ID
934
Beschrijving
PACCT-1 TAILORx FACT - Fatique Scale Form Hormone Therapy With or Without Combination Chemotherapy in Treating Women Who Have Undergone Surgery for Node-Negative Breast Cancer (The TAILORx Trial) Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=84B81FA9-D91A-473F-E040-BB89AD4317EF
Link
Trefwoorden
Versies (3)
- 26-08-12 26-08-12 -
- 08-01-15 08-01-15 - Martin Dugas
- 08-06-15 08-06-15 -
Geüploaded op
26 augustus 2012
DOI
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Licentie
Creative Commons BY-NC 3.0 Legacy
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Breast Cancer NCT00310180 Quality of Life - PACCT-1 TAILORx FACT - Fatique Scale Form - 3072107v1.0
INSTRUCTIONS: Please complete this form according to the forms submission schedule. Submit original to the ECOG Coordinating Center. Keep a copy for your files
- StudyEvent: PACCT-1 TAILORx FACT - Fatique Scale Form
Beschrijving
On Treatment
Beschrijving
TreatmentEvaluationPeriodType
Datatype
text
Alias
- NCI Thesaurus ValueDomain
- C25284
- UMLS 2011AA ValueDomain
- C0332307
- NCI Thesaurus Property
- C25214
- UMLS 2011AA Property
- C0220825
- NCI Thesaurus Property
- C25616
- UMLS 2011AA Property
- C1948053
- NCI Thesaurus ObjectClass
- C15368
Beschrijving
Unnamed2
Beschrijving
DataAmendedInd-3
Datatype
text
Alias
- NCI Thesaurus ValueDomain
- C38148
- UMLS 2011AA ValueDomain
- C1512699
- NCI Thesaurus ObjectClass
- C25474
- UMLS 2011AA ObjectClass
- C1511726
- NCI Thesaurus Property
- C25416
- UMLS 2011AA Property
- C1691222
Beschrijving
DataAmendedDate
Datatype
date
Alias
- NCI Thesaurus ValueDomain
- C25164
- UMLS 2011AA ValueDomain
- C0011008
- NCI Thesaurus ObjectClass
- C25474
- UMLS 2011AA ObjectClass
- C1511726
- NCI Thesaurus Property
- C25416
- UMLS 2011AA Property
- C1691222
- NCI Thesaurus ValueDomain
- C25367
Beschrijving
DataAmendedDate
Datatype
date
Alias
- NCI Thesaurus ValueDomain
- C25164
- UMLS 2011AA ValueDomain
- C0011008
- NCI Thesaurus ObjectClass
- C25474
- UMLS 2011AA ObjectClass
- C1511726
- NCI Thesaurus Property
- C25416
- UMLS 2011AA Property
- C1691222
- NCI Thesaurus ValueDomain
- C25367
Beschrijving
Unnamed1
Beschrijving
Additional Concerns
Beschrijving
Quality-of-LifeAssessmentPatientFatigueScale
Datatype
text
Alias
- NCI Thesaurus ObjectClass
- C15584
- UMLS 2011AA ObjectClass
- C0281588
- NCI Thesaurus Property
- C16960
- UMLS 2011AA Property
- C0030705
- NCI Thesaurus Property
- C3036
- UMLS 2011AA Property
- C0015672
- NCI Thesaurus ValueDomain
- C25664
- UMLS 2011AA ValueDomain
- C0349674
- NCI Thesaurus ValueDomain
- C17047
- UMLS 2011AA ValueDomain
- C0518214
Beschrijving
NeurotoxicityPatientMuscleWeaknessAssessmentQualityofLifeScale
Datatype
text
Alias
- NCI Thesaurus ObjectClass
- C16960
- UMLS 2011AA ObjectClass
- C0030705
- NCI Thesaurus ObjectClass
- C27961
- UMLS 2011AA ObjectClass
- C0235032
- NCI Thesaurus Property
- C20989
- UMLS 2011AA Property
- C0031809
- NCI Metathesaurus Property
- C0151786
- NCI Thesaurus ValueDomain
- C25664
- UMLS 2011AA ValueDomain
- C0349674
- NCI Thesaurus ValueDomain
- C17047
- UMLS 2011AA ValueDomain
- C0518214
Beschrijving
Quality-of-LifeAssessmentPatientLethargicScale
Datatype
text
Alias
- NCI Thesaurus ObjectClass
- C15584
- UMLS 2011AA ObjectClass
- C0281588
- NCI Thesaurus Property
- C16960
- UMLS 2011AA Property
- C0030705
- NCI Thesaurus Property
- C50412
- UMLS 2011AA Property
- C0023380
- NCI Thesaurus ValueDomain
- C25664
- UMLS 2011AA ValueDomain
- C0349674
- NCI Thesaurus ValueDomain
- C17047
- UMLS 2011AA ValueDomain
- C0518214
Beschrijving
Quality-of-LifeAssessmentPatientSmallFatigueScale
Datatype
text
Alias
- NCI Thesaurus ObjectClass
- C15584
- UMLS 2011AA ObjectClass
- C0281588
- NCI Thesaurus Property
- C16960
- UMLS 2011AA Property
- C0030705
- NCI Thesaurus Property
- C3036
- UMLS 2011AA Property
- C0015672
- NCI Thesaurus Property
- C25376
- UMLS 2011AA Property
- C0700321
- NCI Thesaurus ValueDomain
- C25664
- UMLS 2011AA ValueDomain
- C0349674
- NCI Thesaurus ValueDomain
- C17047
- UMLS 2011AA ValueDomain
- C0518214
Beschrijving
Quality-of-LifeAssessmentPatientBeginFatigueScale
Datatype
text
Alias
- NCI Thesaurus ObjectClass
- C15584
- UMLS 2011AA ObjectClass
- C0281588
- NCI Thesaurus Property
- C16960
- UMLS 2011AA Property
- C0030705
- NCI Thesaurus Property
- C3036
- UMLS 2011AA Property
- C0015672
- NCI Thesaurus Property
- C25431
- UMLS 2011AA Property
- C0439659
- NCI Thesaurus ValueDomain
- C25664
- UMLS 2011AA ValueDomain
- C0349674
- NCI Thesaurus ValueDomain
- C17047
- UMLS 2011AA ValueDomain
- C0518214
Beschrijving
Quality-of-LifeAssessmentPatientEndFatigueScale
Datatype
text
Alias
- NCI Thesaurus ObjectClass
- C15584
- UMLS 2011AA ObjectClass
- C0281588
- NCI Thesaurus Property
- C16960
- UMLS 2011AA Property
- C0030705
- NCI Thesaurus Property
- C3036
- UMLS 2011AA Property
- C0015672
- NCI Thesaurus Property
- C25496
- UMLS 2011AA Property
- C2746065
- NCI Thesaurus ValueDomain
- C25664
- UMLS 2011AA ValueDomain
- C0349674
- NCI Thesaurus ValueDomain
- C17047
- UMLS 2011AA ValueDomain
- C0518214
Beschrijving
Quality-of-LifeAssessmentPatientEnergyScale
Datatype
text
Alias
- NCI Thesaurus ObjectClass
- C15584
- UMLS 2011AA ObjectClass
- C0281588
- NCI Thesaurus Property
- C16960
- UMLS 2011AA Property
- C0030705
- NCI Thesaurus Property
- C48058
- UMLS 2011AA Property
- C0542479
- NCI Thesaurus ValueDomain
- C25664
- UMLS 2011AA ValueDomain
- C0349674
- NCI Thesaurus ValueDomain
- C17047
- UMLS 2011AA ValueDomain
- C0518214
Beschrijving
Quality-of-LifeAssessmentPatientActivityType
Datatype
text
Alias
- NCI Thesaurus ValueDomain
- C25284
- UMLS 2011AA ValueDomain
- C0332307
- NCI Thesaurus Property
- C16960
- UMLS 2011AA Property
- C0030705
- NCI Thesaurus Property
- C43431
- UMLS 2011AA Property
- C0441655
- NCI Thesaurus ObjectClass
- C15584
- UMLS 2011AA ObjectClass
- C0281588
Beschrijving
Quality-of-LifeAssessmentPatientDayRestingScale
Datatype
text
Alias
- NCI Thesaurus ObjectClass
- C15584
- UMLS 2011AA ObjectClass
- C0281588
- NCI Thesaurus Property
- C16960
- UMLS 2011AA Property
- C0030705
- NCI Thesaurus Property
- C25301
- UMLS 2011AA Property
- C0439228
- NCI Thesaurus Property
- C28185
- UMLS 2011AA Property
- C0035253
- NCI Thesaurus ValueDomain
- C25664
- UMLS 2011AA ValueDomain
- C0349674
- NCI Thesaurus ValueDomain
- C17047
- UMLS 2011AA ValueDomain
- C0518214
Beschrijving
Quality-of-LifeAssessmentPatientIngestionFatigueScale
Datatype
text
Alias
- NCI Thesaurus ObjectClass
- C15584
- UMLS 2011AA ObjectClass
- C0281588
- NCI Thesaurus Property
- C16960
- UMLS 2011AA Property
- C0030705
- NCI Thesaurus Property
- C3036
- UMLS 2011AA Property
- C0015672
- NCI Thesaurus Property
- C28229
- UMLS 2011AA Property
- C0232478
- NCI Thesaurus ValueDomain
- C25664
- UMLS 2011AA ValueDomain
- C0349674
- NCI Thesaurus ValueDomain
- C17047
- UMLS 2011AA ValueDomain
- C0518214
Beschrijving
Quality-of-LifeAssessmentPatientSupportActivityScale
Datatype
text
Alias
- NCI Thesaurus ObjectClass
- C15584
- UMLS 2011AA ObjectClass
- C0281588
- NCI Thesaurus Property
- C16960
- UMLS 2011AA Property
- C0030705
- NCI Thesaurus Property
- C43431
- UMLS 2011AA Property
- C0441655
- NCI Thesaurus Property
- C37902
- UMLS 2011AA Property
- C1521721
- NCI Thesaurus ValueDomain
- C25664
- UMLS 2011AA ValueDomain
- C0349674
- NCI Thesaurus ValueDomain
- C17047
- UMLS 2011AA ValueDomain
- C0518214
Beschrijving
Quality-of-LifeAssessmentPatientFrustrationScale
Datatype
text
Alias
- NCI Thesaurus ObjectClass
- C15584
- UMLS 2011AA ObjectClass
- C0281588
- NCI Thesaurus Property
- C16960
- UMLS 2011AA Property
- C0030705
- NCI Thesaurus Property
- C61483
- UMLS 2011AA Property
- C0016770
- NCI Thesaurus ValueDomain
- C25664
- UMLS 2011AA ValueDomain
- C0349674
- NCI Thesaurus ValueDomain
- C17047
- UMLS 2011AA ValueDomain
- C0518214
Beschrijving
Quality-of-LifeAssessmentPatientFatigueActivityScale
Datatype
text
Alias
- NCI Thesaurus ObjectClass
- C15584
- UMLS 2011AA ObjectClass
- C0281588
- NCI Thesaurus Property
- C16960
- UMLS 2011AA Property
- C0030705
- NCI Thesaurus Property
- C43431
- UMLS 2011AA Property
- C0441655
- NCI Thesaurus Property
- C3036
- UMLS 2011AA Property
- C0015672
- NCI Thesaurus ValueDomain
- C25664
- UMLS 2011AA ValueDomain
- C0349674
- NCI Thesaurus ValueDomain
- C17047
- UMLS 2011AA ValueDomain
- C0518214
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INSTRUCTIONS: Please complete this form according to the forms submission schedule. Submit original to the ECOG Coordinating Center. Keep a copy for your files
- StudyEvent: PACCT-1 TAILORx FACT - Fatique Scale Form
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C70543 (NCI Thesaurus)
C2003901 (UMLS 2011AA)
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C27961 (NCI Thesaurus ObjectClass)
C0235032 (UMLS 2011AA ObjectClass)
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C0700321 (UMLS 2011AA Property)
C25664 (NCI Thesaurus ValueDomain)
C0349674 (UMLS 2011AA ValueDomain)
C17047 (NCI Thesaurus ValueDomain)
C0518214 (UMLS 2011AA ValueDomain)
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C70543 (NCI Thesaurus)
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C0030705 (UMLS 2011AA Property)
C48058 (NCI Thesaurus Property)
C0542479 (UMLS 2011AA Property)
C25664 (NCI Thesaurus ValueDomain)
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C91217 (NCI Thesaurus)
C0281588 (UMLS 2011AA ObjectClass)
C16960 (NCI Thesaurus Property)
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C2003901 (UMLS 2011AA)
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