ID
10181
Descripción
CALGB: 49907 ADJUVANT TREATMENT SUMMARY FORM; All Patients Comparison of Combination Chemotherapy Regimens in Treating Older Women Who Have Undergone Surgery for Breast Cancer NCT00024102 Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=A50D76F4-2138-330D-E034-080020C9C0E0
Link
Palabras clave
Versiones (2)
- 26/8/12 26/8/12 -
- 22/4/15 22/4/15 - Martin Dugas
Subido en
22 de abril de 2015
DOI
Para solicitar uno, por favor iniciar sesión.
Licencia
Creative Commons BY-NC 3.0 Legacy
Comentarios del modelo :
Puede comentar sobre el modelo de datos aquí. A través de las burbujas de diálogo en los grupos de elementos y elementos, puede agregar comentarios específicos.
Comentarios de grupo de elementos para :
Comentarios del elemento para :
Para descargar modelos de datos, debe haber iniciado sesión. Por favor iniciar sesión o Registrate gratis.
Breast Cancer ADJUVANT TREATMENT CALGB 49907 NCT00024102
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. For optimal accuracy use black ink. Mark an X in the appropriate box for fields with a choice. Print text in capital letters. Avoid contact with the edges of the boxes. Circle amended items and check "Amended data" box to the right. If submitting by mail, retain a copy for your records and send the original to the CALGB Data Management Center. If faxing, use an original form for maximum clarity in transmission and fax to 919-416-4990. If submitting electronically, click the Send button when you have completed the PDF version of the form.
Descripción
Treatment Cycle Information
Descripción
TotalDoseofDrugsforCycle1
Tipo de datos
float
Unidades de medida
- mg
Alias
- UMLS CUI-1
- C2986497
Descripción
Agent Name
Tipo de datos
text
Alias
- UMLS CUI-1
- C0450442
Descripción
ReasonTreatmentEnded
Tipo de datos
text
Descripción
Other,specify(reasontreatmentended)
Tipo de datos
text
Descripción
Werethereanydosemodificationsoradditions/omissionstoprotocoltreatment?
Tipo de datos
text
Alias
- UMLS CUI-1
- C1707811
Descripción
Wereanyoptionalprotocoltherapiesgiven?
Tipo de datos
boolean
Descripción
optionalprotocoltherapyname(s)
Tipo de datos
text
Descripción
Wasanyconcurrentnon-protocoltherapygivenduringprotocoltreatment?
Tipo de datos
boolean
Alias
- UMLS CUI-1
- C1518384
- UMLS CUI-2
- C0087111
Descripción
indicate below (concurrent non-protocol therapy given during protocol treatment) (mark all that apply with an X)
Tipo de datos
text
Alias
- UMLS CUI-1
- C1518384
- UMLS CUI-2
- C0087111
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. For optimal accuracy use black ink. Mark an X in the appropriate box for fields with a choice. Print text in capital letters. Avoid contact with the edges of the boxes. Circle amended items and check "Amended data" box to the right. If submitting by mail, retain a copy for your records and send the original to the CALGB Data Management Center. If faxing, use an original form for maximum clarity in transmission and fax to 919-416-4990. If submitting electronically, click the Send button when you have completed the PDF version of the form.
C0011008 (UMLS 2011AA ValueDomain)
C15368 (NCI Thesaurus ObjectClass)
C42651 (NCI Thesaurus ObjectClass-2)
C0442711 (UMLS 2011AA ObjectClass)
C25382 (NCI Thesaurus Property)
C1521801 (UMLS 2011AA Property)
C1705108 (UMLS 2011AA)
C1257890 (UMLS 2011AA ObjectClass)
C25364 (NCI Thesaurus Property)
C0600091 (UMLS 2011AA Property)
C0011008 (UMLS 2011AA ValueDomain)
C25509 (NCI Thesaurus ValueDomain-2)
C1279901 (UMLS 2011AA ValueDomain-2)
C0010583 (UMLS CUI-1)
C0025677 (UMLS CUI-1)
C0016360 (UMLS CUI-1)
C0671970 (UMLS CUI-1)
C1298908 (UMLS 2011AA)
C0087111 (UMLS CUI-2)
C0087111 (UMLS CUI-2)