ID
23023
Descrizione
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
collegamento
Keywords
versioni (2)
- 26/08/12 26/08/12 -
- 20/06/17 20/06/17 - Martin Dugas
Caricato su
20 giugno 2017
DOI
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Licenza
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)
Descrizione
Long Term Follow-up Medication
Alias
- UMLS CUI-1
- C1517942
- UMLS CUI-2
- C0013227
Descrizione
Medication Osteoporosis Administered Indicator
Tipo di dati
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
Descrizione
Medication Osteoporosis
Tipo di dati
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
Descrizione
Medication Osteoporosis, specify
Tipo di dati
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
Descrizione
Concomitant Medication Corticosteroids
Tipo di dati
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
Descrizione
Concomitant Medication OtherCorticosteroid
Tipo di dati
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
Descrizione
Nonsteroidal Antiinflammatory Drug Regular Use
Tipo di dati
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
Descrizione
Nonsteroidal Antiinflammatory Drug Medication
Tipo di dati
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
Descrizione
Adjuvant Hormonal Therapy
Tipo di dati
text
Alias
- NCI Thesaurus ValueDomain
- C25180
- NCI Thesaurus ObjectClass
- C15445
- NCI Thesaurus ObjectClass-2
- C2140
- NCI Thesaurus Property
- C25382
- UMLS CUI [1]
- C2367461
Descrizione
Adjuvant Hormone Therapy Begin Date
Tipo di dati
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
Descrizione
Adjuvant Hormone Therapy End Date
Tipo di dati
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
Descrizione
Adjuvant Hormonal Therapy Type
Tipo di dati
integer
Alias
- NCI Thesaurus ValueDomain
- C25284
- NCI Thesaurus ObjectClass
- C15445
- NCI Thesaurus ObjectClass-2
- C2140
- NCI Thesaurus Property
- C25382
- UMLS CUI [1]
- C2367461
Descrizione
New Adjuvant Hormone Therapy, specify
Tipo di dati
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
Descrizione
Prior Treatment Discontinued Reason
Tipo di dati
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
Descrizione
Off-treatment Reason
Tipo di dati
text
Alias
- NCI Thesaurus ValueDomain
- C25685
- NCI Thesaurus ObjectClass
- C25601
- NCI Thesaurus Property
- C25365
- UMLS CUI [1,1]
- C1518544
- UMLS CUI [1,2]
- C0566251
Descrizione
Footer Module
Alias
- UMLS CUI-1
- C2825232
Descrizione
Investigator Signature
Tipo di dati
text
Alias
- NCI Thesaurus ValueDomain
- C25704
- NCI Thesaurus Property
- C25678
- NCI Thesaurus ObjectClass
- C17089
- NCI Thesaurus Property-2
- C25479
- UMLS CUI [1]
- C2346576
Descrizione
Investigator Signature Date
Tipo di dati
date
Unità di misura
- 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])
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