ID
42977
Description
NCCTG N0733 Demography Form Capecitabine and Lapatinib With or Without Cixutumumab in Treating Patients With Previously Treated HER2-Positive Stage IIIB, Stage IIIC, or Stage IV Breast Cancer Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=643B1D4E-2802-CA4C-E040-BB89AD432C8F
Lien
Mots-clés
Versions (4)
- 27/08/2012 27/08/2012 -
- 24/03/2014 24/03/2014 - Martin Dugas
- 24/03/2014 24/03/2014 - Martin Dugas
- 17/09/2021 17/09/2021 -
Téléchargé le
17 septembre 2021
DOI
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Creative Commons BY-NC 3.0 Legacy
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Breast Cancer NCT00684983 Demographic - NCCTG N0733 Demography Form - 2842806v1.0
No Instruction available.
- StudyEvent: NCCTG N0733 Demography Form
Description
Standard Demographics
Alias
- UMLS CUI-1
- C1704791
Description
Ethnicity
Type de données
text
Alias
- NCI Thesaurus Property
- C25372
- NCI Thesaurus ValueDomain
- C25372
- NCI Thesaurus ObjectClass
- C16564
- UMLS CUI-1
- C0015031
Description
Gender
Type de données
text
Alias
- NCI Thesaurus ValueDomain
- C25284
- NCI Thesaurus ObjectClass
- C25190
- NCI Thesaurus Property
- C17357
- UMLS CUI-1
- C0079399
Description
Birth Date
Type de données
date
Alias
- NCI Thesaurus ValueDomain
- C25164
- NCI Thesaurus ObjectClass
- C16960
- NCI Thesaurus ValueDomain
- C25367
- NCI Thesaurus Property
- C25155
- UMLS CUI-1
- C0421451
Description
Census Tract Codes
Type de données
text
Alias
- NCI Thesaurus ObjectClass
- C16495
- NCI Thesaurus Property
- C67490
- NCI Thesaurus ValueDomain
- C25337
- NCI Thesaurus ValueDomain
- C25704
- NCI Thesaurus ValueDomain
- C25407
- NCI Thesaurus ValueDomain
- C67490
Description
Country
Type de données
text
Alias
- NCI Thesaurus ObjectClass
- C16960
- NCI Thesaurus ValueDomain
- C25464
- NCI Thesaurus Property
- C25407
- NCI Thesaurus ValueDomain
- C42614
- UMLS CUI-1
- C1562954
Description
Postal Code
Type de données
text
Alias
- NCI Thesaurus ObjectClass
- C25407
- NCI Thesaurus Property
- C25621
- NCI Thesaurus ValueDomain
- C25364
- NCI Thesaurus ValueDomain
- C25407
- NCI Thesaurus ValueDomain
- C25621
- UMLS CUI-1
- C0421454
Description
Race
Alias
- UMLS CUI-1
- C0034510
Description
Race
Type de données
text
Alias
- NCI Thesaurus Property
- C25372
- NCI Thesaurus ValueDomain
- C25372
- NCI Thesaurus ObjectClass
- C17049
- UMLS CUI-1
- C0034510
Description
Method Of Payment
Alias
- UMLS CUI-1
- C0680264
Description
Payment Method
Type de données
text
Alias
- NCI Thesaurus ValueDomain
- C25162
- NCI Thesaurus Property
- C16847
- NCI Thesaurus ObjectClass
- C25371
- UMLS CUI-1
- C0680264
Description
Optional Questions
Alias
- UMLS CUI-1
- C1518600
- UMLS CUI-2
- C1522634
Description
CDC Race Code
Type de données
text
Alias
- NCI Thesaurus ValueDomain
- C25162
- NCI Thesaurus Property
- C25372
- NCI Thesaurus ObjectClass
- C17049
- UMLS CUI-1
- C0007670
- UMLS CUI-2
- C0034510
Description
CDC Ethnicity Code
Type de données
text
Alias
- NCI Thesaurus ValueDomain
- C25162
- NCI Thesaurus Property
- C25372
- NCI Thesaurus ObjectClass
- C16564
- UMLS CUI-1
- C0007670
- UMLS CUI-2
- C0015031
Description
Educational Status
Type de données
text
Alias
- NCI Thesaurus ValueDomain
- C25284
- NCI Thesaurus ObjectClass
- C25190
- NCI Thesaurus Property
- C17953
- NCI Thesaurus ValueDomain
- C17953
- UMLS CUI-1
- C0013658
Description
Marital Status
Type de données
text
Alias
- NCI Thesaurus ObjectClass
- C25190
- NCI Thesaurus ValueDomain
- C25372
- NCI Thesaurus Property
- C25188
- UMLS CUI-1
- C0024819
Description
Birth Place
Type de données
text
Alias
- NCI Thesaurus ObjectClass
- C25190
- NCI Thesaurus Property
- C25155
- NCI Thesaurus Property
- C25319
- NCI Thesaurus Property
- C37957
- NCI Thesaurus ValueDomain
- C25704
- NCI Thesaurus ValueDomain
- C25155
- NCI Thesaurus ValueDomain
- C25319
- UMLS CUI-1
- C0032040
Similar models
No Instruction available.
- StudyEvent: NCCTG N0733 Demography Form
C16960 (NCI Thesaurus ObjectClass)
C25536 (NCI Thesaurus Property)
C25551 (NCI Thesaurus Property)
C2986440 (UMLS CUI-1)
C16960 (NCI Thesaurus ObjectClass)
C25536 (NCI Thesaurus Property)
C25509 (NCI Thesaurus Property)
C2986440 (UMLS CUI-1)
C16960 (NCI Thesaurus ObjectClass)
C25536 (NCI Thesaurus Property)
C25569 (NCI Thesaurus Property)
C2986440 (UMLS CUI-1)
C16960 (NCI Thesaurus ObjectClass)
C25686 (NCI Thesaurus Property)
C1301821 (UMLS CUI-1)
C16960 (NCI Thesaurus ObjectClass)
C25261 (NCI Thesaurus Property)
C25198 (NCI Thesaurus Property)
C1301894 (UMLS CUI-1)
C25372 (NCI Thesaurus ValueDomain)
C16564 (NCI Thesaurus ObjectClass)
C0015031 (UMLS CUI-1)
C0086409 (UMLS 2011AA)
C1518424 (UMLS 2011AA)
C1706613 (UMLS 2011AA)
C0439673 (UMLS 2011AA)
C25190 (NCI Thesaurus ObjectClass)
C17357 (NCI Thesaurus Property)
C0079399 (UMLS CUI-1)
C0086287 (UMLS 2011AA)
C1706180 (UMLS 2011AA)
C0439673 (UMLS 2011AA)
C0205370 (UMLS 2011AA)
C16960 (NCI Thesaurus ObjectClass)
C25367 (NCI Thesaurus ValueDomain)
C25155 (NCI Thesaurus Property)
C0421451 (UMLS CUI-1)
C67490 (NCI Thesaurus Property)
C25337 (NCI Thesaurus ValueDomain)
C25704 (NCI Thesaurus ValueDomain)
C25407 (NCI Thesaurus ValueDomain)
C67490 (NCI Thesaurus ValueDomain)
C25464 (NCI Thesaurus ValueDomain)
C25407 (NCI Thesaurus Property)
C42614 (NCI Thesaurus ValueDomain)
C1562954 (UMLS CUI-1)
C25621 (NCI Thesaurus Property)
C25364 (NCI Thesaurus ValueDomain)
C25407 (NCI Thesaurus ValueDomain)
C25621 (NCI Thesaurus ValueDomain)
C0421454 (UMLS CUI-1)
C25372 (NCI Thesaurus ValueDomain)
C17049 (NCI Thesaurus ObjectClass)
C0034510 (UMLS CUI-1)
C1515945 (UMLS 2011AA)
C0078988 (UMLS 2011AA)
C0085756 (UMLS 2011AA)
C1513907 (UMLS 2011AA)
C0007457 (UMLS 2011AA)
C1706613 (UMLS 2011AA)
C0439673 (UMLS 2011AA)
C16847 (NCI Thesaurus Property)
C25371 (NCI Thesaurus ObjectClass)
C0680264 (UMLS CUI-1)
C0018717 (UMLS 2011AA)
C0205394 (UMLS 2011AA)
C0439673 (UMLS 2011AA)
C25372 (NCI Thesaurus Property)
C17049 (NCI Thesaurus ObjectClass)
C0007670 (UMLS CUI-1)
C0034510 (UMLS CUI-2)
C25372 (NCI Thesaurus Property)
C16564 (NCI Thesaurus ObjectClass)
C0007670 (UMLS CUI-1)
C0015031 (UMLS CUI-2)
C25190 (NCI Thesaurus ObjectClass)
C17953 (NCI Thesaurus Property)
C17953 (NCI Thesaurus ValueDomain)
C0013658 (UMLS CUI-1)
C0681405 (UMLS 2011AA)
C0681406 (UMLS 2011AA)
C1883619 (UMLS 2011AA)
C1883622 (UMLS 2011AA)
C1883635 (UMLS 2011AA)
C1883642 (UMLS 2011AA)
C1883646 (UMLS 2011AA)
C1883649 (UMLS 2011AA)
C1883651 (UMLS 2011AA)
C1883653 (UMLS 2011AA)
C1883654 (UMLS 2011AA)
C1883613 (UMLS 2011AA)
C1883614 (UMLS 2011AA)
C1883615 (UMLS 2011AA)
C0870649 (UMLS 2011AA)
C1880947 (UMLS 2011AA)
C2346951 (UMLS 2011AA)
C1879750 (UMLS 2011AA)
C2348318 (UMLS 2011AA)
C2347079 (UMLS 2011AA)
C2347690 (UMLS 2011AA)
C1883542 (UMLS 2011AA)
C0557286 (UMLS 2011AA)
C1705116 (UMLS 2011AA)
C1883065 (UMLS 2011AA)
C1880386 (UMLS 2011AA)
C25372 (NCI Thesaurus ValueDomain)
C25188 (NCI Thesaurus Property)
C0024819 (UMLS CUI-1)
C0086170 (UMLS 2011AA)
C1549111 (UMLS 2011AA)
C0555047 (UMLS 2011AA)
C0027952 (UMLS 2011AA)
C0086972 (UMLS 2011AA)
C0206275 (UMLS 2011AA)
C25155 (NCI Thesaurus Property)
C25319 (NCI Thesaurus Property)
C37957 (NCI Thesaurus Property)
C25704 (NCI Thesaurus ValueDomain)
C25155 (NCI Thesaurus ValueDomain)
C25319 (NCI Thesaurus ValueDomain)
C0032040 (UMLS CUI-1)