ID
4737
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
Link
Keywords
Versions (4)
- 8/27/12 8/27/12 -
- 3/24/14 3/24/14 - Martin Dugas
- 3/24/14 3/24/14 - Martin Dugas
- 9/17/21 9/17/21 -
Uploaded on
March 24, 2014
DOI
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License
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
Data type
text
Alias
- NCI Thesaurus Property
- C25372
- NCI Thesaurus ValueDomain
- C25372
- NCI Thesaurus ObjectClass
- C16564
- UMLS CUI-1
- C0015031
Description
Gender
Data type
text
Alias
- NCI Thesaurus ValueDomain
- C25284
- NCI Thesaurus ObjectClass
- C25190
- NCI Thesaurus Property
- C17357
- UMLS CUI-1
- C0079399
Description
Birth Date
Data type
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
Data type
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
Data type
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
Data type
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
Description
RaceCategoryText
Data type
text
Alias
- NCI Thesaurus Property
- C25372
- UMLS 2011AA Property
- C0683312
- NCI Thesaurus ValueDomain
- C25372
- UMLS 2011AA ValueDomain
- C0683312
- NCI Thesaurus ObjectClass
- C17049
- UMLS 2011AA ObjectClass
- C0034510
Description
Method Of Payment
Description
PaymentMethod
Data type
text
Alias
- NCI Thesaurus ValueDomain
- C25162
- UMLS 2011AA ValueDomain
- C0805701
- NCI Thesaurus Property
- C16847
- UMLS 2011AA Property
- C0449851
- NCI Thesaurus ObjectClass
- C25371
- UMLS 2011AA ObjectClass
- C0680264
Description
Optional Questions
Description
CentersforDiseaseControlandPreventionRaceUniqueIdentifierCode
Data type
text
Alias
- NCI Thesaurus ValueDomain
- C25162
- UMLS 2011AA ValueDomain
- C0805701
- NCI Thesaurus Property
- C25372
- UMLS 2011AA Property
- C0683312
- NCI Thesaurus ObjectClass
- C17049
- UMLS 2011AA ObjectClass
- C0034510
Description
CentersforDiseaseControlandPreventionEthnicityUniqueIdentifierCodes
Data type
text
Alias
- NCI Thesaurus ValueDomain
- C25162
- UMLS 2011AA ValueDomain
- C0805701
- NCI Thesaurus Property
- C25372
- UMLS 2011AA Property
- C0683312
- NCI Thesaurus ObjectClass
- C16564
- UMLS 2011AA ObjectClass
- C0015031
Description
PersonEducationLevelType
Data type
text
Alias
- NCI Thesaurus ValueDomain
- C25284
- UMLS 2011AA ValueDomain
- C0332307
- NCI Thesaurus ObjectClass
- C25190
- UMLS 2011AA ObjectClass
- C0027361
- NCI Thesaurus Property
- C17953
- UMLS 2011AA Property
- C0013658
- NCI Thesaurus ValueDomain
- C17953
- UMLS 2011AA ValueDomain
- C0013658
Description
PersonMaritalStatusCategory
Data type
text
Alias
- NCI Thesaurus ObjectClass
- C25190
- UMLS 2011AA ObjectClass
- C0027361
- NCI Thesaurus ValueDomain
- C25372
- UMLS 2011AA ValueDomain
- C0683312
- NCI Thesaurus Property
- C25188
- UMLS 2011AA Property
- C0024819
Description
PersonGeographicBirthPlaceText
Data type
text
Alias
- NCI Thesaurus ObjectClass
- C25190
- UMLS 2011AA ObjectClass
- C0027361
- NCI Thesaurus Property
- C25155
- UMLS 2011AA Property
- C0005615
- NCI Thesaurus Property
- C25319
- UMLS 2011AA Property
- C0442504
- NCI Thesaurus Property
- C37957
- UMLS 2011AA Property
- C1517526
- NCI Thesaurus ValueDomain
- C25704
- UMLS 2011AA ValueDomain
- C1527021
- NCI Thesaurus ValueDomain
- C25155
- UMLS 2011AA ValueDomain
- C0005615
- NCI Thesaurus ValueDomain
- C25319
- UMLS 2011AA ValueDomain
- C0442504
Similar models
No Instruction available.
- StudyEvent: NCCTG N0733 Demography Form
C1547383 (UMLS 2011AA ValueDomain)
C16960 (NCI Thesaurus ObjectClass)
C0030705 (UMLS 2011AA ObjectClass)
C25536 (NCI Thesaurus Property)
C1555582 (UMLS 2011AA Property)
C25551 (NCI Thesaurus Property)
C1517741 (UMLS 2011AA Property)
C1547383 (UMLS 2011AA ValueDomain)
C16960 (NCI Thesaurus ObjectClass)
C0030705 (UMLS 2011AA ObjectClass)
C25536 (NCI Thesaurus Property)
C1555582 (UMLS 2011AA Property)
C25509 (NCI Thesaurus Property)
C1279901 (UMLS 2011AA Property)
C1547383 (UMLS 2011AA ValueDomain)
C16960 (NCI Thesaurus ObjectClass)
C0030705 (UMLS 2011AA ObjectClass)
C25536 (NCI Thesaurus Property)
C1555582 (UMLS 2011AA Property)
C25569 (NCI Thesaurus Property)
C0444598 (UMLS 2011AA Property)
C0237753 (UMLS 2011AA ValueDomain)
C16960 (NCI Thesaurus ObjectClass)
C0030705 (UMLS 2011AA ObjectClass)
C25686 (NCI Thesaurus Property)
C1301821 (UMLS 2011AA Property)
C0237753 (UMLS 2011AA ValueDomain)
C16960 (NCI Thesaurus ObjectClass)
C0030705 (UMLS 2011AA ObjectClass)
C25261 (NCI Thesaurus Property)
C0205476 (UMLS 2011AA Property)
C25198 (NCI Thesaurus Property)
C0034869 (UMLS 2011AA Property)
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)
C0015780 (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)
C0683312 (UMLS 2011AA Property)
C25372 (NCI Thesaurus ValueDomain)
C0683312 (UMLS 2011AA ValueDomain)
C17049 (NCI Thesaurus ObjectClass)
C0034510 (UMLS 2011AA ObjectClass)
C1515945 (UMLS 2011AA)
C0078988 (UMLS 2011AA)
C0085756 (UMLS 2011AA)
C1513907 (UMLS 2011AA)
C0007457 (UMLS 2011AA)
C1706613 (UMLS 2011AA)
C0439673 (UMLS 2011AA)
C0805701 (UMLS 2011AA ValueDomain)
C16847 (NCI Thesaurus Property)
C0449851 (UMLS 2011AA Property)
C25371 (NCI Thesaurus ObjectClass)
C0680264 (UMLS 2011AA ObjectClass)
C0018717 (UMLS 2011AA)
C0205394 (UMLS 2011AA)
C0439673 (UMLS 2011AA)
C0805701 (UMLS 2011AA ValueDomain)
C25372 (NCI Thesaurus Property)
C0683312 (UMLS 2011AA Property)
C17049 (NCI Thesaurus ObjectClass)
C0034510 (UMLS 2011AA ObjectClass)
C0805701 (UMLS 2011AA ValueDomain)
C25372 (NCI Thesaurus Property)
C0683312 (UMLS 2011AA Property)
C16564 (NCI Thesaurus ObjectClass)
C0015031 (UMLS 2011AA ObjectClass)
C0332307 (UMLS 2011AA ValueDomain)
C25190 (NCI Thesaurus ObjectClass)
C0027361 (UMLS 2011AA ObjectClass)
C17953 (NCI Thesaurus Property)
C0013658 (UMLS 2011AA Property)
C17953 (NCI Thesaurus ValueDomain)
C0013658 (UMLS 2011AA ValueDomain)
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)
C0027361 (UMLS 2011AA ObjectClass)
C25372 (NCI Thesaurus ValueDomain)
C0683312 (UMLS 2011AA ValueDomain)
C25188 (NCI Thesaurus Property)
C0024819 (UMLS 2011AA Property)
C0086170 (UMLS 2011AA)
C1549111 (UMLS 2011AA)
C0555047 (UMLS 2011AA)
C0027952 (UMLS 2011AA)
C0086972 (UMLS 2011AA)
C0206275 (UMLS 2011AA)
C0027361 (UMLS 2011AA ObjectClass)
C25155 (NCI Thesaurus Property)
C0005615 (UMLS 2011AA Property)
C25319 (NCI Thesaurus Property)
C0442504 (UMLS 2011AA Property)
C37957 (NCI Thesaurus Property)
C1517526 (UMLS 2011AA Property)
C25704 (NCI Thesaurus ValueDomain)
C1527021 (UMLS 2011AA ValueDomain)
C25155 (NCI Thesaurus ValueDomain)
C0005615 (UMLS 2011AA ValueDomain)
C25319 (NCI Thesaurus ValueDomain)
C0442504 (UMLS 2011AA ValueDomain)