ID
703
Description
ECOG Second Primary Form (E2100) Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=AC346EE2-C452-2587-E034-0003BA12F5E7
Link
Keywords
Versions (2)
- 8/26/12 8/26/12 -
- 7/8/15 7/8/15 -
Uploaded on
August 26, 2012
DOI
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License
Creative Commons BY-NC 3.0 Legacy
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Breast Cancer Follow-Up - ECOG Second Primary Form (E2100) - 2070459v3.0
Form No. 630
- StudyEvent: ECOG Second Primary Form (E2100)
Description
Unnamed2
Description
Unnamed3
Description
DateofDiagnosisofSecondPrimaryCancer
Data type
text
Description
SecondPrimaryMalignantNeoplasmAnatomicSiteText
Data type
text
Alias
- NCI Thesaurus ObjectClass
- C25251
- UMLS 2011AA ObjectClass
- C0205225
- NCI Thesaurus ObjectClass
- C9305
- UMLS 2011AA ObjectClass
- C0006826
- NCI Thesaurus ObjectClass
- C25666
- UMLS 2011AA ObjectClass
- C0205436
- NCI Thesaurus Property
- C25341
- UMLS 2011AA Property
- C0450429
- NCI Thesaurus Property
- C25421
- UMLS 2011AA Property
- C0002808
- NCI Thesaurus ValueDomain
- C25704
- UMLS 2011AA ValueDomain
- C1527021
Description
Includeinformationonhistologicsubtype(s).
Data type
text
Description
ECOGProtocolNo.
Data type
text
Description
ECOGPatientID
Data type
text
Description
BrieflydescribecancertherapythepatienthasreceivedpriortothediagnosisofthesecondprimaryandotherthanthatgivenonECOGprotocols
Data type
text
Description
Brieflydescribetreatmentplannedorgivenforthediagnosisofthissecondprimary
Data type
text
Description
Comments
Description
Ccrr Module For Ecog Second Primary Form (e2100)
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Form No. 630
- StudyEvent: ECOG Second Primary Form (E2100)
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