ID
8328
Beschrijving
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
Trefwoorden
Versies (2)
- 18-12-14 18-12-14 - Martin Dugas
- 09-01-15 09-01-15 - Martin Dugas
Geüploaded op
9 januari 2015
DOI
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Licentie
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
Beschrijving
Unamed Module 2
Beschrijving
PhotographBreastReconstructionSubmissionInd-3
Datatype
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
Beschrijving
AssessmentPeriodType
Datatype
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
Beschrijving
PhotographBreastReconstructionTakenDate
Datatype
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
Beschrijving
PhotographBreastReconstructionSubmissionDate
Datatype
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
Beschrijving
PhotographBreastReconstructionNoSubmissionReason
Datatype
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
Beschrijving
PhotographBreastReconstructionNoSubmissionSpecify
Datatype
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
Beschrijving
Responsible Person Signature
Datatype
text
Alias
- NCI Thesaurus ValueDomain
- C25704
- UMLS CUI-1
- C1550483
- NCI Thesaurus ObjectClass
- C25190
- NCI Thesaurus ObjectClass-2
- C25657
- NCI Thesaurus Property
- C25678
Beschrijving
Date Form Completed
Datatype
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)
C25320 (NCI Thesaurus ObjectClass)
C1514695 (UMLS CUI-2)
C19778 (NCI Thesaurus Property)
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C1514695 (UMLS 2011AA ObjectClass-2)
C25364 (NCI Thesaurus Property)
C0600091 (UMLS 2011AA Property)
C49152 (NCI Thesaurus Property-2)
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C25337 (NCI Thesaurus ValueDomain)
C0237753 (UMLS 2011AA ValueDomain)
C1301943 (UMLS CUI-1)
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C21541 (NCI Thesaurus ValueDomain-2)
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C1301943 (UMLS CUI-1)
C21541 (NCI Thesaurus ObjectClass)
C0805701 (UMLS CUI-2)
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C2986440 (UMLS CUI-1)
C16960 (NCI Thesaurus ObjectClass)
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C2348585 (UMLS CUI-1)
C16960 (NCI Thesaurus ObjectClass)
C1514695 (UMLS CUI-2)
C19778 (NCI Thesaurus Property)
C25364 (NCI Thesaurus Property-2)
C0680532 (UMLS CUI-1)
C25474 (NCI Thesaurus ObjectClass)
C25416 (NCI Thesaurus Property)
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C25351 (NCI Thesaurus Property-3)
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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-2)
C0524865 (UMLS 2011AA Property-2)
C25701 (NCI Thesaurus Property-3)
C1883727 (UMLS 2011AA Property-3)
C25164 (NCI Thesaurus ValueDomain)
C0011008 (UMLS 2011AA ValueDomain)
C0441468 (UMLS 2011AA ObjectClass)
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C0006141 (UMLS 2011AA Property)
C25694 (NCI Thesaurus Property-2)
C1515022 (UMLS 2011AA Property-2)
C25351 (NCI Thesaurus Property-3)
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)
C0524865 (UMLS 2011AA Property-4)
C25638 (NCI Thesaurus ValueDomain)
C0392360 (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)
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)