ID
8328
Descripción
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
Palabras clave
Versiones (2)
- 18/12/14 18/12/14 - Martin Dugas
- 9/1/15 9/1/15 - Martin Dugas
Subido en
9 de enero de 2015
DOI
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Licencia
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
Descripción
Unamed Module 2
Descripción
PhotographBreastReconstructionSubmissionInd-3
Tipo de datos
boolean
Alias
- NCI Thesaurus ObjectClass
- C86035
- UMLS 2011AA ObjectClass
- C0441468
- NCI Thesaurus Property
- C12971
- UMLS 2011AA Property
- C0006141
- NCI Thesaurus Property-2
- C25694
- UMLS 2011AA Property-2
- C1515022
- NCI Thesaurus Property-3
- C25351
- UMLS 2011AA Property-3
- C0524865
- NCI Thesaurus ValueDomain
- C38148
- UMLS 2011AA ValueDomain
- C1512699
Descripción
AssessmentPeriodType
Tipo de datos
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
Descripción
PhotographBreastReconstructionTakenDate
Tipo de datos
date
Alias
- NCI Thesaurus ObjectClass
- C86035
- UMLS 2011AA ObjectClass
- C0441468
- NCI Thesaurus Property
- C12971
- UMLS 2011AA Property
- C0006141
- NCI Thesaurus Property-2
- C25351
- UMLS 2011AA Property-2
- C0524865
- NCI Thesaurus Property-3
- C25701
- UMLS 2011AA Property-3
- C1883727
- NCI Thesaurus ValueDomain
- C25164
- UMLS 2011AA ValueDomain
- C0011008
Descripción
PhotographBreastReconstructionSubmissionDate
Tipo de datos
date
Alias
- NCI Thesaurus ObjectClass
- C86035
- UMLS 2011AA ObjectClass
- C0441468
- NCI Thesaurus Property
- C12971
- UMLS 2011AA Property
- C0006141
- NCI Thesaurus Property-2
- C25694
- UMLS 2011AA Property-2
- C1515022
- NCI Thesaurus Property-3
- C25351
- UMLS 2011AA Property-3
- C0524865
- NCI Thesaurus ValueDomain
- C25164
- UMLS 2011AA ValueDomain
- C0011008
Descripción
PhotographBreastReconstructionNoSubmissionReason
Tipo de datos
text
Alias
- NCI Thesaurus ObjectClass
- C86035
- UMLS 2011AA ObjectClass
- C0441468
- NCI Thesaurus Property
- C49487
- UMLS 2011AA Property
- C1298908
- NCI Thesaurus Property-2
- C12971
- UMLS 2011AA Property-2
- C0006141
- NCI Thesaurus Property-3
- C25694
- UMLS 2011AA Property-3
- C1515022
- NCI Thesaurus Property-4
- C25351
- UMLS 2011AA Property-4
- C0524865
- NCI Thesaurus ValueDomain
- C25638
- UMLS 2011AA ValueDomain
- C0392360
Descripción
PhotographBreastReconstructionNoSubmissionSpecify
Tipo de datos
text
Alias
- NCI Thesaurus ObjectClass
- C86035
- UMLS 2011AA ObjectClass
- C0441468
- NCI Thesaurus Property
- C49487
- UMLS 2011AA Property
- C1298908
- NCI Thesaurus Property-2
- C12971
- UMLS 2011AA Property-2
- C0006141
- NCI Thesaurus Property-3
- C25694
- UMLS 2011AA Property-3
- C1515022
- NCI Thesaurus Property-4
- C25351
- UMLS 2011AA Property-4
- C0524865
- NCI Thesaurus ValueDomain
- C25685
- UMLS 2011AA ValueDomain
- C1521902
- NCI Thesaurus ValueDomain-2
- C15368
Descripción
Responsible Person Signature
Tipo de datos
text
Alias
- NCI Thesaurus ValueDomain
- C25704
- UMLS CUI-1
- C1550483
- NCI Thesaurus ObjectClass
- C25190
- NCI Thesaurus ObjectClass-2
- C25657
- NCI Thesaurus Property
- C25678
Descripción
Date Form Completed
Tipo de datos
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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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
C3274381 (UMLS CUI-1)
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C0524865 (UMLS 2011AA Property-3)
C25164 (NCI Thesaurus ValueDomain)
C0011008 (UMLS 2011AA ValueDomain)
C0441468 (UMLS 2011AA ObjectClass)
C49487 (NCI Thesaurus Property)
C1298908 (UMLS 2011AA Property)
C12971 (NCI Thesaurus Property-2)
C0006141 (UMLS 2011AA Property-2)
C25694 (NCI Thesaurus Property-3)
C1515022 (UMLS 2011AA Property-3)
C25351 (NCI Thesaurus Property-4)
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C0006141 (UMLS 2011AA Property-2)
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C1515022 (UMLS 2011AA Property-3)
C25351 (NCI Thesaurus Property-4)
C0524865 (UMLS 2011AA Property-4)
C25685 (NCI Thesaurus ValueDomain)
C1521902 (UMLS 2011AA ValueDomain)
C15368 (NCI Thesaurus ValueDomain-2)
C1550483 (UMLS CUI-1)
C25190 (NCI Thesaurus ObjectClass)
C25657 (NCI Thesaurus ObjectClass-2)
C25678 (NCI Thesaurus Property)
C1115437 (UMLS CUI-1)
C40988 (NCI Thesaurus ObjectClass)
C25250 (NCI Thesaurus Property)
C25367 (NCI Thesaurus ValueDomain-2)