ID
23027
Description
IBCSG Long Term Follow-Up Recurrence Form (18-LTF-RC) Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=889C7665-5F9A-48C7-E040-BB89AD436937
Link
Keywords
Versions (2)
- 8/26/12 8/26/12 -
- 6/20/17 6/20/17 - Martin Dugas
Uploaded on
June 20, 2017
DOI
To request one please log in.
License
Creative Commons BY-NC 3.0
Model comments :
You can comment on the data model here. Via the speech bubbles at the itemgroups and items you can add comments to those specificially.
Itemgroup comments for :
Item comments for :
In order to download data models you must be logged in. Please log in or register for free.
IBCSG Long Term Follow-Up Recurrence Form (18-LTF-RC)
Complete this form for patients with a proven recurrence. Use minus one (-1) to indicate that an answer is unknown unobtainable or not done
- StudyEvent: IBCSG Long Term Follow-Up Recurrence Form (18-LTF-RC)
Description
Proven Recurrence/Metastasis Or Contralateral Invasive Breast Cancer
Alias
- UMLS CUI-1
- C0679254
Description
Breast Cancer Recurrence Site
Data type
integer
Alias
- NCI Thesaurus ValueDomain
- C13717
- NCI Thesaurus Property
- C38155
- NCI Thesaurus ObjectClass
- C4872
- UMLS CUI [1,1]
- C4055130
- UMLS CUI [1,2]
- C0678222
Description
Breast Carcinoma Recurrent Disease
Data type
text
Alias
- NCI Thesaurus ValueDomain
- C25685
- NCI Thesaurus Property
- C38155
- NCI Thesaurus ObjectClass
- C4872
- UMLS CUI [1]
- C0278493
Description
Recurrence date
Data type
date
Alias
- NCI Thesaurus ObjectClass
- C14174
- NCI Thesaurus ObjectClass-2
- C14173
- NCI Thesaurus ObjectClass-3
- C2991
- NCI Thesaurus Property
- C25536
- NCI Thesaurus Property-2
- C15220
- NCI Thesaurus ValueDomain
- C25164
- UMLS CUI [1]
- C0807712
Description
Hormone Receptor Analysis
Alias
- UMLS CUI-1
- C0523374
Description
Estrogen Receptor Progesterone Receptor Analysis
Data type
boolean
Alias
- NCI Thesaurus ObjectClass
- C25391
- NCI Thesaurus ObjectClass-2
- C17069
- NCI Thesaurus ObjectClass-3
- C17075
- NCI Thesaurus Property
- C38000
- NCI Thesaurus ValueDomain
- C38147
- UMLS CUI [1]
- C0523374
Description
Breast Carcinoma Recurrent Disease
Data type
text
Alias
- NCI Thesaurus ValueDomain
- C25685
- NCI Thesaurus Property
- C38155
- NCI Thesaurus ObjectClass
- C4872
- UMLS CUI [1]
- C0278493
Description
Specimen Collected Date
Data type
date
Measurement units
- day month year
Alias
- NCI Thesaurus ValueDomain
- C25164
- NCI Thesaurus ObjectClass
- C19157
- NCI Thesaurus Property
- C25452
- NCI Thesaurus Property-2
- C25275
- UMLS CUI [1]
- C1317250
Description
Estrogen Receptor Positive
Data type
float
Measurement units
- %
Alias
- NCI Thesaurus ValueDomain
- C25337
- UMLS CUI [1,1]
- C0279754
Description
Progesterone Receptor Positive
Data type
float
Measurement units
- %
Alias
- NCI Thesaurus ValueDomain
- C25337
- NCI Thesaurus ObjectClass
- C17075
- NCI Thesaurus Property
- C25554
- UMLS CUI [1]
- C0279759
Description
Estrogen Receptor Status
Data type
integer
Alias
- NCI Thesaurus ValueDomain
- C3262
- NCI Thesaurus ObjectClass
- C17069
- NCI Thesaurus ValueDomain-2
- C25688
- NCI Thesaurus Property
- C25554
- UMLS CUI [1]
- C1516974
Description
Progesterone Receptor Status
Data type
integer
Alias
- NCI Thesaurus ValueDomain
- C25284
- NCI Thesaurus ObjectClass
- C17075
- NCI Metathesaurus Property
- C0678257
- UMLS CUI [1]
- C1514471
Description
Footer Module
Alias
- UMLS CUI-1
- C2825232
Description
Investigator Signature
Data type
text
Alias
- NCI Thesaurus ValueDomain
- C25704
- NCI Thesaurus Property
- C25678
- NCI Thesaurus ObjectClass
- C17089
- NCI Thesaurus Property-2
- C25479
- UMLS CUI [1]
- C2346576
Description
Investigator Signature Date
Data type
date
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
Complete this form for patients with a proven recurrence. Use minus one (-1) to indicate that an answer is unknown unobtainable or not done
- StudyEvent: IBCSG Long Term Follow-Up Recurrence Form (18-LTF-RC)
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)
C3274381 (UMLS CUI [1,1])
C1512890 (UMLS CUI [1,2])
C25364 (NCI Thesaurus ValueDomain)
C25196 (NCI Thesaurus Property)
C2986235 (UMLS CUI [1])
C21541 (NCI Thesaurus ObjectClass)
C25364 (NCI Thesaurus Property)
C1301943 (UMLS CUI [1,1])
C0805701 (UMLS CUI [1,2])
C21541 (NCI Thesaurus ObjectClass)
C21541 (NCI Thesaurus ValueDomain-2)
C25364 (NCI Thesaurus Property)
C1301943 (UMLS CUI [1])
C38155 (NCI Thesaurus Property)
C4872 (NCI Thesaurus ObjectClass)
C4055130 (UMLS CUI [1,1])
C0678222 (UMLS CUI [1,2])
C0006141 (UMLS CUI-2)
C0441989 (UMLS CUI-2)
C0441989 (UMLS CUI-2)
C0441989 (UMLS CUI-2)
C0441989 (UMLS CUI-2)
C0441989 (UMLS CUI-2)
C38155 (NCI Thesaurus Property)
C4872 (NCI Thesaurus ObjectClass)
C0278493 (UMLS CUI [1])
C14173 (NCI Thesaurus ObjectClass-2)
C2991 (NCI Thesaurus ObjectClass-3)
C25536 (NCI Thesaurus Property)
C15220 (NCI Thesaurus Property-2)
C25164 (NCI Thesaurus ValueDomain)
C0807712 (UMLS CUI [1])
C17069 (NCI Thesaurus ObjectClass-2)
C17075 (NCI Thesaurus ObjectClass-3)
C38000 (NCI Thesaurus Property)
C38147 (NCI Thesaurus ValueDomain)
C0523374 (UMLS CUI [1])
C38155 (NCI Thesaurus Property)
C4872 (NCI Thesaurus ObjectClass)
C0278493 (UMLS CUI [1])
C19157 (NCI Thesaurus ObjectClass)
C25452 (NCI Thesaurus Property)
C25275 (NCI Thesaurus Property-2)
C1317250 (UMLS CUI [1])
C0279754 (UMLS CUI [1,1])
C17075 (NCI Thesaurus ObjectClass)
C25554 (NCI Thesaurus Property)
C0279759 (UMLS CUI [1])
C17069 (NCI Thesaurus ObjectClass)
C25688 (NCI Thesaurus ValueDomain-2)
C25554 (NCI Thesaurus Property)
C1516974 (UMLS CUI [1])
C17075 (NCI Thesaurus ObjectClass)
C0678257 (NCI Metathesaurus Property)
C1514471 (UMLS CUI [1])
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])