ID
23023
Beschreibung
IBCSG Long Term Follow-Up Medication Form (18-LTF-M) Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=889C3F60-2C7B-8540-E040-BB89AD4303DD
Link
Stichworte
Versionen (2)
- 26.08.12 26.08.12 -
- 20.06.17 20.06.17 - Martin Dugas
Hochgeladen am
20. Juni 2017
DOI
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Lizenz
Creative Commons BY-NC 3.0
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IBCSG Long Term Follow-Up Medication Form (18-LTF-M)
Instructions: This form is to be completed if the patient received bone active medication, non-steroidal, anti-inflammatory drug or extended adjuvant therapy during this follow-up period. Use minus one (-1) to indicate that an answer is unknown, unobtainable or not done
- StudyEvent: IBCSG Long Term Follow-Up Medication Form (18-LTF-M)
Beschreibung
Long Term Follow-up Medication
Alias
- UMLS CUI-1
- C1517942
- UMLS CUI-2
- C0013227
Beschreibung
Medication Osteoporosis Administered Indicator
Datentyp
text
Alias
- NCI Thesaurus ValueDomain
- C25180
- NCI Thesaurus Property
- C3298
- NCI Thesaurus ObjectClass
- C459
- NCI Thesaurus Property-2
- C25382
- UMLS CUI [1,1]
- C0029456
- UMLS CUI [1,2]
- C0013227
Beschreibung
Medication Osteoporosis
Datentyp
integer
Alias
- NCI Thesaurus ValueDomain
- C25284
- NCI Thesaurus Property
- C3298
- NCI Thesaurus ObjectClass
- C459
- NCI Thesaurus Property-2
- C25382
- UMLS CUI [1,1]
- C0029456
- UMLS CUI [1,2]
- C0013227
Beschreibung
Medication Osteoporosis, specify
Datentyp
text
Alias
- NCI Thesaurus ValueDomain
- C25685
- NCI Thesaurus Property
- C3298
- NCI Thesaurus ObjectClass
- C459
- NCI Thesaurus Property-2
- C25382
- UMLS CUI [1,1]
- C0029456
- UMLS CUI [1,2]
- C0013227
Beschreibung
Concomitant Medication Corticosteroids
Datentyp
text
Alias
- NCI Thesaurus ObjectClass
- C459
- NCI Thesaurus ObjectClass-2
- C25730
- NCI Thesaurus Property
- C2322
- NCI Thesaurus Property-2
- C25382
- NCI Thesaurus ValueDomain
- C25180
- UMLS CUI [1,1]
- C0001617
- UMLS CUI [1,2]
- C0013227
Beschreibung
Concomitant Medication OtherCorticosteroid
Datentyp
text
Alias
- NCI Thesaurus ObjectClass
- C459
- NCI Thesaurus ObjectClass-2
- C25730
- NCI Thesaurus Property
- C17649
- NCI Thesaurus Property-2
- C2322
- NCI Thesaurus Property-3
- C25382
- NCI Thesaurus ValueDomain
- C25685
- UMLS CUI [1]
- C0013227C0001617
Beschreibung
Nonsteroidal Antiinflammatory Drug Regular Use
Datentyp
text
Alias
- NCI Thesaurus ObjectClass
- C16960
- NCI Thesaurus Property
- C18772
- NCI Thesaurus Property-2
- C257
- NCI Thesaurus Property-3
- C25340
- NCI Thesaurus Property-4
- C25647
- NCI Thesaurus ValueDomain
- C25180
- UMLS CUI [1,1]
- C0003211
- UMLS CUI [1,2]
- C0205272
Beschreibung
Nonsteroidal Antiinflammatory Drug Medication
Datentyp
text
Alias
- NCI Thesaurus ObjectClass
- C459
- NCI Thesaurus ObjectClass-2
- C257
- NCI Thesaurus Property
- C25616
- NCI Thesaurus Property-2
- C25651
- NCI Thesaurus ValueDomain
- C25685
- UMLS CUI [1,1]
- C0013227
- UMLS CUI [1,2]
- C0003211
Beschreibung
Adjuvant Hormonal Therapy
Datentyp
text
Alias
- NCI Thesaurus ValueDomain
- C25180
- NCI Thesaurus ObjectClass
- C15445
- NCI Thesaurus ObjectClass-2
- C2140
- NCI Thesaurus Property
- C25382
- UMLS CUI [1]
- C2367461
Beschreibung
Adjuvant Hormone Therapy Begin Date
Datentyp
date
Alias
- NCI Thesaurus ObjectClass
- C15445
- NCI Thesaurus ObjectClass-2
- C2140
- NCI Thesaurus Property
- C25431
- NCI Thesaurus Property-2
- C25275
- NCI Thesaurus ValueDomain
- C25164
- NCI Thesaurus ValueDomain-2
- C25431
- UMLS CUI [1,1]
- C2367461
- UMLS CUI [1,2]
- C0808070
Beschreibung
Adjuvant Hormone Therapy End Date
Datentyp
date
Alias
- NCI Thesaurus ObjectClass
- C15445
- NCI Thesaurus ObjectClass-2
- C2140
- NCI Thesaurus Property
- C25275
- NCI Thesaurus Property-2
- C25496
- NCI Thesaurus ValueDomain
- C25164
- UMLS CUI [1,1]
- C2367461
- UMLS CUI [1,2]
- C0806020
Beschreibung
Adjuvant Hormonal Therapy Type
Datentyp
integer
Alias
- NCI Thesaurus ValueDomain
- C25284
- NCI Thesaurus ObjectClass
- C15445
- NCI Thesaurus ObjectClass-2
- C2140
- NCI Thesaurus Property
- C25382
- UMLS CUI [1]
- C2367461
Beschreibung
New Adjuvant Hormone Therapy, specify
Datentyp
text
Alias
- NCI Thesaurus ObjectClass
- C25586
- NCI Thesaurus ObjectClass-2
- C15445
- NCI Thesaurus ObjectClass-3
- C2140
- NCI Thesaurus Property
- C25382
- NCI Thesaurus ValueDomain
- C25685
- UMLS CUI [1]
- C2367461
Beschreibung
Prior Treatment Discontinued Reason
Datentyp
integer
Alias
- NCI Thesaurus ValueDomain
- C25638
- NCI Thesaurus ObjectClass
- C25629
- NCI Thesaurus ObjectClass-2
- C15368
- NCI Thesaurus Property
- C25484
- UMLS CUI [1,1]
- C4288399
- UMLS CUI [1,2]
- C0566251
Beschreibung
Off-treatment Reason
Datentyp
text
Alias
- NCI Thesaurus ValueDomain
- C25685
- NCI Thesaurus ObjectClass
- C25601
- NCI Thesaurus Property
- C25365
- UMLS CUI [1,1]
- C1518544
- UMLS CUI [1,2]
- C0566251
Beschreibung
Footer Module
Alias
- UMLS CUI-1
- C2825232
Beschreibung
Investigator Signature
Datentyp
text
Alias
- NCI Thesaurus ValueDomain
- C25704
- NCI Thesaurus Property
- C25678
- NCI Thesaurus ObjectClass
- C17089
- NCI Thesaurus Property-2
- C25479
- UMLS CUI [1]
- C2346576
Beschreibung
Investigator Signature Date
Datentyp
date
Maßeinheiten
- day month year
Alias
- NCI Thesaurus ValueDomain
- C25164
- NCI Thesaurus Property
- C25678
- NCI Thesaurus ValueDomain-2
- C25367
- NCI Thesaurus ObjectClass
- C17089
- UMLS CUI [1,1]
- C2346576
- UMLS CUI [1,2]
- C0011008
Ähnliche Modelle
Instructions: This form is to be completed if the patient received bone active medication, non-steroidal, anti-inflammatory drug or extended adjuvant therapy during this follow-up period. Use minus one (-1) to indicate that an answer is unknown, unobtainable or not done
- StudyEvent: IBCSG Long Term Follow-Up Medication Form (18-LTF-M)
C16696 (NCI Thesaurus ObjectClass)
C25385 (NCI Thesaurus Property)
C1549755 (UMLS CUI [1])
C16960 (NCI Thesaurus ObjectClass)
C25364 (NCI Thesaurus Property)
C25530 (NCI Thesaurus Property-2)
C4037772 (UMLS CUI [1,1])
C1512890 (UMLS CUI [1,2])
C25320 (NCI Thesaurus ObjectClass)
C25364 (NCI Thesaurus Property)
C25530 (NCI Thesaurus Property-2)
C1507394 (UMLS CUI [1,1])
C1512890 (UMLS CUI [1,2])
C0030705 (UMLS 2011AA ObjectClass)
C25364 (NCI Thesaurus ValueDomain)
C0600091 (UMLS 2011AA ValueDomain)
C25196 (NCI Thesaurus Property)
C0034656 (UMLS 2011AA Property)
C21541 (NCI Thesaurus ObjectClass)
C25364 (NCI Thesaurus Property)
C1301943 (UMLS CUI [1,1])
C0805701 (UMLS CUI [1,2])
C1547383 (UMLS 2011AA ValueDomain)
C21541 (NCI Thesaurus ObjectClass)
C0018704 (UMLS 2011AA ObjectClass)
C21541 (NCI Thesaurus ValueDomain-2)
C0018704 (UMLS 2011AA ValueDomain-2)
C25364 (NCI Thesaurus Property)
C0600091 (UMLS 2011AA Property)
C0013227 (UMLS CUI-2)
C3298 (NCI Thesaurus Property)
C459 (NCI Thesaurus ObjectClass)
C25382 (NCI Thesaurus Property-2)
C0029456 (UMLS CUI [1,1])
C0013227 (UMLS CUI [1,2])
C1298908 (UMLS CUI-1)
C1705108 (UMLS CUI-1)
C3298 (NCI Thesaurus Property)
C459 (NCI Thesaurus ObjectClass)
C25382 (NCI Thesaurus Property-2)
C0029456 (UMLS CUI [1,1])
C0013227 (UMLS CUI [1,2])
C3298 (NCI Thesaurus Property)
C459 (NCI Thesaurus ObjectClass)
C25382 (NCI Thesaurus Property-2)
C0029456 (UMLS CUI [1,1])
C0013227 (UMLS CUI [1,2])
C25730 (NCI Thesaurus ObjectClass-2)
C2322 (NCI Thesaurus Property)
C25382 (NCI Thesaurus Property-2)
C25180 (NCI Thesaurus ValueDomain)
C0001617 (UMLS CUI [1,1])
C0013227 (UMLS CUI [1,2])
C1298908 (UMLS CUI-1)
C1705108 (UMLS CUI-1)
C25730 (NCI Thesaurus ObjectClass-2)
C17649 (NCI Thesaurus Property)
C2322 (NCI Thesaurus Property-2)
C25382 (NCI Thesaurus Property-3)
C25685 (NCI Thesaurus ValueDomain)
C0013227C0001617 (UMLS CUI [1])
C18772 (NCI Thesaurus Property)
C257 (NCI Thesaurus Property-2)
C25340 (NCI Thesaurus Property-3)
C25647 (NCI Thesaurus Property-4)
C25180 (NCI Thesaurus ValueDomain)
C0003211 (UMLS CUI [1,1])
C0205272 (UMLS CUI [1,2])
C1298908 (UMLS CUI-1)
C1705108 (UMLS CUI-1)
C257 (NCI Thesaurus ObjectClass-2)
C25616 (NCI Thesaurus Property)
C25651 (NCI Thesaurus Property-2)
C25685 (NCI Thesaurus ValueDomain)
C0013227 (UMLS CUI [1,1])
C0003211 (UMLS CUI [1,2])
C15445 (NCI Thesaurus ObjectClass)
C2140 (NCI Thesaurus ObjectClass-2)
C25382 (NCI Thesaurus Property)
C2367461 (UMLS CUI [1])
C1298908 (UMLS CUI-1)
C1705108 (UMLS CUI-1)
C2140 (NCI Thesaurus ObjectClass-2)
C25431 (NCI Thesaurus Property)
C25275 (NCI Thesaurus Property-2)
C25164 (NCI Thesaurus ValueDomain)
C25431 (NCI Thesaurus ValueDomain-2)
C2367461 (UMLS CUI [1,1])
C0808070 (UMLS CUI [1,2])
C2140 (NCI Thesaurus ObjectClass-2)
C25275 (NCI Thesaurus Property)
C25496 (NCI Thesaurus Property-2)
C25164 (NCI Thesaurus ValueDomain)
C2367461 (UMLS CUI [1,1])
C0806020 (UMLS CUI [1,2])
C15445 (NCI Thesaurus ObjectClass)
C2140 (NCI Thesaurus ObjectClass-2)
C25382 (NCI Thesaurus Property)
C2367461 (UMLS CUI [1])
C15445 (NCI Thesaurus ObjectClass-2)
C2140 (NCI Thesaurus ObjectClass-3)
C25382 (NCI Thesaurus Property)
C25685 (NCI Thesaurus ValueDomain)
C2367461 (UMLS CUI [1])
C25629 (NCI Thesaurus ObjectClass)
C15368 (NCI Thesaurus ObjectClass-2)
C25484 (NCI Thesaurus Property)
C4288399 (UMLS CUI [1,1])
C0566251 (UMLS CUI [1,2])
C0085183 (UMLS CUI-3)
C25601 (NCI Thesaurus ObjectClass)
C25365 (NCI Thesaurus Property)
C1518544 (UMLS CUI [1,1])
C0566251 (UMLS CUI [1,2])
C25678 (NCI Thesaurus Property)
C17089 (NCI Thesaurus ObjectClass)
C25479 (NCI Thesaurus Property-2)
C2346576 (UMLS CUI [1])
C25678 (NCI Thesaurus Property)
C25367 (NCI Thesaurus ValueDomain-2)
C17089 (NCI Thesaurus ObjectClass)
C2346576 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])