ID

9523

Beskrivning

RTOG-1005 QP: Radiation Therapy Oncology Group Phase III Whole Breast Irradiation for Early Stage Breast Cancer Patient Cosmesis Evaluation 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=9D7B30AD-FF6E-0FB3-E040-BB89AD435271

Länk

https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=9D7B30AD-FF6E-0FB3-E040-BB89AD435271

Nyckelord

Versioner (4)
  1. 2012-09-19 2012-09-19 -
  2. 2015-01-09 2015-01-09 - Martin Dugas
  3. 2015-01-09 2015-01-09 - Martin Dugas
  4. 2015-07-08 2015-07-08 -
Uppladdad den

9 januari 2015

DOI

För en begäran logga in.

Licens

Creative Commons BY-NC 3.0 Legacy
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NCT01349322 Quality of Life - RTOG-1005 QP: Radiation Therapy Oncology Group Phase III Whole Breast Irradiation for Early Stage Breast Cancer Patient Cosmesis Evaluation Form - 3194403v1.0

Engelsk

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

1 Formulär  
  1. StudyEvent: RTOG-1005 QP: Radiation Therapy Oncology Group Phase III Whole Breast Irradiation for Early Stage Breast Cancer Patient Cosmesis Evaluation Form
    1. 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
Unnamed Module 1
Beskrivning

Unnamed Module 1

RTOG Study No.
Beskrivning

Protocol ID RTOG

Datatyp

text

Alias
NCI Thesaurus ValueDomain
C25337
UMLS CUI-1
C3274381
NCI Thesaurus ObjectClass
C25320
UMLS CUI-2
C1514695
NCI Thesaurus Property
C19778
NCI Thesaurus Property-2
C25364
Case #
Beskrivning

RadiationTherapyOncologyGroupPatientCaseIdentifierNumber

Datatyp

text

Alias
NCI Thesaurus ObjectClass
C16960
UMLS 2011AA ObjectClass
C0030705
NCI Thesaurus ObjectClass-2
C19778
UMLS 2011AA ObjectClass-2
C1514695
NCI Thesaurus Property
C25364
UMLS 2011AA Property
C0600091
NCI Thesaurus Property-2
C49152
UMLS 2011AA Property-2
C1706256
NCI Thesaurus ValueDomain
C25337
UMLS 2011AA ValueDomain
C0237753
Institution Name
Beskrivning

Institution Name

Datatyp

text

Alias
NCI Thesaurus ValueDomain
C25191
UMLS CUI-1
C1301943
NCI Thesaurus ObjectClass
C21541
NCI Thesaurus ValueDomain-2
C21541
NCI Thesaurus Property
C25364
Institution No.
Beskrivning

Institution Number

Datatyp

text

Alias
NCI Thesaurus ValueDomain
C25337
UMLS CUI-1
C1301943
NCI Thesaurus ObjectClass
C21541
UMLS CUI-2
C0805701
NCI Thesaurus Property
C25364
Patient Initials
Beskrivning

Patient Initials

Datatyp

text

Alias
NCI Thesaurus ValueDomain
C25191
UMLS CUI-1
C2986440
NCI Thesaurus ObjectClass
C16960
NCI Thesaurus Property
C25536
RTOG Patient ID
Beskrivning

Trial subject ID RTOG

Datatyp

text

Alias
NCI Thesaurus ValueDomain
C25337
UMLS CUI-1
C2348585
NCI Thesaurus ObjectClass
C16960
UMLS CUI-2
C1514695
NCI Thesaurus Property
C19778
NCI Thesaurus Property-2
C25364
Are data amended
Beskrivning

Data amended

Datatyp

boolean

Alias
NCI Thesaurus ValueDomain
C38148
UMLS CUI-1
C0680532
NCI Thesaurus ObjectClass
C25474
NCI Thesaurus Property
C25416
Unamed Module 2
Beskrivning

Unamed Module 2

Time point
Beskrivning

AssessmentPeriodType

Datatyp

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
Treatment Start Date
Beskrivning

Treatment Begin Date

Datatyp

date

Alias
NCI Thesaurus ObjectClass
C15368
NCI Thesaurus Property
C25431
UMLS CUI-1
C3173309
NCI Thesaurus Property-2
C25275
NCI Thesaurus ValueDomain
C25164
NCI Thesaurus ValueDomain-2
C25431
Evaluation performed by
Beskrivning

PersonEvaluationSocialRoleType

Datatyp

text

Alias
NCI Thesaurus ValueDomain
C25284
UMLS 2011AA ValueDomain
C0332307
NCI Thesaurus ObjectClass
C25190
UMLS 2011AA ObjectClass
C0027361
NCI Thesaurus Property
C25214
UMLS 2011AA Property
C0220825
NCI Thesaurus Property-2
C25199
UMLS 2011AA Property-2
C0035820
Date Questionnaire Completed (MM DD YYYY)
Beskrivning

QualityofLifeCompleteAssessmentDate

Datatyp

date

Alias
NCI Thesaurus ValueDomain
C25164
UMLS 2011AA ValueDomain
C0011008
NCI Thesaurus ObjectClass
C17047
UMLS 2011AA ObjectClass
C0518214
NCI Thesaurus Property
C25250
UMLS 2011AA Property
C0205197
NCI Thesaurus Property-2
C25367
Reason Questionnaire was not Completed
Beskrivning

Incomplete documentation, reason

Datatyp

text

Alias
NCI Thesaurus ValueDomain
C25638
UMLS CUI-1
C1548386
NCI Thesaurus ObjectClass
C16960
UMLS CUI-2
C0566251
NCI Metathesaurus Property
C0034394
Patient refused for other reason, specify
Beskrivning

PatientRefuseIncompleteQuestionnaireSpecify

Datatyp

text

Alias
NCI Thesaurus ObjectClass
C16960
UMLS 2011AA ObjectClass
C0030705
NCI Metathesaurus Property
C0034394
NCI Thesaurus Property
C49160
UMLS 2011AA Property
C0205257
NCI Thesaurus Property-2
C49161
UMLS 2011AA Property-2
C1705116
NCI Thesaurus ValueDomain
C25685
UMLS 2011AA ValueDomain
C1521902
Other reason, specify
Beskrivning

PatientIncompleteQuestionnaireOtherSpecify

Datatyp

text

Alias
NCI Thesaurus ValueDomain
C25685
UMLS 2011AA ValueDomain
C1521902
NCI Thesaurus ValueDomain-2
C17649
UMLS 2011AA ValueDomain-2
C0205394
NCI Thesaurus ObjectClass
C16960
UMLS 2011AA ObjectClass
C0030705
NCI Metathesaurus Property
C0034394
Signature
Beskrivning

Responsible Person Signature

Datatyp

text

Alias
NCI Thesaurus ValueDomain
C25704
UMLS CUI-1
C1550483
NCI Thesaurus ObjectClass
C25190
NCI Thesaurus ObjectClass-2
C25657
NCI Thesaurus Property
C25678
Date Form Completed
Beskrivning

Date Form Completed

Datatyp

date

Alias
NCI Thesaurus ValueDomain
C25164
UMLS CUI-1
C1115437
NCI Thesaurus ObjectClass
C40988
NCI Thesaurus Property
C25250
NCI Thesaurus ValueDomain-2
C25367
Unnamed2
Beskrivning

Unnamed2

Please assess breast cosmesis at this time
Beskrivning

BreastReconstructionAssessmentSatus

Datatyp

text

Alias
NCI Thesaurus Property
C25367
NCI Thesaurus ObjectClass
C12971
UMLS 2011AA ObjectClass
C0006141
NCI Thesaurus ValueDomain
C25688
UMLS 2011AA ValueDomain
C0449438
NCI Thesaurus ObjectClass-2
C25351
UMLS 2011AA ObjectClass-2
C0524865
Skin telangiectasia
Beskrivning

BreastReconstructionTelangiectasiaAssessmentIndicator

Datatyp

text

Alias
NCI Thesaurus ObjectClass
C12971
UMLS 2011AA ObjectClass
C0006141
NCI Thesaurus ObjectClass-2
C25351
UMLS 2011AA ObjectClass-2
C0524865
NCI Thesaurus Property
C25367
NCI Thesaurus Property-2
C28194
UMLS 2011AA Property
C0039446
NCI Thesaurus ValueDomain
C25180
UMLS 2011AA ValueDomain
C1522602
Skin atrophy
Beskrivning

BreastReconstructionAtrophyAssessmentIndicator

Datatyp

text

Alias
NCI Thesaurus ObjectClass
C12971
UMLS 2011AA ObjectClass
C0006141
NCI Thesaurus ObjectClass-2
C25351
UMLS 2011AA ObjectClass-2
C0524865
NCI Thesaurus Property
C25367
NCI Thesaurus Property-2
C79748
UMLS 2011AA Property
C0333641
NCI Thesaurus ValueDomain
C25180
UMLS 2011AA ValueDomain
C1522602
Scarring
Beskrivning

BreastReconstructionScarAssessmentIndicator

Datatyp

text

Alias
NCI Thesaurus ObjectClass
C12971
UMLS 2011AA ObjectClass
C0006141
NCI Thesaurus ObjectClass-2
C25351
UMLS 2011AA ObjectClass-2
C0524865
NCI Thesaurus Property
C25367
NCI Thesaurus Property-2
C34483
UMLS 2011AA Property
C2004491
NCI Thesaurus ValueDomain
C25180
UMLS 2011AA ValueDomain
C1522602
Pigment change
Beskrivning

BreastReconstructionPigmentAssessmentIndicator

Datatyp

text

Alias
NCI Thesaurus ObjectClass
C12971
UMLS 2011AA ObjectClass
C0006141
NCI Thesaurus ObjectClass-2
C25351
UMLS 2011AA ObjectClass-2
C0524865
NCI Thesaurus Property
C25367
NCI Thesaurus Property-2
C747
UMLS 2011AA Property
C0031916
NCI Thesaurus ValueDomain
C25180
UMLS 2011AA ValueDomain
C1522602
Erythema
Beskrivning

BreastReconstructionErythemaAssessmentIndicator

Datatyp

text

Alias
NCI Thesaurus ObjectClass
C12971
UMLS 2011AA ObjectClass
C0006141
NCI Thesaurus ObjectClass-2
C25351
UMLS 2011AA ObjectClass-2
C0524865
NCI Thesaurus Property
C25367
NCI Thesaurus Property-2
C26901
UMLS 2011AA Property
C0041834
NCI Thesaurus ValueDomain
C25180
UMLS 2011AA ValueDomain
C1522602
Fat necrosis
Beskrivning

BreastReconstructionFatNecrosisAssessmentIndicator

Datatyp

text

Alias
NCI Thesaurus ObjectClass
C12971
UMLS 2011AA ObjectClass
C0006141
NCI Thesaurus ObjectClass-2
C25351
UMLS 2011AA ObjectClass-2
C0524865
NCI Thesaurus Property
C25367
NCI Thesaurus Property-2
C26772
UMLS 2011AA Property
C0015668
NCI Thesaurus ValueDomain
C25180
UMLS 2011AA ValueDomain
C1522602
Fibrosis
Beskrivning

BreastReconstructionFibrosisAssessmentIndicator

Datatyp

text

Alias
NCI Thesaurus ObjectClass
C12971
UMLS 2011AA ObjectClass
C0006141
NCI Thesaurus ObjectClass-2
C25351
UMLS 2011AA ObjectClass-2
C0524865
NCI Thesaurus Property
C25367
NCI Thesaurus Property-2
C3044
UMLS 2011AA Property
C0016059
NCI Thesaurus ValueDomain
C25180
UMLS 2011AA ValueDomain
C1522602
Retraction or contour defect
Beskrivning

BreastReconstructionDefectAssessmentIndicator

Datatyp

text

Alias
NCI Thesaurus ObjectClass
C12971
UMLS 2011AA ObjectClass
C0006141
NCI Thesaurus ObjectClass-2
C25351
UMLS 2011AA ObjectClass-2
C0524865
NCI Thesaurus Property
C25367
NCI Thesaurus Property-2
C43429
UMLS 2011AA Property
C1457869
NCI Thesaurus ValueDomain
C25180
UMLS 2011AA ValueDomain
C1522602
Volume loss
Beskrivning

BreastReconstructionLossAssessmentIndicator

Datatyp

text

Alias
NCI Thesaurus ObjectClass
C12971
UMLS 2011AA ObjectClass
C0006141
NCI Thesaurus ObjectClass-2
C25351
UMLS 2011AA ObjectClass-2
C0524865
NCI Thesaurus Property
C25367
NCI Thesaurus Property-2
C25559
UMLS 2011AA Property
C1517945
NCI Thesaurus ValueDomain
C25180
UMLS 2011AA ValueDomain
C1522602
Other significant treatment effect
Beskrivning

BreastReconstructionOtherAssessmentIndicator

Datatyp

text

Alias
NCI Thesaurus ObjectClass
C12971
UMLS 2011AA ObjectClass
C0006141
NCI Thesaurus ObjectClass-2
C25351
UMLS 2011AA ObjectClass-2
C0524865
NCI Thesaurus Property
C17649
UMLS 2011AA Property
C0205394
NCI Thesaurus Property-2
C25367
NCI Thesaurus ValueDomain
C25180
UMLS 2011AA ValueDomain
C1522602
Specify
Beskrivning

BreastReconstructionOtherAssessmentSpecify

Datatyp

text

Alias
NCI Thesaurus ObjectClass
C12971
UMLS 2011AA ObjectClass
C0006141
NCI Thesaurus ObjectClass-2
C25351
UMLS 2011AA ObjectClass-2
C0524865
NCI Thesaurus Property
C17649
UMLS 2011AA Property
C0205394
NCI Thesaurus Property-2
C25367
NCI Thesaurus ValueDomain
C25685
UMLS 2011AA ValueDomain
C1521902
Footer Module
Beskrivning

Footer Module

Comments
Beskrivning

Research Comments

Datatyp

text

Alias
NCI Thesaurus ValueDomain
C25704
UMLS CUI-1
C0947611
NCI Thesaurus ObjectClass
C15319
NCI Thesaurus Property
C25393
Date
Beskrivning

ResponsiblePersonSignatureDate

Datatyp

date

Alias
NCI Thesaurus ValueDomain
C25164
UMLS 2011AA ValueDomain
C0011008
NCI Thesaurus ObjectClass
C25190
UMLS 2011AA ObjectClass
C0027361
NCI Thesaurus ObjectClass-2
C25657
UMLS 2011AA ObjectClass-2
C1273518
NCI Thesaurus Property
C25678
UMLS 2011AA Property
C1519316
Signature
Beskrivning

Responsible Person Signature

Datatyp

text

Alias
NCI Thesaurus ValueDomain
C25704
UMLS CUI-1
C1550483
NCI Thesaurus ObjectClass
C25190
NCI Thesaurus ObjectClass-2
C25657
NCI Thesaurus Property
C25678
Tillbaka till toppen

Similar models

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

1 Formulär
  1. StudyEvent: RTOG-1005 QP: Radiation Therapy Oncology Group Phase III Whole Breast Irradiation for Early Stage Breast Cancer Patient Cosmesis Evaluation Form
    1. 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
Name
Typ
Description | Question | Decode (Coded Value)
Datatyp
Alias
Item Group
Unnamed Module 1
Protocol ID RTOG
Item
RTOG Study No.
text
C25337 (NCI Thesaurus ValueDomain)
C3274381 (UMLS CUI-1)
C25320 (NCI Thesaurus ObjectClass)
C1514695 (UMLS CUI-2)
C19778 (NCI Thesaurus Property)
C25364 (NCI Thesaurus Property-2)
RadiationTherapyOncologyGroupPatientCaseIdentifierNumber
Item
Case #
text
C16960 (NCI Thesaurus ObjectClass)
C0030705 (UMLS 2011AA ObjectClass)
C19778 (NCI Thesaurus ObjectClass-2)
C1514695 (UMLS 2011AA ObjectClass-2)
C25364 (NCI Thesaurus Property)
C0600091 (UMLS 2011AA Property)
C49152 (NCI Thesaurus Property-2)
C1706256 (UMLS 2011AA Property-2)
C25337 (NCI Thesaurus ValueDomain)
C0237753 (UMLS 2011AA ValueDomain)
Institution Name
Item
Institution Name
text
C25191 (NCI Thesaurus ValueDomain)
C1301943 (UMLS CUI-1)
C21541 (NCI Thesaurus ObjectClass)
C21541 (NCI Thesaurus ValueDomain-2)
C25364 (NCI Thesaurus Property)
Institution Number
Item
Institution No.
text
C25337 (NCI Thesaurus ValueDomain)
C1301943 (UMLS CUI-1)
C21541 (NCI Thesaurus ObjectClass)
C0805701 (UMLS CUI-2)
C25364 (NCI Thesaurus Property)
Patient Initials
Item
Patient Initials
text
C25191 (NCI Thesaurus ValueDomain)
C2986440 (UMLS CUI-1)
C16960 (NCI Thesaurus ObjectClass)
C25536 (NCI Thesaurus Property)
Trial subject ID RTOG
Item
RTOG Patient ID
text
C25337 (NCI Thesaurus ValueDomain)
C2348585 (UMLS CUI-1)
C16960 (NCI Thesaurus ObjectClass)
C1514695 (UMLS CUI-2)
C19778 (NCI Thesaurus Property)
C25364 (NCI Thesaurus Property-2)
Data amended
Item
Are data amended
boolean
C38148 (NCI Thesaurus ValueDomain)
C0680532 (UMLS CUI-1)
C25474 (NCI Thesaurus ObjectClass)
C25416 (NCI Thesaurus Property)
Item Group
Unamed Module 2
Item
Time point
text
C25284 (NCI Thesaurus ValueDomain)
C0332307 (UMLS 2011AA ValueDomain)
C20989 (NCI Thesaurus ObjectClass)
C0031809 (UMLS 2011AA ObjectClass)
C25616 (NCI Thesaurus Property)
C1948053 (UMLS 2011AA Property)
CL.2
Code List
Time point
CL Item
Pretreatment (Pretreatment)
CL Item
1 Year Post Rt Completion (1 year post RT Completion)
CL Item
3 Years Post Rt Completion (3 years post RT Completion)
Treatment Begin Date
Item
Treatment Start Date
date
C15368 (NCI Thesaurus ObjectClass)
C25431 (NCI Thesaurus Property)
C3173309 (UMLS CUI-1)
C25275 (NCI Thesaurus Property-2)
C25164 (NCI Thesaurus ValueDomain)
C25431 (NCI Thesaurus ValueDomain-2)
Item
Evaluation performed by
text
C25284 (NCI Thesaurus ValueDomain)
C0332307 (UMLS 2011AA ValueDomain)
C25190 (NCI Thesaurus ObjectClass)
C0027361 (UMLS 2011AA ObjectClass)
C25214 (NCI Thesaurus Property)
C0220825 (UMLS 2011AA Property)
C25199 (NCI Thesaurus Property-2)
C0035820 (UMLS 2011AA Property-2)
CL.3
Code List
Evaluation performed by
CL Item
Surgeon (Surgeon)
C18071 (NCI Thesaurus)
C0582175 (UMLS 2011AA)
CL Item
Radiation Oncologist (Radiation Oncologist)
C17833 (NCI Thesaurus)
C1514693 (UMLS 2011AA)
QualityofLifeCompleteAssessmentDate
Item
Date Questionnaire Completed (MM DD YYYY)
date
C25164 (NCI Thesaurus ValueDomain)
C0011008 (UMLS 2011AA ValueDomain)
C17047 (NCI Thesaurus ObjectClass)
C0518214 (UMLS 2011AA ObjectClass)
C25250 (NCI Thesaurus Property)
C0205197 (UMLS 2011AA Property)
C25367 (NCI Thesaurus Property-2)
Item
Reason Questionnaire was not Completed
text
C25638 (NCI Thesaurus ValueDomain)
C1548386 (UMLS CUI-1)
C16960 (NCI Thesaurus ObjectClass)
C0566251 (UMLS CUI-2)
C0034394 (NCI Metathesaurus Property)
CL.4
Code List
Reason Questionnaire was not Completed
CL Item
Not Applicable, Questionnaire Was Completed (Not applicable, questionnaire was completed)
CL Item
Patient Refused Due To Illness (Patient refused due to illness)
CL Item
Patient Refused For Other Reason (Patient refused for other reason)
CL Item
Patient Unable To Be Contacted (Patient unable to be contacted)
CL Item
Institution Error (Institutional error)
CL Item
Patient Withdrew Consent Prior/after (Patient withdrew consent prior/after)
CL Item
Other Reason (Other reason)
CL Item
Unknown (Unknown)
C17998 (NCI Thesaurus)
C0439673 (UMLS 2011AA)
PatientRefuseIncompleteQuestionnaireSpecify
Item
Patient refused for other reason, specify
text
C16960 (NCI Thesaurus ObjectClass)
C0030705 (UMLS 2011AA ObjectClass)
C0034394 (NCI Metathesaurus Property)
C49160 (NCI Thesaurus Property)
C0205257 (UMLS 2011AA Property)
C49161 (NCI Thesaurus Property-2)
C1705116 (UMLS 2011AA Property-2)
C25685 (NCI Thesaurus ValueDomain)
C1521902 (UMLS 2011AA ValueDomain)
PatientIncompleteQuestionnaireOtherSpecify
Item
Other reason, specify
text
C25685 (NCI Thesaurus ValueDomain)
C1521902 (UMLS 2011AA ValueDomain)
C17649 (NCI Thesaurus ValueDomain-2)
C0205394 (UMLS 2011AA ValueDomain-2)
C16960 (NCI Thesaurus ObjectClass)
C0030705 (UMLS 2011AA ObjectClass)
C0034394 (NCI Metathesaurus Property)
Responsible Person Signature
Item
Signature
text
C25704 (NCI Thesaurus ValueDomain)
C1550483 (UMLS CUI-1)
C25190 (NCI Thesaurus ObjectClass)
C25657 (NCI Thesaurus ObjectClass-2)
C25678 (NCI Thesaurus Property)
Date Form Completed
Item
Date Form Completed
date
C25164 (NCI Thesaurus ValueDomain)
C1115437 (UMLS CUI-1)
C40988 (NCI Thesaurus ObjectClass)
C25250 (NCI Thesaurus Property)
C25367 (NCI Thesaurus ValueDomain-2)
Item Group
Unnamed2
Item
Please assess breast cosmesis at this time
text
C25367 (NCI Thesaurus Property)
C12971 (NCI Thesaurus ObjectClass)
C0006141 (UMLS 2011AA ObjectClass)
C25688 (NCI Thesaurus ValueDomain)
C0449438 (UMLS 2011AA ValueDomain)
C25351 (NCI Thesaurus ObjectClass-2)
C0524865 (UMLS 2011AA ObjectClass-2)
CL.5
Code List
Please assess breast cosmesis at this time
CL Item
Excellent (Excellent)
CL Item
Good (Good)
CL Item
Fair (Fair)
CL Item
Poor (Poor)
Item
Skin telangiectasia
text
C12971 (NCI Thesaurus ObjectClass)
C0006141 (UMLS 2011AA ObjectClass)
C25351 (NCI Thesaurus ObjectClass-2)
C0524865 (UMLS 2011AA ObjectClass-2)
C25367 (NCI Thesaurus Property)
C28194 (NCI Thesaurus Property-2)
C0039446 (UMLS 2011AA Property)
C25180 (NCI Thesaurus ValueDomain)
C1522602 (UMLS 2011AA ValueDomain)
CL.6
Code List
Skin telangiectasia
CL Item
None (None)
CL Item
Yes, Present But Does Not Affect Cosmesis (Yes, present but does not affect cosmesis)
CL Item
Yes, Present And Affects Cosmesis (Yes, present and affects cosmesis)
Item
Skin atrophy
text
C12971 (NCI Thesaurus ObjectClass)
C0006141 (UMLS 2011AA ObjectClass)
C25351 (NCI Thesaurus ObjectClass-2)
C0524865 (UMLS 2011AA ObjectClass-2)
C25367 (NCI Thesaurus Property)
C79748 (NCI Thesaurus Property-2)
C0333641 (UMLS 2011AA Property)
C25180 (NCI Thesaurus ValueDomain)
C1522602 (UMLS 2011AA ValueDomain)
CL.7
Code List
Skin atrophy
CL Item
None (None)
CL Item
Yes, Present But Does Not Affect Cosmesis (Yes, present but does not affect cosmesis)
CL Item
Yes, Present And Affects Cosmesis (Yes, present and affects cosmesis)
Item
Scarring
text
C12971 (NCI Thesaurus ObjectClass)
C0006141 (UMLS 2011AA ObjectClass)
C25351 (NCI Thesaurus ObjectClass-2)
C0524865 (UMLS 2011AA ObjectClass-2)
C25367 (NCI Thesaurus Property)
C34483 (NCI Thesaurus Property-2)
C2004491 (UMLS 2011AA Property)
C25180 (NCI Thesaurus ValueDomain)
C1522602 (UMLS 2011AA ValueDomain)
CL.8
Code List
Scarring
CL Item
None (None)
CL Item
Yes, Present But Does Not Affect Cosmesis (Yes, present but does not affect cosmesis)
CL Item
Yes, Present And Affects Cosmesis (Yes, present and affects cosmesis)
Item
Pigment change
text
C12971 (NCI Thesaurus ObjectClass)
C0006141 (UMLS 2011AA ObjectClass)
C25351 (NCI Thesaurus ObjectClass-2)
C0524865 (UMLS 2011AA ObjectClass-2)
C25367 (NCI Thesaurus Property)
C747 (NCI Thesaurus Property-2)
C0031916 (UMLS 2011AA Property)
C25180 (NCI Thesaurus ValueDomain)
C1522602 (UMLS 2011AA ValueDomain)
CL.9
Code List
Pigment change
CL Item
None (None)
CL Item
Yes, Present But Does Not Affect Cosmesis (Yes, present but does not affect cosmesis)
CL Item
Yes, Present And Affects Cosmesis (Yes, present and affects cosmesis)
Item
Erythema
text
C12971 (NCI Thesaurus ObjectClass)
C0006141 (UMLS 2011AA ObjectClass)
C25351 (NCI Thesaurus ObjectClass-2)
C0524865 (UMLS 2011AA ObjectClass-2)
C25367 (NCI Thesaurus Property)
C26901 (NCI Thesaurus Property-2)
C0041834 (UMLS 2011AA Property)
C25180 (NCI Thesaurus ValueDomain)
C1522602 (UMLS 2011AA ValueDomain)
CL.10
Code List
Erythema
CL Item
None (None)
CL Item
Yes, Present But Does Not Affect Cosmesis (Yes, present but does not affect cosmesis)
CL Item
Yes, Present And Affects Cosmesis (Yes, present and affects cosmesis)
Item
Fat necrosis
text
C12971 (NCI Thesaurus ObjectClass)
C0006141 (UMLS 2011AA ObjectClass)
C25351 (NCI Thesaurus ObjectClass-2)
C0524865 (UMLS 2011AA ObjectClass-2)
C25367 (NCI Thesaurus Property)
C26772 (NCI Thesaurus Property-2)
C0015668 (UMLS 2011AA Property)
C25180 (NCI Thesaurus ValueDomain)
C1522602 (UMLS 2011AA ValueDomain)
CL.11
Code List
Fat necrosis
CL Item
None (None)
CL Item
Yes, Present But Does Not Affect Cosmesis (Yes, present but does not affect cosmesis)
CL Item
Yes, Present And Affects Cosmesis (Yes, present and affects cosmesis)
Item
Fibrosis
text
C12971 (NCI Thesaurus ObjectClass)
C0006141 (UMLS 2011AA ObjectClass)
C25351 (NCI Thesaurus ObjectClass-2)
C0524865 (UMLS 2011AA ObjectClass-2)
C25367 (NCI Thesaurus Property)
C3044 (NCI Thesaurus Property-2)
C0016059 (UMLS 2011AA Property)
C25180 (NCI Thesaurus ValueDomain)
C1522602 (UMLS 2011AA ValueDomain)
CL.12
Code List
Fibrosis
CL Item
None (None)
CL Item
Yes, Present But Does Not Affect Cosmesis (Yes, present but does not affect cosmesis)
CL Item
Yes, Present And Affects Cosmesis (Yes, present and affects cosmesis)
Item
Retraction or contour defect
text
C12971 (NCI Thesaurus ObjectClass)
C0006141 (UMLS 2011AA ObjectClass)
C25351 (NCI Thesaurus ObjectClass-2)
C0524865 (UMLS 2011AA ObjectClass-2)
C25367 (NCI Thesaurus Property)
C43429 (NCI Thesaurus Property-2)
C1457869 (UMLS 2011AA Property)
C25180 (NCI Thesaurus ValueDomain)
C1522602 (UMLS 2011AA ValueDomain)
CL.13
Code List
Retraction or contour defect
CL Item
None (None)
CL Item
Yes, Present But Does Not Affect Cosmesis (Yes, present but does not affect cosmesis)
CL Item
Yes, Present And Affects Cosmesis (Yes, present and affects cosmesis)
Item
Volume loss
text
C12971 (NCI Thesaurus ObjectClass)
C0006141 (UMLS 2011AA ObjectClass)
C25351 (NCI Thesaurus ObjectClass-2)
C0524865 (UMLS 2011AA ObjectClass-2)
C25367 (NCI Thesaurus Property)
C25559 (NCI Thesaurus Property-2)
C1517945 (UMLS 2011AA Property)
C25180 (NCI Thesaurus ValueDomain)
C1522602 (UMLS 2011AA ValueDomain)
CL.14
Code List
Volume loss
CL Item
None (None)
CL Item
Yes, Present But Does Not Affect Cosmesis (Yes, present but does not affect cosmesis)
CL Item
Yes, Present And Affects Cosmesis (Yes, present and affects cosmesis)
Item
Other significant treatment effect
text
C12971 (NCI Thesaurus ObjectClass)
C0006141 (UMLS 2011AA ObjectClass)
C25351 (NCI Thesaurus ObjectClass-2)
C0524865 (UMLS 2011AA ObjectClass-2)
C17649 (NCI Thesaurus Property)
C0205394 (UMLS 2011AA Property)
C25367 (NCI Thesaurus Property-2)
C25180 (NCI Thesaurus ValueDomain)
C1522602 (UMLS 2011AA ValueDomain)
CL.15
Code List
Other significant treatment effect
CL Item
None (None)
CL Item
Yes, Present But Does Not Affect Cosmesis (Yes, present but does not affect cosmesis)
CL Item
Yes, Present And Affects Cosmesis (Yes, present and affects cosmesis)
BreastReconstructionOtherAssessmentSpecify
Item
Specify
text
C12971 (NCI Thesaurus ObjectClass)
C0006141 (UMLS 2011AA ObjectClass)
C25351 (NCI Thesaurus ObjectClass-2)
C0524865 (UMLS 2011AA ObjectClass-2)
C17649 (NCI Thesaurus Property)
C0205394 (UMLS 2011AA Property)
C25367 (NCI Thesaurus Property-2)
C25685 (NCI Thesaurus ValueDomain)
C1521902 (UMLS 2011AA ValueDomain)
Item Group
Footer Module
Research Comments
Item
Comments
text
C25704 (NCI Thesaurus ValueDomain)
C0947611 (UMLS CUI-1)
C15319 (NCI Thesaurus ObjectClass)
C25393 (NCI Thesaurus Property)
ResponsiblePersonSignatureDate
Item
Date
date
C25164 (NCI Thesaurus ValueDomain)
C0011008 (UMLS 2011AA ValueDomain)
C25190 (NCI Thesaurus ObjectClass)
C0027361 (UMLS 2011AA ObjectClass)
C25657 (NCI Thesaurus ObjectClass-2)
C1273518 (UMLS 2011AA ObjectClass-2)
C25678 (NCI Thesaurus Property)
C1519316 (UMLS 2011AA Property)
Responsible Person Signature
Item
Signature
text
C25704 (NCI Thesaurus ValueDomain)
C1550483 (UMLS CUI-1)
C25190 (NCI Thesaurus ObjectClass)
C25657 (NCI Thesaurus ObjectClass-2)
C25678 (NCI Thesaurus Property)
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