ID
11357
Description
NSABP Protocol B-43 Worksheet for On-Study Form NCT00769379 Radiation Therapy With or Without Trastuzumab in Treating Women With Ductal Carcinoma In Situ Who Have Undergone Lumpectomy Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=3978C2FD-DE23-3859-E044-0003BA3F9857
Link
Keywords
Versions (4)
- 8/27/12 8/27/12 -
- 1/9/15 1/9/15 - Martin Dugas
- 7/3/15 7/3/15 -
- 7/3/15 7/3/15 -
Uploaded on
July 3, 2015
DOI
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License
Creative Commons BY-NC 3.0 Legacy
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NSABP Protocol B-43 Worksheet for On-Study Form NCT00769379
No Instruction available.
- StudyEvent: NSABP Protocol B-43 Worksheet for On-Study Form
Description
Tumor assessment
Description
PrimaryTumorLateralityType
Data type
text
Alias
- NCI Thesaurus ValueDomain
- C25284
- UMLS 2011AA ValueDomain
- C0332307
- NCI Thesaurus ObjectClass
- C3262
- UMLS 2011AA ObjectClass
- C0027651
- NCI Thesaurus ObjectClass-2
- C25251
- UMLS 2011AA ObjectClass-2
- C0205225
- NCI Thesaurus Property
- C25185
- UMLS 2011AA Property
- C0332304
Description
LumpectomyPerformedDate
Data type
date
Alias
- NCI Thesaurus ValueDomain
- C25164
- UMLS 2011AA ValueDomain
- C0011008
- NCI Thesaurus ObjectClass
- C15755
- UMLS 2011AA ObjectClass
- C0024885
- NCI Thesaurus Property
- C38000
- UMLS 2011AA Property
- C0884358
Description
LumpectomySurgicalMarginStatus
Data type
text
Alias
- NCI Thesaurus ObjectClass
- C15755
- UMLS 2011AA ObjectClass
- C0024885
- NCI Thesaurus Property
- C41227
- UMLS 2011AA Property
- C0229985
- NCI Thesaurus ValueDomain
- C25688
- UMLS 2011AA ValueDomain
- C0449438
Description
LumpectomySurgicalMarginRe-ExcisionPerformedInd-2
Data type
boolean
Alias
- NCI Thesaurus ObjectClass
- C48600
- UMLS 2011AA ObjectClass
- C0184913
- NCI Thesaurus ObjectClass-2
- C15755
- UMLS 2011AA ObjectClass-2
- C0024885
- NCI Thesaurus ObjectClass-3
- C41227
- UMLS 2011AA ObjectClass-3
- C0229985
- NCI Thesaurus Property
- C38000
- UMLS 2011AA Property
- C0884358
- NCI Thesaurus ValueDomain
- C38147
- UMLS 2011AA ValueDomain
- C1512698
Description
LumpectomySurgicalMarginRe-ExcisionPerformedFinalDate
Data type
date
Alias
- NCI Thesaurus ObjectClass
- C48600
- UMLS 2011AA ObjectClass
- C0184913
- NCI Thesaurus ObjectClass-2
- C15755
- UMLS 2011AA ObjectClass-2
- C0024885
- NCI Thesaurus ObjectClass-3
- C41227
- UMLS 2011AA ObjectClass-3
- C0229985
- NCI Thesaurus Property
- C38000
- UMLS 2011AA Property
- C0884358
- NCI Thesaurus ValueDomain
- C25164
- UMLS 2011AA ValueDomain
- C0011008
- NCI Thesaurus ValueDomain-2
- C25508
- UMLS 2011AA ValueDomain-2
- C0205088
Description
LumpectomySurgicalMarginRe-ExcisionPerformedStatus
Data type
text
Alias
- NCI Thesaurus ObjectClass
- C48600
- UMLS 2011AA ObjectClass
- C0184913
- NCI Thesaurus ObjectClass-2
- C15755
- UMLS 2011AA ObjectClass-2
- C0024885
- NCI Thesaurus ObjectClass-3
- C41227
- UMLS 2011AA ObjectClass-3
- C0229985
- NCI Thesaurus Property
- C38000
- UMLS 2011AA Property
- C0884358
- NCI Thesaurus ValueDomain
- C25688
- UMLS 2011AA ValueDomain
- C0449438
Description
DuctalBreastCarcinomaInSituHistologyClassificationType
Data type
text
Alias
- NCI Thesaurus ValueDomain
- C25284
- UMLS 2011AA ValueDomain
- C0332307
- NCI Thesaurus Property
- C16681
- UMLS 2011AA Property
- C0019638
- NCI Thesaurus ObjectClass
- C2924
- UMLS 2011AA ObjectClass
- C0007124
- NCI Thesaurus Property-2
- C25161
- UMLS 2011AA Property-2
- C0008902
Description
MalignantNeoplasmNecrosisInd-3
Data type
text
Alias
- NCI Thesaurus ValueDomain
- C38148
- UMLS 2011AA ValueDomain
- C1512699
- NCI Thesaurus ObjectClass
- C9305
- UMLS 2011AA ObjectClass
- C0006826
- NCI Thesaurus Property
- C16897
- UMLS 2011AA Property
- C0027540
Description
DuctalBreastCarcinomainSituSizeDocumentedind-2
Data type
boolean
Alias
- NCI Thesaurus ValueDomain
- C38147
- UMLS 2011AA ValueDomain
- C1512698
- NCI Thesaurus ObjectClass
- C2924
- UMLS 2011AA ObjectClass
- C0007124
- NCI Thesaurus Property
- C25681
- UMLS 2011AA Property
- C0456389
- NCI Thesaurus Property-2
- C25356
- UMLS 2011AA Property-2
- C1301725
Description
LesionLongestBidimensionalDimensionPerpendicularMeasurement
Data type
float
Alias
- NCI Thesaurus ObjectClass
- C3824
- UMLS 2011AA ObjectClass
- C0221198
- NCI Thesaurus Property
- C25558
- UMLS 2011AA Property
- C1522425
- NCI Thesaurus Property-2
- C25483
- UMLS 2011AA Property-2
- C0439534
- NCI Thesaurus Property-3
- C48282
- UMLS 2011AA Property-3
- C1705052
- NCI Thesaurus ValueDomain
- C25209
- UMLS 2011AA ValueDomain
- C0242485
- NCI Thesaurus ValueDomain-2
- C54649
- UMLS 2011AA ValueDomain-2
- C1295725
Description
LesionDiameterUOM
Data type
text
Alias
- NCI Thesaurus Property
- C25285
- UMLS 2011AA Property
- C1301886
- NCI Thesaurus ObjectClass
- C3824
- UMLS 2011AA ObjectClass
- C0221198
- NCI Thesaurus ValueDomain
- C25709
- UMLS 2011AA ValueDomain
- C1519795
Description
DuctalBreastCarcinomainSituMicroscopicGrossSizeDocumentedStatus
Data type
text
Alias
- NCI Thesaurus ObjectClass
- C2924
- UMLS 2011AA ObjectClass
- C0007124
- NCI Thesaurus Property
- C25252
- UMLS 2011AA Property
- C0205288
- NCI Thesaurus Property-2
- C43566
- UMLS 2011AA Property-2
- C0439806
- NCI Thesaurus Property-3
- C25681
- UMLS 2011AA Property-3
- C0456389
- NCI Thesaurus Property-4
- C25356
- UMLS 2011AA Property-4
- C1301725
- NCI Thesaurus ValueDomain
- C25688
- UMLS 2011AA ValueDomain
- C0449438
Description
AxillaryLymphNodeStagingPerformedInd-2
Data type
boolean
Alias
- NCI Thesaurus ValueDomain
- C38147
- UMLS 2011AA ValueDomain
- C1512698
- NCI Thesaurus Property
- C38000
- UMLS 2011AA Property
- C0884358
- NCI Thesaurus Property-2
- C15608
- UMLS 2011AA Property-2
- C0332305
- NCI Thesaurus ObjectClass
- C12904
- UMLS 2011AA ObjectClass
- C0729594
Description
AxillaryNodeExaminedTotalCount
Data type
float
Alias
- NCI Thesaurus ValueDomain
- C25304
- UMLS 2011AA ValueDomain
- C0439810
- NCI Thesaurus Property
- C25500
- UMLS 2011AA Property
- C0332128
- NCI Thesaurus ValueDomain-2
- C25463
- UMLS 2011AA ValueDomain-2
- C0750480
- NCI Thesaurus ObjectClass
- C12904
- UMLS 2011AA ObjectClass
- C0729594
Description
PositiveAxillaryNodeExaminedTotalCount
Data type
float
Alias
- NCI Thesaurus ObjectClass
- C25246
- UMLS 2011AA ObjectClass
- C1446409
- NCI Thesaurus ObjectClass-2
- C12904
- UMLS 2011AA ObjectClass-2
- C0729594
- NCI Thesaurus Property
- C25500
- UMLS 2011AA Property
- C0332128
- NCI Thesaurus ValueDomain
- C25304
- UMLS 2011AA ValueDomain
- C0439810
- NCI Thesaurus ValueDomain-2
- C25463
- UMLS 2011AA ValueDomain-2
- C0750480
Description
Patient History (at Entry)
Description
PersonHyperlipidemiaTherapeuticProcedurePersonalMedicalHistoryind-2
Data type
boolean
Alias
- NCI Thesaurus ObjectClass
- C25190
- UMLS 2011AA ObjectClass
- C0027361
- NCI Thesaurus Property
- C49236
- UMLS 2011AA Property
- C0087111
- NCI Thesaurus Property-2
- C34707
- UMLS 2011AA Property-2
- C0020473
- NCI Thesaurus Property-3
- C18772
- UMLS 2011AA Property-3
- C0262926
- NCI Thesaurus ValueDomain
- C38147
- UMLS 2011AA ValueDomain
- C1512698
Description
PersonDiabetesMellitusTherapeuticProcedurePersonalMedicalHistoryInd-2
Data type
boolean
Alias
- NCI Thesaurus ObjectClass
- C25190
- UMLS 2011AA ObjectClass
- C0027361
- NCI Thesaurus Property
- C2985
- UMLS 2011AA Property
- C0011849
- NCI Thesaurus Property-2
- C49236
- UMLS 2011AA Property-2
- C0087111
- NCI Thesaurus Property-3
- C18772
- UMLS 2011AA Property-3
- C0262926
- NCI Thesaurus ValueDomain
- C38147
- UMLS 2011AA ValueDomain
- C1512698
Description
PersonHypertensionTherapeuticProcedurePersonalMedicalHistoryInd-2
Data type
boolean
Alias
- NCI Thesaurus ObjectClass
- C25190
- UMLS 2011AA ObjectClass
- C0027361
- NCI Thesaurus Property
- C3117
- UMLS 2011AA Property
- C0020538
- NCI Thesaurus Property-2
- C49236
- UMLS 2011AA Property-2
- C0087111
- NCI Thesaurus Property-3
- C18772
- UMLS 2011AA Property-3
- C0262926
- NCI Thesaurus ValueDomain
- C38147
- UMLS 2011AA ValueDomain
- C1512698
Description
Comments
Description
Footer
Description
Person Completing Form
Data type
text
Alias
- NCI Thesaurus ValueDomain
- C25191
- UMLS CUI-1
- C1550483
- NCI Thesaurus ObjectClass
- C25657
- NCI Thesaurus Property
- C25364
Description
Date Form Completed
Data type
date
Alias
- NCI Thesaurus ValueDomain
- C25164
- UMLS CUI-1
- C1115437
- NCI Thesaurus ObjectClass
- C40988
- NCI Thesaurus Property
- C25250
- NCI Thesaurus ValueDomain-2
- C25367
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No Instruction available.
- StudyEvent: NSABP Protocol B-43 Worksheet for On-Study Form
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