ID
6180
Description
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
Lien
Mots-clés
Versions (2)
- 15/12/2014 15/12/2014 - Martin Dugas
- 09/01/2015 09/01/2015 - Martin Dugas
Téléchargé le
15 décembre 2014
DOI
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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.
Description
Surgery
Description
Surgery Date
Type de données
date
Alias
- NCI Thesaurus ValueDomain
- C25164
- NCI Thesaurus ValueDomain
- C25367
- NCI Thesaurus ObjectClass
- C15329
- NCI Thesaurus Property
- C25275
- UMLS CUI-1
- C1628561
Description
Hospital Discharge Date
Type de données
date
Alias
- NCI Thesaurus ValueDomain
- C25164
- NCI Thesaurus ObjectClass
- C16696
- NCI Metathesaurus Property
- C0012621
- UMLS CUI-1
- C2361123
Description
Intent of Surgery
Type de données
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
Description
BreastCarcinomaTherapyAdministeredType
Type de données
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
Description
BreastCarcinomaTherapyAdministeredSpecify
Type de données
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
Description
Was axillary dissection performed?
Type de données
boolean
Alias
- NCI Thesaurus ValueDomain
- C38148
- NCI Thesaurus Property
- C15227
- NCI Thesaurus ObjectClass
- C12904
- UMLS CUI-1
- C0193867
Description
Sentinel node biopsy
Type de données
boolean
Alias
- NCI Thesaurus ValueDomain
- C38148
- NCI Thesaurus Property
- C15189
- NCI Thesaurus ObjectClass
- C12947
- UMLS CUI-1
- C0796693
Description
Free surgical margins
Type de données
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
Description
Reconstruction type(s)
Type de données
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
Description
Comments
Description
InvestigatorSignatureText
Type de données
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
Description
InvestigatorSignatureDate
Type de données
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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C25491 (NCI Thesaurus Property)
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C1507394 (UMLS 2011AA ObjectClass)
C25364 (NCI Thesaurus Property)
C0600091 (UMLS 2011AA Property)
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C1507394 (UMLS 2011AA ObjectClass)
C25608 (NCI Thesaurus Property)
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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)
C0237753 (UMLS 2011AA ValueDomain)
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C0030705 (UMLS 2011AA ObjectClass)
C25364 (NCI Thesaurus Property)
C0600091 (UMLS 2011AA Property)
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C25364 (NCI Thesaurus Property)
C0600091 (UMLS 2011AA Property)
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C0030705 (UMLS 2011AA ObjectClass)
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)
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C4872 (NCI Thesaurus ObjectClass)
C0678222 (UMLS 2011AA ObjectClass)
C15368 (NCI Thesaurus ObjectClass)
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C1521801 (UMLS 2011AA Property)
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)
C0028423 (NCI Metathesaurus Property)
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C0332648 (UMLS CUI-1)
C38000 (NCI Thesaurus Property)
C25619 (NCI Thesaurus Property)
C15354 (NCI Thesaurus Property)
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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)