ID
11561
Beskrivning
NCT01349322 RTOG-1005 QP: Radiation Therapy Oncology Group Phase III Whole Breast Irradiation for Early Stage Breast Cancer Patient Cosmesis Evaluation Form Higher-Dose Radiation Therapy or Standard Radiation Therapy in Treating Patients With Early-Stage Breast Cancer That Was Removed by Surgery Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=9D7B30AD-FF6E-0FB3-E040-BB89AD435271
Länk
Nyckelord
Versioner (4)
- 2012-09-19 2012-09-19 -
- 2015-01-09 2015-01-09 - Martin Dugas
- 2015-01-09 2015-01-09 - Martin Dugas
- 2015-07-08 2015-07-08 -
Uppladdad den
8 juli 2015
DOI
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Licens
Creative Commons BY-NC 3.0 Legacy
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NCT01349322 RTOG-1005 QP: Radiation Therapy Oncology Group Phase III Whole Breast Irradiation for Early Stage Breast Cancer Patient Cosmesis Evaluation Form
This form is completed by the investigator (rater) and submitted at each time point specified by the protocol, whether or not any of the patient assessment items (Q's 6,7,8) are answered
- StudyEvent: RTOG-1005 QP: Radiation Therapy Oncology Group Phase III Whole Breast Irradiation for Early Stage Breast Cancer Patient Cosmesis Evaluation Form
Beskrivning
Breast Reconstruction Assessment
Beskrivning
BreastReconstructionAssessmentSatus
Datatyp
text
Alias
- NCI Thesaurus Property
- C25367
- NCI Thesaurus ObjectClass
- C12971
- UMLS 2011AA ObjectClass
- C0006141
- NCI Thesaurus ValueDomain
- C25688
- UMLS 2011AA ValueDomain
- C0449438
- NCI Thesaurus ObjectClass-2
- C25351
- UMLS 2011AA ObjectClass-2
- C0524865
Beskrivning
BreastReconstructionTelangiectasiaAssessmentIndicator
Datatyp
text
Alias
- NCI Thesaurus ObjectClass
- C12971
- UMLS 2011AA ObjectClass
- C0006141
- NCI Thesaurus ObjectClass-2
- C25351
- UMLS 2011AA ObjectClass-2
- C0524865
- NCI Thesaurus Property
- C25367
- NCI Thesaurus Property-2
- C28194
- UMLS 2011AA Property
- C0039446
- NCI Thesaurus ValueDomain
- C25180
- UMLS 2011AA ValueDomain
- C1522602
Beskrivning
BreastReconstructionAtrophyAssessmentIndicator
Datatyp
text
Alias
- NCI Thesaurus ObjectClass
- C12971
- UMLS 2011AA ObjectClass
- C0006141
- NCI Thesaurus ObjectClass-2
- C25351
- UMLS 2011AA ObjectClass-2
- C0524865
- NCI Thesaurus Property
- C25367
- NCI Thesaurus Property-2
- C79748
- UMLS 2011AA Property
- C0333641
- NCI Thesaurus ValueDomain
- C25180
- UMLS 2011AA ValueDomain
- C1522602
Beskrivning
BreastReconstructionScarAssessmentIndicator
Datatyp
text
Alias
- NCI Thesaurus ObjectClass
- C12971
- UMLS 2011AA ObjectClass
- C0006141
- NCI Thesaurus ObjectClass-2
- C25351
- UMLS 2011AA ObjectClass-2
- C0524865
- NCI Thesaurus Property
- C25367
- NCI Thesaurus Property-2
- C34483
- UMLS 2011AA Property
- C2004491
- NCI Thesaurus ValueDomain
- C25180
- UMLS 2011AA ValueDomain
- C1522602
Beskrivning
BreastReconstructionPigmentAssessmentIndicator
Datatyp
text
Alias
- NCI Thesaurus ObjectClass
- C12971
- UMLS 2011AA ObjectClass
- C0006141
- NCI Thesaurus ObjectClass-2
- C25351
- UMLS 2011AA ObjectClass-2
- C0524865
- NCI Thesaurus Property
- C25367
- NCI Thesaurus Property-2
- C747
- UMLS 2011AA Property
- C0031916
- NCI Thesaurus ValueDomain
- C25180
- UMLS 2011AA ValueDomain
- C1522602
Beskrivning
BreastReconstructionErythemaAssessmentIndicator
Datatyp
text
Alias
- NCI Thesaurus ObjectClass
- C12971
- UMLS 2011AA ObjectClass
- C0006141
- NCI Thesaurus ObjectClass-2
- C25351
- UMLS 2011AA ObjectClass-2
- C0524865
- NCI Thesaurus Property
- C25367
- NCI Thesaurus Property-2
- C26901
- UMLS 2011AA Property
- C0041834
- NCI Thesaurus ValueDomain
- C25180
- UMLS 2011AA ValueDomain
- C1522602
Beskrivning
BreastReconstructionFatNecrosisAssessmentIndicator
Datatyp
text
Alias
- NCI Thesaurus ObjectClass
- C12971
- UMLS 2011AA ObjectClass
- C0006141
- NCI Thesaurus ObjectClass-2
- C25351
- UMLS 2011AA ObjectClass-2
- C0524865
- NCI Thesaurus Property
- C25367
- NCI Thesaurus Property-2
- C26772
- UMLS 2011AA Property
- C0015668
- NCI Thesaurus ValueDomain
- C25180
- UMLS 2011AA ValueDomain
- C1522602
Beskrivning
BreastReconstructionFibrosisAssessmentIndicator
Datatyp
text
Alias
- NCI Thesaurus ObjectClass
- C12971
- UMLS 2011AA ObjectClass
- C0006141
- NCI Thesaurus ObjectClass-2
- C25351
- UMLS 2011AA ObjectClass-2
- C0524865
- NCI Thesaurus Property
- C25367
- NCI Thesaurus Property-2
- C3044
- UMLS 2011AA Property
- C0016059
- NCI Thesaurus ValueDomain
- C25180
- UMLS 2011AA ValueDomain
- C1522602
Beskrivning
BreastReconstructionDefectAssessmentIndicator
Datatyp
text
Alias
- NCI Thesaurus ObjectClass
- C12971
- UMLS 2011AA ObjectClass
- C0006141
- NCI Thesaurus ObjectClass-2
- C25351
- UMLS 2011AA ObjectClass-2
- C0524865
- NCI Thesaurus Property
- C25367
- NCI Thesaurus Property-2
- C43429
- UMLS 2011AA Property
- C1457869
- NCI Thesaurus ValueDomain
- C25180
- UMLS 2011AA ValueDomain
- C1522602
Beskrivning
BreastReconstructionLossAssessmentIndicator
Datatyp
text
Alias
- NCI Thesaurus ObjectClass
- C12971
- UMLS 2011AA ObjectClass
- C0006141
- NCI Thesaurus ObjectClass-2
- C25351
- UMLS 2011AA ObjectClass-2
- C0524865
- NCI Thesaurus Property
- C25367
- NCI Thesaurus Property-2
- C25559
- UMLS 2011AA Property
- C1517945
- NCI Thesaurus ValueDomain
- C25180
- UMLS 2011AA ValueDomain
- C1522602
Beskrivning
BreastReconstructionOtherAssessmentIndicator
Datatyp
text
Alias
- NCI Thesaurus ObjectClass
- C12971
- UMLS 2011AA ObjectClass
- C0006141
- NCI Thesaurus ObjectClass-2
- C25351
- UMLS 2011AA ObjectClass-2
- C0524865
- NCI Thesaurus Property
- C17649
- UMLS 2011AA Property
- C0205394
- NCI Thesaurus Property-2
- C25367
- NCI Thesaurus ValueDomain
- C25180
- UMLS 2011AA ValueDomain
- C1522602
Beskrivning
BreastReconstructionOtherAssessmentSpecify
Datatyp
text
Alias
- NCI Thesaurus ObjectClass
- C12971
- UMLS 2011AA ObjectClass
- C0006141
- NCI Thesaurus ObjectClass-2
- C25351
- UMLS 2011AA ObjectClass-2
- C0524865
- NCI Thesaurus Property
- C17649
- UMLS 2011AA Property
- C0205394
- NCI Thesaurus Property-2
- C25367
- NCI Thesaurus ValueDomain
- C25685
- UMLS 2011AA ValueDomain
- C1521902
Beskrivning
Footer Module
Beskrivning
Research Comments
Datatyp
text
Alias
- NCI Thesaurus ValueDomain
- C25704
- UMLS CUI-1
- C0947611
- NCI Thesaurus ObjectClass
- C15319
- NCI Thesaurus Property
- C25393
Beskrivning
Responsible Person Signature
Datatyp
text
Alias
- NCI Thesaurus ValueDomain
- C25704
- UMLS CUI-1
- C1550483
- NCI Thesaurus ObjectClass
- C25190
- NCI Thesaurus ObjectClass-2
- C25657
- NCI Thesaurus Property
- C25678
Beskrivning
ResponsiblePersonSignatureDate
Datatyp
date
Alias
- NCI Thesaurus ValueDomain
- C25164
- UMLS 2011AA ValueDomain
- C0011008
- NCI Thesaurus ObjectClass
- C25190
- UMLS 2011AA ObjectClass
- C0027361
- NCI Thesaurus ObjectClass-2
- C25657
- UMLS 2011AA ObjectClass-2
- C1273518
- NCI Thesaurus Property
- C25678
- UMLS 2011AA Property
- C1519316
Beskrivning
Date Form Completed
Datatyp
date
Alias
- NCI Thesaurus ValueDomain
- C25164
- UMLS CUI-1
- C1115437
- NCI Thesaurus ObjectClass
- C40988
- NCI Thesaurus Property
- C25250
- NCI Thesaurus ValueDomain-2
- C25367
Similar models
This form is completed by the investigator (rater) and submitted at each time point specified by the protocol, whether or not any of the patient assessment items (Q's 6,7,8) are answered
- StudyEvent: RTOG-1005 QP: Radiation Therapy Oncology Group Phase III Whole Breast Irradiation for Early Stage Breast Cancer Patient Cosmesis Evaluation Form
C3274381 (UMLS CUI-1)
C25320 (NCI Thesaurus ObjectClass)
C1514695 (UMLS CUI-2)
C19778 (NCI Thesaurus Property)
C25364 (NCI Thesaurus Property-2)
C0030705 (UMLS 2011AA ObjectClass)
C19778 (NCI Thesaurus ObjectClass-2)
C1514695 (UMLS 2011AA ObjectClass-2)
C25364 (NCI Thesaurus Property)
C0600091 (UMLS 2011AA Property)
C49152 (NCI Thesaurus Property-2)
C1706256 (UMLS 2011AA Property-2)
C25337 (NCI Thesaurus ValueDomain)
C0237753 (UMLS 2011AA ValueDomain)
C1301943 (UMLS CUI-1)
C21541 (NCI Thesaurus ObjectClass)
C21541 (NCI Thesaurus ValueDomain-2)
C25364 (NCI Thesaurus Property)
C1301943 (UMLS CUI-1)
C21541 (NCI Thesaurus ObjectClass)
C0805701 (UMLS CUI-2)
C25364 (NCI Thesaurus Property)
C2986440 (UMLS CUI-1)
C16960 (NCI Thesaurus ObjectClass)
C25536 (NCI Thesaurus Property)
C2348585 (UMLS CUI-1)
C16960 (NCI Thesaurus ObjectClass)
C1514695 (UMLS CUI-2)
C19778 (NCI Thesaurus Property)
C25364 (NCI Thesaurus Property-2)
C0680532 (UMLS CUI-1)
C25474 (NCI Thesaurus ObjectClass)
C25416 (NCI Thesaurus Property)
C0332307 (UMLS 2011AA ValueDomain)
C20989 (NCI Thesaurus ObjectClass)
C0031809 (UMLS 2011AA ObjectClass)
C25616 (NCI Thesaurus Property)
C1948053 (UMLS 2011AA Property)
C25431 (NCI Thesaurus Property)
C3173309 (UMLS CUI-1)
C25275 (NCI Thesaurus Property-2)
C25164 (NCI Thesaurus ValueDomain)
C25431 (NCI Thesaurus ValueDomain-2)
C0332307 (UMLS 2011AA ValueDomain)
C25190 (NCI Thesaurus ObjectClass)
C0027361 (UMLS 2011AA ObjectClass)
C25214 (NCI Thesaurus Property)
C0220825 (UMLS 2011AA Property)
C25199 (NCI Thesaurus Property-2)
C0035820 (UMLS 2011AA Property-2)
C0582175 (UMLS 2011AA)
C1514693 (UMLS 2011AA)
C0011008 (UMLS 2011AA ValueDomain)
C17047 (NCI Thesaurus ObjectClass)
C0518214 (UMLS 2011AA ObjectClass)
C25250 (NCI Thesaurus Property)
C0205197 (UMLS 2011AA Property)
C25367 (NCI Thesaurus Property-2)
C1548386 (UMLS CUI-1)
C16960 (NCI Thesaurus ObjectClass)
C0566251 (UMLS CUI-2)
C0034394 (NCI Metathesaurus Property)
C0439673 (UMLS 2011AA)
C0030705 (UMLS 2011AA ObjectClass)
C0034394 (NCI Metathesaurus Property)
C49160 (NCI Thesaurus Property)
C0205257 (UMLS 2011AA Property)
C49161 (NCI Thesaurus Property-2)
C1705116 (UMLS 2011AA Property-2)
C25685 (NCI Thesaurus ValueDomain)
C1521902 (UMLS 2011AA ValueDomain)
C1521902 (UMLS 2011AA ValueDomain)
C17649 (NCI Thesaurus ValueDomain-2)
C0205394 (UMLS 2011AA ValueDomain-2)
C16960 (NCI Thesaurus ObjectClass)
C0030705 (UMLS 2011AA ObjectClass)
C0034394 (NCI Metathesaurus Property)
C12971 (NCI Thesaurus ObjectClass)
C0006141 (UMLS 2011AA ObjectClass)
C25688 (NCI Thesaurus ValueDomain)
C0449438 (UMLS 2011AA ValueDomain)
C25351 (NCI Thesaurus ObjectClass-2)
C0524865 (UMLS 2011AA ObjectClass-2)
C0006141 (UMLS 2011AA ObjectClass)
C25351 (NCI Thesaurus ObjectClass-2)
C0524865 (UMLS 2011AA ObjectClass-2)
C25367 (NCI Thesaurus Property)
C28194 (NCI Thesaurus Property-2)
C0039446 (UMLS 2011AA Property)
C25180 (NCI Thesaurus ValueDomain)
C1522602 (UMLS 2011AA ValueDomain)
C0006141 (UMLS 2011AA ObjectClass)
C25351 (NCI Thesaurus ObjectClass-2)
C0524865 (UMLS 2011AA ObjectClass-2)
C25367 (NCI Thesaurus Property)
C79748 (NCI Thesaurus Property-2)
C0333641 (UMLS 2011AA Property)
C25180 (NCI Thesaurus ValueDomain)
C1522602 (UMLS 2011AA ValueDomain)
C0006141 (UMLS 2011AA ObjectClass)
C25351 (NCI Thesaurus ObjectClass-2)
C0524865 (UMLS 2011AA ObjectClass-2)
C25367 (NCI Thesaurus Property)
C34483 (NCI Thesaurus Property-2)
C2004491 (UMLS 2011AA Property)
C25180 (NCI Thesaurus ValueDomain)
C1522602 (UMLS 2011AA ValueDomain)
C0006141 (UMLS 2011AA ObjectClass)
C25351 (NCI Thesaurus ObjectClass-2)
C0524865 (UMLS 2011AA ObjectClass-2)
C25367 (NCI Thesaurus Property)
C747 (NCI Thesaurus Property-2)
C0031916 (UMLS 2011AA Property)
C25180 (NCI Thesaurus ValueDomain)
C1522602 (UMLS 2011AA ValueDomain)
C0006141 (UMLS 2011AA ObjectClass)
C25351 (NCI Thesaurus ObjectClass-2)
C0524865 (UMLS 2011AA ObjectClass-2)
C25367 (NCI Thesaurus Property)
C26901 (NCI Thesaurus Property-2)
C0041834 (UMLS 2011AA Property)
C25180 (NCI Thesaurus ValueDomain)
C1522602 (UMLS 2011AA ValueDomain)
C0006141 (UMLS 2011AA ObjectClass)
C25351 (NCI Thesaurus ObjectClass-2)
C0524865 (UMLS 2011AA ObjectClass-2)
C25367 (NCI Thesaurus Property)
C26772 (NCI Thesaurus Property-2)
C0015668 (UMLS 2011AA Property)
C25180 (NCI Thesaurus ValueDomain)
C1522602 (UMLS 2011AA ValueDomain)
C0006141 (UMLS 2011AA ObjectClass)
C25351 (NCI Thesaurus ObjectClass-2)
C0524865 (UMLS 2011AA ObjectClass-2)
C25367 (NCI Thesaurus Property)
C3044 (NCI Thesaurus Property-2)
C0016059 (UMLS 2011AA Property)
C25180 (NCI Thesaurus ValueDomain)
C1522602 (UMLS 2011AA ValueDomain)
C0006141 (UMLS 2011AA ObjectClass)
C25351 (NCI Thesaurus ObjectClass-2)
C0524865 (UMLS 2011AA ObjectClass-2)
C25367 (NCI Thesaurus Property)
C43429 (NCI Thesaurus Property-2)
C1457869 (UMLS 2011AA Property)
C25180 (NCI Thesaurus ValueDomain)
C1522602 (UMLS 2011AA ValueDomain)
C0006141 (UMLS 2011AA ObjectClass)
C25351 (NCI Thesaurus ObjectClass-2)
C0524865 (UMLS 2011AA ObjectClass-2)
C25367 (NCI Thesaurus Property)
C25559 (NCI Thesaurus Property-2)
C1517945 (UMLS 2011AA Property)
C25180 (NCI Thesaurus ValueDomain)
C1522602 (UMLS 2011AA ValueDomain)
C0006141 (UMLS 2011AA ObjectClass)
C25351 (NCI Thesaurus ObjectClass-2)
C0524865 (UMLS 2011AA ObjectClass-2)
C17649 (NCI Thesaurus Property)
C0205394 (UMLS 2011AA Property)
C25367 (NCI Thesaurus Property-2)
C25180 (NCI Thesaurus ValueDomain)
C1522602 (UMLS 2011AA ValueDomain)
C0006141 (UMLS 2011AA ObjectClass)
C25351 (NCI Thesaurus ObjectClass-2)
C0524865 (UMLS 2011AA ObjectClass-2)
C17649 (NCI Thesaurus Property)
C0205394 (UMLS 2011AA Property)
C25367 (NCI Thesaurus Property-2)
C25685 (NCI Thesaurus ValueDomain)
C1521902 (UMLS 2011AA ValueDomain)
C0947611 (UMLS CUI-1)
C15319 (NCI Thesaurus ObjectClass)
C25393 (NCI Thesaurus Property)
C1550483 (UMLS CUI-1)
C25190 (NCI Thesaurus ObjectClass)
C25657 (NCI Thesaurus ObjectClass-2)
C25678 (NCI Thesaurus Property)
C0011008 (UMLS 2011AA ValueDomain)
C25190 (NCI Thesaurus ObjectClass)
C0027361 (UMLS 2011AA ObjectClass)
C25657 (NCI Thesaurus ObjectClass-2)
C1273518 (UMLS 2011AA ObjectClass-2)
C25678 (NCI Thesaurus Property)
C1519316 (UMLS 2011AA Property)
C1115437 (UMLS CUI-1)
C40988 (NCI Thesaurus ObjectClass)
C25250 (NCI Thesaurus Property)
C25367 (NCI Thesaurus ValueDomain-2)
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