ID
23023
Descripción
IBCSG Long Term Follow-Up Medication Form (18-LTF-M) Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=889C3F60-2C7B-8540-E040-BB89AD4303DD
Link
Palabras clave
Versiones (2)
- 26/8/12 26/8/12 -
- 20/6/17 20/6/17 - Martin Dugas
Subido en
20 de junio de 2017
DOI
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Licencia
Creative Commons BY-NC 3.0
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IBCSG Long Term Follow-Up Medication Form (18-LTF-M)
Instructions: This form is to be completed if the patient received bone active medication, non-steroidal, anti-inflammatory drug or extended adjuvant therapy during this follow-up period. Use minus one (-1) to indicate that an answer is unknown, unobtainable or not done
- StudyEvent: IBCSG Long Term Follow-Up Medication Form (18-LTF-M)
Descripción
Long Term Follow-up Medication
Alias
- UMLS CUI-1
- C1517942
- UMLS CUI-2
- C0013227
Descripción
Medication Osteoporosis Administered Indicator
Tipo de datos
text
Alias
- NCI Thesaurus ValueDomain
- C25180
- NCI Thesaurus Property
- C3298
- NCI Thesaurus ObjectClass
- C459
- NCI Thesaurus Property-2
- C25382
- UMLS CUI [1,1]
- C0029456
- UMLS CUI [1,2]
- C0013227
Descripción
Medication Osteoporosis
Tipo de datos
integer
Alias
- NCI Thesaurus ValueDomain
- C25284
- NCI Thesaurus Property
- C3298
- NCI Thesaurus ObjectClass
- C459
- NCI Thesaurus Property-2
- C25382
- UMLS CUI [1,1]
- C0029456
- UMLS CUI [1,2]
- C0013227
Descripción
Medication Osteoporosis, specify
Tipo de datos
text
Alias
- NCI Thesaurus ValueDomain
- C25685
- NCI Thesaurus Property
- C3298
- NCI Thesaurus ObjectClass
- C459
- NCI Thesaurus Property-2
- C25382
- UMLS CUI [1,1]
- C0029456
- UMLS CUI [1,2]
- C0013227
Descripción
Concomitant Medication Corticosteroids
Tipo de datos
text
Alias
- NCI Thesaurus ObjectClass
- C459
- NCI Thesaurus ObjectClass-2
- C25730
- NCI Thesaurus Property
- C2322
- NCI Thesaurus Property-2
- C25382
- NCI Thesaurus ValueDomain
- C25180
- UMLS CUI [1,1]
- C0001617
- UMLS CUI [1,2]
- C0013227
Descripción
Concomitant Medication OtherCorticosteroid
Tipo de datos
text
Alias
- NCI Thesaurus ObjectClass
- C459
- NCI Thesaurus ObjectClass-2
- C25730
- NCI Thesaurus Property
- C17649
- NCI Thesaurus Property-2
- C2322
- NCI Thesaurus Property-3
- C25382
- NCI Thesaurus ValueDomain
- C25685
- UMLS CUI [1]
- C0013227C0001617
Descripción
Nonsteroidal Antiinflammatory Drug Regular Use
Tipo de datos
text
Alias
- NCI Thesaurus ObjectClass
- C16960
- NCI Thesaurus Property
- C18772
- NCI Thesaurus Property-2
- C257
- NCI Thesaurus Property-3
- C25340
- NCI Thesaurus Property-4
- C25647
- NCI Thesaurus ValueDomain
- C25180
- UMLS CUI [1,1]
- C0003211
- UMLS CUI [1,2]
- C0205272
Descripción
Nonsteroidal Antiinflammatory Drug Medication
Tipo de datos
text
Alias
- NCI Thesaurus ObjectClass
- C459
- NCI Thesaurus ObjectClass-2
- C257
- NCI Thesaurus Property
- C25616
- NCI Thesaurus Property-2
- C25651
- NCI Thesaurus ValueDomain
- C25685
- UMLS CUI [1,1]
- C0013227
- UMLS CUI [1,2]
- C0003211
Descripción
Adjuvant Hormonal Therapy
Tipo de datos
text
Alias
- NCI Thesaurus ValueDomain
- C25180
- NCI Thesaurus ObjectClass
- C15445
- NCI Thesaurus ObjectClass-2
- C2140
- NCI Thesaurus Property
- C25382
- UMLS CUI [1]
- C2367461
Descripción
Adjuvant Hormone Therapy Begin Date
Tipo de datos
date
Alias
- NCI Thesaurus ObjectClass
- C15445
- NCI Thesaurus ObjectClass-2
- C2140
- NCI Thesaurus Property
- C25431
- NCI Thesaurus Property-2
- C25275
- NCI Thesaurus ValueDomain
- C25164
- NCI Thesaurus ValueDomain-2
- C25431
- UMLS CUI [1,1]
- C2367461
- UMLS CUI [1,2]
- C0808070
Descripción
Adjuvant Hormone Therapy End Date
Tipo de datos
date
Alias
- NCI Thesaurus ObjectClass
- C15445
- NCI Thesaurus ObjectClass-2
- C2140
- NCI Thesaurus Property
- C25275
- NCI Thesaurus Property-2
- C25496
- NCI Thesaurus ValueDomain
- C25164
- UMLS CUI [1,1]
- C2367461
- UMLS CUI [1,2]
- C0806020
Descripción
Adjuvant Hormonal Therapy Type
Tipo de datos
integer
Alias
- NCI Thesaurus ValueDomain
- C25284
- NCI Thesaurus ObjectClass
- C15445
- NCI Thesaurus ObjectClass-2
- C2140
- NCI Thesaurus Property
- C25382
- UMLS CUI [1]
- C2367461
Descripción
New Adjuvant Hormone Therapy, specify
Tipo de datos
text
Alias
- NCI Thesaurus ObjectClass
- C25586
- NCI Thesaurus ObjectClass-2
- C15445
- NCI Thesaurus ObjectClass-3
- C2140
- NCI Thesaurus Property
- C25382
- NCI Thesaurus ValueDomain
- C25685
- UMLS CUI [1]
- C2367461
Descripción
Prior Treatment Discontinued Reason
Tipo de datos
integer
Alias
- NCI Thesaurus ValueDomain
- C25638
- NCI Thesaurus ObjectClass
- C25629
- NCI Thesaurus ObjectClass-2
- C15368
- NCI Thesaurus Property
- C25484
- UMLS CUI [1,1]
- C4288399
- UMLS CUI [1,2]
- C0566251
Descripción
Off-treatment Reason
Tipo de datos
text
Alias
- NCI Thesaurus ValueDomain
- C25685
- NCI Thesaurus ObjectClass
- C25601
- NCI Thesaurus Property
- C25365
- UMLS CUI [1,1]
- C1518544
- UMLS CUI [1,2]
- C0566251
Descripción
Footer Module
Alias
- UMLS CUI-1
- C2825232
Descripción
Investigator Signature
Tipo de datos
text
Alias
- NCI Thesaurus ValueDomain
- C25704
- NCI Thesaurus Property
- C25678
- NCI Thesaurus ObjectClass
- C17089
- NCI Thesaurus Property-2
- C25479
- UMLS CUI [1]
- C2346576
Descripción
Investigator Signature Date
Tipo de datos
date
Unidades de medida
- day month year
Alias
- NCI Thesaurus ValueDomain
- C25164
- NCI Thesaurus Property
- C25678
- NCI Thesaurus ValueDomain-2
- C25367
- NCI Thesaurus ObjectClass
- C17089
- UMLS CUI [1,1]
- C2346576
- UMLS CUI [1,2]
- C0011008
Similar models
Instructions: This form is to be completed if the patient received bone active medication, non-steroidal, anti-inflammatory drug or extended adjuvant therapy during this follow-up period. Use minus one (-1) to indicate that an answer is unknown, unobtainable or not done
- StudyEvent: IBCSG Long Term Follow-Up Medication Form (18-LTF-M)
C16696 (NCI Thesaurus ObjectClass)
C25385 (NCI Thesaurus Property)
C1549755 (UMLS CUI [1])
C16960 (NCI Thesaurus ObjectClass)
C25364 (NCI Thesaurus Property)
C25530 (NCI Thesaurus Property-2)
C4037772 (UMLS CUI [1,1])
C1512890 (UMLS CUI [1,2])
C25320 (NCI Thesaurus ObjectClass)
C25364 (NCI Thesaurus Property)
C25530 (NCI Thesaurus Property-2)
C1507394 (UMLS CUI [1,1])
C1512890 (UMLS CUI [1,2])
C0030705 (UMLS 2011AA ObjectClass)
C25364 (NCI Thesaurus ValueDomain)
C0600091 (UMLS 2011AA ValueDomain)
C25196 (NCI Thesaurus Property)
C0034656 (UMLS 2011AA Property)
C21541 (NCI Thesaurus ObjectClass)
C25364 (NCI Thesaurus Property)
C1301943 (UMLS CUI [1,1])
C0805701 (UMLS CUI [1,2])
C1547383 (UMLS 2011AA ValueDomain)
C21541 (NCI Thesaurus ObjectClass)
C0018704 (UMLS 2011AA ObjectClass)
C21541 (NCI Thesaurus ValueDomain-2)
C0018704 (UMLS 2011AA ValueDomain-2)
C25364 (NCI Thesaurus Property)
C0600091 (UMLS 2011AA Property)
C0013227 (UMLS CUI-2)
C3298 (NCI Thesaurus Property)
C459 (NCI Thesaurus ObjectClass)
C25382 (NCI Thesaurus Property-2)
C0029456 (UMLS CUI [1,1])
C0013227 (UMLS CUI [1,2])
C1298908 (UMLS CUI-1)
C1705108 (UMLS CUI-1)
C3298 (NCI Thesaurus Property)
C459 (NCI Thesaurus ObjectClass)
C25382 (NCI Thesaurus Property-2)
C0029456 (UMLS CUI [1,1])
C0013227 (UMLS CUI [1,2])
C3298 (NCI Thesaurus Property)
C459 (NCI Thesaurus ObjectClass)
C25382 (NCI Thesaurus Property-2)
C0029456 (UMLS CUI [1,1])
C0013227 (UMLS CUI [1,2])
C25730 (NCI Thesaurus ObjectClass-2)
C2322 (NCI Thesaurus Property)
C25382 (NCI Thesaurus Property-2)
C25180 (NCI Thesaurus ValueDomain)
C0001617 (UMLS CUI [1,1])
C0013227 (UMLS CUI [1,2])
C1298908 (UMLS CUI-1)
C1705108 (UMLS CUI-1)
C25730 (NCI Thesaurus ObjectClass-2)
C17649 (NCI Thesaurus Property)
C2322 (NCI Thesaurus Property-2)
C25382 (NCI Thesaurus Property-3)
C25685 (NCI Thesaurus ValueDomain)
C0013227C0001617 (UMLS CUI [1])
C18772 (NCI Thesaurus Property)
C257 (NCI Thesaurus Property-2)
C25340 (NCI Thesaurus Property-3)
C25647 (NCI Thesaurus Property-4)
C25180 (NCI Thesaurus ValueDomain)
C0003211 (UMLS CUI [1,1])
C0205272 (UMLS CUI [1,2])
C1298908 (UMLS CUI-1)
C1705108 (UMLS CUI-1)
C257 (NCI Thesaurus ObjectClass-2)
C25616 (NCI Thesaurus Property)
C25651 (NCI Thesaurus Property-2)
C25685 (NCI Thesaurus ValueDomain)
C0013227 (UMLS CUI [1,1])
C0003211 (UMLS CUI [1,2])
C15445 (NCI Thesaurus ObjectClass)
C2140 (NCI Thesaurus ObjectClass-2)
C25382 (NCI Thesaurus Property)
C2367461 (UMLS CUI [1])
C1298908 (UMLS CUI-1)
C1705108 (UMLS CUI-1)
C2140 (NCI Thesaurus ObjectClass-2)
C25431 (NCI Thesaurus Property)
C25275 (NCI Thesaurus Property-2)
C25164 (NCI Thesaurus ValueDomain)
C25431 (NCI Thesaurus ValueDomain-2)
C2367461 (UMLS CUI [1,1])
C0808070 (UMLS CUI [1,2])
C2140 (NCI Thesaurus ObjectClass-2)
C25275 (NCI Thesaurus Property)
C25496 (NCI Thesaurus Property-2)
C25164 (NCI Thesaurus ValueDomain)
C2367461 (UMLS CUI [1,1])
C0806020 (UMLS CUI [1,2])
C15445 (NCI Thesaurus ObjectClass)
C2140 (NCI Thesaurus ObjectClass-2)
C25382 (NCI Thesaurus Property)
C2367461 (UMLS CUI [1])
C15445 (NCI Thesaurus ObjectClass-2)
C2140 (NCI Thesaurus ObjectClass-3)
C25382 (NCI Thesaurus Property)
C25685 (NCI Thesaurus ValueDomain)
C2367461 (UMLS CUI [1])
C25629 (NCI Thesaurus ObjectClass)
C15368 (NCI Thesaurus ObjectClass-2)
C25484 (NCI Thesaurus Property)
C4288399 (UMLS CUI [1,1])
C0566251 (UMLS CUI [1,2])
C0085183 (UMLS CUI-3)
C25601 (NCI Thesaurus ObjectClass)
C25365 (NCI Thesaurus Property)
C1518544 (UMLS CUI [1,1])
C0566251 (UMLS CUI [1,2])
C25678 (NCI Thesaurus Property)
C17089 (NCI Thesaurus ObjectClass)
C25479 (NCI Thesaurus Property-2)
C2346576 (UMLS CUI [1])
C25678 (NCI Thesaurus Property)
C25367 (NCI Thesaurus ValueDomain-2)
C17089 (NCI Thesaurus ObjectClass)
C2346576 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])