ID
11624
Beschrijving
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
Trefwoorden
Versies (3)
- 26-08-12 26-08-12 -
- 08-07-15 08-07-15 -
- 08-07-15 08-07-15 -
Geüploaded op
8 juli 2015
DOI
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Licentie
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
Beschrijving
Patient information
Alias
- UMLS CUI-1
- C1955348
Beschrijving
Patient Name
Datatype
text
Alias
- UMLS CUI-1
- C1299487
Beschrijving
Participating Group
Datatype
float
Alias
- NCI Thesaurus ObjectClass
- C17005
- NCI Thesaurus Property
- C25364
- UMLS CUI-1
- C1257890
- UMLS CUI-2
- C0600091
Beschrijving
Patient Hospital Number
Datatype
text
Alias
- UMLS CUI-1
- C0421459
Beschrijving
Participating Group Protocol No.
Datatype
text
Alias
- UMLS CUI-1
- C2826263
Beschrijving
Main Member Institution/Adjunct
Datatype
float
Alias
- UMLS CUI-1
- C2698041
Beschrijving
Participating Group Patient No.
Datatype
text
Alias
- UMLS CUI-1
- C0441833
- UMLS CUI-2
- C1830427
Beschrijving
Target Lesion(s) Follow-up Evaluation
Beschrijving
Lesion Number (unnamed)
Datatype
integer
Alias
- UMLS CUI-1
- C0449791
Beschrijving
Site
Datatype
float
Alias
- UMLS CUI-1
- C0449685
Beschrijving
Date of Evaluation
Datatype
date
Alias
- UMLS CUI-1
- C2985720
Beschrijving
Method of Evaluation
Datatype
text
Alias
- UMLS CUI-1
- C2911685
Beschrijving
If other, specify (method of evaluation)
Datatype
text
Alias
- UMLS CUI-1
- C0846619
- UMLS CUI-2
- C3845569
Beschrijving
Longest Diameter (cm)
Datatype
integer
Alias
- NCI Thesaurus ValueDomain
- C25209
- UMLS CUI-1
- C0242485
- UMLS CUI-2
- C1301886
Beschrijving
Sum of Longest Diameteres of All Target lesions (cm)
Datatype
integer
Alias
- UMLS CUI-1
- C3272915
- UMLS CUI-2
- C2986546
Beschrijving
Response Status at this assessment (Target Lesion)
Datatype
text
Alias
- UMLS CUI-1
- C1704632
- UMLS CUI-2
- C0449438
Beschrijving
Non-target Lesion(s) Follow-up Evaluation
Beschrijving
New Lesion(s) At Follow-up Evaluation
Beschrijving
Was the appearance of any new lesions documented since the baseline evaluation?
Datatype
boolean
Alias
- UMLS CUI-1
- C2986548
Beschrijving
Completed by
Datatype
text
Alias
- NCI Thesaurus ObjectClass
- C25190
- NCI Thesaurus Property
- C25364
- UMLS CUI-1
- C3258039
Beschrijving
Date completed
Datatype
date
Alias
- UMLS CUI-1
- C1115437
Beschrijving
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)