ID
1136
Beschrijving
NCCTG N0733 Demography Form Capecitabine and Lapatinib With or Without Cixutumumab in Treating Patients With Previously Treated HER2-Positive Stage IIIB, Stage IIIC, or Stage IV Breast Cancer Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=643B1D4E-2802-CA4C-E040-BB89AD432C8F
Link
Trefwoorden
Versies (4)
- 27-08-12 27-08-12 -
- 24-03-14 24-03-14 - Martin Dugas
- 24-03-14 24-03-14 - Martin Dugas
- 17-09-21 17-09-21 -
Geüploaded op
27 augustus 2012
DOI
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Licentie
Creative Commons BY-NC 3.0 Legacy
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Breast Cancer NCT00684983 Demographic - NCCTG N0733 Demography Form - 2842806v1.0
No Instruction available.
- StudyEvent: NCCTG N0733 Demography Form
Beschrijving
Demographics
Beschrijving
EthnicGroupCategoryText
Datatype
text
Alias
- NCI Thesaurus Property
- C25372
- UMLS 2011AA Property
- C0683312
- NCI Thesaurus ValueDomain
- C25372
- UMLS 2011AA ValueDomain
- C0683312
- NCI Thesaurus ObjectClass
- C16564
- UMLS 2011AA ObjectClass
- C0015031
Beschrijving
PersonGenderTextType
Datatype
text
Alias
- NCI Thesaurus ValueDomain
- C25284
- UMLS 2011AA ValueDomain
- C0332307
- NCI Thesaurus ObjectClass
- C25190
- UMLS 2011AA ObjectClass
- C0027361
- NCI Thesaurus Property
- C17357
- UMLS 2011AA Property
- C0079399
Beschrijving
PatientBirthDate
Datatype
date
Alias
- NCI Thesaurus ValueDomain
- C25164
- UMLS 2011AA ValueDomain
- C0011008
- NCI Thesaurus ObjectClass
- C16960
- UMLS 2011AA ObjectClass
- C0030705
- NCI Thesaurus ValueDomain
- C25367
- NCI Thesaurus Property
- C25155
- UMLS 2011AA Property
- C0005615
Beschrijving
DemographicsAddress2000CensusTractNumberText
Datatype
text
Alias
- NCI Thesaurus ObjectClass
- C16495
- UMLS 2011AA ObjectClass
- C0011292
- NCI Thesaurus Property
- C67490
- UMLS 2011AA Property
- C1555581
- NCI Thesaurus ValueDomain
- C25337
- UMLS 2011AA ValueDomain
- C0237753
- NCI Thesaurus ValueDomain
- C25704
- UMLS 2011AA ValueDomain
- C1527021
- NCI Thesaurus ValueDomain
- C25407
- UMLS 2011AA ValueDomain
- C1442065
- NCI Thesaurus ValueDomain
- C67490
- UMLS 2011AA ValueDomain
- C1555581
Beschrijving
PatientAddressCountryName
Datatype
text
Alias
- NCI Thesaurus ObjectClass
- C16960
- UMLS 2011AA ObjectClass
- C0030705
- NCI Thesaurus ValueDomain
- C25464
- UMLS 2011AA ValueDomain
- C0454664
- NCI Thesaurus Property
- C25407
- UMLS 2011AA Property
- C1442065
- NCI Thesaurus ValueDomain
- C42614
- UMLS 2011AA ValueDomain
- C0027365
Beschrijving
AddressPostalCodeIdentifier
Datatype
text
Alias
- NCI Thesaurus ObjectClass
- C25407
- UMLS 2011AA ObjectClass
- C1442065
- NCI Thesaurus Property
- C25621
- UMLS 2011AA Property
- C1514254
- NCI Thesaurus ValueDomain
- C25364
- UMLS 2011AA ValueDomain
- C0600091
- NCI Thesaurus ValueDomain
- C25407
- UMLS 2011AA ValueDomain
- C1442065
- NCI Thesaurus ValueDomain
- C25621
- UMLS 2011AA ValueDomain
- C1514254
Beschrijving
Race
Beschrijving
RaceCategoryText
Datatype
text
Alias
- NCI Thesaurus Property
- C25372
- UMLS 2011AA Property
- C0683312
- NCI Thesaurus ValueDomain
- C25372
- UMLS 2011AA ValueDomain
- C0683312
- NCI Thesaurus ObjectClass
- C17049
- UMLS 2011AA ObjectClass
- C0034510
Beschrijving
Method Of Payment
Beschrijving
PaymentMethod
Datatype
text
Alias
- NCI Thesaurus ValueDomain
- C25162
- UMLS 2011AA ValueDomain
- C0805701
- NCI Thesaurus Property
- C16847
- UMLS 2011AA Property
- C0449851
- NCI Thesaurus ObjectClass
- C25371
- UMLS 2011AA ObjectClass
- C0680264
Beschrijving
Optional Questions
Beschrijving
CentersforDiseaseControlandPreventionRaceUniqueIdentifierCode
Datatype
text
Alias
- NCI Thesaurus ValueDomain
- C25162
- UMLS 2011AA ValueDomain
- C0805701
- NCI Thesaurus Property
- C25372
- UMLS 2011AA Property
- C0683312
- NCI Thesaurus ObjectClass
- C17049
- UMLS 2011AA ObjectClass
- C0034510
Beschrijving
CentersforDiseaseControlandPreventionEthnicityUniqueIdentifierCodes
Datatype
text
Alias
- NCI Thesaurus ValueDomain
- C25162
- UMLS 2011AA ValueDomain
- C0805701
- NCI Thesaurus Property
- C25372
- UMLS 2011AA Property
- C0683312
- NCI Thesaurus ObjectClass
- C16564
- UMLS 2011AA ObjectClass
- C0015031
Beschrijving
PersonEducationLevelType
Datatype
text
Alias
- NCI Thesaurus ValueDomain
- C25284
- UMLS 2011AA ValueDomain
- C0332307
- NCI Thesaurus ObjectClass
- C25190
- UMLS 2011AA ObjectClass
- C0027361
- NCI Thesaurus Property
- C17953
- UMLS 2011AA Property
- C0013658
- NCI Thesaurus ValueDomain
- C17953
- UMLS 2011AA ValueDomain
- C0013658
Beschrijving
PersonMaritalStatusCategory
Datatype
text
Alias
- NCI Thesaurus ObjectClass
- C25190
- UMLS 2011AA ObjectClass
- C0027361
- NCI Thesaurus ValueDomain
- C25372
- UMLS 2011AA ValueDomain
- C0683312
- NCI Thesaurus Property
- C25188
- UMLS 2011AA Property
- C0024819
Beschrijving
PersonGeographicBirthPlaceText
Datatype
text
Alias
- NCI Thesaurus ObjectClass
- C25190
- UMLS 2011AA ObjectClass
- C0027361
- NCI Thesaurus Property
- C25155
- UMLS 2011AA Property
- C0005615
- NCI Thesaurus Property
- C25319
- UMLS 2011AA Property
- C0442504
- NCI Thesaurus Property
- C37957
- UMLS 2011AA Property
- C1517526
- NCI Thesaurus ValueDomain
- C25704
- UMLS 2011AA ValueDomain
- C1527021
- NCI Thesaurus ValueDomain
- C25155
- UMLS 2011AA ValueDomain
- C0005615
- NCI Thesaurus ValueDomain
- C25319
- UMLS 2011AA ValueDomain
- C0442504
Similar models
No Instruction available.
- StudyEvent: NCCTG N0733 Demography Form
C1547383 (UMLS 2011AA ValueDomain)
C16960 (NCI Thesaurus ObjectClass)
C0030705 (UMLS 2011AA ObjectClass)
C25536 (NCI Thesaurus Property)
C1555582 (UMLS 2011AA Property)
C25551 (NCI Thesaurus Property)
C1517741 (UMLS 2011AA Property)
C1547383 (UMLS 2011AA ValueDomain)
C16960 (NCI Thesaurus ObjectClass)
C0030705 (UMLS 2011AA ObjectClass)
C25536 (NCI Thesaurus Property)
C1555582 (UMLS 2011AA Property)
C25509 (NCI Thesaurus Property)
C1279901 (UMLS 2011AA Property)
C1547383 (UMLS 2011AA ValueDomain)
C16960 (NCI Thesaurus ObjectClass)
C0030705 (UMLS 2011AA ObjectClass)
C25536 (NCI Thesaurus Property)
C1555582 (UMLS 2011AA Property)
C25569 (NCI Thesaurus Property)
C0444598 (UMLS 2011AA Property)
C0237753 (UMLS 2011AA ValueDomain)
C16960 (NCI Thesaurus ObjectClass)
C0030705 (UMLS 2011AA ObjectClass)
C25686 (NCI Thesaurus Property)
C1301821 (UMLS 2011AA Property)
C0237753 (UMLS 2011AA ValueDomain)
C16960 (NCI Thesaurus ObjectClass)
C0030705 (UMLS 2011AA ObjectClass)
C25261 (NCI Thesaurus Property)
C0205476 (UMLS 2011AA Property)
C25198 (NCI Thesaurus Property)
C0034869 (UMLS 2011AA Property)
C0683312 (UMLS 2011AA Property)
C25372 (NCI Thesaurus ValueDomain)
C0683312 (UMLS 2011AA ValueDomain)
C16564 (NCI Thesaurus ObjectClass)
C0015031 (UMLS 2011AA ObjectClass)
C0086409 (UMLS 2011AA)
C1518424 (UMLS 2011AA)
C1706613 (UMLS 2011AA)
C0439673 (UMLS 2011AA)
C0332307 (UMLS 2011AA ValueDomain)
C25190 (NCI Thesaurus ObjectClass)
C0027361 (UMLS 2011AA ObjectClass)
C17357 (NCI Thesaurus Property)
C0079399 (UMLS 2011AA Property)
C0015780 (UMLS 2011AA)
C1706180 (UMLS 2011AA)
C0439673 (UMLS 2011AA)
C0205370 (UMLS 2011AA)
C0011008 (UMLS 2011AA ValueDomain)
C16960 (NCI Thesaurus ObjectClass)
C0030705 (UMLS 2011AA ObjectClass)
C25367 (NCI Thesaurus ValueDomain)
C25155 (NCI Thesaurus Property)
C0005615 (UMLS 2011AA Property)
C0011292 (UMLS 2011AA ObjectClass)
C67490 (NCI Thesaurus Property)
C1555581 (UMLS 2011AA Property)
C25337 (NCI Thesaurus ValueDomain)
C0237753 (UMLS 2011AA ValueDomain)
C25704 (NCI Thesaurus ValueDomain)
C1527021 (UMLS 2011AA ValueDomain)
C25407 (NCI Thesaurus ValueDomain)
C1442065 (UMLS 2011AA ValueDomain)
C67490 (NCI Thesaurus ValueDomain)
C1555581 (UMLS 2011AA ValueDomain)
C0030705 (UMLS 2011AA ObjectClass)
C25464 (NCI Thesaurus ValueDomain)
C0454664 (UMLS 2011AA ValueDomain)
C25407 (NCI Thesaurus Property)
C1442065 (UMLS 2011AA Property)
C42614 (NCI Thesaurus ValueDomain)
C0027365 (UMLS 2011AA ValueDomain)
C1442065 (UMLS 2011AA ObjectClass)
C25621 (NCI Thesaurus Property)
C1514254 (UMLS 2011AA Property)
C25364 (NCI Thesaurus ValueDomain)
C0600091 (UMLS 2011AA ValueDomain)
C25407 (NCI Thesaurus ValueDomain)
C1442065 (UMLS 2011AA ValueDomain)
C25621 (NCI Thesaurus ValueDomain)
C1514254 (UMLS 2011AA ValueDomain)
C0683312 (UMLS 2011AA Property)
C25372 (NCI Thesaurus ValueDomain)
C0683312 (UMLS 2011AA ValueDomain)
C17049 (NCI Thesaurus ObjectClass)
C0034510 (UMLS 2011AA ObjectClass)
C1515945 (UMLS 2011AA)
C0078988 (UMLS 2011AA)
C0085756 (UMLS 2011AA)
C1513907 (UMLS 2011AA)
C0007457 (UMLS 2011AA)
C1706613 (UMLS 2011AA)
C0439673 (UMLS 2011AA)
C0805701 (UMLS 2011AA ValueDomain)
C16847 (NCI Thesaurus Property)
C0449851 (UMLS 2011AA Property)
C25371 (NCI Thesaurus ObjectClass)
C0680264 (UMLS 2011AA ObjectClass)
C0018717 (UMLS 2011AA)
C0205394 (UMLS 2011AA)
C0439673 (UMLS 2011AA)
C0805701 (UMLS 2011AA ValueDomain)
C25372 (NCI Thesaurus Property)
C0683312 (UMLS 2011AA Property)
C17049 (NCI Thesaurus ObjectClass)
C0034510 (UMLS 2011AA ObjectClass)
C0805701 (UMLS 2011AA ValueDomain)
C25372 (NCI Thesaurus Property)
C0683312 (UMLS 2011AA Property)
C16564 (NCI Thesaurus ObjectClass)
C0015031 (UMLS 2011AA ObjectClass)
C0332307 (UMLS 2011AA ValueDomain)
C25190 (NCI Thesaurus ObjectClass)
C0027361 (UMLS 2011AA ObjectClass)
C17953 (NCI Thesaurus Property)
C0013658 (UMLS 2011AA Property)
C17953 (NCI Thesaurus ValueDomain)
C0013658 (UMLS 2011AA ValueDomain)
C0681405 (UMLS 2011AA)
C0681406 (UMLS 2011AA)
C1883619 (UMLS 2011AA)
C1883622 (UMLS 2011AA)
C1883635 (UMLS 2011AA)
C1883642 (UMLS 2011AA)
C1883646 (UMLS 2011AA)
C1883649 (UMLS 2011AA)
C1883651 (UMLS 2011AA)
C1883653 (UMLS 2011AA)
C1883654 (UMLS 2011AA)
C1883613 (UMLS 2011AA)
C1883614 (UMLS 2011AA)
C1883615 (UMLS 2011AA)
C0870649 (UMLS 2011AA)
C1880947 (UMLS 2011AA)
C2346951 (UMLS 2011AA)
C1879750 (UMLS 2011AA)
C2348318 (UMLS 2011AA)
C2347079 (UMLS 2011AA)
C2347690 (UMLS 2011AA)
C1883542 (UMLS 2011AA)
C0557286 (UMLS 2011AA)
C1705116 (UMLS 2011AA)
C1883065 (UMLS 2011AA)
C1880386 (UMLS 2011AA)
C0027361 (UMLS 2011AA ObjectClass)
C25372 (NCI Thesaurus ValueDomain)
C0683312 (UMLS 2011AA ValueDomain)
C25188 (NCI Thesaurus Property)
C0024819 (UMLS 2011AA Property)
C0086170 (UMLS 2011AA)
C1549111 (UMLS 2011AA)
C0555047 (UMLS 2011AA)
C0027952 (UMLS 2011AA)
C0086972 (UMLS 2011AA)
C0206275 (UMLS 2011AA)
C0027361 (UMLS 2011AA ObjectClass)
C25155 (NCI Thesaurus Property)
C0005615 (UMLS 2011AA Property)
C25319 (NCI Thesaurus Property)
C0442504 (UMLS 2011AA Property)
C37957 (NCI Thesaurus Property)
C1517526 (UMLS 2011AA Property)
C25704 (NCI Thesaurus ValueDomain)
C1527021 (UMLS 2011AA ValueDomain)
C25155 (NCI Thesaurus ValueDomain)
C0005615 (UMLS 2011AA ValueDomain)
C25319 (NCI Thesaurus ValueDomain)
C0442504 (UMLS 2011AA ValueDomain)