ID
6180
Beschrijving
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
Link
Trefwoorden
Versies (2)
- 15-12-14 15-12-14 - Martin Dugas
- 09-01-15 09-01-15 - Martin Dugas
Geüploaded op
15 december 2014
DOI
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Licentie
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.
Beschrijving
Surgery
Beschrijving
Surgery Date
Datatype
date
Alias
- NCI Thesaurus ValueDomain
- C25164
- NCI Thesaurus ValueDomain
- C25367
- NCI Thesaurus ObjectClass
- C15329
- NCI Thesaurus Property
- C25275
- UMLS CUI-1
- C1628561
Beschrijving
Hospital Discharge Date
Datatype
date
Alias
- NCI Thesaurus ValueDomain
- C25164
- NCI Thesaurus ObjectClass
- C16696
- NCI Metathesaurus Property
- C0012621
- UMLS CUI-1
- C2361123
Beschrijving
Intent of Surgery
Datatype
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
Beschrijving
BreastCarcinomaTherapyAdministeredType
Datatype
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
Beschrijving
BreastCarcinomaTherapyAdministeredSpecify
Datatype
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
Beschrijving
Was axillary dissection performed?
Datatype
boolean
Alias
- NCI Thesaurus ValueDomain
- C38148
- NCI Thesaurus Property
- C15227
- NCI Thesaurus ObjectClass
- C12904
- UMLS CUI-1
- C0193867
Beschrijving
Sentinel node biopsy
Datatype
boolean
Alias
- NCI Thesaurus ValueDomain
- C38148
- NCI Thesaurus Property
- C15189
- NCI Thesaurus ObjectClass
- C12947
- UMLS CUI-1
- C0796693
Beschrijving
Free surgical margins
Datatype
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
Beschrijving
Reconstruction type(s)
Datatype
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
Beschrijving
Comments
Beschrijving
InvestigatorSignatureText
Datatype
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
Beschrijving
InvestigatorSignatureDate
Datatype
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.
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C1511726 (UMLS 2011AA ObjectClass)
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