ID
9410
Beschreibung
FORM 9 - RECURRENCE AND CONTRALATERAL BREAST CANCER REPORT Quality Of Life Companion Study For JMA27 (NCIC-MA.27): A Randomized Phase III Trial Of Exemestane Versus Anastrozole With Or Without Celecoxib In Postmenopausal Women With Receptor Positive Primary Breast Cancer Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=ABE31B86-C179-5457-E034-0003BA12F5E7
Link
Stichworte
Versionen (3)
- 26.08.12 26.08.12 -
- 09.01.15 09.01.15 - Martin Dugas
- 20.09.21 20.09.21 -
Hochgeladen am
9. Januar 2015
DOI
Für eine Beantragung loggen Sie sich ein.
Lizenz
Creative Commons BY-NC 3.0 Legacy
Modell Kommentare :
Hier können Sie das Modell kommentieren. Über die Sprechblasen an den Itemgruppen und Items können Sie diese spezifisch kommentieren.
Itemgroup Kommentare für :
Item Kommentare für :
Um Formulare herunterzuladen müssen Sie angemeldet sein. Bitte loggen Sie sich ein oder registrieren Sie sich kostenlos.
Breast Cancer NCT00090974 Follow-Up - FORM 9 - RECURRENCE AND CONTRALATERAL BREAST CANCER REPORT - 2058833v3.0
Submit within 6 weeks of the date of diagnosis.
- StudyEvent: FORM 9 - RECURRENCE AND CONTRALATERAL BREAST CANCER REPORT
Beschreibung
Disease Status
Beschreibung
ProgressionInd,FirstLocal-Regional
Datentyp
boolean
Beschreibung
ProgressionDate,FirstLocal-Regional
Datentyp
date
Beschreibung
ProgressionInd,FirstDistant
Datentyp
boolean
Beschreibung
ProgressionDate,FirstDistant
Datentyp
date
Beschreibung
Hasthepatientbeendiagnosedwithcontralateralbreastcancer?
Datentyp
boolean
Alias
- NCI Thesaurus ValueDomain
- C38148
- UMLS 2011AA ValueDomain
- C1512699
Beschreibung
ContralateralBreastCancerDiagnosisDate
Datentyp
date
Alias
- NCI Thesaurus ObjectClass
- C12971
- UMLS 2011AA ObjectClass
- C0006141
- NCI Thesaurus ObjectClass-2
- C9305
- UMLS 2011AA ObjectClass-2
- C0006826
- NCI Thesaurus ObjectClass-3
- C25307
- UMLS 2011AA ObjectClass-3
- C0441988
- NCI Thesaurus Property
- C15220
- UMLS 2011AA Property
- C0011900
- NCI Thesaurus ValueDomain
- C25164
- UMLS 2011AA ValueDomain
- C0011008
Beschreibung
Supporting Documentation
Beschreibung
Comments
Beschreibung
Investigator Signature
Beschreibung
InvestigatorSignature
Datentyp
text
Alias
- NCI Thesaurus Property
- C25678
- UMLS 2011AA Property
- C1519316
- NCI Thesaurus ObjectClass
- C17089
- UMLS 2011AA ObjectClass
- C0035173
Beschreibung
PersonCompletingForm,LastName
Datentyp
text
Beschreibung
PersonCompletingForm,FirstName
Datentyp
text
Alias
- NCI Thesaurus ObjectClass
- C25190
- UMLS 2011AA ObjectClass
- C0027361
- NCI Thesaurus Property
- C25364
- UMLS 2011AA Property
- C0600091
Beschreibung
FormCompletionDate,Original
Datentyp
date
Beschreibung
Header
Beschreibung
PatientStudyID,CoordinatingGroup
Datentyp
text
Beschreibung
Patient Initials
Datentyp
text
Alias
- NCI Thesaurus ValueDomain
- C25191
- UMLS CUI-1
- C2986440
- NCI Thesaurus ObjectClass
- C16960
- NCI Thesaurus Property
- C25536
Beschreibung
Recurrence Table
Beschreibung
Local-RegionalBreastIpsilateralProgressionInd-3
Datentyp
boolean
Alias
- NCI Thesaurus ObjectClass
- C12971
- UMLS 2011AA ObjectClass
- C0006141
- NCI Thesaurus ObjectClass-2
- C25388
- UMLS 2011AA ObjectClass-2
- C1947913
- NCI Thesaurus Property
- C25331
- NCI Thesaurus Property-2
- C25308
- UMLS 2011AA Property
- C0441989
- NCI Thesaurus ValueDomain
- C38148
- UMLS 2011AA ValueDomain
- C1512699
Beschreibung
PriorRecentRecurrenceDate
Datentyp
date
Alias
- NCI Thesaurus ObjectClass
- C2991
- UMLS 2011AA ObjectClass
- C0012634
- NCI Thesaurus Property
- C25279
- UMLS 2011AA Property
- C0332162
Beschreibung
Local-RegionalBreastChestWallProgressionInd-3
Datentyp
boolean
Alias
- NCI Thesaurus ObjectClass
- C12971
- UMLS 2011AA ObjectClass
- C0006141
- NCI Thesaurus ObjectClass-2
- C25388
- UMLS 2011AA ObjectClass-2
- C1947913
- NCI Thesaurus Property
- C25331
- NCI Metathesaurus Property
- CL035093
- NCI Thesaurus ValueDomain
- C38148
- UMLS 2011AA ValueDomain
- C1512699
- NCI Thesaurus ValueDomain-2
- C25755
- UMLS 2011AA ValueDomain-2
- C0871261
Beschreibung
Site(s)Local-Regional,RegionalNodes/axilla,IND
Datentyp
boolean
Beschreibung
Sitesofprogression,lung
Datentyp
boolean
Beschreibung
Sitesofprogression,liver
Datentyp
boolean
Beschreibung
Sitesofprogression,bone
Datentyp
boolean
Beschreibung
Sitesofprogression,CNS(Brain)
Datentyp
boolean
Alias
- NCI Thesaurus ValueDomain
- C38148
- UMLS 2011AA ValueDomain
- C1512699
- NCI Thesaurus Property
- C25331
- NCI Thesaurus ObjectClass
- C12438
- UMLS 2011AA ObjectClass
- C0927232
Beschreibung
Site(s)Distant,BoneMarrow
Datentyp
boolean
Beschreibung
Site(s)Distant,Ascites
Datentyp
boolean
Beschreibung
Site(s)Distant,PleuralEffusion
Datentyp
boolean
Beschreibung
Site(s)Distant,FirstOther,Specify
Datentyp
boolean
Beschreibung
Site(s)Distant,SecondOther,Specify
Datentyp
boolean
Alias
- NCI Thesaurus Property
- C25341
- UMLS 2011AA Property
- C0450429
- NCI Thesaurus ObjectClass
- C25331
- NCI Thesaurus Property-2
- C25321
- UMLS 2011AA Property-2
- C0443203
- NCI Thesaurus ObjectClass-2
- C25666
- UMLS 2011AA ObjectClass
- C0205436
Beschreibung
ProgressionSite,Other
Datentyp
text
Beschreibung
ProgressionSite,Other
Datentyp
text
Beschreibung
ProgressionSuspectedBeginDate
Datentyp
date
Beschreibung
ProgressionSuspectedBeginDate
Datentyp
date
Beschreibung
ProgressionSuspectedBeginDate
Datentyp
date
Beschreibung
ProgressionSuspectedBeginDate
Datentyp
date
Beschreibung
ProgressionSuspectedBeginDate
Datentyp
date
Beschreibung
ProgressionSuspectedBeginDate
Datentyp
date
Beschreibung
ProgressionSuspectedBeginDate
Datentyp
date
Beschreibung
ProgressionSuspectedBeginDate
Datentyp
date
Beschreibung
ProgressionSuspectedBeginDate
Datentyp
date
Beschreibung
ProgressionSuspectedBeginDate
Datentyp
date
Beschreibung
ProgressionSuspectedBeginDate
Datentyp
date
Beschreibung
ProgressionSuspectedBeginDate
Datentyp
date
Beschreibung
RecurrenceDate
Datentyp
date
Beschreibung
RecurrenceDate
Datentyp
date
Beschreibung
RecurrenceDate
Datentyp
date
Beschreibung
RecurrenceDate
Datentyp
date
Beschreibung
RecurrenceDate
Datentyp
date
Beschreibung
RecurrenceDate
Datentyp
date
Beschreibung
RecurrenceDate
Datentyp
date
Beschreibung
RecurrenceDate
Datentyp
date
Beschreibung
RecurrenceDate
Datentyp
date
Beschreibung
RecurrenceDate
Datentyp
date
Beschreibung
RecurrenceDate
Datentyp
date
Beschreibung
Ccrr Module For Form 9 - Recurrence And Contralateral Breast Cancer Report
Ähnliche Modelle
Submit within 6 weeks of the date of diagnosis.
- StudyEvent: FORM 9 - RECURRENCE AND CONTRALATERAL BREAST CANCER REPORT
C2986440 (UMLS CUI-1)
C16960 (NCI Thesaurus ObjectClass)
C25536 (NCI Thesaurus Property)
C1512699 (UMLS 2011AA ValueDomain)
C0006141 (UMLS 2011AA ObjectClass)
C9305 (NCI Thesaurus ObjectClass-2)
C0006826 (UMLS 2011AA ObjectClass-2)
C25307 (NCI Thesaurus ObjectClass-3)
C0441988 (UMLS 2011AA ObjectClass-3)
C15220 (NCI Thesaurus Property)
C0011900 (UMLS 2011AA Property)
C25164 (NCI Thesaurus ValueDomain)
C0011008 (UMLS 2011AA ValueDomain)
C1519316 (UMLS 2011AA Property)
C17089 (NCI Thesaurus ObjectClass)
C0035173 (UMLS 2011AA ObjectClass)
C0027361 (UMLS 2011AA ObjectClass)
C25364 (NCI Thesaurus Property)
C0600091 (UMLS 2011AA Property)
C2986440 (UMLS CUI-1)
C16960 (NCI Thesaurus ObjectClass)
C25536 (NCI Thesaurus Property)
C0006141 (UMLS 2011AA ObjectClass)
C25388 (NCI Thesaurus ObjectClass-2)
C1947913 (UMLS 2011AA ObjectClass-2)
C25331 (NCI Thesaurus Property)
C25308 (NCI Thesaurus Property-2)
C0441989 (UMLS 2011AA Property)
C38148 (NCI Thesaurus ValueDomain)
C1512699 (UMLS 2011AA ValueDomain)
C0012634 (UMLS 2011AA ObjectClass)
C25279 (NCI Thesaurus Property)
C0332162 (UMLS 2011AA Property)
C0006141 (UMLS 2011AA ObjectClass)
C25388 (NCI Thesaurus ObjectClass-2)
C1947913 (UMLS 2011AA ObjectClass-2)
C25331 (NCI Thesaurus Property)
CL035093 (NCI Metathesaurus Property)
C38148 (NCI Thesaurus ValueDomain)
C1512699 (UMLS 2011AA ValueDomain)
C25755 (NCI Thesaurus ValueDomain-2)
C0871261 (UMLS 2011AA ValueDomain-2)
C1512699 (UMLS 2011AA ValueDomain)
C25331 (NCI Thesaurus Property)
C12438 (NCI Thesaurus ObjectClass)
C0927232 (UMLS 2011AA ObjectClass)
C0450429 (UMLS 2011AA Property)
C25331 (NCI Thesaurus ObjectClass)
C25321 (NCI Thesaurus Property-2)
C0443203 (UMLS 2011AA Property-2)
C25666 (NCI Thesaurus ObjectClass-2)
C0205436 (UMLS 2011AA ObjectClass)