ID
10103
Beschrijving
NSABP PROTOCOL R-04: FOLLOW-UP FORM Radiation Therapy and Either Capecitabine or Fluorouracil With or Without Oxaliplatin Before Surgery in Treating Patients With Resectable Rectal Cancer NCT00058474 Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=B7822451-67BC-24E6-E034-0003BA12F5E7
Link
Trefwoorden
Versies (3)
- 27-08-12 27-08-12 -
- 09-01-15 09-01-15 - Martin Dugas
- 28-03-15 28-03-15 - Martin Dugas
Geüploaded op
28 maart 2015
DOI
Voor een aanvraag inloggen.
Licentie
Creative Commons BY-NC 3.0 Legacy
Model Commentaren :
Hier kunt u commentaar leveren op het model. U kunt de tekstballonnen bij de itemgroepen en items gebruiken om er specifiek commentaar op te geven.
Itemgroep Commentaren voor :
Item Commentaren voor :
U moet ingelogd zijn om formulieren te downloaden. AUB inloggen of schrijf u gratis in.
Colorectal Cancer Follow-Up NCT00058474
No Instruction available.
- StudyEvent: NSABP PROTOCOL R-04: FOLLOW-UP FORM
Beschrijving
Follow-Up
Alias
- UMLS CUI-1
- C1522577
Beschrijving
Patient Status
Datatype
text
Alias
- NCI Thesaurus ObjectClass
- C16960
- UMLS CUI-1
- C3846084
- NCI Thesaurus ValueDomain
- C18003
- NCI Thesaurus ValueDomain-2
- C25688
- NCI Thesaurus Property
- C25365
Beschrijving
Date last contact
Datatype
date
Alias
- NCI Thesaurus ValueDomain
- C25164
- UMLS CUI-1
- C0805839
- NCI Thesaurus ObjectClass
- C16960
- NCI Thesaurus ValueDomain-2
- C25367
- NCI Thesaurus Property
- C25461
Beschrijving
PersonSurvivalInformationSource
Datatype
text
Alias
- NCI Thesaurus ObjectClass
- C25190
- UMLS 2011AA ObjectClass
- C0027361
- NCI Thesaurus ValueDomain
- C25683
- UMLS 2011AA ValueDomain
- C0449416
- NCI Thesaurus Property
- C48191
- UMLS 2011AA Property
- C1533716
- NCI Thesaurus Property-2
- C17177
- UMLS 2011AA Property-2
- C0038952
Beschrijving
PatientDeathSourceSpecify
Datatype
text
Alias
- NCI Thesaurus ValueDomain
- C25685
- UMLS 2011AA ValueDomain
- C1521902
- NCI Thesaurus ObjectClass
- C16960
- UMLS 2011AA ObjectClass
- C0030705
- NCI Thesaurus Property
- C28554
- UMLS 2011AA Property
- C0011065
Beschrijving
PatientDeathPrimaryReason
Datatype
text
Alias
- NCI Thesaurus ValueDomain
- C25638
- NCI Thesaurus ObjectClass
- C16960
- NCI Thesaurus Property
- C28554
- NCI Thesaurus ValueDomain-2
- C28554
- UMLS CUI-1
- C0007465
Beschrijving
describe cause of death
Datatype
text
Alias
- NCI Thesaurus ValueDomain
- C25685
- NCI Thesaurus ObjectClass
- C16960
- NCI Thesaurus Property
- C28554
- UMLS CUI-1
- C0007465
Beschrijving
Wasthereevidenceofrecurrenceatthetimeofdeath?
Datatype
text
Alias
- NCI Thesaurus Property
- C28554
- NCI Thesaurus ObjectClass
- C38155
- NCI Thesaurus Property-2
- C15220
- UMLS CUI-1
- C0011065
- UMLS CUI-2
- C0277556
Beschrijving
CancerFollow-upStatusInd
Datatype
boolean
Beschrijving
CancerFollow-upStatusDate
Datatype
date
Alias
- NCI Thesaurus ObjectClass
- C2991
- UMLS 2011AA ObjectClass
- C0012634
- NCI Thesaurus Property
- C25365
- UMLS 2011AA Property
- C0678257
Beschrijving
ProgressionInd,FirstLocal-Regional
Datatype
boolean
Alias
- UMLS CUI-1
- C0027643
Beschrijving
Site(s)ofdisease
Datatype
text
Alias
- UMLS CUI-1
- C1290853
Beschrijving
DiseaseInvolvementSite,Other
Datatype
text
Beschrijving
Recurrence Date
Datatype
date
Alias
- UMLS CUI-1
- C0807712
Beschrijving
ProgressionInd,FirstDistant
Datatype
boolean
Beschrijving
RecurrentDiseaseFirstDistantDiagnosisDate
Datatype
date
Alias
- NCI Thesaurus ObjectClass
- C38155
- NCI Thesaurus Property
- C25321
- NCI Thesaurus Property-2
- C25509
- NCI Thesaurus Property-3
- C15220
- NCI Thesaurus ValueDomain
- C25164
- UMLS CUI-1
- C0804769
- UMLS CUI-2
- C0011008
Beschrijving
RecurrentDiseaseFirstDistantDiagnosisText
Datatype
text
Alias
- NCI Thesaurus ObjectClass
- C38155
- NCI Thesaurus Property
- C25321
- NCI Thesaurus Property-2
- C25509
- NCI Thesaurus Property-3
- C15220
- NCI Thesaurus ValueDomain
- C25704
- UMLS CUI-1
- C0807713
Beschrijving
NewCancerDiagnosisInd-3
Datatype
boolean
Alias
- NCI Thesaurus ValueDomain
- C38148
- NCI Thesaurus ObjectClass
- C25586
- NCI Thesaurus ObjectClass-2
- C9305
- NCI Thesaurus Property
- C15220
- UMLS CUI-1
- C0751623
Beschrijving
NewCancerDiagnosisDate
Datatype
date
Alias
- NCI Thesaurus ValueDomain
- C25164
- NCI Thesaurus ObjectClass
- C9305
- NCI Thesaurus Property
- C15220
- UMLS CUI-1
- C0205314
- UMLS CUI-2
- C0006826
- UMLS CUI-3
- C0011900
- UMLS CUI-4
- C0011008
Beschrijving
NewCancerSiteText
Datatype
text
Alias
- NCI Thesaurus ValueDomain
- C25704
- UMLS 2011AA ValueDomain
- C1527021
- NCI Thesaurus ObjectClass
- C25586
- UMLS 2011AA ObjectClass
- C0205314
- NCI Thesaurus Property
- C25341
- UMLS 2011AA Property
- C0450429
- NCI Thesaurus ObjectClass-2
- C9305
- UMLS 2011AA ObjectClass-2
- C0006826
Beschrijving
Late Adverse Events
Alias
- UMLS CUI-1
- C0877248
- UMLS CUI-2
- C0205087
Beschrijving
CommonTerminologyCriteriaforAdverseEventsVersion4.0LowLevelTermName
Datatype
text
Alias
- NCI Thesaurus ObjectClass
- C41331
- NCI Thesaurus Property
- C49704
- NCI Thesaurus Property-2
- C45559
- NCI Thesaurus ValueDomain
- C45255
- NCI Thesaurus ValueDomain-2
- C49704
- NCI Thesaurus ValueDomain-3
- C42614
- NCI Thesaurus ValueDomain-4
- C45559
- NCI Thesaurus ValueDomain-5
- C25714
- UMLS CUI-1
- C1516728
- UMLS CUI-2
- C2826934
Beschrijving
Grade
Datatype
text
Alias
- NCI Thesaurus ObjectClass
- C41331
- NCI Thesaurus Property
- C48309
- NCI Thesaurus Property-2
- C49705
- NCI Thesaurus Property-3
- C25676
- NCI Thesaurus ValueDomain
- C41331
- NCI Thesaurus ValueDomain-2
- C48309
- NCI Thesaurus ValueDomain-3
- C25676
- UMLS CUI-1
- C2985921
Similar models
No Instruction available.
- StudyEvent: NSABP PROTOCOL R-04: FOLLOW-UP FORM
C2348585 (UMLS CUI-1)
C16960 (NCI Thesaurus ObjectClass)
C1513905 (UMLS CUI-2)
C25364 (NCI Thesaurus Property)
C15818 (NCI Thesaurus Property-2)
C1510825 (UMLS CUI-1)
C25413 (NCI Thesaurus ObjectClass-2)
C25364 (NCI Thesaurus Property)
C25191 (NCI Thesaurus ValueDomain)
C21541 (NCI Thesaurus ValueDomain-2)
C1550483 (UMLS CUI-1)
C25657 (NCI Thesaurus ObjectClass-2)
C1301584 (UMLS CUI-2)
C25364 (NCI Thesaurus Property)
C25551 (NCI Thesaurus Property-2)
C25191 (NCI Thesaurus ValueDomain)
C1550483 (UMLS CUI-1)
C25657 (NCI Thesaurus ObjectClass-2)
C1443235 (UMLS CUI-2)
C25364 (NCI Thesaurus Property)
C25509 (NCI Thesaurus Property-2)
C25191 (NCI Thesaurus ValueDomain)
C1550483 (UMLS CUI-1)
C25190 (NCI Thesaurus ObjectClass)
C1515258 (UMLS CUI-2)
C25657 (NCI Thesaurus ObjectClass-2)
C25395 (NCI Thesaurus Property)
C0680532 (UMLS CUI-1)
C25474 (NCI Thesaurus ObjectClass)
C25416 (NCI Thesaurus Property)
C0947611 (UMLS CUI-1)
C15319 (NCI Thesaurus ObjectClass)
C25393 (NCI Thesaurus Property)
C3846084 (UMLS CUI-1)
C18003 (NCI Thesaurus ValueDomain)
C25688 (NCI Thesaurus ValueDomain-2)
C25365 (NCI Thesaurus Property)
C0805839 (UMLS CUI-1)
C16960 (NCI Thesaurus ObjectClass)
C25367 (NCI Thesaurus ValueDomain-2)
C25461 (NCI Thesaurus Property)
C0027361 (UMLS 2011AA ObjectClass)
C25683 (NCI Thesaurus ValueDomain)
C0449416 (UMLS 2011AA ValueDomain)
C48191 (NCI Thesaurus Property)
C1533716 (UMLS 2011AA Property)
C17177 (NCI Thesaurus Property-2)
C0038952 (UMLS 2011AA Property-2)
C0205394 (UMLS 2011AA)
C1521902 (UMLS 2011AA ValueDomain)
C16960 (NCI Thesaurus ObjectClass)
C0030705 (UMLS 2011AA ObjectClass)
C28554 (NCI Thesaurus Property)
C0011065 (UMLS 2011AA Property)
C16960 (NCI Thesaurus ObjectClass)
C28554 (NCI Thesaurus Property)
C28554 (NCI Thesaurus ValueDomain-2)
C0007465 (UMLS CUI-1)
C0439673 (UMLS 2011AA)
C16960 (NCI Thesaurus ObjectClass)
C28554 (NCI Thesaurus Property)
C0007465 (UMLS CUI-1)
C38155 (NCI Thesaurus ObjectClass)
C15220 (NCI Thesaurus Property-2)
C0011065 (UMLS CUI-1)
C0277556 (UMLS CUI-2)
C1298908 (UMLS 2011AA)
C0439673 (UMLS 2011AA)
C0012634 (UMLS 2011AA ObjectClass)
C25365 (NCI Thesaurus Property)
C0678257 (UMLS 2011AA Property)
C0677554 (UMLS CUI-1)
C0031066 (UMLS CUI-1)
C0030797 (UMLS CUI-1)
C0034896 (UMLS CUI-1)
C25321 (NCI Thesaurus Property)
C25509 (NCI Thesaurus Property-2)
C15220 (NCI Thesaurus Property-3)
C25164 (NCI Thesaurus ValueDomain)
C0804769 (UMLS CUI-1)
C0011008 (UMLS CUI-2)
C25321 (NCI Thesaurus Property)
C25509 (NCI Thesaurus Property-2)
C15220 (NCI Thesaurus Property-3)
C25704 (NCI Thesaurus ValueDomain)
C0807713 (UMLS CUI-1)
C25586 (NCI Thesaurus ObjectClass)
C9305 (NCI Thesaurus ObjectClass-2)
C15220 (NCI Thesaurus Property)
C0751623 (UMLS CUI-1)
C9305 (NCI Thesaurus ObjectClass)
C15220 (NCI Thesaurus Property)
C0205314 (UMLS CUI-1)
C0006826 (UMLS CUI-2)
C0011900 (UMLS CUI-3)
C0011008 (UMLS CUI-4)
C1527021 (UMLS 2011AA ValueDomain)
C25586 (NCI Thesaurus ObjectClass)
C0205314 (UMLS 2011AA ObjectClass)
C25341 (NCI Thesaurus Property)
C0450429 (UMLS 2011AA Property)
C9305 (NCI Thesaurus ObjectClass-2)
C0006826 (UMLS 2011AA ObjectClass-2)
C49704 (NCI Thesaurus Property)
C45559 (NCI Thesaurus Property-2)
C45255 (NCI Thesaurus ValueDomain)
C49704 (NCI Thesaurus ValueDomain-2)
C42614 (NCI Thesaurus ValueDomain-3)
C45559 (NCI Thesaurus ValueDomain-4)
C25714 (NCI Thesaurus ValueDomain-5)
C1516728 (UMLS CUI-1)
C2826934 (UMLS CUI-2)
C48309 (NCI Thesaurus Property)
C49705 (NCI Thesaurus Property-2)
C25676 (NCI Thesaurus Property-3)
C41331 (NCI Thesaurus ValueDomain)
C48309 (NCI Thesaurus ValueDomain-2)
C25676 (NCI Thesaurus ValueDomain-3)
C2985921 (UMLS CUI-1)
C1513302 (UMLS 2011AA)
C1513374 (UMLS 2011AA)
C2919019 (UMLS 2011AA)