ID
698
Description
CALGB: 49907 CYCLOPHOSPHAMIDE MEDICATION CALENDAR Comparison of Combination Chemotherapy Regimens in Treating Older Women Who Have Undergone Surgery for Breast Cancer Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=A50CFEAE-D13B-3952-E034-080020C9C0E0
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Versions (2)
- 8/26/12 8/26/12 -
- 3/18/15 3/18/15 - Martin Dugas
Uploaded on
August 26, 2012
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License
Creative Commons BY-NC 3.0 Legacy
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Breast Cancer NCT00024102 Flow Sheet - CALGB: 49907 CYCLOPHOSPHAMIDE MEDICATION CALENDAR - 2044970v3.0
PATIENT INSTRUCTIONS: Use this calendar as a reminder to take your medication. Be sure to mark an "x" in each box for each day that you take your pills, record the time you took them, and circle AM or PM.
- StudyEvent: CALGB: 49907 CYCLOPHOSPHAMIDE MEDICATION CALENDAR
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DAYOFWEEK
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text
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Dayofcycle
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text
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TOOKPILLS
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text
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Tookpillstime
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text
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AMorPM
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text
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Unnamed4
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Ccrr Module For Calgb: 49907 Cyclophosphamide Medication Calendar
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PATIENT INSTRUCTIONS: Use this calendar as a reminder to take your medication. Be sure to mark an "x" in each box for each day that you take your pills, record the time you took them, and circle AM or PM.
- StudyEvent: CALGB: 49907 CYCLOPHOSPHAMIDE MEDICATION CALENDAR
C1705108 (UMLS 2011AA)
C0011008 (UMLS 2011AA ValueDomain)
C0205448 (UMLS 2011AA)