ID
6355
Beschreibung
RTOG-1005 T7: Radiation Therapy Oncology Group Phase III Whole Breast Irradiation for Early Stage Breast Cancer Photograph Submission Notification Form Higher-Dose Radiation Therapy or Standard Radiation Therapy in Treating Patients With Early-Stage Breast Cancer That Was Removed by Surgery Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=9E3CC0E2-B278-1265-E040-BB89AD430CE0
Link
Stichworte
Versionen (2)
- 18.12.14 18.12.14 - Martin Dugas
- 09.01.15 09.01.15 - Martin Dugas
Hochgeladen am
18. Dezember 2014
DOI
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Lizenz
Creative Commons BY-NC 3.0 Legacy
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NCT01349322 Quality of Life - RTOG-1005 T7: Radiation Therapy Oncology Group Phase III Whole Breast Irradiation for Early Stage Breast Cancer Photograph Submission Notification Form - 3202750v1.0
This form is completed by the investigator (rater) and submitted at each time point specified by the protocol, whether or not any of the patient assessment items (Q's 6,7,8) are answered
- StudyEvent: RTOG-1005 T7: Radiation Therapy Oncology Group Phase III Whole Breast Irradiation for Early Stage Breast Cancer Photograph Submission Notification Form
Beschreibung
Unamed Module 2
Beschreibung
PhotographBreastReconstructionSubmissionInd-3
Datentyp
text
Alias
- NCI Thesaurus ObjectClass
- C86035
- UMLS 2011AA ObjectClass
- C0441468
- NCI Thesaurus Property
- C12971
- UMLS 2011AA Property
- C0006141
- NCI Thesaurus Property
- C25694
- UMLS 2011AA Property
- C1515022
- NCI Thesaurus Property
- C25351
- UMLS 2011AA Property
- C0524865
- NCI Thesaurus ValueDomain
- C38148
- UMLS 2011AA ValueDomain
- C1512699
Beschreibung
AssessmentPeriodType
Datentyp
text
Alias
- NCI Thesaurus ValueDomain
- C25284
- UMLS 2011AA ValueDomain
- C0332307
- NCI Thesaurus ObjectClass
- C20989
- UMLS 2011AA ObjectClass
- C0031809
- NCI Thesaurus Property
- C25616
- UMLS 2011AA Property
- C1948053
Beschreibung
PhotographBreastReconstructionTakenDate
Datentyp
date
Alias
- NCI Thesaurus ObjectClass
- C86035
- UMLS 2011AA ObjectClass
- C0441468
- NCI Thesaurus Property
- C12971
- UMLS 2011AA Property
- C0006141
- NCI Thesaurus Property
- C25351
- UMLS 2011AA Property
- C0524865
- NCI Thesaurus Property
- C25701
- UMLS 2011AA Property
- C1883727
- NCI Thesaurus ValueDomain
- C25164
- UMLS 2011AA ValueDomain
- C0011008
Beschreibung
PhotographBreastReconstructionSubmissionDate
Datentyp
date
Alias
- NCI Thesaurus ObjectClass
- C86035
- UMLS 2011AA ObjectClass
- C0441468
- NCI Thesaurus Property
- C12971
- UMLS 2011AA Property
- C0006141
- NCI Thesaurus Property
- C25694
- UMLS 2011AA Property
- C1515022
- NCI Thesaurus Property
- C25351
- UMLS 2011AA Property
- C0524865
- NCI Thesaurus ValueDomain
- C25164
- UMLS 2011AA ValueDomain
- C0011008
Beschreibung
PhotographBreastReconstructionNoSubmissionReason
Datentyp
text
Alias
- NCI Thesaurus ObjectClass
- C86035
- UMLS 2011AA ObjectClass
- C0441468
- NCI Thesaurus Property
- C49487
- UMLS 2011AA Property
- C1298908
- NCI Thesaurus Property
- C12971
- UMLS 2011AA Property
- C0006141
- NCI Thesaurus Property
- C25694
- UMLS 2011AA Property
- C1515022
- NCI Thesaurus Property
- C25351
- UMLS 2011AA Property
- C0524865
- NCI Thesaurus ValueDomain
- C25638
- UMLS 2011AA ValueDomain
- C0392360
Beschreibung
PhotographBreastReconstructionNoSubmissionSpecify
Datentyp
text
Alias
- NCI Thesaurus ObjectClass
- C86035
- UMLS 2011AA ObjectClass
- C0441468
- NCI Thesaurus Property
- C49487
- UMLS 2011AA Property
- C1298908
- NCI Thesaurus Property
- C12971
- UMLS 2011AA Property
- C0006141
- NCI Thesaurus Property
- C25694
- UMLS 2011AA Property
- C1515022
- NCI Thesaurus Property
- C25351
- UMLS 2011AA Property
- C0524865
- NCI Thesaurus ValueDomain
- C25685
- UMLS 2011AA ValueDomain
- C1521902
- NCI Thesaurus ValueDomain
- C15368
Beschreibung
ResponsiblePersonSignatureText
Datentyp
text
Alias
- NCI Thesaurus ValueDomain
- C25704
- UMLS 2011AA ValueDomain
- C1527021
- NCI Thesaurus ObjectClass
- C25190
- UMLS 2011AA ObjectClass
- C0027361
- NCI Thesaurus ObjectClass
- C25657
- UMLS 2011AA ObjectClass
- C1273518
- NCI Thesaurus Property
- C25678
- UMLS 2011AA Property
- C1519316
Beschreibung
FormCompleteDate
Datentyp
date
Alias
- NCI Thesaurus ValueDomain
- C25164
- UMLS 2011AA ValueDomain
- C0011008
- NCI Thesaurus ObjectClass
- C40988
- UMLS 2011AA ObjectClass
- C1516308
- NCI Thesaurus Property
- C25250
- UMLS 2011AA Property
- C0205197
- NCI Thesaurus ValueDomain
- C25367
Ähnliche Modelle
This form is completed by the investigator (rater) and submitted at each time point specified by the protocol, whether or not any of the patient assessment items (Q's 6,7,8) are answered
- StudyEvent: RTOG-1005 T7: Radiation Therapy Oncology Group Phase III Whole Breast Irradiation for Early Stage Breast Cancer Photograph Submission Notification Form
C0237753 (UMLS 2011AA ValueDomain)
C25320 (NCI Thesaurus ObjectClass)
C1507394 (UMLS 2011AA ObjectClass)
C19778 (NCI Thesaurus Property)
C1514695 (UMLS 2011AA Property)
C25364 (NCI Thesaurus Property)
C0600091 (UMLS 2011AA Property)
C0030705 (UMLS 2011AA ObjectClass)
C19778 (NCI Thesaurus ObjectClass)
C1514695 (UMLS 2011AA ObjectClass)
C25364 (NCI Thesaurus Property)
C0600091 (UMLS 2011AA Property)
C49152 (NCI Thesaurus Property)
C1706256 (UMLS 2011AA Property)
C25337 (NCI Thesaurus ValueDomain)
C0237753 (UMLS 2011AA ValueDomain)
C1547383 (UMLS 2011AA ValueDomain)
C21541 (NCI Thesaurus ObjectClass)
C0018704 (UMLS 2011AA ObjectClass)
C21541 (NCI Thesaurus ValueDomain)
C0018704 (UMLS 2011AA ValueDomain)
C25364 (NCI Thesaurus Property)
C0600091 (UMLS 2011AA Property)
C0237753 (UMLS 2011AA ValueDomain)
C21541 (NCI Thesaurus ObjectClass)
C0018704 (UMLS 2011AA ObjectClass)
C25364 (NCI Thesaurus Property)
C0600091 (UMLS 2011AA Property)
C1547383 (UMLS 2011AA ValueDomain)
C16960 (NCI Thesaurus ObjectClass)
C0030705 (UMLS 2011AA ObjectClass)
C25536 (NCI Thesaurus Property)
C1555582 (UMLS 2011AA Property)
C0237753 (UMLS 2011AA ValueDomain)
C16960 (NCI Thesaurus ObjectClass)
C0030705 (UMLS 2011AA ObjectClass)
C19778 (NCI Thesaurus Property)
C1514695 (UMLS 2011AA Property)
C25364 (NCI Thesaurus Property)
C0600091 (UMLS 2011AA Property)
C1512699 (UMLS 2011AA ValueDomain)
C25474 (NCI Thesaurus ObjectClass)
C1511726 (UMLS 2011AA ObjectClass)
C25416 (NCI Thesaurus Property)
C1691222 (UMLS 2011AA Property)
C1705108 (UMLS 2011AA)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
C0441468 (UMLS 2011AA ObjectClass)
C12971 (NCI Thesaurus Property)
C0006141 (UMLS 2011AA Property)
C25694 (NCI Thesaurus Property)
C1515022 (UMLS 2011AA Property)
C25351 (NCI Thesaurus Property)
C0524865 (UMLS 2011AA Property)
C38148 (NCI Thesaurus ValueDomain)
C1512699 (UMLS 2011AA ValueDomain)
C1298908 (UMLS 2011AA)
C1705108 (UMLS 2011AA)
C0332307 (UMLS 2011AA ValueDomain)
C20989 (NCI Thesaurus ObjectClass)
C0031809 (UMLS 2011AA ObjectClass)
C25616 (NCI Thesaurus Property)
C1948053 (UMLS 2011AA Property)
C1442488 (UMLS 2011AA)
C0441468 (UMLS 2011AA ObjectClass)
C12971 (NCI Thesaurus Property)
C0006141 (UMLS 2011AA Property)
C25351 (NCI Thesaurus Property)
C0524865 (UMLS 2011AA Property)
C25701 (NCI Thesaurus Property)
C1883727 (UMLS 2011AA Property)
C25164 (NCI Thesaurus ValueDomain)
C0011008 (UMLS 2011AA ValueDomain)
C0441468 (UMLS 2011AA ObjectClass)
C12971 (NCI Thesaurus Property)
C0006141 (UMLS 2011AA Property)
C25694 (NCI Thesaurus Property)
C1515022 (UMLS 2011AA Property)
C25351 (NCI Thesaurus Property)
C0524865 (UMLS 2011AA Property)
C25164 (NCI Thesaurus ValueDomain)
C0011008 (UMLS 2011AA ValueDomain)
C0441468 (UMLS 2011AA ObjectClass)
C49487 (NCI Thesaurus Property)
C1298908 (UMLS 2011AA Property)
C12971 (NCI Thesaurus Property)
C0006141 (UMLS 2011AA Property)
C25694 (NCI Thesaurus Property)
C1515022 (UMLS 2011AA Property)
C25351 (NCI Thesaurus Property)
C0524865 (UMLS 2011AA Property)
C25638 (NCI Thesaurus ValueDomain)
C0392360 (UMLS 2011AA ValueDomain)
C0441468 (UMLS 2011AA ObjectClass)
C49487 (NCI Thesaurus Property)
C1298908 (UMLS 2011AA Property)
C12971 (NCI Thesaurus Property)
C0006141 (UMLS 2011AA Property)
C25694 (NCI Thesaurus Property)
C1515022 (UMLS 2011AA Property)
C25351 (NCI Thesaurus Property)
C0524865 (UMLS 2011AA Property)
C25685 (NCI Thesaurus ValueDomain)
C1521902 (UMLS 2011AA ValueDomain)
C15368 (NCI Thesaurus ValueDomain)
C1527021 (UMLS 2011AA ValueDomain)
C25190 (NCI Thesaurus ObjectClass)
C0027361 (UMLS 2011AA ObjectClass)
C25657 (NCI Thesaurus ObjectClass)
C1273518 (UMLS 2011AA ObjectClass)
C25678 (NCI Thesaurus Property)
C1519316 (UMLS 2011AA Property)
C0011008 (UMLS 2011AA ValueDomain)
C40988 (NCI Thesaurus ObjectClass)
C1516308 (UMLS 2011AA ObjectClass)
C25250 (NCI Thesaurus Property)
C0205197 (UMLS 2011AA Property)
C25367 (NCI Thesaurus ValueDomain)