ID
11624
Description
CALGB: Follow-up Solid Tumor Evaluation Form Trastuzumab With or Without Tamoxifen in Treating Women With Progressive Stage IV Breast Cancer Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=A73D1896-B650-4751-E034-0003BA0B1A09
Link
Keywords
Versions (3)
- 8/26/12 8/26/12 -
- 7/8/15 7/8/15 -
- 7/8/15 7/8/15 -
Uploaded on
July 8, 2015
DOI
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License
Creative Commons BY-NC 3.0 Legacy
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CALGB: Follow-up Solid Tumor Evaluation Form
INSTRUCTIONS: Complete and submit this form as required by the protocol. Information in the upper right box must be completed for this form to be accepted. Do not leave any entries blank. Enter -1 to indicate that an answer in unknown, unobtainable, not applicable, or not done. Retain a copy for your records and submit ORIGINAL to the CALGB Data Management Center.
- StudyEvent: CALGB: Follow-up Solid Tumor Evaluation Form
Description
Patient information
Alias
- UMLS CUI-1
- C1955348
Description
Patient Name
Data type
text
Alias
- UMLS CUI-1
- C1299487
Description
Participating Group
Data type
float
Alias
- NCI Thesaurus ObjectClass
- C17005
- NCI Thesaurus Property
- C25364
- UMLS CUI-1
- C1257890
- UMLS CUI-2
- C0600091
Description
Patient Hospital Number
Data type
text
Alias
- UMLS CUI-1
- C0421459
Description
Participating Group Protocol No.
Data type
text
Alias
- UMLS CUI-1
- C2826263
Description
Main Member Institution/Adjunct
Data type
float
Alias
- UMLS CUI-1
- C2698041
Description
Participating Group Patient No.
Data type
text
Alias
- UMLS CUI-1
- C0441833
- UMLS CUI-2
- C1830427
Description
Target Lesion(s) Follow-up Evaluation
Description
Lesion Number (unnamed)
Data type
integer
Alias
- UMLS CUI-1
- C0449791
Description
Site
Data type
float
Alias
- UMLS CUI-1
- C0449685
Description
Date of Evaluation
Data type
date
Alias
- UMLS CUI-1
- C2985720
Description
Method of Evaluation
Data type
text
Alias
- UMLS CUI-1
- C2911685
Description
If other, specify (method of evaluation)
Data type
text
Alias
- UMLS CUI-1
- C0846619
- UMLS CUI-2
- C3845569
Description
Longest Diameter (cm)
Data type
integer
Alias
- NCI Thesaurus ValueDomain
- C25209
- UMLS CUI-1
- C0242485
- UMLS CUI-2
- C1301886
Description
Sum of Longest Diameteres of All Target lesions (cm)
Data type
integer
Alias
- UMLS CUI-1
- C3272915
- UMLS CUI-2
- C2986546
Description
Response Status at this assessment (Target Lesion)
Data type
text
Alias
- UMLS CUI-1
- C1704632
- UMLS CUI-2
- C0449438
Description
Non-target Lesion(s) Follow-up Evaluation
Description
New Lesion(s) At Follow-up Evaluation
Description
Was the appearance of any new lesions documented since the baseline evaluation?
Data type
boolean
Alias
- UMLS CUI-1
- C2986548
Description
Completed by
Data type
text
Alias
- NCI Thesaurus ObjectClass
- C25190
- NCI Thesaurus Property
- C25364
- UMLS CUI-1
- C3258039
Description
Date completed
Data type
date
Alias
- UMLS CUI-1
- C1115437
Description
Ccrr Module For Calgb: Follow-up Solid Tumor Evaluation Form
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INSTRUCTIONS: Complete and submit this form as required by the protocol. Information in the upper right box must be completed for this form to be accepted. Do not leave any entries blank. Enter -1 to indicate that an answer in unknown, unobtainable, not applicable, or not done. Retain a copy for your records and submit ORIGINAL to the CALGB Data Management Center.
- StudyEvent: CALGB: Follow-up Solid Tumor Evaluation Form
C0348078 (UMLS CUI-2)
C2826693 (UMLS CUI-2)
C1549734 (UMLS CUI-2)
C25416 (NCI Thesaurus Property)
C1511726 (UMLS CUI-1)
C1691222 (UMLS CUI-2)
C1705108 (UMLS 2011AA)
C25364 (NCI Thesaurus Property)
C1257890 (UMLS CUI-1)
C0600091 (UMLS CUI-2)
C1830427 (UMLS CUI-2)
C1456803 (UMLS CUI-1)
C0203668 (UMLS CUI-1)
C0205394 (UMLS CUI-1)
C3845569 (UMLS CUI-2)
C0220825 (UMLS CUI-2)
C0242485 (UMLS CUI-1)
C1301886 (UMLS CUI-2)
C2986546 (UMLS CUI-2)
C0449438 (UMLS CUI-2)
C1521726 (UMLS CUI-1)
C1704632 (UMLS CUI-2)
C0677946 (UMLS CUI-3)
C0547047 (UMLS CUI-2)
C3828606 (UMLS CUI-3)
C0220825 (UMLS CUI-2)
C25364 (NCI Thesaurus Property)
C3258039 (UMLS CUI-1)