ID
7916
Description
PACCT-1 TAILORx Radiation Therapy Form Hormone Therapy With or Without Combination Chemotherapy in Treating Women Who Have Undergone Surgery for Node-Negative Breast Cancer (The TAILORx Trial) Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=05DDE05E-BAB7-050B-E044-0003BA3F9857
Link
Keywords
Versions (3)
- 8/26/12 8/26/12 -
- 1/9/15 1/9/15 - Martin Dugas
- 9/20/21 9/20/21 -
Uploaded on
January 9, 2015
DOI
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License
Creative Commons BY-NC 3.0 Legacy
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Breast Cancer NCT00310180 Treatment - PACCT-1 TAILORx Radiation Therapy Form - 2431830v1.0
No Instruction available.
- StudyEvent: PACCT-1 TAILORx Radiation Therapy Form
Description
Header
Description
ProtocolRTAdministeredInd-3
Data type
boolean
Alias
- NCI Thesaurus ValueDomain
- C38148
- UMLS 2011AA ValueDomain
- C1512699
- NCI Thesaurus ObjectClass
- C15313
- UMLS 2011AA ObjectClass
- C1522449
- NCI Thesaurus ObjectClass-2
- C42651
- UMLS 2011AA ObjectClass-2
- C0442711
- NCI Thesaurus Property
- C25382
- UMLS 2011AA Property
- C1521801
Description
Radiation Therapy Start Date
Data type
date
Alias
- NCI Thesaurus ObjectClass
- C15313
- UMLS CUI-1
- C1522449
- NCI Thesaurus Property
- C25431
- UMLS CUI-2
- C0808070
- NCI Thesaurus Property-2
- C25275
- NCI Thesaurus ValueDomain
- C25164
- NCI Thesaurus ValueDomain-2
- C25367
Description
Radiation Therapy End Date
Data type
date
Alias
- NCI Thesaurus ValueDomain
- C25164
- UMLS CUI-1
- C1522449
- NCI Thesaurus ObjectClass
- C15313
- UMLS CUI-2
- C0806020
- NCI Thesaurus Property
- C25275
- NCI Thesaurus Property-2
- C25496
Description
RadiationTherapyWholeBreastAdministeredInd-2
Data type
boolean
Alias
- NCI Thesaurus ObjectClass
- C15313
- UMLS 2011AA ObjectClass
- C1522449
- NCI Thesaurus Property
- C12971
- UMLS 2011AA Property
- C0006141
- NCI Thesaurus Property-2
- C25326
- UMLS 2011AA Property-2
- C0444667
- NCI Thesaurus Property-3
- C25382
- UMLS 2011AA Property-3
- C1521801
- NCI Thesaurus ValueDomain
- C38147
- UMLS 2011AA ValueDomain
- C1512698
Description
RadiationTherapyBoostWholeBreastAdministeredInd-2
Data type
boolean
Alias
- NCI Thesaurus ObjectClass
- C15313
- UMLS 2011AA ObjectClass
- C1522449
- NCI Thesaurus Property
- C12971
- UMLS 2011AA Property
- C0006141
- NCI Thesaurus Property-2
- C25326
- UMLS 2011AA Property-2
- C0444667
- NCI Thesaurus Property-3
- C25382
- UMLS 2011AA Property-3
- C1521801
- NCI Thesaurus Property-4
- C25438
- UMLS 2011AA Property-4
- C1511253
- NCI Thesaurus ValueDomain
- C38147
- UMLS 2011AA ValueDomain
- C1512698
Description
PartialBreastRadiationTherapyAdministeredInd-2
Data type
boolean
Alias
- NCI Thesaurus ObjectClass
- C12971
- UMLS 2011AA ObjectClass
- C0006141
- NCI Thesaurus ObjectClass-2
- C25378
- UMLS 2011AA ObjectClass-2
- C0728938
- NCI Thesaurus Property
- C15313
- UMLS 2011AA Property
- C1522449
- NCI Thesaurus Property-2
- C25382
- UMLS 2011AA Property-2
- C1521801
- NCI Thesaurus ValueDomain
- C38147
- UMLS 2011AA ValueDomain
- C1512698
Description
IpsilateralSupraclavicularRadiationTherapyAdministeredInd-2
Data type
boolean
Alias
- NCI Thesaurus ObjectClass
- C25329
- UMLS 2011AA ObjectClass
- C0589496
- NCI Thesaurus ObjectClass-2
- C25308
- UMLS 2011AA ObjectClass-2
- C0441989
- NCI Thesaurus Property
- C15313
- UMLS 2011AA Property
- C1522449
- NCI Thesaurus Property-2
- C25382
- UMLS 2011AA Property-2
- C1521801
- NCI Thesaurus ValueDomain
- C38147
- UMLS 2011AA ValueDomain
- C1512698
Description
RadiationTherapyOtherLocationInd-2
Data type
boolean
Alias
- NCI Thesaurus ValueDomain
- C38147
- UMLS 2011AA ValueDomain
- C1512698
- NCI Thesaurus Property
- C17649
- UMLS 2011AA Property
- C0205394
- NCI Thesaurus Property-2
- C25341
- UMLS 2011AA Property-2
- C0450429
- NCI Thesaurus ObjectClass
- C15313
- UMLS 2011AA ObjectClass
- C1522449
Description
RadiationTherapySiteSpecify
Data type
text
Alias
- NCI Thesaurus ValueDomain
- C25685
- UMLS 2011AA ValueDomain
- C1521902
- NCI Thesaurus Property
- C25341
- UMLS 2011AA Property
- C0450429
- NCI Thesaurus ObjectClass
- C15313
- UMLS 2011AA ObjectClass
- C1522449
Description
Unnamed2
Description
RadiationTherapyPriorBoostAdministeredTotalDose
Data type
float
Alias
- NCI Thesaurus ObjectClass
- C15313
- UMLS 2011AA ObjectClass
- C1522449
- NCI Thesaurus Property
- C25629
- UMLS 2011AA Property
- C0332152
- NCI Thesaurus Property-2
- C25382
- UMLS 2011AA Property-2
- C1521801
- NCI Thesaurus Property-3
- C25438
- UMLS 2011AA Property-3
- C1511253
- NCI Thesaurus ValueDomain
- C25304
- UMLS 2011AA ValueDomain
- C0439810
- NCI Thesaurus ValueDomain-2
- C25488
- UMLS 2011AA ValueDomain-2
- C0178602
Description
RadiationTherapyPriorBoostFractionationAdministeredCount
Data type
float
Alias
- NCI Thesaurus ObjectClass
- C15313
- UMLS 2011AA ObjectClass
- C1522449
- NCI Thesaurus Property
- C25629
- UMLS 2011AA Property
- C0332152
- NCI Thesaurus Property-2
- C15654
- UMLS 2011AA Property-2
- C0016640
- NCI Thesaurus Property-3
- C25382
- UMLS 2011AA Property-3
- C1521801
- NCI Thesaurus Property-4
- C25438
- UMLS 2011AA Property-4
- C1511253
- NCI Thesaurus ValueDomain
- C25463
- UMLS 2011AA ValueDomain
- C0750480
Description
RadiationTherapyBoostAdministeredTotalDose
Data type
float
Alias
- NCI Thesaurus ObjectClass
- C15313
- UMLS 2011AA ObjectClass
- C1522449
- NCI Thesaurus Property
- C25382
- UMLS 2011AA Property
- C1521801
- NCI Thesaurus Property-2
- C25438
- UMLS 2011AA Property-2
- C1511253
- NCI Thesaurus ValueDomain
- C25304
- UMLS 2011AA ValueDomain
- C0439810
- NCI Thesaurus ValueDomain-2
- C25488
- UMLS 2011AA ValueDomain-2
- C0178602
Description
RTTotalFractionBoostCount
Data type
float
Alias
- NCI Thesaurus Property
- C25304
- UMLS 2011AA Property
- C0439810
- NCI Thesaurus ObjectClass
- C15313
- UMLS 2011AA ObjectClass
- C1522449
- NCI Thesaurus ValueDomain
- C25463
- UMLS 2011AA ValueDomain
- C0750480
- NCI Thesaurus Property-2
- C25514
- UMLS 2011AA Property-2
- C1264633
Description
Partial Breast Irradiation
Description
Radiation Therapy Total Dose
Data type
float
Alias
- NCI Thesaurus ValueDomain
- C25304
- UMLS CUI-1
- C2169193
- NCI Thesaurus ObjectClass
- C15313
- NCI Thesaurus ValueDomain-2
- C25488
- NCI Thesaurus Property
- C25382
Description
Total Number of Fractions
Data type
float
Alias
- NCI Thesaurus Property
- C25304
- UMLS CUI-1
- C1522449
- NCI Thesaurus ObjectClass
- C15313
- UMLS CUI-2
- C1264633
- NCI Thesaurus ValueDomain
- C25463
- UMLS CUI-3
- C0750480
- NCI Thesaurus Property-2
- C25514
Description
PartialBreastRadiationTherapyAdministeredPartialBreastRTType
Data type
text
Alias
- NCI Thesaurus ObjectClass
- C12971
- UMLS 2011AA ObjectClass
- C0006141
- NCI Thesaurus ObjectClass-2
- C25378
- UMLS 2011AA ObjectClass-2
- C0728938
- NCI Thesaurus Property
- C15313
- UMLS 2011AA Property
- C1522449
- NCI Thesaurus Property-2
- C25382
- UMLS 2011AA Property-2
- C1521801
- NCI Thesaurus ValueDomain
- C25284
- UMLS 2011AA ValueDomain
- C0332307
Description
PartialBreastRadiationTherapyAdministeredSpecify
Data type
text
Alias
- NCI Thesaurus ObjectClass
- C12971
- UMLS 2011AA ObjectClass
- C0006141
- NCI Thesaurus ObjectClass-2
- C25378
- UMLS 2011AA ObjectClass-2
- C0728938
- NCI Thesaurus Property
- C15313
- UMLS 2011AA Property
- C1522449
- NCI Thesaurus Property-2
- C25382
- UMLS 2011AA Property-2
- C1521801
- NCI Thesaurus ValueDomain
- C25685
- UMLS 2011AA ValueDomain
- C1521902
Description
Investigator Signature
Data type
text
Alias
- NCI Thesaurus ValueDomain
- C25704
- UMLS CUI-1
- C2346576
- NCI Thesaurus Property
- C25678
- NCI Thesaurus ObjectClass
- C17089
Description
Investigator Signature Date
Data type
date
Alias
- NCI Thesaurus ValueDomain
- C25164
- UMLS CUI-1
- C2346576
- NCI Thesaurus Property
- C25678
- UMLS CUI-2
- C0011008
- NCI Thesaurus ValueDomain-2
- C25367
- NCI Thesaurus ObjectClass
- C17089
Similar models
No Instruction available.
- StudyEvent: PACCT-1 TAILORx Radiation Therapy Form
C3274381 (UMLS CUI-1)
C25320 (NCI Thesaurus ObjectClass)
C1512162 (UMLS CUI-2)
C25364 (NCI Thesaurus Property)
C25491 (NCI Thesaurus Property-2)
C2348585 (UMLS CUI-1)
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C42651 (NCI Thesaurus ObjectClass-2)
C0442711 (UMLS 2011AA ObjectClass-2)
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C1521801 (UMLS 2011AA Property)
C1522449 (UMLS CUI-1)
C25431 (NCI Thesaurus Property)
C0808070 (UMLS CUI-2)
C25275 (NCI Thesaurus Property-2)
C25164 (NCI Thesaurus ValueDomain)
C25367 (NCI Thesaurus ValueDomain-2)
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C0806020 (UMLS CUI-2)
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C1512698 (UMLS 2011AA ValueDomain)
C1522449 (UMLS 2011AA ObjectClass)
C12971 (NCI Thesaurus Property)
C0006141 (UMLS 2011AA Property)
C25326 (NCI Thesaurus Property-2)
C0444667 (UMLS 2011AA Property-2)
C25382 (NCI Thesaurus Property-3)
C1521801 (UMLS 2011AA Property-3)
C25438 (NCI Thesaurus Property-4)
C1511253 (UMLS 2011AA Property-4)
C38147 (NCI Thesaurus ValueDomain)
C1512698 (UMLS 2011AA ValueDomain)
C0006141 (UMLS 2011AA ObjectClass)
C25378 (NCI Thesaurus ObjectClass-2)
C0728938 (UMLS 2011AA ObjectClass-2)
C15313 (NCI Thesaurus Property)
C1522449 (UMLS 2011AA Property)
C25382 (NCI Thesaurus Property-2)
C1521801 (UMLS 2011AA Property-2)
C38147 (NCI Thesaurus ValueDomain)
C1512698 (UMLS 2011AA ValueDomain)
C0589496 (UMLS 2011AA ObjectClass)
C25308 (NCI Thesaurus ObjectClass-2)
C0441989 (UMLS 2011AA ObjectClass-2)
C15313 (NCI Thesaurus Property)
C1522449 (UMLS 2011AA Property)
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C1522449 (UMLS 2011AA ObjectClass)
C1521902 (UMLS 2011AA ValueDomain)
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C1522449 (UMLS 2011AA ObjectClass)
C1522449 (UMLS 2011AA ObjectClass)
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C0439810 (UMLS 2011AA ValueDomain)
C25488 (NCI Thesaurus ValueDomain-2)
C0178602 (UMLS 2011AA ValueDomain-2)
C1522449 (UMLS 2011AA ObjectClass)
C25629 (NCI Thesaurus Property)
C0332152 (UMLS 2011AA Property)
C15654 (NCI Thesaurus Property-2)
C0016640 (UMLS 2011AA Property-2)
C25382 (NCI Thesaurus Property-3)
C1521801 (UMLS 2011AA Property-3)
C25438 (NCI Thesaurus Property-4)
C1511253 (UMLS 2011AA Property-4)
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C1522449 (UMLS 2011AA ObjectClass)
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C0750480 (UMLS 2011AA ValueDomain)
C25514 (NCI Thesaurus Property-2)
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C2169193 (UMLS CUI-1)
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C15313 (NCI Thesaurus ObjectClass)
C1264633 (UMLS CUI-2)
C25463 (NCI Thesaurus ValueDomain)
C0750480 (UMLS CUI-3)
C25514 (NCI Thesaurus Property-2)
C0006141 (UMLS 2011AA ObjectClass)
C25378 (NCI Thesaurus ObjectClass-2)
C0728938 (UMLS 2011AA ObjectClass-2)
C15313 (NCI Thesaurus Property)
C1522449 (UMLS 2011AA Property)
C25382 (NCI Thesaurus Property-2)
C1521801 (UMLS 2011AA Property-2)
C25284 (NCI Thesaurus ValueDomain)
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C0205394 (UMLS 2011AA)
C0006141 (UMLS 2011AA ObjectClass)
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C0728938 (UMLS 2011AA ObjectClass-2)
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C25382 (NCI Thesaurus Property-2)
C1521801 (UMLS 2011AA Property-2)
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C1521902 (UMLS 2011AA ValueDomain)
C2346576 (UMLS CUI-1)
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