ID
6180
Descrizione
E2108 Surgical Resection Form Early Surgery or Standard Palliative Therapy in Treating Patients With Stage IV Breast Cancer Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=91CE8B54-1649-B633-E040-BB89AD433125
collegamento
Keywords
versioni (2)
- 15/12/14 15/12/14 - Martin Dugas
- 09/01/15 09/01/15 - Martin Dugas
Caricato su
15 dicembre 2014
DOI
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Licenza
Creative Commons BY-NC 3.0 Legacy
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Breast Cancer NCT01242800 Follow-Up - E2108 Surgical Resection Form - 3145725v1.0
INSTRUCTIONS: Complete this form within 30 days of the surgical procedure, or at the time the decision is made to forgo surgery. Submit original to the ECOG Coordinating Center. Keep a copy for your files.
Descrizione
Surgery
Descrizione
Surgery Date
Tipo di dati
date
Alias
- NCI Thesaurus ValueDomain
- C25164
- NCI Thesaurus ValueDomain
- C25367
- NCI Thesaurus ObjectClass
- C15329
- NCI Thesaurus Property
- C25275
- UMLS CUI-1
- C1628561
Descrizione
Hospital Discharge Date
Tipo di dati
date
Alias
- NCI Thesaurus ValueDomain
- C25164
- NCI Thesaurus ObjectClass
- C16696
- NCI Metathesaurus Property
- C0012621
- UMLS CUI-1
- C2361123
Descrizione
Intent of Surgery
Tipo di dati
integer
Alias
- NCI Thesaurus ValueDomain
- C25284
- NCI Thesaurus ObjectClass
- C15329
- NCI Thesaurus ObjectClass
- C42651
- NCI Thesaurus Property
- C25634
- UMLS CUI-1
- C1283828
- UMLS CUI-2
- C0543467
Descrizione
BreastCarcinomaTherapyAdministeredType
Tipo di dati
text
Alias
- NCI Thesaurus ValueDomain
- C25284
- UMLS 2011AA ValueDomain
- C0332307
- NCI Thesaurus ObjectClass
- C4872
- UMLS 2011AA ObjectClass
- C0678222
- NCI Thesaurus ObjectClass
- C15368
- NCI Thesaurus Property
- C25382
- UMLS 2011AA Property
- C1521801
Descrizione
BreastCarcinomaTherapyAdministeredSpecify
Tipo di dati
text
Alias
- NCI Thesaurus ObjectClass
- C4872
- UMLS 2011AA ObjectClass
- C0678222
- NCI Thesaurus ObjectClass
- C15368
- NCI Thesaurus Property
- C25382
- UMLS 2011AA Property
- C1521801
- NCI Thesaurus ValueDomain
- C25685
- UMLS 2011AA ValueDomain
- C1521902
- NCI Thesaurus ValueDomain
- C15368
Descrizione
Was axillary dissection performed?
Tipo di dati
boolean
Alias
- NCI Thesaurus ValueDomain
- C38148
- NCI Thesaurus Property
- C15227
- NCI Thesaurus ObjectClass
- C12904
- UMLS CUI-1
- C0193867
Descrizione
Sentinel node biopsy
Tipo di dati
boolean
Alias
- NCI Thesaurus ValueDomain
- C38148
- NCI Thesaurus Property
- C15189
- NCI Thesaurus ObjectClass
- C12947
- UMLS CUI-1
- C0796693
Descrizione
Free surgical margins
Tipo di dati
boolean
Alias
- NCI Thesaurus ObjectClass
- C41227
- NCI Thesaurus Property
- C25548
- NCI Metathesaurus Property
- C0028423
- NCI Thesaurus Property
- C43566
- NCI Thesaurus ValueDomain
- C38147
- UMLS CUI-1
- C0332648
Descrizione
Reconstruction type(s)
Tipo di dati
text
Alias
- NCI Thesaurus ObjectClass
- C15329
- NCI Thesaurus Property
- C38000
- NCI Thesaurus Property
- C25619
- NCI Thesaurus Property
- C15354
- NCI Thesaurus ValueDomain
- C25284
- UMLS CUI-1
- C0085076
Descrizione
Comments
Descrizione
InvestigatorSignatureText
Tipo di dati
text
Alias
- NCI Thesaurus ValueDomain
- C25704
- UMLS 2011AA ValueDomain
- C1527021
- NCI Thesaurus Property
- C25678
- UMLS 2011AA Property
- C1519316
- NCI Thesaurus ObjectClass
- C17089
- UMLS 2011AA ObjectClass
- C0035173
Descrizione
InvestigatorSignatureDate
Tipo di dati
date
Alias
- NCI Thesaurus ValueDomain
- C25164
- UMLS 2011AA ValueDomain
- C0011008
- NCI Thesaurus Property
- C25678
- UMLS 2011AA Property
- C1519316
- NCI Thesaurus ValueDomain
- C25367
- NCI Thesaurus ObjectClass
- C17089
- UMLS 2011AA ObjectClass
- C0035173
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INSTRUCTIONS: Complete this form within 30 days of the surgical procedure, or at the time the decision is made to forgo surgery. Submit original to the ECOG Coordinating Center. Keep a copy for your files.
C0237753 (UMLS 2011AA ValueDomain)
C25320 (NCI Thesaurus ObjectClass)
C1507394 (UMLS 2011AA ObjectClass)
C25364 (NCI Thesaurus Property)
C0600091 (UMLS 2011AA Property)
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C0030705 (UMLS 2011AA ObjectClass)
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C1511726 (UMLS 2011AA ObjectClass)
C25452 (NCI Thesaurus ObjectClass)
C0332307 (UMLS 2011AA ValueDomain)
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C25364 (NCI Thesaurus Property)
C0600091 (UMLS 2011AA Property)
C0205195 (UMLS 2011AA ObjectClass)
C21541 (NCI Thesaurus ObjectClass)
C0018704 (UMLS 2011AA ObjectClass)
C25364 (NCI Thesaurus Property)
C0600091 (UMLS 2011AA Property)
C25191 (NCI Thesaurus ValueDomain)
C1547383 (UMLS 2011AA ValueDomain)
C21541 (NCI Thesaurus ValueDomain)
C0018704 (UMLS 2011AA ValueDomain)
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C16960 (NCI Thesaurus ObjectClass)
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C25608 (NCI Thesaurus Property)
C0679823 (UMLS 2011AA Property)
C25364 (NCI Thesaurus Property)
C0600091 (UMLS 2011AA Property)
C1527021 (UMLS 2011AA ValueDomain)
C25474 (NCI Thesaurus ObjectClass)
C1511726 (UMLS 2011AA ObjectClass)
C25416 (NCI Thesaurus Property)
C1691222 (UMLS 2011AA Property)
C0011008 (UMLS 2011AA ValueDomain)
C25474 (NCI Thesaurus ObjectClass)
C1511726 (UMLS 2011AA ObjectClass)
C25416 (NCI Thesaurus Property)
C1691222 (UMLS 2011AA Property)
C25367 (NCI Thesaurus ValueDomain)
C25367 (NCI Thesaurus ValueDomain)
C15329 (NCI Thesaurus ObjectClass)
C25275 (NCI Thesaurus Property)
C1628561 (UMLS CUI-1)
C16696 (NCI Thesaurus ObjectClass)
C0012621 (NCI Metathesaurus Property)
C2361123 (UMLS CUI-1)
C15329 (NCI Thesaurus ObjectClass)
C42651 (NCI Thesaurus ObjectClass)
C25634 (NCI Thesaurus Property)
C1283828 (UMLS CUI-1)
C0543467 (UMLS CUI-2)
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C4872 (NCI Thesaurus ObjectClass)
C0678222 (UMLS 2011AA ObjectClass)
C15368 (NCI Thesaurus ObjectClass)
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C0917927 (UMLS 2011AA)
C0024886 (UMLS 2011AA)
C0678222 (UMLS 2011AA ObjectClass)
C15368 (NCI Thesaurus ObjectClass)
C25382 (NCI Thesaurus Property)
C1521801 (UMLS 2011AA Property)
C25685 (NCI Thesaurus ValueDomain)
C1521902 (UMLS 2011AA ValueDomain)
C15368 (NCI Thesaurus ValueDomain)
C15227 (NCI Thesaurus Property)
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C25548 (NCI Thesaurus Property)
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C38000 (NCI Thesaurus Property)
C25619 (NCI Thesaurus Property)
C15354 (NCI Thesaurus Property)
C25284 (NCI Thesaurus ValueDomain)
C0085076 (UMLS CUI-1)
C0588162 (UMLS 2011AA)
C0179412 (UMLS 2011AA)
C1527021 (UMLS 2011AA ValueDomain)
C25678 (NCI Thesaurus Property)
C1519316 (UMLS 2011AA Property)
C17089 (NCI Thesaurus ObjectClass)
C0035173 (UMLS 2011AA ObjectClass)
C0011008 (UMLS 2011AA ValueDomain)
C25678 (NCI Thesaurus Property)
C1519316 (UMLS 2011AA Property)
C25367 (NCI Thesaurus ValueDomain)
C17089 (NCI Thesaurus ObjectClass)
C0035173 (UMLS 2011AA ObjectClass)