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ID

22133

Beschrijving

Study part: Follow-up survival form. A phase III multinational, randomized, single-blind study of recombinant humanized anti-p185HER2 monoclonal antibody (rhuMAb HER2) in patients with HER2/neu overexpression who have not received prior cytotoxic chemotherapy for metastatic breast cancer. "Terms of use: You may not use this document or the information contained herein to a regulatory authority in connection with an application for a marketing authorization or any other regulatory submission without the express written consent of Roche"

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  1. 20-05-17 20-05-17 -
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Roche

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20 mei 2017

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    FOLLOW-UP SURVIVAL FORM Roche H0650g Breast Cancer

    Engels

    FOLLOW-UP SURVIVAL FORM

    1 Formulieren  
    FOLLOW-UP SURVIVAL FORM
    Beschrijving

    FOLLOW-UP SURVIVAL FORM

    Alias
    UMLS CUI-1
    C1522577
    PATIENT INT.
    Beschrijving

    Patient initial

    Datatype

    text

    Alias
    UMLS CUI [1]
    C2986440
    PATIENT NUMBER
    Beschrijving

    Patient id

    Datatype

    integer

    Alias
    UMLS CUI [1]
    C1269815
    FOLLOW-UP MONTH
    Beschrijving

    (FROM FOLLOW-UP WORKSHEET)

    Datatype

    text

    Alias
    UMLS CUI [1,1]
    C0439231
    UMLS CUI [1,2]
    C1522577
    PATIENT STATUS
    Beschrijving

    Patient status

    Datatype

    text

    Alias
    UMLS CUI [1]
    C0449437
    DATE OF STATUS:
    Beschrijving

    (IF ALIVE OR LOST TO FOLLOW-UP. LAST DATE KNOWN ALIVE; IF DIED AND NO DEATH REPORT. DATE OF DEATH)

    Datatype

    date

    Alias
    UMLS CUI [1,1]
    C0011008
    UMLS CUI [1,2]
    C0449437
    Terug naar het begin van de pagina

    Similar models

    FOLLOW-UP SURVIVAL FORM

    1 Formulieren
    Name
    Type
    Description | Question | Decode (Coded Value)
    Datatype
    Alias
    Item Group
    FOLLOW-UP SURVIVAL FORM
    C1522577 (UMLS CUI-1)
    Patient initial
    Item
    PATIENT INT.
    text
    C2986440 (UMLS CUI [1])
    Patient id
    Item
    PATIENT NUMBER
    integer
    C1269815 (UMLS CUI [1])
    month follow-up
    Item
    FOLLOW-UP MONTH
    text
    C0439231 (UMLS CUI [1,1])
    C1522577 (UMLS CUI [1,2])
    Item
    PATIENT STATUS
    text
    C0449437 (UMLS CUI [1])
    Patient status
    Code List
    PATIENT STATUS
    CL Item
    ALIVE  (1)
    CL Item
    DEAD (PLEASE COMPLETE STUDY PATIENT DEATH REPORT FORM)  (2)
    CL Item
    UNKNOWN (LOST TO FOLLOW-UP) (3)
    date Patient status
    Item
    DATE OF STATUS:
    date
    C0011008 (UMLS CUI [1,1])
    C0449437 (UMLS CUI [1,2])
    Terug naar het begin van de pagina 

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