ID
7947
Descrição
CALGB: 40601 PRE-NEOADJUVANT CHEMOTHERAPY SURGICAL EVALUATION FORM Paclitaxel and Trastuzumab With or Without Lapatinib in Treating Patients With Stage II or Stage III Breast Cancer That Can Be Removed by Surgery Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=3A963C4E-69F2-4844-E044-0003BA3F9857
Link
Palavras-chave
Versões (3)
- 27/08/2012 27/08/2012 -
- 09/01/2015 09/01/2015 - Martin Dugas
- 18/06/2015 18/06/2015 -
Transferido a
9 de janeiro de 2015
DOI
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Licença
Creative Commons BY-NC 3.0 Legacy
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Breast Cancer NCT00770809 Pre-Study - CALGB: 40601 PRE-NEOADJUVANT CHEMOTHERAPY SURGICAL EVALUATION FORM - 2683338v1.0
INSTRUCTIONS: Complete all information on this form. Submit within one week of registration along with the On-Study Form.
- StudyEvent: CALGB: 40601 PRE-NEOADJUVANT CHEMOTHERAPY SURGICAL EVALUATION FORM
Descrição
Unnamed2
Descrição
Patient Initials
Tipo de dados
text
Alias
- NCI Thesaurus ValueDomain
- C25191
- UMLS CUI-1
- C2986440
- NCI Thesaurus ObjectClass
- C16960
- NCI Thesaurus Property
- C25536
Descrição
Medical Record Number
Tipo de dados
text
Alias
- NCI Thesaurus ValueDomain
- C25337
- UMLS CUI-1
- C1301894
- NCI Thesaurus ObjectClass
- C16960
- NCI Thesaurus Property
- C25261
- NCI Thesaurus Property-2
- C25198
Descrição
Institution Name
Tipo de dados
text
Alias
- NCI Thesaurus ObjectClass
- C25454
- UMLS CUI-1
- C1301943
- NCI Thesaurus ObjectClass-2
- C21541
- NCI Thesaurus Property
- C25364
- NCI Thesaurus ValueDomain
- C25191
- NCI Thesaurus ValueDomain-2
- C21541
Descrição
Participating Group
Tipo de dados
text
Alias
- NCI Thesaurus ValueDomain
- C25191
- UMLS CUI-1
- C2347449
- NCI Thesaurus ObjectClass
- C25608
- NCI Thesaurus ObjectClass-2
- C17005
- NCI Thesaurus Property
- C25364
Descrição
Study Number Participating Group
Tipo de dados
text
Alias
- NCI Thesaurus ValueDomain
- C25337
- UMLS CUI-1
- C3274381
- NCI Thesaurus ObjectClass
- C25320
- UMLS CUI-2
- C2347449
- NCI Thesaurus Property
- C25608
- NCI Thesaurus Property-2
- C25364
Descrição
Trial subject ID Participating Group
Tipo de dados
text
Alias
- NCI Thesaurus ValueDomain
- C25337
- UMLS CUI-1
- C2348585
- NCI Thesaurus ObjectClass
- C16960
- UMLS CUI-2
- C2347449
- NCI Thesaurus Property
- C25608
- NCI Thesaurus Property-2
- C25364
Descrição
Breast Conserving Therapy
Descrição
ClinicalBreastExaminationNormalEvaluationInd-2
Tipo de dados
text
Alias
- NCI Thesaurus ValueDomain
- C38148
- UMLS 2011AA ValueDomain
- C1512699
- NCI Thesaurus Property
- C25214
- UMLS 2011AA Property
- C0220825
- NCI Thesaurus Property-2
- C14165
- UMLS 2011AA Property-2
- C0205307
- NCI Thesaurus ObjectClass
- C70552
- UMLS 2011AA ObjectClass
- C2347781
Descrição
ClinicalBreastExaminationAbnormalEvaluationText
Tipo de dados
text
Alias
- NCI Thesaurus ValueDomain
- C25704
- UMLS 2011AA ValueDomain
- C1527021
- NCI Thesaurus Property
- C25214
- UMLS 2011AA Property
- C0220825
- NCI Thesaurus Property-2
- C25401
- UMLS 2011AA Property-2
- C0205161
- NCI Thesaurus ObjectClass
- C70552
- UMLS 2011AA ObjectClass
- C2347781
Descrição
BreastConservationTreatmentPriorNeoadjuvantTherapyQualificationInd-2
Tipo de dados
boolean
Alias
- NCI Thesaurus ObjectClass
- C15280
- UMLS 2011AA ObjectClass
- C0917927
- NCI Thesaurus Property
- C25629
- UMLS 2011AA Property
- C0332152
- NCI Thesaurus Property-2
- C15665
- UMLS 2011AA Property-2
- C0600558
- NCI Thesaurus Property-3
- C43608
- UMLS 2011AA Property-3
- C1709790
- NCI Thesaurus ValueDomain
- C38147
- UMLS 2011AA ValueDomain
- C1512698
Descrição
BreastConservationTreatmentPriorNeoadjuvantTherapyNotQualificationReason
Tipo de dados
text
Alias
- NCI Thesaurus ObjectClass
- C15280
- UMLS 2011AA ObjectClass
- C0917927
- NCI Thesaurus Property
- C25629
- UMLS 2011AA Property
- C0332152
- NCI Thesaurus Property-2
- C15665
- UMLS 2011AA Property-2
- C0600558
- NCI Metathesaurus Property
- CL052458
- NCI Thesaurus Property-3
- C43608
- UMLS 2011AA Property-3
- C1709790
- NCI Thesaurus ValueDomain
- C25638
- UMLS 2011AA ValueDomain
- C0392360
Descrição
BreastConservationTreatmentPriorNeoadjuvantTherapyNotQualificationSpecify
Tipo de dados
text
Alias
- NCI Thesaurus ObjectClass
- C15280
- UMLS 2011AA ObjectClass
- C0917927
- NCI Thesaurus Property
- C25629
- UMLS 2011AA Property
- C0332152
- NCI Thesaurus Property-2
- C15665
- UMLS 2011AA Property-2
- C0600558
- NCI Metathesaurus Property
- CL052458
- NCI Thesaurus Property-3
- C43608
- UMLS 2011AA Property-3
- C1709790
- NCI Thesaurus ValueDomain
- C25685
- UMLS 2011AA ValueDomain
- C1521902
Descrição
BreastConservationTreatmentRadiationTherapyMedicalContraindicationReason
Tipo de dados
text
Alias
- NCI Thesaurus ValueDomain
- C25638
- UMLS 2011AA ValueDomain
- C0392360
- NCI Thesaurus ObjectClass
- C15313
- UMLS 2011AA ObjectClass
- C1522449
- NCI Thesaurus ObjectClass-2
- C15280
- UMLS 2011AA ObjectClass-2
- C0917927
- NCI Thesaurus Property
- C50646
- UMLS 2011AA Property
- C1301624
Descrição
BreastConservationTreatmentRadiationTherapyConnectiveTissueDisorderMedicalContraindicationSpecify
Tipo de dados
text
Alias
- NCI Thesaurus ObjectClass
- C15313
- UMLS 2011AA ObjectClass
- C1522449
- NCI Thesaurus ObjectClass-2
- C15280
- UMLS 2011AA ObjectClass-2
- C0917927
- NCI Thesaurus Property
- C26729
- UMLS 2011AA Property
- C0009782
- NCI Thesaurus Property-2
- C50646
- UMLS 2011AA Property-2
- C1301624
- NCI Thesaurus ValueDomain
- C25685
- UMLS 2011AA ValueDomain
- C1521902
Descrição
Axillary Node
Descrição
AxillaryLymphNodePriorNeoadjuvantTherapyEvaluationInd-2
Tipo de dados
boolean
Alias
- NCI Thesaurus ObjectClass
- C12904
- UMLS 2011AA ObjectClass
- C0729594
- NCI Thesaurus Property
- C25214
- UMLS 2011AA Property
- C0220825
- NCI Thesaurus Property-2
- C25629
- UMLS 2011AA Property-2
- C0332152
- NCI Thesaurus Property-3
- C15665
- UMLS 2011AA Property-3
- C0600558
- NCI Thesaurus ValueDomain
- C38147
- UMLS 2011AA ValueDomain
- C1512698
Descrição
BreastTumorClinicalNStage
Tipo de dados
text
Alias
- NCI Thesaurus ObjectClass
- C3262
- UMLS 2011AA ObjectClass
- C0027651
- NCI Thesaurus ObjectClass-2
- C12971
- UMLS 2011AA ObjectClass-2
- C0006141
- NCI Thesaurus Property
- C25398
- UMLS 2011AA Property
- C0205210
- NCI Thesaurus Property-2
- C25580
- UMLS 2011AA Property-2
- C0456532
- NCI Thesaurus ValueDomain
- C16899
- UMLS 2011AA ValueDomain
- C1300072
Descrição
UltrasoundImagingPositiveFindingResultText
Tipo de dados
text
Alias
- NCI Thesaurus ValueDomain
- C25704
- UMLS 2011AA ValueDomain
- C1527021
- NCI Thesaurus Property
- C38758
- UMLS 2011AA Property
- C1514241
- NCI Thesaurus Property-2
- C20200
- UMLS 2011AA Property-2
- C1274040
- NCI Thesaurus ObjectClass
- C17230
- UMLS 2011AA ObjectClass
- C0041618
Descrição
LesionAssessmentDate
Tipo de dados
date
Alias
- NCI Thesaurus ValueDomain
- C25164
- UMLS 2011AA ValueDomain
- C0011008
- NCI Thesaurus ObjectClass
- C3824
- UMLS 2011AA ObjectClass
- C0221198
- NCI Thesaurus Property
- C20989
- UMLS 2011AA Property
- C0031809
- NCI Thesaurus ValueDomain-2
- C25367
Descrição
Evaluation method
Tipo de dados
text
Alias
- NCI Thesaurus ValueDomain
- C25284
- UMLS CUI-1
- C2911685
- NCI Thesaurus ObjectClass
- C20989
- NCI Thesaurus Property
- C16847
Descrição
Evaluation method
Tipo de dados
text
Alias
- NCI Thesaurus ValueDomain
- C25284
- UMLS CUI-1
- C2911685
- NCI Thesaurus ObjectClass
- C20989
- NCI Thesaurus Property
- C16847
Descrição
Evaluation method, specify
Tipo de dados
text
Alias
- NCI Thesaurus ValueDomain
- C25685
- UMLS CUI-1
- C2911685
- NCI Thesaurus ObjectClass
- C20989
- UMLS CUI-2
- C1521902
- NCI Thesaurus Property
- C16847
Descrição
AxillaryLymphNodePostNeoadjuvantTherapyEvaluationResult
Tipo de dados
text
Alias
- NCI Thesaurus ObjectClass
- C12904
- UMLS 2011AA ObjectClass
- C0729594
- NCI Thesaurus Property
- C25214
- UMLS 2011AA Property
- C0220825
- NCI Thesaurus Property-2
- C38008
- UMLS 2011AA Property-2
- C0687676
- NCI Thesaurus Property-3
- C15665
- UMLS 2011AA Property-3
- C0600558
- NCI Thesaurus ValueDomain
- C20200
- UMLS 2011AA ValueDomain
- C1274040
Descrição
AxillaryLymphNodePostNeoadjuvantTherapyEvaluationResult
Tipo de dados
text
Alias
- NCI Thesaurus ObjectClass
- C12904
- UMLS 2011AA ObjectClass
- C0729594
- NCI Thesaurus Property
- C25214
- UMLS 2011AA Property
- C0220825
- NCI Thesaurus Property-2
- C38008
- UMLS 2011AA Property-2
- C0687676
- NCI Thesaurus Property-3
- C15665
- UMLS 2011AA Property-3
- C0600558
- NCI Thesaurus ValueDomain
- C20200
- UMLS 2011AA ValueDomain
- C1274040
Descrição
SentinelNodeBiopsyDate
Tipo de dados
date
Alias
- NCI Thesaurus ValueDomain
- C25164
- UMLS 2011AA ValueDomain
- C0011008
- NCI Thesaurus ValueDomain-2
- C25367
- NCI Thesaurus Property
- C15189
- UMLS 2011AA Property
- C0005558
- NCI Thesaurus ObjectClass
- C12947
- UMLS 2011AA ObjectClass
- C1522495
Descrição
SentinelLymphNodeBiopsyBlueDyeUseInd-2
Tipo de dados
boolean
Alias
- NCI Thesaurus ObjectClass
- C15667
- UMLS 2011AA ObjectClass
- C0796693
- NCI Thesaurus Property
- C461
- UMLS 2011AA Property
- C0013343
- NCI Thesaurus Property-2
- C25340
- UMLS 2011AA Property-2
- C0457083
- NCI Thesaurus Property-3
- C48333
- UMLS 2011AA Property-3
- C1260957
- NCI Thesaurus ValueDomain
- C38147
- UMLS 2011AA ValueDomain
- C1512698
Descrição
SentinelLymphNodeBiopsyTechnetium99mDextranUseInd-2
Tipo de dados
boolean
Alias
- NCI Thesaurus ValueDomain
- C38147
- UMLS 2011AA ValueDomain
- C1512698
- NCI Thesaurus ObjectClass
- C15667
- UMLS 2011AA ObjectClass
- C0796693
- NCI Thesaurus Property
- C25340
- UMLS 2011AA Property
- C0457083
- NCI Thesaurus Property-2
- C1243
- UMLS 2011AA Property-2
- C0076028
Descrição
LymphNodeDissectionDate
Tipo de dados
date
Alias
- NCI Thesaurus ValueDomain
- C25164
- UMLS 2011AA ValueDomain
- C0011008
- NCI Thesaurus ObjectClass
- C12745
- UMLS 2011AA ObjectClass
- C0024204
- NCI Thesaurus Property
- C15227
- UMLS 2011AA Property
- C0012737
Descrição
Required Laboratory Values
Descrição
Footer Module
Descrição
Person Completing Form
Tipo de dados
text
Alias
- NCI Thesaurus ValueDomain
- C25191
- UMLS CUI-1
- C1550483
- NCI Thesaurus ObjectClass
- C25657
- NCI Thesaurus Property
- C25364
Descrição
Date Form Completed
Tipo de dados
date
Alias
- NCI Thesaurus ValueDomain
- C25164
- UMLS CUI-1
- C1115437
- NCI Thesaurus ObjectClass
- C40988
- NCI Thesaurus Property
- C25250
- NCI Thesaurus ValueDomain-2
- C25367
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INSTRUCTIONS: Complete all information on this form. Submit within one week of registration along with the On-Study Form.
- StudyEvent: CALGB: 40601 PRE-NEOADJUVANT CHEMOTHERAPY SURGICAL EVALUATION FORM
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C2347781 (UMLS 2011AA ObjectClass)
C0917927 (UMLS 2011AA ObjectClass)
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C0332152 (UMLS 2011AA Property)
C15665 (NCI Thesaurus Property-2)
C0600558 (UMLS 2011AA Property-2)
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C1512698 (UMLS 2011AA ValueDomain)
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C0917927 (UMLS 2011AA ObjectClass-2)
C50646 (NCI Thesaurus Property)
C1301624 (UMLS 2011AA Property)
C0009782 (UMLS 2011AA)
C0279134 (UMLS 2011AA)
C1522449 (UMLS 2011AA ObjectClass)
C15280 (NCI Thesaurus ObjectClass-2)
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C0221198 (UMLS 2011AA ObjectClass)
C20989 (NCI Thesaurus Property)
C0031809 (UMLS 2011AA Property)
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C25657 (NCI Thesaurus ObjectClass)
C25364 (NCI Thesaurus Property)
C1115437 (UMLS CUI-1)
C40988 (NCI Thesaurus ObjectClass)
C25250 (NCI Thesaurus Property)
C25367 (NCI Thesaurus ValueDomain-2)