ID
8669
Beschrijving
A0 OPEN Form - 1005 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=9DA9F360-A112-1EA4-E040-BB89AD432FA2
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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Breast Cancer NCT01349322 Demographic - A0 OPEN Form - 1005 - 3198937v1.0
No Instruction available.
- StudyEvent: A0 OPEN Form - 1005
Beschrijving
Module 1
Beschrijving
PersonSpecimenMalignantNeoplasmResearchConsentInd-2
Datatype
boolean
Alias
- NCI Thesaurus ObjectClass
- C25190
- UMLS 2011AA ObjectClass
- C0027361
- NCI Thesaurus Property
- C15319
- NCI Thesaurus Property-2
- C9305
- UMLS 2011AA Property
- C0006826
- NCI Thesaurus Property-3
- C19157
- UMLS 2011AA Property-2
- C0370003
- NCI Thesaurus Property-4
- C25460
- UMLS 2011AA Property-3
- C1511481
- NCI Thesaurus ValueDomain
- C38147
- UMLS 2011AA ValueDomain
- C1512698
Beschrijving
BloodSpecimenMalignantNeoplasmRelatedResearchConsentIndicator
Datatype
boolean
Alias
- NCI Thesaurus ObjectClass
- C12434
- UMLS 2011AA ObjectClass
- C0229664
- NCI Thesaurus ObjectClass-2
- C19157
- UMLS 2011AA ObjectClass-2
- C0370003
- NCI Thesaurus Property
- C15319
- NCI Thesaurus Property-2
- C25648
- UMLS 2011AA Property
- C0439849
- NCI Thesaurus Property-3
- C9305
- UMLS 2011AA Property-2
- C0006826
- NCI Thesaurus Property-4
- C25460
- UMLS 2011AA Property-3
- C1511481
- NCI Thesaurus ValueDomain
- C25180
- UMLS 2011AA ValueDomain
- C1522602
Beschrijving
BloodTissueSpecimenOtherDiseasesandDisordersResearchConsentInd-3
Datatype
boolean
Alias
- NCI Thesaurus ObjectClass
- C12801
- UMLS 2011AA ObjectClass
- C0040300
- NCI Thesaurus ObjectClass-2
- C12434
- UMLS 2011AA ObjectClass-2
- C0229664
- NCI Thesaurus ObjectClass-3
- C19157
- UMLS 2011AA ObjectClass-3
- C0370003
- NCI Thesaurus Property
- C17649
- UMLS 2011AA Property
- C0205394
- NCI Thesaurus Property-2
- C15319
- NCI Thesaurus Property-3
- C2991
- UMLS 2011AA Property-2
- C0012634
- NCI Thesaurus Property-4
- C25460
- UMLS 2011AA Property-3
- C1511481
- NCI Thesaurus ValueDomain
- C38148
- UMLS 2011AA ValueDomain
- C1512699
Beschrijving
BloodSpecimenOtherDiseasesandDisordersResearchConsentInd-3
Datatype
boolean
Alias
- NCI Thesaurus ObjectClass
- C12434
- UMLS 2011AA ObjectClass
- C0229664
- NCI Thesaurus ObjectClass-2
- C19157
- UMLS 2011AA ObjectClass-2
- C0370003
- NCI Thesaurus Property
- C17649
- UMLS 2011AA Property
- C0205394
- NCI Thesaurus Property-2
- C15319
- NCI Thesaurus Property-3
- C2991
- UMLS 2011AA Property-2
- C0012634
- NCI Thesaurus Property-4
- C25460
- UMLS 2011AA Property-3
- C1511481
- NCI Thesaurus ValueDomain
- C38148
- UMLS 2011AA ValueDomain
- C1512699
Beschrijving
Permission to contact Patient
Datatype
boolean
Alias
- NCI Thesaurus ObjectClass
- C16960
- UMLS CUI-1
- C1522577
- NCI Thesaurus Property
- C67527
- UMLS CUI-2
- C0521104
- NCI Thesaurus Property-2
- C25460
- NCI Thesaurus Property-3
- C16452
- NCI Thesaurus ValueDomain
- C38148
Beschrijving
PatientBreastReconstructionConsentInd-2
Datatype
boolean
Alias
- NCI Thesaurus ValueDomain
- C38147
- UMLS 2011AA ValueDomain
- C1512698
- NCI Thesaurus ObjectClass
- C16960
- UMLS 2011AA ObjectClass
- C0030705
- NCI Thesaurus Property
- C25460
- UMLS 2011AA Property
- C1511481
- NCI Thesaurus Property-2
- C15354
- UMLS 2011AA Property-2
- C0085076
Beschrijving
PatientBreastReconstructionRefuseConsentReason
Datatype
text
Alias
- NCI Thesaurus ObjectClass
- C16960
- UMLS 2011AA ObjectClass
- C0030705
- NCI Thesaurus Property
- C49161
- UMLS 2011AA Property
- C1705116
- NCI Thesaurus Property-2
- C25460
- UMLS 2011AA Property-2
- C1511481
- NCI Thesaurus Property-3
- C15354
- UMLS 2011AA Property-3
- C0085076
- NCI Thesaurus ValueDomain
- C25638
- UMLS 2011AA ValueDomain
- C0392360
Beschrijving
PatientBreastReconstructionRefuseConsentOtherSpecify
Datatype
text
Alias
- NCI Thesaurus ObjectClass
- C16960
- UMLS 2011AA ObjectClass
- C0030705
- NCI Thesaurus Property
- C49161
- UMLS 2011AA Property
- C1705116
- NCI Thesaurus Property-2
- C25460
- UMLS 2011AA Property-2
- C1511481
- NCI Thesaurus Property-3
- C15354
- UMLS 2011AA Property-3
- C0085076
- NCI Thesaurus ValueDomain
- C25685
- UMLS 2011AA ValueDomain
- C1521902
- NCI Thesaurus ValueDomain-2
- C17649
- UMLS 2011AA ValueDomain-2
- C0205394
Beschrijving
PatientBreastReconstructionRefuseConsentSpecify
Datatype
text
Alias
- NCI Thesaurus ObjectClass
- C16960
- UMLS 2011AA ObjectClass
- C0030705
- NCI Thesaurus Property
- C49161
- UMLS 2011AA Property
- C1705116
- NCI Thesaurus Property-2
- C25460
- UMLS 2011AA Property-2
- C1511481
- NCI Thesaurus Property-3
- C15354
- UMLS 2011AA Property-3
- C0085076
- NCI Thesaurus ValueDomain
- C25685
- UMLS 2011AA ValueDomain
- C1521902
Beschrijving
PatientFirstProtocolRegistrationAgeYearCount
Datatype
text
Alias
- NCI Thesaurus ObjectClass
- C16960
- UMLS 2011AA ObjectClass
- C0030705
- NCI Thesaurus Property
- C25320
- UMLS 2011AA Property
- C1507394
- NCI Thesaurus Property-2
- C25646
- UMLS 2011AA Property-2
- C1514821
- NCI Thesaurus Property-3
- C25509
- UMLS 2011AA Property-3
- C1279901
- NCI Thesaurus ValueDomain
- C29848
- UMLS 2011AA ValueDomain
- C0439234
- NCI Thesaurus ValueDomain-2
- C25463
- UMLS 2011AA ValueDomain-2
- C0750480
Beschrijving
PatientChemotherapyIntentReceiveInd-2
Datatype
boolean
Alias
- NCI Thesaurus ObjectClass
- C16960
- UMLS 2011AA ObjectClass
- C0030705
- NCI Thesaurus ObjectClass-2
- C15632
- UMLS 2011AA ObjectClass-2
- C0392920
- NCI Thesaurus Property
- C25639
- UMLS 2011AA Property
- C1514756
- NCI Thesaurus Property-2
- C25725
- UMLS 2011AA Property-2
- C1283828
- NCI Thesaurus ValueDomain
- C38147
- UMLS 2011AA ValueDomain
- C1512698
Beschrijving
ERLevelTumorStatus
Datatype
text
Alias
- NCI Thesaurus ValueDomain
- C3262
- UMLS 2011AA ValueDomain
- C0027651
- NCI Thesaurus ObjectClass
- C17069
- UMLS 2011AA ObjectClass
- C0034804
- NCI Thesaurus ValueDomain-2
- C25688
- UMLS 2011AA ValueDomain-2
- C0449438
- NCI Thesaurus Property
- C25554
- UMLS 2011AA Property
- C0441889
Beschrijving
ClinicalStudyBreastCarcinomaHistologicGradeStratificationType
Datatype
text
Alias
- NCI Thesaurus ObjectClass
- C15206
- UMLS 2011AA ObjectClass
- C0008972
- NCI Thesaurus Property
- C4872
- UMLS 2011AA Property
- C0678222
- NCI Thesaurus Property-2
- C18000
- UMLS 2011AA Property-2
- C0919553
- NCI Thesaurus Property-3
- C25689
- UMLS 2011AA Property-3
- C1514983
- NCI Thesaurus ValueDomain
- C25284
- UMLS 2011AA ValueDomain
- C0332307
Beschrijving
Patient
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