ID

2302

Description

AMC-045 Anal Cancer Initial Evaluation Form (IEF) Cisplatin, Fluorouracil, Cetuximab, and Radiation Therapy in Treating Patients With HIV and Stage I, Stage II, or Stage III Anal Cancer Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=1C146420-B4DA-57A0-E044-0003BA3F9857

Link

https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=1C146420-B4DA-57A0-E044-0003BA3F9857

Keywords

Versions (3)
  1. 9/19/12 9/19/12 -
  2. 7/28/17 7/28/17 - Martin Dugas
  3. 7/28/17 7/28/17 - Martin Dugas
Uploaded on

September 19, 2012

DOI

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License

Creative Commons BY-NC 3.0
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NCT00324415 Pre-Study - AMC-045 Anal Cancer Initial Evaluation Form (IEF) - 2516530v1.0

English

No Instruction available.

1 forms  
  1. StudyEvent: AMC-045 Anal Cancer Initial Evaluation Form (IEF)
    1. No Instruction available.
Unnamed1
Description

Unnamed1

Visit number
Description

HospitalAdmissionOrdinalNumber

Data type

double

Alias
NCI Thesaurus ValueDomain
C25337
UMLS 2011AA ValueDomain
C0237753
NCI Thesaurus ObjectClass
C16696
UMLS 2011AA ObjectClass
C0019994
NCI Thesaurus Property
C25385
UMLS 2011AA Property
C0809949
Anal Cancer Tumor Characteristics
Description

Anal Cancer Tumor Characteristics

Evidence of Bowel Obstruction from Anal Cancer
Description

MalignantAnalNeoplasmBowelObstructionStatus

Data type

text

Alias
NCI Thesaurus Property
C9175
UMLS 2011AA Property
C0021843
NCI Thesaurus ObjectClass
C7379
UMLS 2011AA ObjectClass
C0153446
NCI Thesaurus ValueDomain
C25688
UMLS 2011AA ValueDomain
C0449438
Tumor Location
Description

MalignantAnalNeoplasmPrimarySite

Data type

text

Alias
NCI Thesaurus ValueDomain
C13717
UMLS 2011AA ValueDomain
C1515974
NCI Thesaurus Property
C25341
UMLS 2011AA Property
C0450429
NCI Thesaurus Property
C25251
UMLS 2011AA Property
C0205225
NCI Thesaurus ObjectClass
C7379
UMLS 2011AA ObjectClass
C0153446
Anterior (Tumor position)
Description

MalignantAnalNeoplasmAnteriorPositionInd-3

Data type

text

Alias
NCI Thesaurus ValueDomain
C38148
UMLS 2011AA ValueDomain
C1512699
NCI Thesaurus Property
C25231
UMLS 2011AA Property
C0205094
NCI Thesaurus ObjectClass
C7379
UMLS 2011AA ObjectClass
C0153446
NCI Thesaurus Property
C25339
UMLS 2011AA Property
C0733755
Posterior (Tumor position)
Description

MalignantAnalNeoplasmPosteriorPositionInd-3

Data type

text

Alias
NCI Thesaurus ValueDomain
C38148
UMLS 2011AA ValueDomain
C1512699
NCI Thesaurus Property
C25622
UMLS 2011AA Property
C0205095
NCI Thesaurus ObjectClass
C7379
UMLS 2011AA ObjectClass
C0153446
NCI Thesaurus Property
C25339
UMLS 2011AA Property
C0733755
Right Lateral (Tumor position)
Description

MalignantAnalNeoplasmRightLateralPositionInd-3

Data type

text

Alias
NCI Thesaurus ObjectClass
C7379
UMLS 2011AA ObjectClass
C0153446
NCI Thesaurus Property
C25228
UMLS 2011AA Property
C0205090
NCI Thesaurus Property
C25230
UMLS 2011AA Property
C0205093
NCI Thesaurus Property
C25339
UMLS 2011AA Property
C0733755
NCI Thesaurus ValueDomain
C38148
UMLS 2011AA ValueDomain
C1512699
Left Lateral (Tumor position)
Description

MalignantAnalNeoplasmLeftLateralPositionInd-3

Data type

text

Alias
NCI Thesaurus ObjectClass
C7379
UMLS 2011AA ObjectClass
C0153446
NCI Thesaurus Property
C25229
UMLS 2011AA Property
C0205091
NCI Thesaurus Property
C25230
UMLS 2011AA Property
C0205093
NCI Thesaurus Property
C25339
UMLS 2011AA Property
C0733755
NCI Thesaurus ValueDomain
C38148
UMLS 2011AA ValueDomain
C1512699
Circumferential Involvement
Description

MalignantAnalNeoplasmCircumferentialResectionMarginInvolvementType

Data type

text

Alias
NCI Thesaurus ValueDomain
C25284
UMLS 2011AA ValueDomain
C0332307
NCI Thesaurus Property
C25548
UMLS 2011AA Property
C1314939
NCI Thesaurus ObjectClass
C7379
UMLS 2011AA ObjectClass
C0153446
NCI Thesaurus ObjectClass
C46085
UMLS 2011AA ObjectClass
C1705057
Longest Diameter of Lesion(s) (cm)
Description

LesionLongestDiameterMeasurement

Data type

double

Measurement units
  • cm
Alias
NCI Thesaurus ObjectClass
C3824
UMLS 2011AA ObjectClass
C0221198
NCI Thesaurus Property
C25285
UMLS 2011AA Property
C1301886
NCI Thesaurus Property
C25558
UMLS 2011AA Property
C1522425
NCI Thesaurus ValueDomain
C25209
UMLS 2011AA ValueDomain
C0242485
NCI Thesaurus ValueDomain
C25285
UMLS 2011AA ValueDomain
C1301886
cm
Date of Definitive Histologic Diagnosis of Primary Tumor (mm/dd/yyyy)
Description

PrimaryTumorDiagnosisDate

Data type

date

Alias
NCI Thesaurus ValueDomain
C25164
UMLS 2011AA ValueDomain
C0011008
NCI Thesaurus ObjectClass
C3262
UMLS 2011AA ObjectClass
C0027651
NCI Thesaurus ObjectClass
C25251
UMLS 2011AA ObjectClass
C0205225
NCI Thesaurus Property
C15220
UMLS 2011AA Property
C0011900
Histology
Description

MalignantAnalNeoplasmHistologicCategory

Data type

text

Alias
NCI Thesaurus ValueDomain
C25372
UMLS 2011AA ValueDomain
C0683312
NCI Thesaurus Property
C25526
UMLS 2011AA Property
C0205462
NCI Thesaurus ObjectClass
C7379
UMLS 2011AA ObjectClass
C0153446
NCI Thesaurus Property
C25161
UMLS 2011AA Property
C0008902
Other, specify
Description

MalignantAnalNeoplasmHistologicCategorySpecify

Data type

text

Alias
NCI Thesaurus ValueDomain
C25685
UMLS 2011AA ValueDomain
C1521902
NCI Thesaurus Property
C25526
UMLS 2011AA Property
C0205462
NCI Thesaurus ObjectClass
C7379
UMLS 2011AA ObjectClass
C0153446
NCI Thesaurus Property
C25161
UMLS 2011AA Property
C0008902
Differentiation
Description

MalignantAnalNeoplasmHistologicGrade

Data type

text

Alias
NCI Thesaurus Property
C25526
UMLS 2011AA Property
C0205462
NCI Thesaurus ObjectClass
C7379
UMLS 2011AA ObjectClass
C0153446
NCI Thesaurus ValueDomain
C18000
UMLS 2011AA ValueDomain
C0919553
NCI Thesaurus Property
C25365
UMLS 2011AA Property
C0678257
Needle Aspiration (Biopsy of palpably enlarged inguinal nodes)
Description

PalpableLymphNodeFine-NeedleAspirationBiopsyStatus

Data type

text

Alias
NCI Thesaurus ObjectClass
C12745
UMLS 2011AA ObjectClass
C0024204
NCI Thesaurus ObjectClass
C25606
UMLS 2011AA ObjectClass
C0522499
NCI Thesaurus Property
C15189
UMLS 2011AA Property
C0005558
NCI Thesaurus Property
C15361
UMLS 2011AA Property
C1510483
NCI Thesaurus ValueDomain
C25688
UMLS 2011AA ValueDomain
C0449438
Date of Biopsy (mm/dd/yyyy)
Description

BiopsyDate

Data type

date

Alias
NCI Thesaurus ValueDomain
C25164
UMLS 2011AA ValueDomain
C0011008
NCI Thesaurus ValueDomain
C25367
NCI Thesaurus ObjectClass
C15189
UMLS 2011AA ObjectClass
C0005558
NCI Thesaurus Property
C25275
UMLS 2011AA Property
C2745955
Date of Biopsy (mm/dd/yyyy)
Description

BiopsyDate

Data type

date

Alias
NCI Thesaurus ValueDomain
C25164
UMLS 2011AA ValueDomain
C0011008
NCI Thesaurus ValueDomain
C25367
NCI Thesaurus ObjectClass
C15189
UMLS 2011AA ObjectClass
C0005558
NCI Thesaurus Property
C25275
UMLS 2011AA Property
C2745955
Excisional (required if needle aspiration is negative) (Biopsy of palpably enlarged inguinal nodes)
Description

PalpableLymphNodeExcisionalBiopsyStatus

Data type

text

Alias
NCI Thesaurus ObjectClass
C12745
UMLS 2011AA ObjectClass
C0024204
NCI Thesaurus Property
C15385
UMLS 2011AA Property
C0184921
NCI Thesaurus ObjectClass
C25606
UMLS 2011AA ObjectClass
C0522499
NCI Thesaurus ValueDomain
C25688
UMLS 2011AA ValueDomain
C0449438
Pelvic Lymph Nodes Suspected
Description

PelvicLymphNodeInvolvedStatus

Data type

text

Alias
NCI Thesaurus ObjectClass
C12745
UMLS 2011AA ObjectClass
C0024204
NCI Thesaurus Property
C25547
NCI Thesaurus ObjectClass
C25399
UMLS 2011AA ObjectClass
C0030797
NCI Thesaurus ValueDomain
C25688
UMLS 2011AA ValueDomain
C0449438
Method of Evaluation (If "Present",)
Description

AssessmentMethodType

Data type

text

Alias
NCI Thesaurus ValueDomain
C25284
UMLS 2011AA ValueDomain
C0332307
NCI Thesaurus ObjectClass
C20989
UMLS 2011AA ObjectClass
C0031809
NCI Thesaurus Property
C16847
UMLS 2011AA Property
C0449851
Other Specify
Description

AssessmentMethodSpecify

Data type

text

Alias
NCI Thesaurus ValueDomain
C25685
UMLS 2011AA ValueDomain
C1521902
NCI Thesaurus ObjectClass
C20989
UMLS 2011AA ObjectClass
C0031809
NCI Thesaurus Property
C16847
UMLS 2011AA Property
C0449851
Fecal Continence
Description

PatientFecesIncontinenceAssessmentStatus

Data type

text

Alias
NCI Thesaurus ObjectClass
C16960
UMLS 2011AA ObjectClass
C0030705
NCI Thesaurus Property
C20989
UMLS 2011AA Property
C0031809
NCI Thesaurus Property
C13234
UMLS 2011AA Property
C0015733
NCI Metathesaurus Property
C0021167
NCI Thesaurus ValueDomain
C25688
UMLS 2011AA ValueDomain
C0449438
Procedures
Description

Procedures

Proctoscopy or Sigmoidoscopy
Description

MalignantAnalNeoplasmProctoscopySigmoidoscopyDiagnosticProcedureStatus

Data type

text

Alias
NCI Thesaurus ObjectClass
C7379
UMLS 2011AA ObjectClass
C0153446
NCI Thesaurus Property
C18020
UMLS 2011AA Property
C0430022
NCI Thesaurus Property
C17131
UMLS 2011AA Property
C0037075
NCI Thesaurus Property
C17012
UMLS 2011AA Property
C0033251
NCI Thesaurus ValueDomain
C25688
UMLS 2011AA ValueDomain
C0449438
CT/MRI Scan of Pelvis and Abdomen, including Liver
Description

PatientMalignantAnalNeoplasmDiagnosisPelvicComputedTomographyMagneticResonanceImagingDiagnosticProcedureStatus

Data type

text

Alias
NCI Thesaurus ObjectClass
C16960
UMLS 2011AA ObjectClass
C0030705
NCI Thesaurus ObjectClass
C15220
UMLS 2011AA ObjectClass
C0011900
NCI Thesaurus ObjectClass
C7379
UMLS 2011AA ObjectClass
C0153446
NCI Thesaurus Property
C17204
UMLS 2011AA Property
C0040405
NCI Thesaurus Property
C16809
UMLS 2011AA Property
C0024485
NCI Thesaurus Property
C25399
UMLS 2011AA Property
C0030797
NCI Thesaurus Property
C18020
UMLS 2011AA Property
C0430022
NCI Thesaurus ValueDomain
C25688
UMLS 2011AA ValueDomain
C0449438
Chest X-ray
Description

PatientMalignantAnalNeoplasmDiagnosisChestX-RayDiagnosticProcedureStatus

Data type

text

Alias
NCI Thesaurus ObjectClass
C16960
UMLS 2011AA ObjectClass
C0030705
NCI Thesaurus ObjectClass
C15220
UMLS 2011AA ObjectClass
C0011900
NCI Thesaurus ObjectClass
C7379
UMLS 2011AA ObjectClass
C0153446
NCI Thesaurus Property
C25389
UMLS 2011AA Property
C0817096
NCI Thesaurus Property
C18020
UMLS 2011AA Property
C0430022
NCI Thesaurus Property
C17261
NCI Thesaurus ValueDomain
C25688
UMLS 2011AA ValueDomain
C0449438
Inguinal Lymphangiogram
Description

PatientMalignantAnalNeoplasmDiagnosisInguinalLymphangiogramDiagnosticProcedureStatus

Data type

text

Alias
NCI Thesaurus ObjectClass
C16960
UMLS 2011AA ObjectClass
C0030705
NCI Thesaurus ObjectClass
C15220
UMLS 2011AA ObjectClass
C0011900
NCI Thesaurus ObjectClass
C7379
UMLS 2011AA ObjectClass
C0153446
NCI Thesaurus Property
C16805
UMLS 2011AA Property
C0024219
NCI Thesaurus Property
C18020
UMLS 2011AA Property
C0430022
NCI Thesaurus Property
C12726
UMLS 2011AA Property
C0018246
NCI Thesaurus ValueDomain
C25688
UMLS 2011AA ValueDomain
C0449438
Other procedures
Description

PatientMalignantAnalNeoplasmDiagnosisOtherDiagnosticProcedureStatus

Data type

text

Alias
NCI Thesaurus ObjectClass
C16960
UMLS 2011AA ObjectClass
C0030705
NCI Thesaurus ObjectClass
C15220
UMLS 2011AA ObjectClass
C0011900
NCI Thesaurus ObjectClass
C7379
UMLS 2011AA ObjectClass
C0153446
NCI Thesaurus Property
C17649
UMLS 2011AA Property
C0205394
NCI Thesaurus Property
C18020
UMLS 2011AA Property
C0430022
NCI Thesaurus ValueDomain
C25688
UMLS 2011AA ValueDomain
C0449438
Other specify
Description

PatientMalignantAnalNeoplasmDiagnosisOtherDiagnosticProcedureSpecify

Data type

text

Alias
NCI Thesaurus ObjectClass
C16960
UMLS 2011AA ObjectClass
C0030705
NCI Thesaurus ObjectClass
C15220
UMLS 2011AA ObjectClass
C0011900
NCI Thesaurus ObjectClass
C7379
UMLS 2011AA ObjectClass
C0153446
NCI Thesaurus Property
C17649
UMLS 2011AA Property
C0205394
NCI Thesaurus Property
C18020
UMLS 2011AA Property
C0430022
NCI Thesaurus ValueDomain
C25685
UMLS 2011AA ValueDomain
C1521902
Tnm Pre-treatment Clinical Classification
Description

Tnm Pre-treatment Clinical Classification

Clinical T Stage
Description

MalignantAnalNeoplasmClinicalTStage

Data type

text

Alias
NCI Thesaurus Property
C25398
UMLS 2011AA Property
C0205210
NCI Thesaurus ObjectClass
C7379
UMLS 2011AA ObjectClass
C0153446
NCI Thesaurus ValueDomain
C16899
UMLS 2011AA ValueDomain
C1300072
NCI Thesaurus Property
C25728
UMLS 2011AA Property
C0475455
Clinical N Stage
Description

MalignantAnalNeoplasmClinicalNStage

Data type

text

Alias
NCI Thesaurus Property
C25398
UMLS 2011AA Property
C0205210
NCI Thesaurus ObjectClass
C7379
UMLS 2011AA ObjectClass
C0153446
NCI Thesaurus ValueDomain
C16899
UMLS 2011AA ValueDomain
C1300072
NCI Thesaurus Property
C25580
UMLS 2011AA Property
C0456532
Clinical M Stage
Description

MalignantAnalNeoplasmClinicalMStage

Data type

text

Alias
NCI Thesaurus Property
C25398
UMLS 2011AA Property
C0205210
NCI Thesaurus ObjectClass
C7379
UMLS 2011AA ObjectClass
C0153446
NCI Thesaurus ValueDomain
C16899
UMLS 2011AA ValueDomain
C1300072
NCI Thesaurus Property
C25727
UMLS 2011AA Property
C0456533
Stage
Description

MalignantAnalNeoplasmGroupingStage

Data type

text

Alias
NCI Thesaurus ObjectClass
C7379
UMLS 2011AA ObjectClass
C0153446
NCI Thesaurus ValueDomain
C16899
UMLS 2011AA ValueDomain
C1300072
NCI Thesaurus Property
C25523
UMLS 2011AA Property
C1522242
Comments
Description

Comments

Comments
Description

ResearchCommentsText

Data type

text

Alias
NCI Thesaurus ValueDomain
C25704
UMLS 2011AA ValueDomain
C1527021
NCI Thesaurus ObjectClass
C15319
NCI Thesaurus Property
C25393
UMLS 2011AA Property
C0282411
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1 forms
  1. StudyEvent: AMC-045 Anal Cancer Initial Evaluation Form (IEF)
    1. No Instruction available.
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Unnamed1
HospitalAdmissionOrdinalNumber
Item
Visit number
double
C25337 (NCI Thesaurus ValueDomain)
C0237753 (UMLS 2011AA ValueDomain)
C16696 (NCI Thesaurus ObjectClass)
C0019994 (UMLS 2011AA ObjectClass)
C25385 (NCI Thesaurus Property)
C0809949 (UMLS 2011AA Property)
Item Group
Anal Cancer Tumor Characteristics
Item
Evidence of Bowel Obstruction from Anal Cancer
text
C9175 (NCI Thesaurus Property)
C0021843 (UMLS 2011AA Property)
C7379 (NCI Thesaurus ObjectClass)
C0153446 (UMLS 2011AA ObjectClass)
C25688 (NCI Thesaurus ValueDomain)
C0449438 (UMLS 2011AA ValueDomain)
CL.1
Code List
Evidence of Bowel Obstruction from Anal Cancer
CL Item
No (No)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
CL Item
Partial (Partial)
C25378 (NCI Thesaurus)
C0728938 (UMLS 2011AA)
CL Item
Complete (Complete)
C25250 (NCI Thesaurus)
C0205197 (UMLS 2011AA)
CL Item
Unknown (Unknown)
C17998 (NCI Thesaurus)
C0439673 (UMLS 2011AA)
Item
Tumor Location
text
C13717 (NCI Thesaurus ValueDomain)
C1515974 (UMLS 2011AA ValueDomain)
C25341 (NCI Thesaurus Property)
C0450429 (UMLS 2011AA Property)
C25251 (NCI Thesaurus Property)
C0205225 (UMLS 2011AA Property)
C7379 (NCI Thesaurus ObjectClass)
C0153446 (UMLS 2011AA ObjectClass)
CL.2
Code List
Tumor Location
CL Item
Above Dentate Line (Above dentate line)
CL Item
Anal Canal (Anal Canal)
C12375 (NCI Thesaurus)
C0227411 (UMLS 2011AA)
CL Item
Perianal Skin (Perianal skin)
CL Item
Anal Canal And Perianal Skin (Anal Canal and Perianal skin)
Item
Anterior (Tumor position)
text
C38148 (NCI Thesaurus ValueDomain)
C1512699 (UMLS 2011AA ValueDomain)
C25231 (NCI Thesaurus Property)
C0205094 (UMLS 2011AA Property)
C7379 (NCI Thesaurus ObjectClass)
C0153446 (UMLS 2011AA ObjectClass)
C25339 (NCI Thesaurus Property)
C0733755 (UMLS 2011AA Property)
CL.3
Code List
Anterior (Tumor position)
CL Item
No (No)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
CL Item
Unknown (Unknown)
C17998 (NCI Thesaurus)
C0439673 (UMLS 2011AA)
CL Item
Yes (Yes)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
Item
Posterior (Tumor position)
text
C38148 (NCI Thesaurus ValueDomain)
C1512699 (UMLS 2011AA ValueDomain)
C25622 (NCI Thesaurus Property)
C0205095 (UMLS 2011AA Property)
C7379 (NCI Thesaurus ObjectClass)
C0153446 (UMLS 2011AA ObjectClass)
C25339 (NCI Thesaurus Property)
C0733755 (UMLS 2011AA Property)
CL.4
Code List
Posterior (Tumor position)
CL Item
No (No)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
CL Item
Unknown (Unknown)
C17998 (NCI Thesaurus)
C0439673 (UMLS 2011AA)
CL Item
Yes (Yes)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
Item
Right Lateral (Tumor position)
text
C7379 (NCI Thesaurus ObjectClass)
C0153446 (UMLS 2011AA ObjectClass)
C25228 (NCI Thesaurus Property)
C0205090 (UMLS 2011AA Property)
C25230 (NCI Thesaurus Property)
C0205093 (UMLS 2011AA Property)
C25339 (NCI Thesaurus Property)
C0733755 (UMLS 2011AA Property)
C38148 (NCI Thesaurus ValueDomain)
C1512699 (UMLS 2011AA ValueDomain)
CL.5
Code List
Right Lateral (Tumor position)
CL Item
No (No)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
CL Item
Unknown (Unknown)
C17998 (NCI Thesaurus)
C0439673 (UMLS 2011AA)
CL Item
Yes (Yes)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
Item
Left Lateral (Tumor position)
text
C7379 (NCI Thesaurus ObjectClass)
C0153446 (UMLS 2011AA ObjectClass)
C25229 (NCI Thesaurus Property)
C0205091 (UMLS 2011AA Property)
C25230 (NCI Thesaurus Property)
C0205093 (UMLS 2011AA Property)
C25339 (NCI Thesaurus Property)
C0733755 (UMLS 2011AA Property)
C38148 (NCI Thesaurus ValueDomain)
C1512699 (UMLS 2011AA ValueDomain)
CL.6
Code List
Left Lateral (Tumor position)
CL Item
No (No)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
CL Item
Unknown (Unknown)
C17998 (NCI Thesaurus)
C0439673 (UMLS 2011AA)
CL Item
Yes (Yes)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
Item
Circumferential Involvement
text
C25284 (NCI Thesaurus ValueDomain)
C0332307 (UMLS 2011AA ValueDomain)
C25548 (NCI Thesaurus Property)
C1314939 (UMLS 2011AA Property)
C7379 (NCI Thesaurus ObjectClass)
C0153446 (UMLS 2011AA ObjectClass)
C46085 (NCI Thesaurus ObjectClass)
C1705057 (UMLS 2011AA ObjectClass)
CL.7
Code List
Circumferential Involvement
CL Item
<1/2 (<1/2)
CL Item
>1/2 (>1/2)
CL Item
Unknown (Unknown)
C17998 (NCI Thesaurus)
C0439673 (UMLS 2011AA)
LesionLongestDiameterMeasurement
Item
Longest Diameter of Lesion(s) (cm)
double
C3824 (NCI Thesaurus ObjectClass)
C0221198 (UMLS 2011AA ObjectClass)
C25285 (NCI Thesaurus Property)
C1301886 (UMLS 2011AA Property)
C25558 (NCI Thesaurus Property)
C1522425 (UMLS 2011AA Property)
C25209 (NCI Thesaurus ValueDomain)
C0242485 (UMLS 2011AA ValueDomain)
C25285 (NCI Thesaurus ValueDomain)
C1301886 (UMLS 2011AA ValueDomain)
PrimaryTumorDiagnosisDate
Item
Date of Definitive Histologic Diagnosis of Primary Tumor (mm/dd/yyyy)
date
C25164 (NCI Thesaurus ValueDomain)
C0011008 (UMLS 2011AA ValueDomain)
C3262 (NCI Thesaurus ObjectClass)
C0027651 (UMLS 2011AA ObjectClass)
C25251 (NCI Thesaurus ObjectClass)
C0205225 (UMLS 2011AA ObjectClass)
C15220 (NCI Thesaurus Property)
C0011900 (UMLS 2011AA Property)
Item
Histology
text
C25372 (NCI Thesaurus ValueDomain)
C0683312 (UMLS 2011AA ValueDomain)
C25526 (NCI Thesaurus Property)
C0205462 (UMLS 2011AA Property)
C7379 (NCI Thesaurus ObjectClass)
C0153446 (UMLS 2011AA ObjectClass)
C25161 (NCI Thesaurus Property)
C0008902 (UMLS 2011AA Property)
CL.8
Code List
Histology
CL Item
Anal Squamous Cell Carcinoma (Squamous Cell)
C9161 (NCI Thesaurus)
C1412036 (UMLS 2011AA)
CL Item
Anal Cloacogenic Carcinoma (Cloacogenic)
C8255 (NCI Thesaurus)
C0334273 (UMLS 2011AA)
CL Item
Anal Basaloid Carcinoma (Basaloid)
C8256 (NCI Thesaurus)
C0280470 (UMLS 2011AA)
CL Item
Other (Other)
C17649 (NCI Thesaurus)
C0205394 (UMLS 2011AA)
MalignantAnalNeoplasmHistologicCategorySpecify
Item
Other, specify
text
C25685 (NCI Thesaurus ValueDomain)
C1521902 (UMLS 2011AA ValueDomain)
C25526 (NCI Thesaurus Property)
C0205462 (UMLS 2011AA Property)
C7379 (NCI Thesaurus ObjectClass)
C0153446 (UMLS 2011AA ObjectClass)
C25161 (NCI Thesaurus Property)
C0008902 (UMLS 2011AA Property)
Item
Differentiation
text
C25526 (NCI Thesaurus Property)
C0205462 (UMLS 2011AA Property)
C7379 (NCI Thesaurus ObjectClass)
C0153446 (UMLS 2011AA ObjectClass)
C18000 (NCI Thesaurus ValueDomain)
C0919553 (UMLS 2011AA ValueDomain)
C25365 (NCI Thesaurus Property)
C0678257 (UMLS 2011AA Property)
CL.9
Code List
Differentiation
CL Item
Low Grade (Low Grade (well differentiated))
C14161 (NCI Thesaurus)
C1282907 (UMLS 2011AA)
CL Item
Intermediate Grade (Intermediate Grade (moderately differentiated))
C28083 (NCI Thesaurus)
C1512863 (UMLS 2011AA)
CL Item
High Grade (High Grade (poorly differentiated))
C14158 (NCI Thesaurus)
C0205082 (UMLS 2011AA)
CL Item
Unknown (Unknown)
C17998 (NCI Thesaurus)
C0439673 (UMLS 2011AA)
Item
Needle Aspiration (Biopsy of palpably enlarged inguinal nodes)
text
C12745 (NCI Thesaurus ObjectClass)
C0024204 (UMLS 2011AA ObjectClass)
C25606 (NCI Thesaurus ObjectClass)
C0522499 (UMLS 2011AA ObjectClass)
C15189 (NCI Thesaurus Property)
C0005558 (UMLS 2011AA Property)
C15361 (NCI Thesaurus Property)
C1510483 (UMLS 2011AA Property)
C25688 (NCI Thesaurus ValueDomain)
C0449438 (UMLS 2011AA ValueDomain)
CL.10
Code List
Needle Aspiration (Biopsy of palpably enlarged inguinal nodes)
CL Item
Not Applicable (Not Applicable (not palpable))
C48660 (NCI Thesaurus)
C1272460 (UMLS 2011AA)
CL Item
Not Done (Not done)
CL281691 (NCI Metathesaurus)
CL Item
Positive (Positive)
C25246 (NCI Thesaurus)
C1446409 (UMLS 2011AA)
CL Item
Negative (Negative)
C25247 (NCI Thesaurus)
C0205160 (UMLS 2011AA)
CL Item
Equivocal (Equivocal)
C86071 (NCI Thesaurus)
C0332241 (UMLS 2011AA)
CL Item
Unknown (Unknown)
C17998 (NCI Thesaurus)
C0439673 (UMLS 2011AA)
BiopsyDate
Item
Date of Biopsy (mm/dd/yyyy)
date
C25164 (NCI Thesaurus ValueDomain)
C0011008 (UMLS 2011AA ValueDomain)
C25367 (NCI Thesaurus ValueDomain)
C15189 (NCI Thesaurus ObjectClass)
C0005558 (UMLS 2011AA ObjectClass)
C25275 (NCI Thesaurus Property)
C2745955 (UMLS 2011AA Property)
BiopsyDate
Item
Date of Biopsy (mm/dd/yyyy)
date
C25164 (NCI Thesaurus ValueDomain)
C0011008 (UMLS 2011AA ValueDomain)
C25367 (NCI Thesaurus ValueDomain)
C15189 (NCI Thesaurus ObjectClass)
C0005558 (UMLS 2011AA ObjectClass)
C25275 (NCI Thesaurus Property)
C2745955 (UMLS 2011AA Property)
Item
Excisional (required if needle aspiration is negative) (Biopsy of palpably enlarged inguinal nodes)
text
C12745 (NCI Thesaurus ObjectClass)
C0024204 (UMLS 2011AA ObjectClass)
C15385 (NCI Thesaurus Property)
C0184921 (UMLS 2011AA Property)
C25606 (NCI Thesaurus ObjectClass)
C0522499 (UMLS 2011AA ObjectClass)
C25688 (NCI Thesaurus ValueDomain)
C0449438 (UMLS 2011AA ValueDomain)
CL.11
Code List
Excisional (required if needle aspiration is negative) (Biopsy of palpably enlarged inguinal nodes)
CL Item
Not Applicable (Not Applicable (not palpable))
C48660 (NCI Thesaurus)
C1272460 (UMLS 2011AA)
CL Item
Not Done (Not done)
CL281691 (NCI Metathesaurus)
CL Item
Positive (Positive)
C25246 (NCI Thesaurus)
C1446409 (UMLS 2011AA)
CL Item
Negative (Negative)
C25247 (NCI Thesaurus)
C0205160 (UMLS 2011AA)
CL Item
Equivocal (Equivocal)
C86071 (NCI Thesaurus)
C0332241 (UMLS 2011AA)
CL Item
Unknown (Unknown)
C17998 (NCI Thesaurus)
C0439673 (UMLS 2011AA)
Item
Pelvic Lymph Nodes Suspected
text
C12745 (NCI Thesaurus ObjectClass)
C0024204 (UMLS 2011AA ObjectClass)
C25547 (NCI Thesaurus Property)
C25399 (NCI Thesaurus ObjectClass)
C0030797 (UMLS 2011AA ObjectClass)
C25688 (NCI Thesaurus ValueDomain)
C0449438 (UMLS 2011AA ValueDomain)
CL.12
Code List
Pelvic Lymph Nodes Suspected
CL Item
Absent (Absent)
C48190 (NCI Thesaurus)
C0332197 (UMLS 2011AA)
CL Item
Present (Present)
C25626 (NCI Thesaurus)
C0150312 (UMLS 2011AA)
Item
Method of Evaluation (If "Present",)
text
C25284 (NCI Thesaurus ValueDomain)
C0332307 (UMLS 2011AA ValueDomain)
C20989 (NCI Thesaurus ObjectClass)
C0031809 (UMLS 2011AA ObjectClass)
C16847 (NCI Thesaurus Property)
C0449851 (UMLS 2011AA Property)
CL.13
Code List
Method of Evaluation (If "Present",)
CL Item
Radiographic (Radiographic)
CL Item
Pathologic (Pathologic)
C25610 (NCI Thesaurus)
C1521733 (UMLS 2011AA)
CL Item
Other (Other)
C17649 (NCI Thesaurus)
C0205394 (UMLS 2011AA)
AssessmentMethodSpecify
Item
Other Specify
text
C25685 (NCI Thesaurus ValueDomain)
C1521902 (UMLS 2011AA ValueDomain)
C20989 (NCI Thesaurus ObjectClass)
C0031809 (UMLS 2011AA ObjectClass)
C16847 (NCI Thesaurus Property)
C0449851 (UMLS 2011AA Property)
Item
Fecal Continence
text
C16960 (NCI Thesaurus ObjectClass)
C0030705 (UMLS 2011AA ObjectClass)
C20989 (NCI Thesaurus Property)
C0031809 (UMLS 2011AA Property)
C13234 (NCI Thesaurus Property)
C0015733 (UMLS 2011AA Property)
C0021167 (NCI Metathesaurus Property)
C25688 (NCI Thesaurus ValueDomain)
C0449438 (UMLS 2011AA ValueDomain)
CL.14
Code List
Fecal Continence
CL Item
Not Applicable (Not applicable)
C48660 (NCI Thesaurus)
C1272460 (UMLS 2011AA)
CL Item
Normal Continence; Able To Control Stool Movements At All Times (Normal continence; able to control stool movements at all times)
CL Item
Gas Incontinence Only; Able To Control Stool Movements But Not Gas (Gas incontinence only; able to control stool movements but not gas)
CL Item
Minor Spotting Or Leakage Of Stool (up To Coin Size) About Once Per Week (Minor spotting or leakage of stool (up to coin size) about once per week)
CL Item
Minor Spotting Or Leakage Of Stool (up To Coin Size) More Than Once Per Week (Minor spotting or leakage of stool (up to coin size) more than once per week)
CL Item
Significant Leakage Of Stool (larger Than Coin Size) About Once Per Week (Significant leakage of stool (larger than coin size) about once per week)
CL Item
Significant Leakage Of Stool (larger Than Coin Size) More Than Once Per Week (Significant leakage of stool (larger than coin size) more than once per week)
CL Item
Unknown (Unknown)
C17998 (NCI Thesaurus)
C0439673 (UMLS 2011AA)
Item Group
Procedures
Item
Proctoscopy or Sigmoidoscopy
text
C7379 (NCI Thesaurus ObjectClass)
C0153446 (UMLS 2011AA ObjectClass)
C18020 (NCI Thesaurus Property)
C0430022 (UMLS 2011AA Property)
C17131 (NCI Thesaurus Property)
C0037075 (UMLS 2011AA Property)
C17012 (NCI Thesaurus Property)
C0033251 (UMLS 2011AA Property)
C25688 (NCI Thesaurus ValueDomain)
C0449438 (UMLS 2011AA ValueDomain)
CL.15
Code List
Proctoscopy or Sigmoidoscopy
CL Item
Equivocal (Equivocal)
C86071 (NCI Thesaurus)
C0332241 (UMLS 2011AA)
CL Item
Negative (Negative)
C25247 (NCI Thesaurus)
C0205160 (UMLS 2011AA)
CL Item
Not Done (Not done)
CL281691 (NCI Metathesaurus)
CL Item
Positive, Cancer (Positive, cancer)
CL Item
Positive, Other Dysfunction (Positive, other dysfunction)
CL Item
Unknown (Unknown)
C17998 (NCI Thesaurus)
C0439673 (UMLS 2011AA)
Item
CT/MRI Scan of Pelvis and Abdomen, including Liver
text
C16960 (NCI Thesaurus ObjectClass)
C0030705 (UMLS 2011AA ObjectClass)
C15220 (NCI Thesaurus ObjectClass)
C0011900 (UMLS 2011AA ObjectClass)
C7379 (NCI Thesaurus ObjectClass)
C0153446 (UMLS 2011AA ObjectClass)
C17204 (NCI Thesaurus Property)
C0040405 (UMLS 2011AA Property)
C16809 (NCI Thesaurus Property)
C0024485 (UMLS 2011AA Property)
C25399 (NCI Thesaurus Property)
C0030797 (UMLS 2011AA Property)
C18020 (NCI Thesaurus Property)
C0430022 (UMLS 2011AA Property)
C25688 (NCI Thesaurus ValueDomain)
C0449438 (UMLS 2011AA ValueDomain)
CL.16
Code List
CT/MRI Scan of Pelvis and Abdomen, including Liver
CL Item
Equivocal (Equivocal)
C86071 (NCI Thesaurus)
C0332241 (UMLS 2011AA)
CL Item
Negative (Negative)
C25247 (NCI Thesaurus)
C0205160 (UMLS 2011AA)
CL Item
Not Done (Not done)
CL281691 (NCI Metathesaurus)
CL Item
Positive, Cancer (Positive, cancer)
CL Item
Positive, Other Dysfunction (Positive, other dysfunction)
CL Item
Unknown (Unknown)
C17998 (NCI Thesaurus)
C0439673 (UMLS 2011AA)
Item
Chest X-ray
text
C16960 (NCI Thesaurus ObjectClass)
C0030705 (UMLS 2011AA ObjectClass)
C15220 (NCI Thesaurus ObjectClass)
C0011900 (UMLS 2011AA ObjectClass)
C7379 (NCI Thesaurus ObjectClass)
C0153446 (UMLS 2011AA ObjectClass)
C25389 (NCI Thesaurus Property)
C0817096 (UMLS 2011AA Property)
C18020 (NCI Thesaurus Property)
C0430022 (UMLS 2011AA Property)
C17261 (NCI Thesaurus Property)
C25688 (NCI Thesaurus ValueDomain)
C0449438 (UMLS 2011AA ValueDomain)
CL.17
Code List
Chest X-ray
CL Item
Equivocal (Equivocal)
C86071 (NCI Thesaurus)
C0332241 (UMLS 2011AA)
CL Item
Negative (Negative)
C25247 (NCI Thesaurus)
C0205160 (UMLS 2011AA)
CL Item
Not Done (Not done)
CL281691 (NCI Metathesaurus)
CL Item
Positive, Cancer (Positive, cancer)
CL Item
Positive, Other Dysfunction (Positive, other dysfunction)
CL Item
Unknown (Unknown)
C17998 (NCI Thesaurus)
C0439673 (UMLS 2011AA)
Item
Inguinal Lymphangiogram
text
C16960 (NCI Thesaurus ObjectClass)
C0030705 (UMLS 2011AA ObjectClass)
C15220 (NCI Thesaurus ObjectClass)
C0011900 (UMLS 2011AA ObjectClass)
C7379 (NCI Thesaurus ObjectClass)
C0153446 (UMLS 2011AA ObjectClass)
C16805 (NCI Thesaurus Property)
C0024219 (UMLS 2011AA Property)
C18020 (NCI Thesaurus Property)
C0430022 (UMLS 2011AA Property)
C12726 (NCI Thesaurus Property)
C0018246 (UMLS 2011AA Property)
C25688 (NCI Thesaurus ValueDomain)
C0449438 (UMLS 2011AA ValueDomain)
CL.18
Code List
Inguinal Lymphangiogram
CL Item
Equivocal (Equivocal)
C86071 (NCI Thesaurus)
C0332241 (UMLS 2011AA)
CL Item
Negative (Negative)
C25247 (NCI Thesaurus)
C0205160 (UMLS 2011AA)
CL Item
Not Done (Not done)
CL281691 (NCI Metathesaurus)
CL Item
Positive, Cancer (Positive, cancer)
CL Item
Positive, Other Dysfunction (Positive, other dysfunction)
CL Item
Unknown (Unknown)
C17998 (NCI Thesaurus)
C0439673 (UMLS 2011AA)
Item
Other procedures
text
C16960 (NCI Thesaurus ObjectClass)
C0030705 (UMLS 2011AA ObjectClass)
C15220 (NCI Thesaurus ObjectClass)
C0011900 (UMLS 2011AA ObjectClass)
C7379 (NCI Thesaurus ObjectClass)
C0153446 (UMLS 2011AA ObjectClass)
C17649 (NCI Thesaurus Property)
C0205394 (UMLS 2011AA Property)
C18020 (NCI Thesaurus Property)
C0430022 (UMLS 2011AA Property)
C25688 (NCI Thesaurus ValueDomain)
C0449438 (UMLS 2011AA ValueDomain)
CL.19
Code List
Other procedures
CL Item
Equivocal (Equivocal)
C86071 (NCI Thesaurus)
C0332241 (UMLS 2011AA)
CL Item
Negative (Negative)
C25247 (NCI Thesaurus)
C0205160 (UMLS 2011AA)
CL Item
Not Done (Not done)
CL281691 (NCI Metathesaurus)
CL Item
Positive, Cancer (Positive, cancer)
CL Item
Positive, Other Dysfunction (Positive, other dysfunction)
CL Item
Unknown (Unknown)
C17998 (NCI Thesaurus)
C0439673 (UMLS 2011AA)
PatientMalignantAnalNeoplasmDiagnosisOtherDiagnosticProcedureSpecify
Item
Other specify
text
C16960 (NCI Thesaurus ObjectClass)
C0030705 (UMLS 2011AA ObjectClass)
C15220 (NCI Thesaurus ObjectClass)
C0011900 (UMLS 2011AA ObjectClass)
C7379 (NCI Thesaurus ObjectClass)
C0153446 (UMLS 2011AA ObjectClass)
C17649 (NCI Thesaurus Property)
C0205394 (UMLS 2011AA Property)
C18020 (NCI Thesaurus Property)
C0430022 (UMLS 2011AA Property)
C25685 (NCI Thesaurus ValueDomain)
C1521902 (UMLS 2011AA ValueDomain)
Item Group
Tnm Pre-treatment Clinical Classification
Item
Clinical T Stage
text
C25398 (NCI Thesaurus Property)
C0205210 (UMLS 2011AA Property)
C7379 (NCI Thesaurus ObjectClass)
C0153446 (UMLS 2011AA ObjectClass)
C16899 (NCI Thesaurus ValueDomain)
C1300072 (UMLS 2011AA ValueDomain)
C25728 (NCI Thesaurus Property)
C0475455 (UMLS 2011AA Property)
CL.20
Code List
Clinical T Stage
CL Item
T0 Anal Cancer (T0)
CL Item
T1 Anal Cancer (T1)
CL Item
T2 Anal Cancer (T2)
CL Item
T3 Anal Cancer (T3)
CL Item
T4 Anal Cancer (T4)
CL Item
Tis Anal Cancer (Tis)
CL Item
Tx Anal Cancer (TX)
Item
Clinical N Stage
text
C25398 (NCI Thesaurus Property)
C0205210 (UMLS 2011AA Property)
C7379 (NCI Thesaurus ObjectClass)
C0153446 (UMLS 2011AA ObjectClass)
C16899 (NCI Thesaurus ValueDomain)
C1300072 (UMLS 2011AA ValueDomain)
C25580 (NCI Thesaurus Property)
C0456532 (UMLS 2011AA Property)
CL.21
Code List
Clinical N Stage
CL Item
N0 Anal Cancer (N0)
CL Item
N1 Anal Cancer (N1)
CL Item
N2 Anal Cancer (N2)
CL Item
N3 Anal Cancer (N3)
CL Item
Nx Anal Cancer (NX)
Item
Clinical M Stage
text
C25398 (NCI Thesaurus Property)
C0205210 (UMLS 2011AA Property)
C7379 (NCI Thesaurus ObjectClass)
C0153446 (UMLS 2011AA ObjectClass)
C16899 (NCI Thesaurus ValueDomain)
C1300072 (UMLS 2011AA ValueDomain)
C25727 (NCI Thesaurus Property)
C0456533 (UMLS 2011AA Property)
CL.22
Code List
Clinical M Stage
CL Item
M0 Anal Cancer (M0)
CL Item
M1 Anal Cancer (M1)
CL Item
Mx Anal Cancer (MX)
Item
Stage
text
C7379 (NCI Thesaurus ObjectClass)
C0153446 (UMLS 2011AA ObjectClass)
C16899 (NCI Thesaurus ValueDomain)
C1300072 (UMLS 2011AA ValueDomain)
C25523 (NCI Thesaurus Property)
C1522242 (UMLS 2011AA Property)
CL.23
Code List
Stage
CL Item
Stage 0 Anal Canal Cancer (Stage 0)
C7794 (NCI Thesaurus)
C2242854 (UMLS 2011AA)
CL Item
Stage I Anal Canal Cancer (Stage I)
C9037 (NCI Thesaurus)
C0278499 (UMLS 2011AA)
CL Item
Stage Ii Anal Canal Cancer (Stage II)
C7775 (NCI Thesaurus)
C0278500 (UMLS 2011AA)
CL Item
Stage Iiia Anal Cancer (Stage IIIA)
C5925 (NCI Thesaurus)
C0278563 (UMLS 2011AA)
CL Item
Stage Iiib Anal Cancer (Stage IIIB)
C5926 (NCI Thesaurus)
C0278564 (UMLS 2011AA)
CL Item
Stage Iv Anal Canal Cancer (Stage IV)
C6873 (NCI Thesaurus)
C0861424 (UMLS 2011AA)
Item Group
Comments
ResearchCommentsText
Item
Comments
text
C25704 (NCI Thesaurus ValueDomain)
C1527021 (UMLS 2011AA ValueDomain)
C15319 (NCI Thesaurus ObjectClass)
C25393 (NCI Thesaurus Property)
C0282411 (UMLS 2011AA Property)
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