ID
11625
Beskrivning
CALGB: Follow-up Solid Tumor Evaluation Form NCT00053339 Trastuzumab With or Without Tamoxifen in Treating Women With Progressive Stage IV Breast Cancer Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=A73D1896-B650-4751-E034-0003BA0B1A09
Länk
Nyckelord
Versioner (3)
- 2012-08-26 2012-08-26 -
- 2015-07-08 2015-07-08 -
- 2015-07-08 2015-07-08 -
Uppladdad den
8 juli 2015
DOI
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Licens
Creative Commons BY-NC 3.0 Legacy
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CALGB: Follow-up Solid Tumor Evaluation Form NCT00053339
INSTRUCTIONS: Complete and submit this form as required by the protocol. Information in the upper right box must be completed for this form to be accepted. Do not leave any entries blank. Enter -1 to indicate that an answer in unknown, unobtainable, not applicable, or not done. Retain a copy for your records and submit ORIGINAL to the CALGB Data Management Center.
- StudyEvent: CALGB: Follow-up Solid Tumor Evaluation Form
Beskrivning
Patient demographics
Alias
- UMLS CUI-1
- C1955348
Beskrivning
Patient Name
Datatyp
text
Alias
- UMLS CUI-1
- C1299487
Beskrivning
Participating Group
Datatyp
float
Alias
- NCI Thesaurus ObjectClass
- C17005
- NCI Thesaurus Property
- C25364
- UMLS CUI-1
- C1257890
- UMLS CUI-2
- C0600091
Beskrivning
Patient Hospital Number
Datatyp
text
Alias
- UMLS CUI-1
- C0421459
Beskrivning
Participating Group Protocol No.
Datatyp
text
Alias
- UMLS CUI-1
- C2826263
Beskrivning
Main Member Institution/Adjunct
Datatyp
float
Alias
- UMLS CUI-1
- C2698041
Beskrivning
Participating Group Patient No.
Datatyp
text
Alias
- UMLS CUI-1
- C0441833
- UMLS CUI-2
- C1830427
Beskrivning
Target Lesion(s) Follow-up Evaluation
Beskrivning
Lesion Number
Datatyp
integer
Alias
- UMLS CUI-1
- C0449791
Beskrivning
Site
Datatyp
float
Alias
- UMLS CUI-1
- C0449685
Beskrivning
Date of Evaluation
Datatyp
date
Alias
- UMLS CUI-1
- C2985720
Beskrivning
Method of Evaluation
Datatyp
text
Alias
- UMLS CUI-1
- C2911685
Beskrivning
If other, specify (method of evaluation)
Datatyp
text
Alias
- UMLS CUI-1
- C0846619
- UMLS CUI-2
- C3845569
Beskrivning
Longest Diameter (cm)
Datatyp
integer
Alias
- NCI Thesaurus ValueDomain
- C25209
- UMLS CUI-1
- C0242485
- UMLS CUI-2
- C1301886
Beskrivning
Sum of Longest Diameteres of All Target lesions (cm)
Datatyp
integer
Alias
- UMLS CUI-1
- C3272915
- UMLS CUI-2
- C2986546
Beskrivning
Response Status at this assessment (Target Lesion)
Datatyp
text
Alias
- UMLS CUI-1
- C1704632
- UMLS CUI-2
- C0449438
Beskrivning
Non-target Lesion(s) Follow-up Evaluation
Beskrivning
New Lesion(s) At Follow-up Evaluation
Beskrivning
Was the appearance of any new lesions documented since the baseline evaluation?
Datatyp
boolean
Alias
- UMLS CUI-1
- C2986548
Beskrivning
Completed by
Datatyp
text
Alias
- NCI Thesaurus ObjectClass
- C25190
- NCI Thesaurus Property
- C25364
- UMLS CUI-1
- C3258039
Beskrivning
Date completed
Datatyp
date
Alias
- UMLS CUI-1
- C1115437
Beskrivning
Ccrr Module For Calgb: Follow-up Solid Tumor Evaluation Form
Similar models
INSTRUCTIONS: Complete and submit this form as required by the protocol. Information in the upper right box must be completed for this form to be accepted. Do not leave any entries blank. Enter -1 to indicate that an answer in unknown, unobtainable, not applicable, or not done. Retain a copy for your records and submit ORIGINAL to the CALGB Data Management Center.
- StudyEvent: CALGB: Follow-up Solid Tumor Evaluation Form
C0348078 (UMLS CUI-2)
C2826693 (UMLS CUI-2)
C1549734 (UMLS CUI-2)
C25416 (NCI Thesaurus Property)
C1511726 (UMLS CUI-1)
C1691222 (UMLS CUI-2)
C1705108 (UMLS 2011AA)
C25364 (NCI Thesaurus Property)
C1257890 (UMLS CUI-1)
C0600091 (UMLS CUI-2)
C1830427 (UMLS CUI-2)
C1456803 (UMLS CUI-1)
C0203668 (UMLS CUI-1)
C0205394 (UMLS CUI-1)
C3845569 (UMLS CUI-2)
C0220825 (UMLS CUI-2)
C0242485 (UMLS CUI-1)
C1301886 (UMLS CUI-2)
C2986546 (UMLS CUI-2)
C0449438 (UMLS CUI-2)
C1521726 (UMLS CUI-1)
C1704632 (UMLS CUI-2)
C0677946 (UMLS CUI-3)
C0547047 (UMLS CUI-2)
C3828606 (UMLS CUI-3)
C0220825 (UMLS CUI-2)
C25364 (NCI Thesaurus Property)
C3258039 (UMLS CUI-1)