ID
23023
Beskrivning
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
Länk
Nyckelord
Versioner (2)
- 2012-08-26 2012-08-26 -
- 2017-06-20 2017-06-20 - Martin Dugas
Uppladdad den
20 juni 2017
DOI
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Licens
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)
Beskrivning
Long Term Follow-up Medication
Alias
- UMLS CUI-1
- C1517942
- UMLS CUI-2
- C0013227
Beskrivning
Medication Osteoporosis Administered Indicator
Datatyp
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
Beskrivning
Medication Osteoporosis
Datatyp
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
Beskrivning
Medication Osteoporosis, specify
Datatyp
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
Beskrivning
Concomitant Medication Corticosteroids
Datatyp
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
Beskrivning
Concomitant Medication OtherCorticosteroid
Datatyp
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
Beskrivning
Nonsteroidal Antiinflammatory Drug Regular Use
Datatyp
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
Beskrivning
Nonsteroidal Antiinflammatory Drug Medication
Datatyp
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
Beskrivning
Adjuvant Hormonal Therapy
Datatyp
text
Alias
- NCI Thesaurus ValueDomain
- C25180
- NCI Thesaurus ObjectClass
- C15445
- NCI Thesaurus ObjectClass-2
- C2140
- NCI Thesaurus Property
- C25382
- UMLS CUI [1]
- C2367461
Beskrivning
Adjuvant Hormone Therapy Begin Date
Datatyp
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
Beskrivning
Adjuvant Hormone Therapy End Date
Datatyp
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
Beskrivning
Adjuvant Hormonal Therapy Type
Datatyp
integer
Alias
- NCI Thesaurus ValueDomain
- C25284
- NCI Thesaurus ObjectClass
- C15445
- NCI Thesaurus ObjectClass-2
- C2140
- NCI Thesaurus Property
- C25382
- UMLS CUI [1]
- C2367461
Beskrivning
New Adjuvant Hormone Therapy, specify
Datatyp
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
Beskrivning
Prior Treatment Discontinued Reason
Datatyp
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
Beskrivning
Off-treatment Reason
Datatyp
text
Alias
- NCI Thesaurus ValueDomain
- C25685
- NCI Thesaurus ObjectClass
- C25601
- NCI Thesaurus Property
- C25365
- UMLS CUI [1,1]
- C1518544
- UMLS CUI [1,2]
- C0566251
Beskrivning
Footer Module
Alias
- UMLS CUI-1
- C2825232
Beskrivning
Investigator Signature
Datatyp
text
Alias
- NCI Thesaurus ValueDomain
- C25704
- NCI Thesaurus Property
- C25678
- NCI Thesaurus ObjectClass
- C17089
- NCI Thesaurus Property-2
- C25479
- UMLS CUI [1]
- C2346576
Beskrivning
Investigator Signature Date
Datatyp
date
Måttenheter
- 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
Similar models
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])