ID
6175
Descripción
Quality of Life Module for Trial 24-02 (Form 24-QLM) Brain Function in Premenopausal Women Receiving Tamoxifen With or Without Ovarian Function Suppression for Early-Stage Breast Cancer on Clinical Trial IBCSG-2402 Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=B0EA5B57-DF0D-6356-E034-0003BA12F5E7
Link
Palabras clave
Versiones (1)
- 15/12/14 15/12/14 - Martin Dugas
Subido en
15 de diciembre de 2014
DOI
Para solicitar uno, por favor iniciar sesión.
Licencia
Creative Commons BY-NC 3.0 Legacy
Comentarios del modelo :
Puede comentar sobre el modelo de datos aquí. A través de las burbujas de diálogo en los grupos de elementos y elementos, puede agregar comentarios específicos.
Comentarios de grupo de elementos para :
Comentarios del elemento para :
Para descargar modelos de datos, debe haber iniciado sesión. Por favor iniciar sesión o Registrate gratis.
Breast Cancer NCT00659373 Quality of Life - Quality of Life Module for Trial 24-02 (Form 24-QLM) - 2073726v3.0
QUALITY OF LIFE MODULE FOR TRIAL 24-02 (Form 24-QLM) Patient Instructions: We would like to know how strongly you are affected by your illness and treatment. Please answer the following questions by placing a vertical mark on the line depending on how you assess yourself. (See the example on the Quality of Life Core Questionnaire.) Your information will be treated as strictly confidential. Thank you for replying!
- StudyEvent: Quality of Life Module for Trial 24-02 (Form 24-QLM)
Descripción
Ccrr Module For Quality Of Life Module For Trial 24-02 (form 24-qlm)
Descripción
Patient ID Number (Study No.)
Tipo de datos
text
Alias
- UMLS CUI-1
- C1549740
Descripción
Patient Initials
Tipo de datos
text
Alias
- NCI Thesaurus ValueDomain
- C25191
- NCI Thesaurus ObjectClass
- C16960
- NCI Thesaurus Property
- C25536
- UMLS CUI-1
- C2986440
Descripción
Patient's Date of Birth (day)
Tipo de datos
date
Alias
- NCI Thesaurus ObjectClass
- C16960
- NCI Thesaurus Property
- C25275
- UMLS CUI-1
- C0421451
Descripción
Participating Center/Affiliate
Tipo de datos
text
Descripción
Center Code
Tipo de datos
text
Alias
- NCI Thesaurus ValueDomain
- C25162
- UMLS CUI-1
- C0565990
Similar models
QUALITY OF LIFE MODULE FOR TRIAL 24-02 (Form 24-QLM) Patient Instructions: We would like to know how strongly you are affected by your illness and treatment. Please answer the following questions by placing a vertical mark on the line depending on how you assess yourself. (See the example on the Quality of Life Core Questionnaire.) Your information will be treated as strictly confidential. Thank you for replying!
- StudyEvent: Quality of Life Module for Trial 24-02 (Form 24-QLM)
C0022107 (UMLS CUI-1)
C0038990 (UMLS CUI-1)
C0227791 (UMLS CUI-1)
C34661 (NCI Thesaurus ObjectClass)
C25688 (NCI Thesaurus ValueDomain)
C0018681 (UMLS CUI-1)
C0151825 (UMLS CUI-1)
C0003862 (UMLS CUI-2)
C16960 (NCI Thesaurus ObjectClass)
C25536 (NCI Thesaurus Property)
C2986440 (UMLS CUI-1)
C25275 (NCI Thesaurus Property)
C0421451 (UMLS CUI-1)
C0565990 (UMLS CUI-1)