ID
830
Beschrijving
FORM 9 - RECURRENCE AND CONTRALATERAL BREAST CANCER REPORT Quality Of Life Companion Study For JMA27 (NCIC-MA.27): A Randomized Phase III Trial Of Exemestane Versus Anastrozole With Or Without Celecoxib In Postmenopausal Women With Receptor Positive Primary Breast Cancer Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=ABE31B86-C179-5457-E034-0003BA12F5E7
Link
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Versies (3)
- 26-08-12 26-08-12 -
- 09-01-15 09-01-15 - Martin Dugas
- 20-09-21 20-09-21 -
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26 augustus 2012
DOI
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Creative Commons BY-NC 3.0 Legacy
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Breast Cancer NCT00090974 Follow-Up - FORM 9 - RECURRENCE AND CONTRALATERAL BREAST CANCER REPORT - 2058833v3.0
Submit within 6 weeks of the date of diagnosis.
- StudyEvent: FORM 9 - RECURRENCE AND CONTRALATERAL BREAST CANCER REPORT
Beschrijving
Disease Status
Beschrijving
ProgressionInd,FirstLocal-Regional
Datatype
text
Beschrijving
ProgressionDate,FirstLocal-Regional
Datatype
date
Beschrijving
ProgressionInd,FirstDistant
Datatype
text
Beschrijving
ProgressionDate,FirstDistant
Datatype
date
Beschrijving
Hasthepatientbeendiagnosedwithcontralateralbreastcancer?
Datatype
text
Alias
- NCI Thesaurus ValueDomain
- C38148
- UMLS 2011AA ValueDomain
- C1512699
Beschrijving
ContralateralBreastCancerDiagnosisDate
Datatype
date
Alias
- NCI Thesaurus ObjectClass
- C12971
- UMLS 2011AA ObjectClass
- C0006141
- NCI Thesaurus ObjectClass
- C9305
- UMLS 2011AA ObjectClass
- C0006826
- NCI Thesaurus ObjectClass
- C25307
- UMLS 2011AA ObjectClass
- C0441988
- NCI Thesaurus Property
- C15220
- UMLS 2011AA Property
- C0011900
- NCI Thesaurus ValueDomain
- C25164
- UMLS 2011AA ValueDomain
- C0011008
Beschrijving
Supporting Documentation
Beschrijving
Comments
Beschrijving
Investigator Signature
Beschrijving
InvestigatorSignature
Datatype
text
Alias
- NCI Thesaurus Property
- C25678
- UMLS 2011AA Property
- C1519316
- NCI Thesaurus ObjectClass
- C17089
- UMLS 2011AA ObjectClass
- C0035173
Beschrijving
PersonCompletingForm,LastName
Datatype
text
Beschrijving
PersonCompletingForm,FirstName
Datatype
text
Alias
- NCI Thesaurus ObjectClass
- C25190
- UMLS 2011AA ObjectClass
- C0027361
- NCI Thesaurus Property
- C25364
- UMLS 2011AA Property
- C0600091
Beschrijving
FormCompletionDate,Original
Datatype
date
Beschrijving
Unnamed1
Beschrijving
PatientStudyID,CoordinatingGroup
Datatype
text
Beschrijving
PatientInitialsName
Datatype
text
Alias
- NCI Thesaurus ValueDomain
- C25191
- UMLS 2011AA ValueDomain
- C1547383
- NCI Thesaurus ObjectClass
- C16960
- UMLS 2011AA ObjectClass
- C0030705
- NCI Thesaurus Property
- C25536
- UMLS 2011AA Property
- C1555582
Beschrijving
Recurrence Table
Beschrijving
Local-RegionalBreastIpsilateralProgressionInd-3
Datatype
text
Alias
- NCI Thesaurus ObjectClass
- C12971
- UMLS 2011AA ObjectClass
- C0006141
- NCI Thesaurus ObjectClass
- C25388
- UMLS 2011AA ObjectClass
- C1947913
- NCI Thesaurus Property
- C25331
- NCI Thesaurus Property
- C25308
- UMLS 2011AA Property
- C0441989
- NCI Thesaurus ValueDomain
- C38148
- UMLS 2011AA ValueDomain
- C1512699
Beschrijving
PriorRecentRecurrenceDate
Datatype
date
Alias
- NCI Thesaurus ObjectClass
- C2991
- UMLS 2011AA ObjectClass
- C0012634
- NCI Thesaurus Property
- C25279
- UMLS 2011AA Property
- C0332162
Beschrijving
Local-RegionalBreastChestWallProgressionInd-3
Datatype
text
Alias
- NCI Thesaurus ObjectClass
- C12971
- UMLS 2011AA ObjectClass
- C0006141
- NCI Thesaurus ObjectClass
- C25388
- UMLS 2011AA ObjectClass
- C1947913
- NCI Thesaurus Property
- C25331
- NCI Metathesaurus Property
- CL035093
- NCI Thesaurus ValueDomain
- C38148
- UMLS 2011AA ValueDomain
- C1512699
- NCI Thesaurus ValueDomain
- C25755
- UMLS 2011AA ValueDomain
- C0871261
Beschrijving
Site(s)Local-Regional,RegionalNodes/axilla,IND
Datatype
text
Beschrijving
Sitesofprogression,lung
Datatype
text
Beschrijving
Sitesofprogression,liver
Datatype
text
Beschrijving
Sitesofprogression,bone
Datatype
text
Beschrijving
Sitesofprogression,CNS(Brain)
Datatype
text
Alias
- NCI Thesaurus ValueDomain
- C38148
- UMLS 2011AA ValueDomain
- C1512699
- NCI Thesaurus Property
- C25331
- NCI Thesaurus ObjectClass
- C12438
- UMLS 2011AA ObjectClass
- C0927232
Beschrijving
Site(s)Distant,BoneMarrow
Datatype
text
Beschrijving
Site(s)Distant,Ascites
Datatype
text
Beschrijving
Site(s)Distant,PleuralEffusion
Datatype
text
Beschrijving
Site(s)Distant,FirstOther,Specify
Datatype
text
Beschrijving
Site(s)Distant,SecondOther,Specify
Datatype
text
Alias
- NCI Thesaurus Property
- C25341
- UMLS 2011AA Property
- C0450429
- NCI Thesaurus ObjectClass
- C25331
- NCI Thesaurus Property
- C25321
- UMLS 2011AA Property
- C0443203
- NCI Thesaurus ObjectClass
- C25666
- UMLS 2011AA ObjectClass
- C0205436
Beschrijving
ProgressionSite,Other
Datatype
text
Beschrijving
ProgressionSite,Other
Datatype
text
Beschrijving
ProgressionSuspectedBeginDate
Datatype
date
Beschrijving
ProgressionSuspectedBeginDate
Datatype
date
Beschrijving
ProgressionSuspectedBeginDate
Datatype
date
Beschrijving
ProgressionSuspectedBeginDate
Datatype
date
Beschrijving
ProgressionSuspectedBeginDate
Datatype
date
Beschrijving
ProgressionSuspectedBeginDate
Datatype
date
Beschrijving
ProgressionSuspectedBeginDate
Datatype
date
Beschrijving
ProgressionSuspectedBeginDate
Datatype
date
Beschrijving
ProgressionSuspectedBeginDate
Datatype
date
Beschrijving
ProgressionSuspectedBeginDate
Datatype
date
Beschrijving
ProgressionSuspectedBeginDate
Datatype
date
Beschrijving
ProgressionSuspectedBeginDate
Datatype
date
Beschrijving
RecurrenceDate
Datatype
date
Beschrijving
RecurrenceDate
Datatype
date
Beschrijving
RecurrenceDate
Datatype
date
Beschrijving
RecurrenceDate
Datatype
date
Beschrijving
RecurrenceDate
Datatype
date
Beschrijving
RecurrenceDate
Datatype
date
Beschrijving
RecurrenceDate
Datatype
date
Beschrijving
RecurrenceDate
Datatype
date
Beschrijving
RecurrenceDate
Datatype
date
Beschrijving
RecurrenceDate
Datatype
date
Beschrijving
RecurrenceDate
Datatype
date
Beschrijving
Ccrr Module For Form 9 - Recurrence And Contralateral Breast Cancer Report
Similar models
Submit within 6 weeks of the date of diagnosis.
- StudyEvent: FORM 9 - RECURRENCE AND CONTRALATERAL BREAST CANCER REPORT
C1547383 (UMLS 2011AA ValueDomain)
C16960 (NCI Thesaurus ObjectClass)
C0030705 (UMLS 2011AA ObjectClass)
C25536 (NCI Thesaurus Property)
C1555582 (UMLS 2011AA Property)
C1298908 (UMLS 2011AA)
C1705108 (UMLS 2011AA)
C1298908 (UMLS 2011AA)
C1705108 (UMLS 2011AA)
C1512699 (UMLS 2011AA ValueDomain)
C1298908 (UMLS 2011AA)
C1705108 (UMLS 2011AA)
C0006141 (UMLS 2011AA ObjectClass)
C9305 (NCI Thesaurus ObjectClass)
C0006826 (UMLS 2011AA ObjectClass)
C25307 (NCI Thesaurus ObjectClass)
C0441988 (UMLS 2011AA ObjectClass)
C15220 (NCI Thesaurus Property)
C0011900 (UMLS 2011AA Property)
C25164 (NCI Thesaurus ValueDomain)
C0011008 (UMLS 2011AA ValueDomain)
C1519316 (UMLS 2011AA Property)
C17089 (NCI Thesaurus ObjectClass)
C0035173 (UMLS 2011AA ObjectClass)
C0027361 (UMLS 2011AA ObjectClass)
C25364 (NCI Thesaurus Property)
C0600091 (UMLS 2011AA Property)
C1547383 (UMLS 2011AA ValueDomain)
C16960 (NCI Thesaurus ObjectClass)
C0030705 (UMLS 2011AA ObjectClass)
C25536 (NCI Thesaurus Property)
C1555582 (UMLS 2011AA Property)
C0006141 (UMLS 2011AA ObjectClass)
C25388 (NCI Thesaurus ObjectClass)
C1947913 (UMLS 2011AA ObjectClass)
C25331 (NCI Thesaurus Property)
C25308 (NCI Thesaurus Property)
C0441989 (UMLS 2011AA Property)
C38148 (NCI Thesaurus ValueDomain)
C1512699 (UMLS 2011AA ValueDomain)
C1298908 (UMLS 2011AA)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
C1705108 (UMLS 2011AA)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
C0012634 (UMLS 2011AA ObjectClass)
C25279 (NCI Thesaurus Property)
C0332162 (UMLS 2011AA Property)
C0006141 (UMLS 2011AA ObjectClass)
C25388 (NCI Thesaurus ObjectClass)
C1947913 (UMLS 2011AA ObjectClass)
C25331 (NCI Thesaurus Property)
CL035093 (NCI Metathesaurus Property)
C38148 (NCI Thesaurus ValueDomain)
C1512699 (UMLS 2011AA ValueDomain)
C25755 (NCI Thesaurus ValueDomain)
C0871261 (UMLS 2011AA ValueDomain)
C1298908 (UMLS 2011AA)
C1705108 (UMLS 2011AA)
C1298908 (UMLS 2011AA)
C1705108 (UMLS 2011AA)
C1298908 (UMLS 2011AA)
C1705108 (UMLS 2011AA)
C1298908 (UMLS 2011AA)
C1705108 (UMLS 2011AA)
C1298908 (UMLS 2011AA)
C1705108 (UMLS 2011AA)
C1512699 (UMLS 2011AA ValueDomain)
C25331 (NCI Thesaurus Property)
C12438 (NCI Thesaurus ObjectClass)
C0927232 (UMLS 2011AA ObjectClass)
C1298908 (UMLS 2011AA)
C1705108 (UMLS 2011AA)
C1298908 (UMLS 2011AA)
C1705108 (UMLS 2011AA)
C1298908 (UMLS 2011AA)
C1705108 (UMLS 2011AA)
C1298908 (UMLS 2011AA)
C1705108 (UMLS 2011AA)
C1298908 (UMLS 2011AA)
C1705108 (UMLS 2011AA)
C0450429 (UMLS 2011AA Property)
C25331 (NCI Thesaurus ObjectClass)
C25321 (NCI Thesaurus Property)
C0443203 (UMLS 2011AA Property)
C25666 (NCI Thesaurus ObjectClass)
C0205436 (UMLS 2011AA ObjectClass)
C1298908 (UMLS 2011AA)
C1705108 (UMLS 2011AA)