ObjectClass)
C0226984 (UMLS 2011AA ObjectClass)
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C0012634 (UMLS 2011AA ObjectClass)
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C3046 (NCI Thesaurus Property)
C0016658 (UMLS 2011AA Property)
C25365 (NCI Thesaurus Property-2)
C0678257 (UMLS 2011AA Property-2)
C25685 (NCI Thesaurus ValueDomain)
C1521902 (UMLS 2011AA ValueDomain)
C1522602 (UMLS 2011AA ValueDomain)
C20989 (NCI Thesaurus Property)
C0031809 (UMLS 2011AA Property)
C41136 (NCI Thesaurus ObjectClass)
C0226984 (UMLS 2011AA ObjectClass)
C0549184 (UMLS 2011AA)
C1527021 (UMLS 2011AA ValueDomain)
C15368 (NCI Thesaurus Property)
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C0011394 (UMLS 2011AA ObjectClass)
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C0549184 (UMLS 2011AA)
C0439234 (UMLS 2011AA ValueDomain)
C25463 (NCI Thesaurus ValueDomain-2)
C0750480 (UMLS 2011AA ValueDomain-2)
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C0011394 (UMLS 2011AA ObjectClass)
C25340 (NCI Thesaurus Property)
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C0456081 (UMLS 2011AA Property)
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C0011394 (UMLS 2011AA ObjectClass)
C54072 (NCI Thesaurus Property)
C0205360 (UMLS 2011AA Property)
C1522602 (UMLS 2011AA ValueDomain)
C63720 (NCI Thesaurus ObjectClass)
C0011394 (UMLS 2011AA ObjectClass)
C54072 (NCI Thesaurus Property)
C0205360 (UMLS 2011AA Property)
C1522602 (UMLS 2011AA ValueDomain)
C38016 (NCI Thesaurus Property)
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C0011394 (UMLS 2011AA ObjectClass)
C1522602 (UMLS 2011AA ValueDomain)
C38016 (NCI Thesaurus Property)
C0333117 (UMLS 2011AA Property)
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C0011394 (UMLS 2011AA ObjectClass)
C1522602 (UMLS 2011AA ValueDomain)
C63720 (NCI Thesaurus ObjectClass)
C0011394 (UMLS 2011AA ObjectClass)
C25340 (NCI Thesaurus Property)
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C0549184 (UMLS 2011AA)
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C16960 (NCI Thesaurus ObjectClass)
C25536 (NCI Thesaurus Property)
C1547383 (UMLS 2011AA ValueDomain)
C13717 (NCI Thesaurus ObjectClass)
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C1527021 (UMLS 2011AA ValueDomain-2)
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C0012634 (UMLS 2011AA ObjectClass)
C25279 (NCI Thesaurus Property)
C0332162 (UMLS 2011AA Property)
C0332307 (UMLS 2011AA ValueDomain)
C12366 (NCI Thesaurus ObjectClass)
C0262950 (UMLS 2011AA ObjectClass)
C0221198 (NCI Metathesaurus Property)
C1527021 (UMLS 2011AA ValueDomain)
C25678 (NCI Thesaurus Property)
C1519316 (UMLS 2011AA Property)
C0011441 (NCI Metathesaurus ObjectClass)
C2346576 (UMLS CUI-1)
C25678 (NCI Thesaurus Property)
C0011008 (UMLS CUI-2)
C25367 (NCI Thesaurus ValueDomain-2)
C17089 (NCI Thesaurus ObjectClass)
C0947611 (UMLS CUI-1)
C15319 (NCI Thesaurus ObjectClass)
C25393 (NCI Thesaurus Property)