ID
781
Beskrivning
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
Länk
Nyckelord
Versioner (3)
- 2012-08-26 2012-08-26 -
- 2015-07-08 2015-07-08 -
- 2015-07-08 2015-07-08 -
Uppladdad den
26 augusti 2012
DOI
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Licens
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
Beskrivning
Unnamed2
Beskrivning
Patient'sName
Datatyp
text
Beskrivning
ParticipatingGroup
Datatyp
text
Alias
- NCI Thesaurus ObjectClass
- C17005
- UMLS 2011AA ObjectClass
- C1257890
- NCI Thesaurus Property
- C25364
- UMLS 2011AA Property
- C0600091
Beskrivning
PatientHospitalNumber
Datatyp
text
Beskrivning
ParticipatingGroupProtocolNo.
Datatyp
text
Beskrivning
AffiliateName
Datatyp
text
Beskrivning
ParticipatingGroupPatientID
Datatyp
text
Beskrivning
Reporting Period
Beskrivning
Target Lesion(s) Follow-up Evaluation
Beskrivning
Lesion,ReferenceNumber
Datatyp
double
Beskrivning
Lesion,AnatomicSite,New
Datatyp
text
Beskrivning
AssessmentDate
Datatyp
date
Beskrivning
AssessmentType
Datatyp
text
Beskrivning
AssessmentType,Specify
Datatyp
text
Beskrivning
Lesion,TumorDiameter
Datatyp
double
Alias
- NCI Thesaurus ValueDomain
- C25209
- UMLS 2011AA ValueDomain
- C0242485
Beskrivning
Lesion,Diameter,LongestSum
Datatyp
double
Beskrivning
ResponseCriteria
Datatyp
text
Beskrivning
Non-target Lesion(s) Follow-up Evaluation
Beskrivning
NontargetLesionInd
Datatyp
text
Beskrivning
Lesion,ReferenceNumber
Datatyp
double
Beskrivning
Lesion,AnatomicSite,Nontarget
Datatyp
text
Beskrivning
AssessmentDate
Datatyp
date
Beskrivning
AssessmentType
Datatyp
text
Beskrivning
AssessmentType,Specify
Datatyp
text
Beskrivning
ResponseCriteria
Datatyp
text
Beskrivning
New Lesion(s) At Follow-up Evaluation
Beskrivning
NewLesionInd
Datatyp
text
Beskrivning
Lesion,ReferenceNumber
Datatyp
double
Beskrivning
Lesion,AnatomicSite,New
Datatyp
text
Beskrivning
AssessmentDate
Datatyp
date
Beskrivning
AssessmentType
Datatyp
text
Beskrivning
AssessmentType,Specify
Datatyp
text
Beskrivning
PersonCompletingForm,FirstName
Datatyp
text
Alias
- NCI Thesaurus ObjectClass
- C25190
- UMLS 2011AA ObjectClass
- C0027361
- NCI Thesaurus Property
- C25364
- UMLS 2011AA Property
- C0600091
Beskrivning
FormCompletionDate,Original
Datatyp
date
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
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)