ID

830

Descrição

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

https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=ABE31B86-C179-5457-E034-0003BA12F5E7

Palavras-chave

Versões (3)
  1. 26/08/2012 26/08/2012 -
  2. 09/01/2015 09/01/2015 - Martin Dugas
  3. 20/09/2021 20/09/2021 -
Transferido a

26 de agosto de 2012

DOI

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Licença

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

Inglês

Submit within 6 weeks of the date of diagnosis.

1 Formulários  
  1. StudyEvent: FORM 9 - RECURRENCE AND CONTRALATERAL BREAST CANCER REPORT
    1. Submit within 6 weeks of the date of diagnosis.
Patient Information
Descrição

Patient Information

Patient Study ID, Coordinating Group
Descrição

PatientStudyID,CoordinatingGroup

Tipo de dados

text

Patient Initials (first - middle - last)
Descrição

PatientInitialsName

Tipo de dados

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
Patient Medical Record Number
Descrição

PatientMedicalRecordNumber

Tipo de dados

text

Investigator Name
Descrição

InvestigatorName

Tipo de dados

text

Institution Name
Descrição

InstitutionName

Tipo de dados

text

Registered Investigator (NCI Investigator #)
Descrição

RegisteredInvestigator

Tipo de dados

text

Disease Status
Descrição

Disease Status

Has the patient been diagnosed with first local-regional recurrence?
Descrição

ProgressionInd,FirstLocal-Regional

Tipo de dados

text

Date of First Local-Regional Progression (yyyy mmm dd)
Descrição

ProgressionDate,FirstLocal-Regional

Tipo de dados

date

Has the patient been diagnosed with first distant recurrence/progression?
Descrição

ProgressionInd,FirstDistant

Tipo de dados

text

Date of First Distant Progression (yyyy mmm dd)
Descrição

ProgressionDate,FirstDistant

Tipo de dados

date

Has the patient been diagnosed with contralateral breast cancer? (since submission of the last follow-up form)
Descrição

Hasthepatientbeendiagnosedwithcontralateralbreastcancer?

Tipo de dados

text

Alias
NCI Thesaurus ValueDomain
C38148
UMLS 2011AA ValueDomain
C1512699
Date of Diagnosis of Contralateral Breast Cancer (yyyy mmm dd)
Descrição

ContralateralBreastCancerDiagnosisDate

Tipo de dados

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
Supporting Documentation
Descrição

Supporting Documentation

Comments
Descrição

Comments

COMMENTS
Descrição

Comments

Tipo de dados

text

Investigator Signature
Descrição

Investigator Signature

Investigator Signature
Descrição

InvestigatorSignature

Tipo de dados

text

Alias
NCI Thesaurus Property
C25678
UMLS 2011AA Property
C1519316
NCI Thesaurus ObjectClass
C17089
UMLS 2011AA ObjectClass
C0035173
Person Completing Form, Last Name
Descrição

PersonCompletingForm,LastName

Tipo de dados

text

Person Completing Form, First Name
Descrição

PersonCompletingForm,FirstName

Tipo de dados

text

Alias
NCI Thesaurus ObjectClass
C25190
UMLS 2011AA ObjectClass
C0027361
NCI Thesaurus Property
C25364
UMLS 2011AA Property
C0600091
Form Completion Date, Original (yyyy mmm dd)
Descrição

FormCompletionDate,Original

Tipo de dados

date

Unnamed1
Descrição

Unnamed1

Patient Study ID, Coordinating Group
Descrição

PatientStudyID,CoordinatingGroup

Tipo de dados

text

Patient Initials (first - middle - last)
Descrição

PatientInitialsName

Tipo de dados

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
Recurrence Table
Descrição

Recurrence Table

Site(s) Local-Regional, Ipsilateral Breast (Check)
Descrição

Local-RegionalBreastIpsilateralProgressionInd-3

Tipo de dados

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
Definite Date (yyyy-mmm-dd)
Descrição

PriorRecentRecurrenceDate

Tipo de dados

date

Alias
NCI Thesaurus ObjectClass
C2991
UMLS 2011AA ObjectClass
C0012634
NCI Thesaurus Property
C25279
UMLS 2011AA Property
C0332162
Site(s) Local-Regional, Chest Wall (Check)
Descrição

Local-RegionalBreastChestWallProgressionInd-3

Tipo de dados

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
Site(s) Local-Regional, Regional Nodes/axilla (Check)
Descrição

Site(s)Local-Regional,RegionalNodes/axilla,IND

Tipo de dados

text

Site(s) Distant, Lung (Check)
Descrição

Sitesofprogression,lung

Tipo de dados

text

Site(s) Distant, Liver (Check)
Descrição

Sitesofprogression,liver

Tipo de dados

text

Site(s) Distant, Bone (Check)
Descrição

Sitesofprogression,bone

Tipo de dados

text

Site(s) Distant, Central Nervous System (Check)
Descrição

Sitesofprogression,CNS(Brain)

Tipo de dados

text

Alias
NCI Thesaurus ValueDomain
C38148
UMLS 2011AA ValueDomain
C1512699
NCI Thesaurus Property
C25331
NCI Thesaurus ObjectClass
C12438
UMLS 2011AA ObjectClass
C0927232
Site(s) Distant, Bone Marrow (Check)
Descrição

Site(s)Distant,BoneMarrow

Tipo de dados

text

Site(s) Distant, Ascites (Check)
Descrição

Site(s)Distant,Ascites

Tipo de dados

text

Site(s) Distant, Pleural Effusion (Check)
Descrição

Site(s)Distant,PleuralEffusion

Tipo de dados

text

Site(s) Distant, First Other, Specify (Check)
Descrição

Site(s)Distant,FirstOther,Specify

Tipo de dados

text

Site(s) Distant, Second Other, Specify (Check)
Descrição

Site(s)Distant,SecondOther,Specify

Tipo de dados

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
Site(s) Distant, Second Other, Specify
Descrição

ProgressionSite,Other

Tipo de dados

text

Site(s) Distant, Second Other, Specify
Descrição

ProgressionSite,Other

Tipo de dados

text

Suspected Date (yyyy-mmm-dd)
Descrição

ProgressionSuspectedBeginDate

Tipo de dados

date

Suspected Date (yyyy-mmm-dd)
Descrição

ProgressionSuspectedBeginDate

Tipo de dados

date

Suspected Date (yyyy-mmm-dd)
Descrição

ProgressionSuspectedBeginDate

Tipo de dados

date

Suspected Date (yyyy-mmm-dd)
Descrição

ProgressionSuspectedBeginDate

Tipo de dados

date

Suspected Date (yyyy-mmm-dd)
Descrição

ProgressionSuspectedBeginDate

Tipo de dados

date

Suspected Date (yyyy-mmm-dd)
Descrição

ProgressionSuspectedBeginDate

Tipo de dados

date

Suspected Date (yyyy-mmm-dd)
Descrição

ProgressionSuspectedBeginDate

Tipo de dados

date

Suspected Date (yyyy-mmm-dd)
Descrição

ProgressionSuspectedBeginDate

Tipo de dados

date

Suspected Date (yyyy-mmm-dd)
Descrição

ProgressionSuspectedBeginDate

Tipo de dados

date

Suspected Date (yyyy-mmm-dd)
Descrição

ProgressionSuspectedBeginDate

Tipo de dados

date

Suspected Date (yyyy-mmm-dd)
Descrição

ProgressionSuspectedBeginDate

Tipo de dados

date

Suspected Date (yyyy-mmm-dd)
Descrição

ProgressionSuspectedBeginDate

Tipo de dados

date

Definite Date (yyyy-mmm-dd)
Descrição

RecurrenceDate

Tipo de dados

date

Definite Date (yyyy-mmm-dd)
Descrição

RecurrenceDate

Tipo de dados

date

Definite Date (yyyy-mmm-dd)
Descrição

RecurrenceDate

Tipo de dados

date

Definite Date (yyyy-mmm-dd)
Descrição

RecurrenceDate

Tipo de dados

date

Definite Date (yyyy-mmm-dd)
Descrição

RecurrenceDate

Tipo de dados

date

Definite Date (yyyy-mmm-dd)
Descrição

RecurrenceDate

Tipo de dados

date

Definite Date (yyyy-mmm-dd)
Descrição

RecurrenceDate

Tipo de dados

date

Definite Date (yyyy-mmm-dd)
Descrição

RecurrenceDate

Tipo de dados

date

Definite Date (yyyy-mmm-dd)
Descrição

RecurrenceDate

Tipo de dados

date

Definite Date (yyyy-mmm-dd)
Descrição

RecurrenceDate

Tipo de dados

date

Definite Date (yyyy-mmm-dd)
Descrição

RecurrenceDate

Tipo de dados

date

Ccrr Module For Form 9 - Recurrence And Contralateral Breast Cancer Report
Descrição

Ccrr Module For Form 9 - Recurrence And Contralateral Breast Cancer Report

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Similar models

Submit within 6 weeks of the date of diagnosis.

1 Formulários
  1. StudyEvent: FORM 9 - RECURRENCE AND CONTRALATERAL BREAST CANCER REPORT
    1. Submit within 6 weeks of the date of diagnosis.
Name
Tipo
Description | Question | Decode (Coded Value)
Tipo de dados
Alias
Item Group
Patient Information
PatientStudyID,CoordinatingGroup
Item
Patient Study ID, Coordinating Group
text
PatientInitialsName
Item
Patient Initials (first - middle - last)
text
C25191 (NCI Thesaurus ValueDomain)
C1547383 (UMLS 2011AA ValueDomain)
C16960 (NCI Thesaurus ObjectClass)
C0030705 (UMLS 2011AA ObjectClass)
C25536 (NCI Thesaurus Property)
C1555582 (UMLS 2011AA Property)
PatientMedicalRecordNumber
Item
Patient Medical Record Number
text
InvestigatorName
Item
Investigator Name
text
InstitutionName
Item
Institution Name
text
RegisteredInvestigator
Item
Registered Investigator (NCI Investigator #)
text
Item Group
Disease Status
Item
Has the patient been diagnosed with first local-regional recurrence?
text
CL.1
Code List
Has the patient been diagnosed with first local-regional recurrence?
CL Item
No (No)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
CL Item
Yes (Yes)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
ProgressionDate,FirstLocal-Regional
Item
Date of First Local-Regional Progression (yyyy mmm dd)
date
Item
Has the patient been diagnosed with first distant recurrence/progression?
text
CL.2
Code List
Has the patient been diagnosed with first distant recurrence/progression?
CL Item
No (No)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
CL Item
Yes (Yes)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
ProgressionDate,FirstDistant
Item
Date of First Distant Progression (yyyy mmm dd)
date
Item
Has the patient been diagnosed with contralateral breast cancer? (since submission of the last follow-up form)
text
C38148 (NCI Thesaurus ValueDomain)
C1512699 (UMLS 2011AA ValueDomain)
CL.3
Code List
Has the patient been diagnosed with contralateral breast cancer? (since submission of the last follow-up form)
CL Item
No (No)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
CL Item
Yes (Yes)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
ContralateralBreastCancerDiagnosisDate
Item
Date of Diagnosis of Contralateral Breast Cancer (yyyy mmm dd)
date
C12971 (NCI Thesaurus ObjectClass)
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)
Item Group
Supporting Documentation
Item Group
Comments
Comments
Item
COMMENTS
text
Item Group
Investigator Signature
InvestigatorSignature
Item
Investigator Signature
text
C25678 (NCI Thesaurus Property)
C1519316 (UMLS 2011AA Property)
C17089 (NCI Thesaurus ObjectClass)
C0035173 (UMLS 2011AA ObjectClass)
PersonCompletingForm,LastName
Item
Person Completing Form, Last Name
text
PersonCompletingForm,FirstName
Item
Person Completing Form, First Name
text
C25190 (NCI Thesaurus ObjectClass)
C0027361 (UMLS 2011AA ObjectClass)
C25364 (NCI Thesaurus Property)
C0600091 (UMLS 2011AA Property)
FormCompletionDate,Original
Item
Form Completion Date, Original (yyyy mmm dd)
date
Item Group
Unnamed1
PatientStudyID,CoordinatingGroup
Item
Patient Study ID, Coordinating Group
text
PatientInitialsName
Item
Patient Initials (first - middle - last)
text
C25191 (NCI Thesaurus ValueDomain)
C1547383 (UMLS 2011AA ValueDomain)
C16960 (NCI Thesaurus ObjectClass)
C0030705 (UMLS 2011AA ObjectClass)
C25536 (NCI Thesaurus Property)
C1555582 (UMLS 2011AA Property)
Item Group
Recurrence Table
Item
Site(s) Local-Regional, Ipsilateral Breast (Check)
text
C12971 (NCI Thesaurus ObjectClass)
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)
CL.4
Code List
Site(s) Local-Regional, Ipsilateral Breast (Check)
CL Item
No (No)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
CL Item
Yes (Yes)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
PriorRecentRecurrenceDate
Item
Definite Date (yyyy-mmm-dd)
date
C2991 (NCI Thesaurus ObjectClass)
C0012634 (UMLS 2011AA ObjectClass)
C25279 (NCI Thesaurus Property)
C0332162 (UMLS 2011AA Property)
Item
Site(s) Local-Regional, Chest Wall (Check)
text
C12971 (NCI Thesaurus ObjectClass)
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)
CL.5
Code List
Site(s) Local-Regional, Chest Wall (Check)
CL Item
No (No)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
CL Item
Yes (Yes)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
Item
Site(s) Local-Regional, Regional Nodes/axilla (Check)
text
CL.6
Code List
Site(s) Local-Regional, Regional Nodes/axilla (Check)
CL Item
No (No)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
CL Item
Yes (Yes)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
Item
Site(s) Distant, Lung (Check)
text
CL.7
Code List
Site(s) Distant, Lung (Check)
CL Item
No (No)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
CL Item
Yes (Yes)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
Item
Site(s) Distant, Liver (Check)
text
CL.8
Code List
Site(s) Distant, Liver (Check)
CL Item
No (No)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
CL Item
Yes (Yes)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
Item
Site(s) Distant, Bone (Check)
text
CL.9
Code List
Site(s) Distant, Bone (Check)
CL Item
No (No)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
CL Item
Yes (Yes)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
Item
Site(s) Distant, Central Nervous System (Check)
text
C38148 (NCI Thesaurus ValueDomain)
C1512699 (UMLS 2011AA ValueDomain)
C25331 (NCI Thesaurus Property)
C12438 (NCI Thesaurus ObjectClass)
C0927232 (UMLS 2011AA ObjectClass)
CL.10
Code List
Site(s) Distant, Central Nervous System (Check)
CL Item
No (No)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
CL Item
Yes (Yes)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
Item
Site(s) Distant, Bone Marrow (Check)
text
CL.11
Code List
Site(s) Distant, Bone Marrow (Check)
CL Item
No (No)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
CL Item
Yes (Yes)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
Item
Site(s) Distant, Ascites (Check)
text
CL.12
Code List
Site(s) Distant, Ascites (Check)
CL Item
No (No)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
CL Item
Yes (Yes)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
Item
Site(s) Distant, Pleural Effusion (Check)
text
CL.13
Code List
Site(s) Distant, Pleural Effusion (Check)
CL Item
No (No)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
CL Item
Yes (Yes)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
Item
Site(s) Distant, First Other, Specify (Check)
text
CL.14
Code List
Site(s) Distant, First Other, Specify (Check)
CL Item
No (No)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
CL Item
Yes (Yes)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
Item
Site(s) Distant, Second Other, Specify (Check)
text
C25341 (NCI Thesaurus Property)
C0450429 (UMLS 2011AA Property)
C25331 (NCI Thesaurus ObjectClass)
C25321 (NCI Thesaurus Property)
C0443203 (UMLS 2011AA Property)
C25666 (NCI Thesaurus ObjectClass)
C0205436 (UMLS 2011AA ObjectClass)
CL.15
Code List
Site(s) Distant, Second Other, Specify (Check)
CL Item
No (No)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
CL Item
Yes (Yes)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
ProgressionSite,Other
Item
Site(s) Distant, Second Other, Specify
text
ProgressionSite,Other
Item
Site(s) Distant, Second Other, Specify
text
ProgressionSuspectedBeginDate
Item
Suspected Date (yyyy-mmm-dd)
date
ProgressionSuspectedBeginDate
Item
Suspected Date (yyyy-mmm-dd)
date
ProgressionSuspectedBeginDate
Item
Suspected Date (yyyy-mmm-dd)
date
ProgressionSuspectedBeginDate
Item
Suspected Date (yyyy-mmm-dd)
date
ProgressionSuspectedBeginDate
Item
Suspected Date (yyyy-mmm-dd)
date
ProgressionSuspectedBeginDate
Item
Suspected Date (yyyy-mmm-dd)
date
ProgressionSuspectedBeginDate
Item
Suspected Date (yyyy-mmm-dd)
date
ProgressionSuspectedBeginDate
Item
Suspected Date (yyyy-mmm-dd)
date
ProgressionSuspectedBeginDate
Item
Suspected Date (yyyy-mmm-dd)
date
ProgressionSuspectedBeginDate
Item
Suspected Date (yyyy-mmm-dd)
date
ProgressionSuspectedBeginDate
Item
Suspected Date (yyyy-mmm-dd)
date
ProgressionSuspectedBeginDate
Item
Suspected Date (yyyy-mmm-dd)
date
RecurrenceDate
Item
Definite Date (yyyy-mmm-dd)
date
RecurrenceDate
Item
Definite Date (yyyy-mmm-dd)
date
RecurrenceDate
Item
Definite Date (yyyy-mmm-dd)
date
RecurrenceDate
Item
Definite Date (yyyy-mmm-dd)
date
RecurrenceDate
Item
Definite Date (yyyy-mmm-dd)
date
RecurrenceDate
Item
Definite Date (yyyy-mmm-dd)
date
RecurrenceDate
Item
Definite Date (yyyy-mmm-dd)
date
RecurrenceDate
Item
Definite Date (yyyy-mmm-dd)
date
RecurrenceDate
Item
Definite Date (yyyy-mmm-dd)
date
RecurrenceDate
Item
Definite Date (yyyy-mmm-dd)
date
RecurrenceDate
Item
Definite Date (yyyy-mmm-dd)
date
Item Group
Ccrr Module For Form 9 - Recurrence And Contralateral Breast Cancer Report
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