Description:

Z1031: Breast Surgery Report Form NCT00265759 Exemestane, Letrozole, or Anastrozole in Treating Postmenopausal Women Who Are Undergoing Surgery for Stage II or Stage III Breast Cancer Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=FAB0D6CB-D9B7-4FC5-E034-0003BA3F9857

Link:
https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=FAB0D6CB-D9B7-4FC5-E034-0003BA3F9857
Keywords:
  1. 9/19/12 9/19/12 -
  2. 1/9/15 1/9/15 - Martin Dugas
  3. 6/26/15 6/26/15 -
Uploaded on:

June 26, 2015

DOI:
To request one please log in.
License :
Creative Commons BY-NC 3.0 Legacy
Model comments :

You can comment on the data model here. Via the speech bubbles at the itemgroups and items you can add comments to those specificially.

Itemgroup comments for :

Item comments for :

In order to download data models you must be logged in. Please log in or register for free.

Z1031: Breast Surgery Report Form NCT00265759

No Instruction available.

  1. StudyEvent: Z1031: Breast Surgery Report Form
    1. No Instruction available.
Patient demographics
Visit
Surgery assessment
Was primary breast surgery performed
Type of procedure recommended by surgeon to patient
Type of procedure performed
Primary reason for type of procedure
Amount of disease present at surgery (Tumor Pathology if resected)
Tumor Pathology (if Resected)
cm
cm
Margin Status (mark one)
Histologic Grade

Similar models

Please use this form for feedback, questions and suggestions for improvements.

Fields marked with * are required.

Do you need help on how to use the search function? Please watch the corresponding tutorial video for more details and learn how to use the search function most efficiently.

Watch Tutorial