ID
10315
Description
CALGB: 80101 Follow-up/Relapse Form Chemotherapy and Radiation Therapy After Surgery in Treating Patients With Stomach or Esophageal Cancer Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=A3614107-525D-15BB-E034-080020C9C0E0
Link
Keywords
Versions (3)
- 9/19/12 9/19/12 -
- 5/28/15 5/28/15 -
- 6/3/15 6/3/15 -
Uploaded on
May 28, 2015
DOI
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License
Creative Commons BY-NC 3.0 Legacy
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CALGB: 80101 Follow-up/Relapse Form
No Instruction available.
- StudyEvent: CALGB: 80101 Follow-up/Relapse Form
Description
patient demographics
Description
Patient'sName
Data type
text
Description
ParticipatingGroup
Data type
text
Alias
- NCI Thesaurus ObjectClass
- C17005
- UMLS 2011AA ObjectClass
- C1257890
- NCI Thesaurus Property
- C25364
- UMLS 2011AA Property
- C0600091
Description
PatientHospitalNumber
Data type
text
Description
ParticipatingGroupProtocolNo.
Data type
text
Description
MainMemberInstitution/Affiliate
Data type
text
Description
ParticipatingGroupPatientID
Data type
text
Description
Patient'sVitalStatus
Data type
text
Description
DeathReason
Data type
text
Description
DeathReason,Specify
Data type
text
Description
Notice Of Progression/relapse
Description
DiseaseRelapseProgressionInd-3
Data type
text
Alias
- NCI Thesaurus ObjectClass
- C2991
- UMLS 2011AA ObjectClass
- C0012634
- NCI Thesaurus Property
- C38155
- UMLS 2011AA Property
- C0277556
- NCI Thesaurus Property
- C15220
- UMLS 2011AA Property
- C0011900
- NCI Thesaurus Property
- C19987
- UMLS 2011AA Property
- C0242656
- NCI Thesaurus ValueDomain
- C38148
- UMLS 2011AA ValueDomain
- C1512699
Description
Dateprogressiveorrecurrentdiseasediagnosed
Data type
text
Description
Site(s)ofprogression/relapse
Data type
text
Description
Other,specify(sitesofprogression)
Data type
text
Description
ProgressionSite,LymphNodes
Data type
text
Description
Stat Use Only
Description
Notice Of New Primary
Description
Hasanewprimarycancerormyelodysplasticsyndrome(MDS)beendiagnosedthathasnotbeenpreviouslyreported?
Data type
text
Description
NewPrimaryCancerDate
Data type
date
Alias
- NCI Thesaurus ValueDomain
- C25164
- UMLS 2011AA ValueDomain
- C0011008
Description
NewPrimarySite
Data type
text
Description
CompletedBy
Data type
text
Description
DateCompleted
Data type
date
Description
Ccrr Module For Calgb: 80101 Follow-up/relapse Form
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No Instruction available.
- StudyEvent: CALGB: 80101 Follow-up/Relapse Form
C1511726 (UMLS 2011AA ObjectClass)
C25416 (NCI Thesaurus Property)
C1691222 (UMLS 2011AA Property)
C1705108 (UMLS 2011AA)
C1257890 (UMLS 2011AA ObjectClass)
C25364 (NCI Thesaurus Property)
C0600091 (UMLS 2011AA Property)
C0012634 (UMLS 2011AA ObjectClass)
C38155 (NCI Thesaurus Property)
C0277556 (UMLS 2011AA Property)
C15220 (NCI Thesaurus Property)
C0011900 (UMLS 2011AA Property)
C19987 (NCI Thesaurus Property)
C0242656 (UMLS 2011AA Property)
C38148 (NCI Thesaurus ValueDomain)
C1512699 (UMLS 2011AA ValueDomain)
C1298908 (UMLS 2011AA)
C1705108 (UMLS 2011AA)
C0677554 (UMLS 2011AA)
C0024109 (UMLS 2011AA)
C0023884 (UMLS 2011AA)
C0262950 (UMLS 2011AA)
C0332307 (UMLS 2011AA ValueDomain)
C25341 (NCI Thesaurus Property)
C0450429 (UMLS 2011AA Property)
C18265 (NCI Thesaurus ObjectClass)
C1947913 (UMLS 2011AA)
C0443203 (UMLS 2011AA)
C1298908 (UMLS 2011AA)
C1705108 (UMLS 2011AA)
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