ID
781
Description
CALGB: Follow-up Solid Tumor Evaluation Form 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
Link
Keywords
Versions (3)
- 8/26/12 8/26/12 -
- 7/8/15 7/8/15 -
- 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 NCT00053339 Response - CALGB: Follow-up Solid Tumor Evaluation Form - 2054391v3.0
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
Description
Unnamed2
Description
Patient'sName
Data type
text
Description
ParticipatingGroup
Data type
text
Alias
- NCI Thesaurus ObjectClass
- C17005
- UMLS 2011AA ObjectClass
- C1257890
- NCI Thesaurus Property
- C25364
- UMLS 2011AA Property
- C0600091
Description
PatientHospitalNumber
Data type
text
Description
ParticipatingGroupProtocolNo.
Data type
text
Description
AffiliateName
Data type
text
Description
ParticipatingGroupPatientID
Data type
text
Description
Reporting Period
Description
Target Lesion(s) Follow-up Evaluation
Description
Lesion,ReferenceNumber
Data type
double
Description
Lesion,AnatomicSite,New
Data type
text
Description
AssessmentDate
Data type
date
Description
AssessmentType
Data type
text
Description
AssessmentType,Specify
Data type
text
Description
Lesion,TumorDiameter
Data type
double
Alias
- NCI Thesaurus ValueDomain
- C25209
- UMLS 2011AA ValueDomain
- C0242485
Description
Lesion,Diameter,LongestSum
Data type
double
Description
ResponseCriteria
Data type
text
Description
Non-target Lesion(s) Follow-up Evaluation
Description
NontargetLesionInd
Data type
text
Description
Lesion,ReferenceNumber
Data type
double
Description
Lesion,AnatomicSite,Nontarget
Data type
text
Description
AssessmentDate
Data type
date
Description
AssessmentType
Data type
text
Description
AssessmentType,Specify
Data type
text
Description
ResponseCriteria
Data type
text
Description
New Lesion(s) At Follow-up Evaluation
Description
NewLesionInd
Data type
text
Description
Lesion,ReferenceNumber
Data type
double
Description
Lesion,AnatomicSite,New
Data type
text
Description
AssessmentDate
Data type
date
Description
AssessmentType
Data type
text
Description
AssessmentType,Specify
Data type
text
Description
PersonCompletingForm,FirstName
Data type
text
Alias
- NCI Thesaurus ObjectClass
- C25190
- UMLS 2011AA ObjectClass
- C0027361
- NCI Thesaurus Property
- C25364
- UMLS 2011AA Property
- C0600091
Description
FormCompletionDate,Original
Data type
date
Description
Ccrr Module For Calgb: Follow-up Solid Tumor Evaluation Form
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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
C1511726 (UMLS 2011AA ObjectClass)
C25416 (NCI Thesaurus Property)
C1691222 (UMLS 2011AA Property)
C1705108 (UMLS 2011AA)
C1257890 (UMLS 2011AA ObjectClass)
C25364 (NCI Thesaurus Property)
C0600091 (UMLS 2011AA Property)
C1456803 (UMLS 2011AA)
C0203668 (UMLS 2011AA)
C0205394 (UMLS 2011AA)
C0242485 (UMLS 2011AA ValueDomain)
C1298908 (UMLS 2011AA)
C1705108 (UMLS 2011AA)
C1456803 (UMLS 2011AA)
C0203668 (UMLS 2011AA)
C0205394 (UMLS 2011AA)
C1298908 (UMLS 2011AA)
C1705108 (UMLS 2011AA)
C1456803 (UMLS 2011AA)
C0203668 (UMLS 2011AA)
C0205394 (UMLS 2011AA)
C0027361 (UMLS 2011AA ObjectClass)
C25364 (NCI Thesaurus Property)
C0600091 (UMLS 2011AA Property)