ID
11619
Beskrivning
ECOG Second Primary Form (E2100) Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=AC346EE2-C452-2587-E034-0003BA12F5E7
Länk
Nyckelord
Versioner (2)
- 2012-08-26 2012-08-26 -
- 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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ECOG Second Primary Form (E2100)
Form No. 630
- StudyEvent: ECOG Second Primary Form (E2100)
Beskrivning
Second Primary Cancers
Beskrivning
Date of Diagnosis of Second Primary Cancer (M D Y)
Datatyp
date
Alias
- UMLS CUI-1
- C2316983
- UMLS CUI-2
- C0751623
Beskrivning
Site of Second Primary Cancer
Datatyp
text
Alias
- NCI Thesaurus ObjectClass
- C25251
- NCI Thesaurus ObjectClass-2
- C9305
- NCI Thesaurus ObjectClass-3
- C25666
- NCI Thesaurus Property
- C25341
- NCI Thesaurus Property-2
- C25421
- NCI Thesaurus ValueDomain
- C25704
- UMLS CUI-1
- C1515974
- UMLS CUI-2
- C0751623
Beskrivning
Include information on histologic subtype(s). (Please attach copies of any corroborating pathology reports.)
Datatyp
text
Alias
- UMLS CUI-1
- C0449574
Beskrivning
Briefly describe cancer therapy the patient has received prior to the diagnosis of the second primary and other than that given on ECOG protocols
Datatyp
text
Alias
- UMLS CUI-1
- C0920425
- UMLS CUI-2
- C0332132
- UMLS CUI-3
- C0751623
Beskrivning
Briefly describe treatment planned or given for the diagnosis of this second primary
Datatyp
text
Alias
- UMLS CUI-1
- C0920425
Beskrivning
Comments
Beskrivning
Comments
Datatyp
text
Alias
- UMLS CUI-1
- C0947611
Beskrivning
Investigator Signature
Datatyp
text
Alias
- NCI Thesaurus Property
- C25678
- NCI Thesaurus ObjectClass
- C17089
- UMLS CUI-1
- C1519316
- UMLS CUI-2
- C0035173
Beskrivning
Date
Datatyp
date
Alias
- UMLS CUI-1
- C0011008
Beskrivning
Ccrr Module For Ecog Second Primary Form (e2100)
Similar models
Form No. 630
- StudyEvent: ECOG Second Primary Form (E2100)
C1830427 (UMLS CUI-2)
C0237753 (UMLS 2011AA ValueDomain)
C16154 (NCI Thesaurus ValueDomain-2)
C1704379 (UMLS 2011AA ValueDomain-2)
C3274381 (UMLS CUI-2)
C2348585 (UMLS CUI-2)
C25416 (NCI Thesaurus Property)
C1511726 (UMLS CUI-1)
C1691222 (UMLS CUI-2)
C0751623 (UMLS CUI-2)
C9305 (NCI Thesaurus ObjectClass-2)
C25666 (NCI Thesaurus ObjectClass-3)
C25341 (NCI Thesaurus Property)
C25421 (NCI Thesaurus Property-2)
C25704 (NCI Thesaurus ValueDomain)
C1515974 (UMLS CUI-1)
C0751623 (UMLS CUI-2)
C0332132 (UMLS CUI-2)
C0751623 (UMLS CUI-3)
C17089 (NCI Thesaurus ObjectClass)
C1519316 (UMLS CUI-1)
C0035173 (UMLS CUI-2)