ID

731

Descrição

AMC-061 Response Evaluation Form (R61) Sunitinib Malate in Treating HIV-Positive Patients With Cancer Undergoing Highly Active Antiretroviral Therapy Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=7192FABF-E796-1D98-E040-BB89AD430907

Link

https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=7192FABF-E796-1D98-E040-BB89AD430907

Palavras-chave

Versões (2)
  1. 26/08/2012 26/08/2012 -
  2. 24/06/2017 24/06/2017 - Martin Dugas
Transferido a

26 de agosto de 2012

DOI

Para um pedido faça login.

Licença

Creative Commons BY-NC 3.0 Legacy
Comentários do modelo :

Aqui pode comentar o modelo. Pode comentá-lo especificamente através dos balões de texto nos grupos de itens e itens.

Voltar para os comentários do modelo
Comentários do grupo de itens para :

Comentários do item para :

Para descarregar formulários, precisa de ter uma sessão iniciada. Por favor faça login ou registe-se gratuitamente.

Brain and Central Nervous System Tumors NCT00890747 Response - AMC-061 Response Evaluation Form (R61) - 2934625v1.0

Inglês

This form is to be updated at each response assessment time point defined in the protocol. Please see protocol for guidelines for response evaluation

1 Formulários  
Header Module
Descrição

Header Module

Date of Last Clinical Assessment (mm/dd/yyyy)
Descrição

CancerFollow-UpStatusDate

Tipo de dados

date

Alias
NCI Thesaurus ObjectClass
C9305
UMLS 2011AA ObjectClass
C0006826
NCI Thesaurus Property
C16033
UMLS 2011AA Property
C1522577
NCI Thesaurus Property
C25365
UMLS 2011AA Property
C0678257
NCI Thesaurus ValueDomain
C25164
UMLS 2011AA ValueDomain
C0011008
NCI Thesaurus ValueDomain
C25367
Extra Nodal Involvement Evaluation
Descrição

Extra Nodal Involvement Evaluation

Complete response first observed (CR)
Descrição

CompleteResponseFirstObservedInd-2

Tipo de dados

text

Alias
NCI Thesaurus ObjectClass
C25755
UMLS 2011AA ObjectClass
C0871261
NCI Thesaurus ObjectClass
C25250
UMLS 2011AA ObjectClass
C0205197
NCI Thesaurus Property
C25509
UMLS 2011AA Property
C1279901
NCI Thesaurus Property
C25599
UMLS 2011AA Property
C1441672
NCI Thesaurus ValueDomain
C38147
UMLS 2011AA ValueDomain
C1512698
Complete Response (CR) First Observed Date (mm/dd/yyyy)
Descrição

CompleteResponseFirstObservedDate

Tipo de dados

date

Alias
NCI Thesaurus ObjectClass
C25755
UMLS 2011AA ObjectClass
C0871261
NCI Thesaurus ObjectClass
C25250
UMLS 2011AA ObjectClass
C0205197
NCI Thesaurus Property
C25509
UMLS 2011AA Property
C1279901
NCI Thesaurus Property
C25599
UMLS 2011AA Property
C1441672
NCI Thesaurus ValueDomain
C25164
UMLS 2011AA ValueDomain
C0011008
NCI Thesaurus ValueDomain
C25367
Complete response confirmed (CR)
Descrição

CompleteResponseConfirmedInd-3

Tipo de dados

text

Alias
NCI Thesaurus ValueDomain
C38148
UMLS 2011AA ValueDomain
C1512699
NCI Thesaurus ObjectClass
C25755
UMLS 2011AA ObjectClass
C0871261
NCI Thesaurus ObjectClass
C25250
UMLS 2011AA ObjectClass
C0205197
NCI Thesaurus Property
C25458
UMLS 2011AA Property
C0750484
Complete Response Confirmed Date (CR mm/dd/yyyy)
Descrição

CompleteResponseConfirmedDate

Tipo de dados

date

Alias
NCI Thesaurus ValueDomain
C25164
UMLS 2011AA ValueDomain
C0011008
NCI Thesaurus ObjectClass
C25755
UMLS 2011AA ObjectClass
C0871261
NCI Thesaurus ObjectClass
C25250
UMLS 2011AA ObjectClass
C0205197
NCI Thesaurus Property
C25458
UMLS 2011AA Property
C0750484
Method of Evaluation
Descrição

AssessmentMethodType

Tipo de dados

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
Descrição

AssessmentMethodSpecify

Tipo de dados

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
Morphologic Complete Remission
Descrição

Morphologic Complete Remission

Morphologic Complete Remission (CR) First Observed
Descrição

CellularMorphologyCompleteRemissionFirstObservedInd-2

Tipo de dados

text

Alias
NCI Thesaurus ObjectClass
C4870
UMLS 2011AA ObjectClass
C0677874
NCI Thesaurus ObjectClass
C17768
UMLS 2011AA ObjectClass
C2700385
NCI Thesaurus Property
C25509
UMLS 2011AA Property
C1279901
NCI Thesaurus Property
C25599
UMLS 2011AA Property
C1441672
NCI Thesaurus ValueDomain
C38147
UMLS 2011AA ValueDomain
C1512698
Morphologic Complete Remission (CR) First Observed Date (mm/dd/yyyy)
Descrição

CellularMorphologyCompleteRemissionFirstObservedDate

Tipo de dados

date

Alias
NCI Thesaurus ObjectClass
C4870
UMLS 2011AA ObjectClass
C0677874
NCI Thesaurus ObjectClass
C17768
UMLS 2011AA ObjectClass
C2700385
NCI Thesaurus Property
C25509
UMLS 2011AA Property
C1279901
NCI Thesaurus Property
C25599
UMLS 2011AA Property
C1441672
NCI Thesaurus ValueDomain
C25164
UMLS 2011AA ValueDomain
C0011008
Morphologic Complete Remission (CR) Confirmed
Descrição

CellularMorphologyCompleteRemissionConfirmedInd-2

Tipo de dados

text

Alias
NCI Thesaurus ValueDomain
C38147
UMLS 2011AA ValueDomain
C1512698
NCI Thesaurus Property
C25458
UMLS 2011AA Property
C0750484
NCI Thesaurus ObjectClass
C4870
UMLS 2011AA ObjectClass
C0677874
NCI Thesaurus ObjectClass
C17768
UMLS 2011AA ObjectClass
C2700385
Morphologic Complete Remission (CR) Confirmed Date (mm/dd/yyyy)
Descrição

CellularMorphologyCompleteRemissionConfirmedDate

Tipo de dados

date

Alias
NCI Thesaurus ValueDomain
C25164
UMLS 2011AA ValueDomain
C0011008
NCI Thesaurus Property
C25458
UMLS 2011AA Property
C0750484
NCI Thesaurus ObjectClass
C4870
UMLS 2011AA ObjectClass
C0677874
NCI Thesaurus ObjectClass
C17768
UMLS 2011AA ObjectClass
C2700385
Method of Evaluation
Descrição

AssessmentMethodType

Tipo de dados

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
Descrição

AssessmentMethodSpecify

Tipo de dados

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
Complete Response, Unconfirmed
Descrição

Complete Response, Unconfirmed

Complete Response, Unconfirmed (CRu) First Observed
Descrição

NegationConfirmedCompleteResponseFirstObservedInd-2

Tipo de dados

text

Alias
NCI Thesaurus ObjectClass
C25755
UMLS 2011AA ObjectClass
C0871261
NCI Thesaurus ObjectClass
C25250
UMLS 2011AA ObjectClass
C0205197
NCI Thesaurus ObjectClass
C25458
UMLS 2011AA ObjectClass
C0750484
NCI Thesaurus ObjectClass
C25594
UMLS 2011AA ObjectClass
C1518422
NCI Thesaurus Property
C25509
UMLS 2011AA Property
C1279901
NCI Thesaurus Property
C25599
UMLS 2011AA Property
C1441672
NCI Thesaurus ValueDomain
C38147
UMLS 2011AA ValueDomain
C1512698
Complete Response, Unconfirmed (CRu) First Observed Date (mm/dd/yyyy)
Descrição

NegationConfirmedCompleteResponseFirstObservedDate

Tipo de dados

date

Alias
NCI Thesaurus ObjectClass
C25755
UMLS 2011AA ObjectClass
C0871261
NCI Thesaurus ObjectClass
C25250
UMLS 2011AA ObjectClass
C0205197
NCI Thesaurus ObjectClass
C25458
UMLS 2011AA ObjectClass
C0750484
NCI Thesaurus ObjectClass
C25594
UMLS 2011AA ObjectClass
C1518422
NCI Thesaurus Property
C25509
UMLS 2011AA Property
C1279901
NCI Thesaurus Property
C25599
UMLS 2011AA Property
C1441672
NCI Thesaurus ValueDomain
C25164
UMLS 2011AA ValueDomain
C0011008
Complete Response, Unconfirmed (CRu) Confirmed
Descrição

NegationConfirmedCompleteResponseConfirmedInd-2

Tipo de dados

text

Alias
NCI Thesaurus ObjectClass
C25755
UMLS 2011AA ObjectClass
C0871261
NCI Thesaurus ObjectClass
C25250
UMLS 2011AA ObjectClass
C0205197
NCI Thesaurus ObjectClass
C25458
UMLS 2011AA ObjectClass
C0750484
NCI Thesaurus ObjectClass
C25594
UMLS 2011AA ObjectClass
C1518422
NCI Thesaurus Property
C25458
UMLS 2011AA Property
C0750484
NCI Thesaurus ValueDomain
C38147
UMLS 2011AA ValueDomain
C1512698
Complete Response, Unconfirmed (CRu) Confirmed Date (mm/dd/yyyy)
Descrição

NegationConfirmedCompleteResponseConfirmedDate

Tipo de dados

date

Alias
NCI Thesaurus ObjectClass
C25755
UMLS 2011AA ObjectClass
C0871261
NCI Thesaurus ObjectClass
C25250
UMLS 2011AA ObjectClass
C0205197
NCI Thesaurus ObjectClass
C25458
UMLS 2011AA ObjectClass
C0750484
NCI Thesaurus ObjectClass
C25594
UMLS 2011AA ObjectClass
C1518422
NCI Thesaurus Property
C25458
UMLS 2011AA Property
C0750484
NCI Thesaurus ValueDomain
C25164
UMLS 2011AA ValueDomain
C0011008
Method of Evaluation
Descrição

AssessmentMethodType

Tipo de dados

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
Descrição

AssessmentMethodSpecify

Tipo de dados

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
Morphologic Complete Remission With Incomplete Blood Count Recovery
Descrição

Morphologic Complete Remission With Incomplete Blood Count Recovery

Morphologic Complete Remission With Incomplete Blood Count Recovery (CRi) First Observed
Descrição

IncompleteBloodCellCountRecoveryCellularMorphologyCompleteRemissionFirstObservedInd-2

Tipo de dados

text

Alias
NCI Thesaurus ObjectClass
C49160
UMLS 2011AA ObjectClass
C0205257
NCI Thesaurus ObjectClass
C4870
UMLS 2011AA ObjectClass
C0677874
NCI Thesaurus ObjectClass
C17768
UMLS 2011AA ObjectClass
C2700385
NCI Thesaurus ObjectClass
C70827
UMLS 2011AA ObjectClass
C0237820
NCI Thesaurus ObjectClass
C28133
UMLS 2011AA ObjectClass
C0009555
NCI Thesaurus Property
C25509
UMLS 2011AA Property
C1279901
NCI Thesaurus Property
C25599
UMLS 2011AA Property
C1441672
NCI Thesaurus ValueDomain
C38147
UMLS 2011AA ValueDomain
C1512698
Morphologic Complete Remission With Incomplete Blood Count Recovery (CRi) First Observed Date (mm/dd/yyyy)
Descrição

IncompleteBloodCellCountRecoveryCellularMorphologyCompleteRemissionFirstObservedDate

Tipo de dados

date

Alias
NCI Thesaurus ObjectClass
C49160
UMLS 2011AA ObjectClass
C0205257
NCI Thesaurus ObjectClass
C4870
UMLS 2011AA ObjectClass
C0677874
NCI Thesaurus ObjectClass
C17768
UMLS 2011AA ObjectClass
C2700385
NCI Thesaurus ObjectClass
C70827
UMLS 2011AA ObjectClass
C0237820
NCI Thesaurus ObjectClass
C28133
UMLS 2011AA ObjectClass
C0009555
NCI Thesaurus Property
C25509
UMLS 2011AA Property
C1279901
NCI Thesaurus Property
C25599
UMLS 2011AA Property
C1441672
NCI Thesaurus ValueDomain
C25164
UMLS 2011AA ValueDomain
C0011008
Morphologic Complete Remission With Incomplete Blood Count Recovery (CRi) Confirmed
Descrição

IncompleteBloodCellCountRecoveryCellularMorphologyCompleteRemissionConfirmedInd-2

Tipo de dados

text

Alias
NCI Thesaurus ObjectClass
C49160
UMLS 2011AA ObjectClass
C0205257
NCI Thesaurus ObjectClass
C4870
UMLS 2011AA ObjectClass
C0677874
NCI Thesaurus ObjectClass
C17768
UMLS 2011AA ObjectClass
C2700385
NCI Thesaurus ObjectClass
C70827
UMLS 2011AA ObjectClass
C0237820
NCI Thesaurus ObjectClass
C28133
UMLS 2011AA ObjectClass
C0009555
NCI Thesaurus Property
C25458
UMLS 2011AA Property
C0750484
NCI Thesaurus ValueDomain
C38147
UMLS 2011AA ValueDomain
C1512698
Morphologic Complete Remission With Incomplete Blood Count Recovery (CRi) Confirmed Date (mm/dd/yyyy)
Descrição

IncompleteBloodCellCountRecoveryCellularMorphologyCompleteRemissionConfirmedDate

Tipo de dados

date

Alias
NCI Thesaurus ObjectClass
C49160
UMLS 2011AA ObjectClass
C0205257
NCI Thesaurus ObjectClass
C4870
UMLS 2011AA ObjectClass
C0677874
NCI Thesaurus ObjectClass
C17768
UMLS 2011AA ObjectClass
C2700385
NCI Thesaurus ObjectClass
C70827
UMLS 2011AA ObjectClass
C0237820
NCI Thesaurus ObjectClass
C28133
UMLS 2011AA ObjectClass
C0009555
NCI Thesaurus Property
C25458
UMLS 2011AA Property
C0750484
NCI Thesaurus ValueDomain
C25164
UMLS 2011AA ValueDomain
C0011008
Method of Evaluation
Descrição

AssessmentMethodType

Tipo de dados

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
Descrição

AssessmentMethodSpecify

Tipo de dados

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
Extra Nodal Involvement Evaluation
Descrição

Extra Nodal Involvement Evaluation

Partial response first observed (PR)
Descrição

PartialResponseFirstObservedInd-2

Tipo de dados

text

Alias
NCI Thesaurus ObjectClass
C25755
UMLS 2011AA ObjectClass
C0871261
NCI Thesaurus ObjectClass
C25378
UMLS 2011AA ObjectClass
C0728938
NCI Thesaurus Property
C25509
UMLS 2011AA Property
C1279901
NCI Thesaurus Property
C25599
UMLS 2011AA Property
C1441672
NCI Thesaurus ValueDomain
C38147
UMLS 2011AA ValueDomain
C1512698
Partial Response (PR) First Observed Date (mm/dd/yyyy)
Descrição

PartialResponseFirstObservedDate

Tipo de dados

date

Alias
NCI Thesaurus ObjectClass
C25755
UMLS 2011AA ObjectClass
C0871261
NCI Thesaurus ObjectClass
C25378
UMLS 2011AA ObjectClass
C0728938
NCI Thesaurus Property
C25509
UMLS 2011AA Property
C1279901
NCI Thesaurus Property
C25599
UMLS 2011AA Property
C1441672
NCI Thesaurus ValueDomain
C25164
UMLS 2011AA ValueDomain
C0011008
NCI Thesaurus ValueDomain
C25367
Partial response confirmed
Descrição

PartialResponseConfirmedInd-3

Tipo de dados

text

Alias
NCI Thesaurus ObjectClass
C25755
UMLS 2011AA ObjectClass
C0871261
NCI Thesaurus ObjectClass
C25378
UMLS 2011AA ObjectClass
C0728938
NCI Thesaurus Property
C25458
UMLS 2011AA Property
C0750484
NCI Thesaurus ValueDomain
C38148
UMLS 2011AA ValueDomain
C1512699
NCI Thesaurus ValueDomain
C25755
UMLS 2011AA ValueDomain
C0871261
Partial Response Confirmed Date (mm/dd/yyyy)
Descrição

PartialResponseConfirmedDate

Tipo de dados

date

Alias
NCI Thesaurus ValueDomain
C25164
UMLS 2011AA ValueDomain
C0011008
NCI Thesaurus ObjectClass
C25755
UMLS 2011AA ObjectClass
C0871261
NCI Thesaurus Property
C25458
UMLS 2011AA Property
C0750484
NCI Thesaurus ObjectClass
C25378
UMLS 2011AA ObjectClass
C0728938
Method of Evaluation
Descrição

AssessmentMethodType

Tipo de dados

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
Descrição

AssessmentMethodSpecify

Tipo de dados

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
Partial Remission
Descrição

Partial Remission

Partial Remission (PR) First Observed
Descrição

PartialRemissionFirstObservedInd-2

Tipo de dados

text

Alias
NCI Thesaurus ValueDomain
C38147
UMLS 2011AA ValueDomain
C1512698
NCI Thesaurus Property
C25509
UMLS 2011AA Property
C1279901
NCI Thesaurus ObjectClass
C18058
UMLS 2011AA ObjectClass
C1521726
NCI Thesaurus Property
C25599
UMLS 2011AA Property
C1441672
Partial Remission (PR) First Observed Date (mm/dd/yyyy)
Descrição

PartialRemissionFirstObservedDate

Tipo de dados

date

Alias
NCI Thesaurus ValueDomain
C25164
UMLS 2011AA ValueDomain
C0011008
NCI Thesaurus Property
C25509
UMLS 2011AA Property
C1279901
NCI Thesaurus ObjectClass
C18058
UMLS 2011AA ObjectClass
C1521726
NCI Thesaurus Property
C25599
UMLS 2011AA Property
C1441672
Partial Remission (PR) Confirmed
Descrição

PartialRemissionConfirmedInd-2

Tipo de dados

text

Alias
NCI Thesaurus ValueDomain
C38147
UMLS 2011AA ValueDomain
C1512698
NCI Thesaurus Property
C25458
UMLS 2011AA Property
C0750484
NCI Thesaurus ObjectClass
C18058
UMLS 2011AA ObjectClass
C1521726
Partial Remission (PR) Confirmed Date (mm/dd/yyyy)
Descrição

PartialRemissionConfirmedDate

Tipo de dados

date

Alias
NCI Thesaurus ValueDomain
C25164
UMLS 2011AA ValueDomain
C0011008
NCI Thesaurus Property
C25458
UMLS 2011AA Property
C0750484
NCI Thesaurus ObjectClass
C18058
UMLS 2011AA ObjectClass
C1521726
Method of Evaluation
Descrição

AssessmentMethodType

Tipo de dados

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
Descrição

AssessmentMethodSpecify

Tipo de dados

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
Extra Nodal Involvement Evaluation
Descrição

Extra Nodal Involvement Evaluation

Has the patient been diagnosed with relapsed/recurrent or progressive disease (If Yes, continue. Otherwise, stop)
Descrição

DiseaseRelapseProgressionInd-3

Tipo de dados

text

Alias
NCI Thesaurus ObjectClass
C2991
UMLS 2011AA ObjectClass
C0012634
NCI Thesaurus Property
C38155
UMLS 2011AA Property
C0277556
NCI Thesaurus Property
C15220
UMLS 2011AA Property
C0011900
NCI Thesaurus Property
C19987
UMLS 2011AA Property
C0242656
NCI Thesaurus ValueDomain
C38148
UMLS 2011AA ValueDomain
C1512699
Progression/relapsed disease first observed date (mm/dd/yyyy)
Descrição

RelapseProgressionNeoplasmObservedDate

Tipo de dados

date

Alias
NCI Thesaurus ObjectClass
C3262
UMLS 2011AA ObjectClass
C0027651
NCI Thesaurus ObjectClass
C18265
NCI Thesaurus ObjectClass
C25331
NCI Thesaurus Property
C25599
UMLS 2011AA Property
C1441672
NCI Thesaurus ValueDomain
C25164
UMLS 2011AA ValueDomain
C0011008
Please indicate site of progression/relapse
Descrição

DiseaseProgressionSite

Tipo de dados

text

Alias
NCI Thesaurus ValueDomain
C13717
UMLS 2011AA ValueDomain
C1515974
NCI Thesaurus Property
C25331
NCI Thesaurus ObjectClass
C2991
UMLS 2011AA ObjectClass
C0012634
Comments
Descrição

Comments

Comments
Descrição

ResearchCommentsText

Tipo de dados

text

Alias
NCI Thesaurus ValueDomain
C25704
UMLS 2011AA ValueDomain
C1527021
NCI Thesaurus ObjectClass
C15319
NCI Thesaurus Property
C25393
UMLS 2011AA Property
C0282411
Voltar ao início da página

Similar models

This form is to be updated at each response assessment time point defined in the protocol. Please see protocol for guidelines for response evaluation

1 Formulários
Name
Tipo
Description | Question | Decode (Coded Value)
Tipo de dados
Alias
Item Group
Header Module
CancerFollow-UpStatusDate
Item
Date of Last Clinical Assessment (mm/dd/yyyy)
date
C9305 (NCI Thesaurus ObjectClass)
C0006826 (UMLS 2011AA ObjectClass)
C16033 (NCI Thesaurus Property)
C1522577 (UMLS 2011AA Property)
C25365 (NCI Thesaurus Property)
C0678257 (UMLS 2011AA Property)
C25164 (NCI Thesaurus ValueDomain)
C0011008 (UMLS 2011AA ValueDomain)
C25367 (NCI Thesaurus ValueDomain)
Item Group
Extra Nodal Involvement Evaluation
Item
Complete response first observed (CR)
text
C25755 (NCI Thesaurus ObjectClass)
C0871261 (UMLS 2011AA ObjectClass)
C25250 (NCI Thesaurus ObjectClass)
C0205197 (UMLS 2011AA ObjectClass)
C25509 (NCI Thesaurus Property)
C1279901 (UMLS 2011AA Property)
C25599 (NCI Thesaurus Property)
C1441672 (UMLS 2011AA Property)
C38147 (NCI Thesaurus ValueDomain)
C1512698 (UMLS 2011AA ValueDomain)
CL.1
Code List
Complete response first observed (CR)
CL Item
No (No)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
CL Item
Yes (Yes)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
CompleteResponseFirstObservedDate
Item
Complete Response (CR) First Observed Date (mm/dd/yyyy)
date
C25755 (NCI Thesaurus ObjectClass)
C0871261 (UMLS 2011AA ObjectClass)
C25250 (NCI Thesaurus ObjectClass)
C0205197 (UMLS 2011AA ObjectClass)
C25509 (NCI Thesaurus Property)
C1279901 (UMLS 2011AA Property)
C25599 (NCI Thesaurus Property)
C1441672 (UMLS 2011AA Property)
C25164 (NCI Thesaurus ValueDomain)
C0011008 (UMLS 2011AA ValueDomain)
C25367 (NCI Thesaurus ValueDomain)
Item
Complete response confirmed (CR)
text
C38148 (NCI Thesaurus ValueDomain)
C1512699 (UMLS 2011AA ValueDomain)
C25755 (NCI Thesaurus ObjectClass)
C0871261 (UMLS 2011AA ObjectClass)
C25250 (NCI Thesaurus ObjectClass)
C0205197 (UMLS 2011AA ObjectClass)
C25458 (NCI Thesaurus Property)
C0750484 (UMLS 2011AA Property)
CL.2
Code List
Complete response confirmed (CR)
CL Item
No (No)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
CL Item
Yes (Yes)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
CompleteResponseConfirmedDate
Item
Complete Response Confirmed Date (CR mm/dd/yyyy)
date
C25164 (NCI Thesaurus ValueDomain)
C0011008 (UMLS 2011AA ValueDomain)
C25755 (NCI Thesaurus ObjectClass)
C0871261 (UMLS 2011AA ObjectClass)
C25250 (NCI Thesaurus ObjectClass)
C0205197 (UMLS 2011AA ObjectClass)
C25458 (NCI Thesaurus Property)
C0750484 (UMLS 2011AA Property)
Item
Method of Evaluation
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.18
Code List
Method of Evaluation
CL Item
Palpation (Palpation)
CL Item
X-ray (X-ray)
CL Item
Ct Scan (CT scan)
CL Item
Mri Scan (MRI scan)
CL Item
Ultrasound (Ultrasound)
C64384 (NCI Thesaurus)
C1456803 (UMLS 2011AA)
CL Item
Intravenous Pyelogram (IVP)
CL Item
Gallium Scan (Gallium scan)
C38087 (NCI Thesaurus)
C0521316 (UMLS 2011AA)
CL Item
Lymphangiogram (Lymphangiogram)
C16805 (NCI Thesaurus)
C0024219 (UMLS 2011AA)
CL Item
Bone Scan (Bone scan)
C17646 (NCI Thesaurus)
C0203668 (UMLS 2011AA)
CL Item
Biopsy (Biopsy)
C15189 (NCI Thesaurus)
C0005558 (UMLS 2011AA)
C15189 (NCI Thesaurus)
C0005558 (UMLS 2011AA)
CL Item
Pet Scan (PET scan)
CL Item
Pet/ct Scan (PET/CT scan)
CL Item
Peripheral Blood Counts (Peripheral Blood Counts)
CL Item
Aspirate, Bone Marrow (Bone Marrow Aspirate)
C15644 (NCI Thesaurus)
C0398523 (UMLS 2011AA)
CL Item
Bone Marrow Biopsy (Bone Marrow Biopsy)
C15193 (NCI Thesaurus)
C0005954 (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 Group
Morphologic Complete Remission
Item
Morphologic Complete Remission (CR) First Observed
text
C4870 (NCI Thesaurus ObjectClass)
C0677874 (UMLS 2011AA ObjectClass)
C17768 (NCI Thesaurus ObjectClass)
C2700385 (UMLS 2011AA ObjectClass)
C25509 (NCI Thesaurus Property)
C1279901 (UMLS 2011AA Property)
C25599 (NCI Thesaurus Property)
C1441672 (UMLS 2011AA Property)
C38147 (NCI Thesaurus ValueDomain)
C1512698 (UMLS 2011AA ValueDomain)
CL.4
Code List
Morphologic Complete Remission (CR) First Observed
CL Item
No (No)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
CL Item
Yes (Yes)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
CellularMorphologyCompleteRemissionFirstObservedDate
Item
Morphologic Complete Remission (CR) First Observed Date (mm/dd/yyyy)
date
C4870 (NCI Thesaurus ObjectClass)
C0677874 (UMLS 2011AA ObjectClass)
C17768 (NCI Thesaurus ObjectClass)
C2700385 (UMLS 2011AA ObjectClass)
C25509 (NCI Thesaurus Property)
C1279901 (UMLS 2011AA Property)
C25599 (NCI Thesaurus Property)
C1441672 (UMLS 2011AA Property)
C25164 (NCI Thesaurus ValueDomain)
C0011008 (UMLS 2011AA ValueDomain)
Item
Morphologic Complete Remission (CR) Confirmed
text
C38147 (NCI Thesaurus ValueDomain)
C1512698 (UMLS 2011AA ValueDomain)
C25458 (NCI Thesaurus Property)
C0750484 (UMLS 2011AA Property)
C4870 (NCI Thesaurus ObjectClass)
C0677874 (UMLS 2011AA ObjectClass)
C17768 (NCI Thesaurus ObjectClass)
C2700385 (UMLS 2011AA ObjectClass)
CL.5
Code List
Morphologic Complete Remission (CR) Confirmed
CL Item
No (No)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
CL Item
Yes (Yes)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
CellularMorphologyCompleteRemissionConfirmedDate
Item
Morphologic Complete Remission (CR) Confirmed Date (mm/dd/yyyy)
date
C25164 (NCI Thesaurus ValueDomain)
C0011008 (UMLS 2011AA ValueDomain)
C25458 (NCI Thesaurus Property)
C0750484 (UMLS 2011AA Property)
C4870 (NCI Thesaurus ObjectClass)
C0677874 (UMLS 2011AA ObjectClass)
C17768 (NCI Thesaurus ObjectClass)
C2700385 (UMLS 2011AA ObjectClass)
Item
Method of Evaluation
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.18
Code List
Method of Evaluation
CL Item
Palpation (Palpation)
CL Item
X-ray (X-ray)
CL Item
Ct Scan (CT scan)
CL Item
Mri Scan (MRI scan)
CL Item
Ultrasound (Ultrasound)
C64384 (NCI Thesaurus)
C1456803 (UMLS 2011AA)
CL Item
Intravenous Pyelogram (IVP)
CL Item
Gallium Scan (Gallium scan)
C38087 (NCI Thesaurus)
C0521316 (UMLS 2011AA)
CL Item
Lymphangiogram (Lymphangiogram)
C16805 (NCI Thesaurus)
C0024219 (UMLS 2011AA)
CL Item
Bone Scan (Bone scan)
C17646 (NCI Thesaurus)
C0203668 (UMLS 2011AA)
CL Item
Biopsy (Biopsy)
C15189 (NCI Thesaurus)
C0005558 (UMLS 2011AA)
C15189 (NCI Thesaurus)
C0005558 (UMLS 2011AA)
CL Item
Pet Scan (PET scan)
CL Item
Pet/ct Scan (PET/CT scan)
CL Item
Peripheral Blood Counts (Peripheral Blood Counts)
CL Item
Aspirate, Bone Marrow (Bone Marrow Aspirate)
C15644 (NCI Thesaurus)
C0398523 (UMLS 2011AA)
CL Item
Bone Marrow Biopsy (Bone Marrow Biopsy)
C15193 (NCI Thesaurus)
C0005954 (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 Group
Complete Response, Unconfirmed
Item
Complete Response, Unconfirmed (CRu) First Observed
text
C25755 (NCI Thesaurus ObjectClass)
C0871261 (UMLS 2011AA ObjectClass)
C25250 (NCI Thesaurus ObjectClass)
C0205197 (UMLS 2011AA ObjectClass)
C25458 (NCI Thesaurus ObjectClass)
C0750484 (UMLS 2011AA ObjectClass)
C25594 (NCI Thesaurus ObjectClass)
C1518422 (UMLS 2011AA ObjectClass)
C25509 (NCI Thesaurus Property)
C1279901 (UMLS 2011AA Property)
C25599 (NCI Thesaurus Property)
C1441672 (UMLS 2011AA Property)
C38147 (NCI Thesaurus ValueDomain)
C1512698 (UMLS 2011AA ValueDomain)
CL.7
Code List
Complete Response, Unconfirmed (CRu) First Observed
CL Item
No (No)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
CL Item
Yes (Yes)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
NegationConfirmedCompleteResponseFirstObservedDate
Item
Complete Response, Unconfirmed (CRu) First Observed Date (mm/dd/yyyy)
date
C25755 (NCI Thesaurus ObjectClass)
C0871261 (UMLS 2011AA ObjectClass)
C25250 (NCI Thesaurus ObjectClass)
C0205197 (UMLS 2011AA ObjectClass)
C25458 (NCI Thesaurus ObjectClass)
C0750484 (UMLS 2011AA ObjectClass)
C25594 (NCI Thesaurus ObjectClass)
C1518422 (UMLS 2011AA ObjectClass)
C25509 (NCI Thesaurus Property)
C1279901 (UMLS 2011AA Property)
C25599 (NCI Thesaurus Property)
C1441672 (UMLS 2011AA Property)
C25164 (NCI Thesaurus ValueDomain)
C0011008 (UMLS 2011AA ValueDomain)
Item
Complete Response, Unconfirmed (CRu) Confirmed
text
C25755 (NCI Thesaurus ObjectClass)
C0871261 (UMLS 2011AA ObjectClass)
C25250 (NCI Thesaurus ObjectClass)
C0205197 (UMLS 2011AA ObjectClass)
C25458 (NCI Thesaurus ObjectClass)
C0750484 (UMLS 2011AA ObjectClass)
C25594 (NCI Thesaurus ObjectClass)
C1518422 (UMLS 2011AA ObjectClass)
C25458 (NCI Thesaurus Property)
C0750484 (UMLS 2011AA Property)
C38147 (NCI Thesaurus ValueDomain)
C1512698 (UMLS 2011AA ValueDomain)
CL.8
Code List
Complete Response, Unconfirmed (CRu) Confirmed
CL Item
No (No)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
CL Item
Yes (Yes)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
NegationConfirmedCompleteResponseConfirmedDate
Item
Complete Response, Unconfirmed (CRu) Confirmed Date (mm/dd/yyyy)
date
C25755 (NCI Thesaurus ObjectClass)
C0871261 (UMLS 2011AA ObjectClass)
C25250 (NCI Thesaurus ObjectClass)
C0205197 (UMLS 2011AA ObjectClass)
C25458 (NCI Thesaurus ObjectClass)
C0750484 (UMLS 2011AA ObjectClass)
C25594 (NCI Thesaurus ObjectClass)
C1518422 (UMLS 2011AA ObjectClass)
C25458 (NCI Thesaurus Property)
C0750484 (UMLS 2011AA Property)
C25164 (NCI Thesaurus ValueDomain)
C0011008 (UMLS 2011AA ValueDomain)
Item
Method of Evaluation
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.18
Code List
Method of Evaluation
CL Item
Palpation (Palpation)
CL Item
X-ray (X-ray)
CL Item
Ct Scan (CT scan)
CL Item
Mri Scan (MRI scan)
CL Item
Ultrasound (Ultrasound)
C64384 (NCI Thesaurus)
C1456803 (UMLS 2011AA)
CL Item
Intravenous Pyelogram (IVP)
CL Item
Gallium Scan (Gallium scan)
C38087 (NCI Thesaurus)
C0521316 (UMLS 2011AA)
CL Item
Lymphangiogram (Lymphangiogram)
C16805 (NCI Thesaurus)
C0024219 (UMLS 2011AA)
CL Item
Bone Scan (Bone scan)
C17646 (NCI Thesaurus)
C0203668 (UMLS 2011AA)
CL Item
Biopsy (Biopsy)
C15189 (NCI Thesaurus)
C0005558 (UMLS 2011AA)
C15189 (NCI Thesaurus)
C0005558 (UMLS 2011AA)
CL Item
Pet Scan (PET scan)
CL Item
Pet/ct Scan (PET/CT scan)
CL Item
Peripheral Blood Counts (Peripheral Blood Counts)
CL Item
Aspirate, Bone Marrow (Bone Marrow Aspirate)
C15644 (NCI Thesaurus)
C0398523 (UMLS 2011AA)
CL Item
Bone Marrow Biopsy (Bone Marrow Biopsy)
C15193 (NCI Thesaurus)
C0005954 (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 Group
Morphologic Complete Remission With Incomplete Blood Count Recovery
Item
Morphologic Complete Remission With Incomplete Blood Count Recovery (CRi) First Observed
text
C49160 (NCI Thesaurus ObjectClass)
C0205257 (UMLS 2011AA ObjectClass)
C4870 (NCI Thesaurus ObjectClass)
C0677874 (UMLS 2011AA ObjectClass)
C17768 (NCI Thesaurus ObjectClass)
C2700385 (UMLS 2011AA ObjectClass)
C70827 (NCI Thesaurus ObjectClass)
C0237820 (UMLS 2011AA ObjectClass)
C28133 (NCI Thesaurus ObjectClass)
C0009555 (UMLS 2011AA ObjectClass)
C25509 (NCI Thesaurus Property)
C1279901 (UMLS 2011AA Property)
C25599 (NCI Thesaurus Property)
C1441672 (UMLS 2011AA Property)
C38147 (NCI Thesaurus ValueDomain)
C1512698 (UMLS 2011AA ValueDomain)
CL.10
Code List
Morphologic Complete Remission With Incomplete Blood Count Recovery (CRi) First Observed
CL Item
No (No)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
CL Item
Yes (Yes)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
IncompleteBloodCellCountRecoveryCellularMorphologyCompleteRemissionFirstObservedDate
Item
Morphologic Complete Remission With Incomplete Blood Count Recovery (CRi) First Observed Date (mm/dd/yyyy)
date
C49160 (NCI Thesaurus ObjectClass)
C0205257 (UMLS 2011AA ObjectClass)
C4870 (NCI Thesaurus ObjectClass)
C0677874 (UMLS 2011AA ObjectClass)
C17768 (NCI Thesaurus ObjectClass)
C2700385 (UMLS 2011AA ObjectClass)
C70827 (NCI Thesaurus ObjectClass)
C0237820 (UMLS 2011AA ObjectClass)
C28133 (NCI Thesaurus ObjectClass)
C0009555 (UMLS 2011AA ObjectClass)
C25509 (NCI Thesaurus Property)
C1279901 (UMLS 2011AA Property)
C25599 (NCI Thesaurus Property)
C1441672 (UMLS 2011AA Property)
C25164 (NCI Thesaurus ValueDomain)
C0011008 (UMLS 2011AA ValueDomain)
Item
Morphologic Complete Remission With Incomplete Blood Count Recovery (CRi) Confirmed
text
C49160 (NCI Thesaurus ObjectClass)
C0205257 (UMLS 2011AA ObjectClass)
C4870 (NCI Thesaurus ObjectClass)
C0677874 (UMLS 2011AA ObjectClass)
C17768 (NCI Thesaurus ObjectClass)
C2700385 (UMLS 2011AA ObjectClass)
C70827 (NCI Thesaurus ObjectClass)
C0237820 (UMLS 2011AA ObjectClass)
C28133 (NCI Thesaurus ObjectClass)
C0009555 (UMLS 2011AA ObjectClass)
C25458 (NCI Thesaurus Property)
C0750484 (UMLS 2011AA Property)
C38147 (NCI Thesaurus ValueDomain)
C1512698 (UMLS 2011AA ValueDomain)
CL.11
Code List
Morphologic Complete Remission With Incomplete Blood Count Recovery (CRi) Confirmed
CL Item
No (No)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
CL Item
Yes (Yes)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
IncompleteBloodCellCountRecoveryCellularMorphologyCompleteRemissionConfirmedDate
Item
Morphologic Complete Remission With Incomplete Blood Count Recovery (CRi) Confirmed Date (mm/dd/yyyy)
date
C49160 (NCI Thesaurus ObjectClass)
C0205257 (UMLS 2011AA ObjectClass)
C4870 (NCI Thesaurus ObjectClass)
C0677874 (UMLS 2011AA ObjectClass)
C17768 (NCI Thesaurus ObjectClass)
C2700385 (UMLS 2011AA ObjectClass)
C70827 (NCI Thesaurus ObjectClass)
C0237820 (UMLS 2011AA ObjectClass)
C28133 (NCI Thesaurus ObjectClass)
C0009555 (UMLS 2011AA ObjectClass)
C25458 (NCI Thesaurus Property)
C0750484 (UMLS 2011AA Property)
C25164 (NCI Thesaurus ValueDomain)
C0011008 (UMLS 2011AA ValueDomain)
Item
Method of Evaluation
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.18
Code List
Method of Evaluation
CL Item
Palpation (Palpation)
CL Item
X-ray (X-ray)
CL Item
Ct Scan (CT scan)
CL Item
Mri Scan (MRI scan)
CL Item
Ultrasound (Ultrasound)
C64384 (NCI Thesaurus)
C1456803 (UMLS 2011AA)
CL Item
Intravenous Pyelogram (IVP)
CL Item
Gallium Scan (Gallium scan)
C38087 (NCI Thesaurus)
C0521316 (UMLS 2011AA)
CL Item
Lymphangiogram (Lymphangiogram)
C16805 (NCI Thesaurus)
C0024219 (UMLS 2011AA)
CL Item
Bone Scan (Bone scan)
C17646 (NCI Thesaurus)
C0203668 (UMLS 2011AA)
CL Item
Biopsy (Biopsy)
C15189 (NCI Thesaurus)
C0005558 (UMLS 2011AA)
C15189 (NCI Thesaurus)
C0005558 (UMLS 2011AA)
CL Item
Pet Scan (PET scan)
CL Item
Pet/ct Scan (PET/CT scan)
CL Item
Peripheral Blood Counts (Peripheral Blood Counts)
CL Item
Aspirate, Bone Marrow (Bone Marrow Aspirate)
C15644 (NCI Thesaurus)
C0398523 (UMLS 2011AA)
CL Item
Bone Marrow Biopsy (Bone Marrow Biopsy)
C15193 (NCI Thesaurus)
C0005954 (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 Group
Extra Nodal Involvement Evaluation
Item
Partial response first observed (PR)
text
C25755 (NCI Thesaurus ObjectClass)
C0871261 (UMLS 2011AA ObjectClass)
C25378 (NCI Thesaurus ObjectClass)
C0728938 (UMLS 2011AA ObjectClass)
C25509 (NCI Thesaurus Property)
C1279901 (UMLS 2011AA Property)
C25599 (NCI Thesaurus Property)
C1441672 (UMLS 2011AA Property)
C38147 (NCI Thesaurus ValueDomain)
C1512698 (UMLS 2011AA ValueDomain)
CL.13
Code List
Partial response first observed (PR)
CL Item
No (No)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
CL Item
Yes (Yes)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
PartialResponseFirstObservedDate
Item
Partial Response (PR) First Observed Date (mm/dd/yyyy)
date
C25755 (NCI Thesaurus ObjectClass)
C0871261 (UMLS 2011AA ObjectClass)
C25378 (NCI Thesaurus ObjectClass)
C0728938 (UMLS 2011AA ObjectClass)
C25509 (NCI Thesaurus Property)
C1279901 (UMLS 2011AA Property)
C25599 (NCI Thesaurus Property)
C1441672 (UMLS 2011AA Property)
C25164 (NCI Thesaurus ValueDomain)
C0011008 (UMLS 2011AA ValueDomain)
C25367 (NCI Thesaurus ValueDomain)
Item
Partial response confirmed
text
C25755 (NCI Thesaurus ObjectClass)
C0871261 (UMLS 2011AA ObjectClass)
C25378 (NCI Thesaurus ObjectClass)
C0728938 (UMLS 2011AA ObjectClass)
C25458 (NCI Thesaurus Property)
C0750484 (UMLS 2011AA Property)
C38148 (NCI Thesaurus ValueDomain)
C1512699 (UMLS 2011AA ValueDomain)
C25755 (NCI Thesaurus ValueDomain)
C0871261 (UMLS 2011AA ValueDomain)
CL.14
Code List
Partial response confirmed
CL Item
No (no)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
CL Item
Yes (yes)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
PartialResponseConfirmedDate
Item
Partial Response Confirmed Date (mm/dd/yyyy)
date
C25164 (NCI Thesaurus ValueDomain)
C0011008 (UMLS 2011AA ValueDomain)
C25755 (NCI Thesaurus ObjectClass)
C0871261 (UMLS 2011AA ObjectClass)
C25458 (NCI Thesaurus Property)
C0750484 (UMLS 2011AA Property)
C25378 (NCI Thesaurus ObjectClass)
C0728938 (UMLS 2011AA ObjectClass)
Item
Method of Evaluation
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.18
Code List
Method of Evaluation
CL Item
Palpation (Palpation)
CL Item
X-ray (X-ray)
CL Item
Ct Scan (CT scan)
CL Item
Mri Scan (MRI scan)
CL Item
Ultrasound (Ultrasound)
C64384 (NCI Thesaurus)
C1456803 (UMLS 2011AA)
CL Item
Intravenous Pyelogram (IVP)
CL Item
Gallium Scan (Gallium scan)
C38087 (NCI Thesaurus)
C0521316 (UMLS 2011AA)
CL Item
Lymphangiogram (Lymphangiogram)
C16805 (NCI Thesaurus)
C0024219 (UMLS 2011AA)
CL Item
Bone Scan (Bone scan)
C17646 (NCI Thesaurus)
C0203668 (UMLS 2011AA)
CL Item
Biopsy (Biopsy)
C15189 (NCI Thesaurus)
C0005558 (UMLS 2011AA)
C15189 (NCI Thesaurus)
C0005558 (UMLS 2011AA)
CL Item
Pet Scan (PET scan)
CL Item
Pet/ct Scan (PET/CT scan)
CL Item
Peripheral Blood Counts (Peripheral Blood Counts)
CL Item
Aspirate, Bone Marrow (Bone Marrow Aspirate)
C15644 (NCI Thesaurus)
C0398523 (UMLS 2011AA)
CL Item
Bone Marrow Biopsy (Bone Marrow Biopsy)
C15193 (NCI Thesaurus)
C0005954 (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 Group
Partial Remission
Item
Partial Remission (PR) First Observed
text
C38147 (NCI Thesaurus ValueDomain)
C1512698 (UMLS 2011AA ValueDomain)
C25509 (NCI Thesaurus Property)
C1279901 (UMLS 2011AA Property)
C18058 (NCI Thesaurus ObjectClass)
C1521726 (UMLS 2011AA ObjectClass)
C25599 (NCI Thesaurus Property)
C1441672 (UMLS 2011AA Property)
CL.16
Code List
Partial Remission (PR) First Observed
CL Item
No (No)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
CL Item
Yes (Yes)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
PartialRemissionFirstObservedDate
Item
Partial Remission (PR) First Observed Date (mm/dd/yyyy)
date
C25164 (NCI Thesaurus ValueDomain)
C0011008 (UMLS 2011AA ValueDomain)
C25509 (NCI Thesaurus Property)
C1279901 (UMLS 2011AA Property)
C18058 (NCI Thesaurus ObjectClass)
C1521726 (UMLS 2011AA ObjectClass)
C25599 (NCI Thesaurus Property)
C1441672 (UMLS 2011AA Property)
Item
Partial Remission (PR) Confirmed
text
C38147 (NCI Thesaurus ValueDomain)
C1512698 (UMLS 2011AA ValueDomain)
C25458 (NCI Thesaurus Property)
C0750484 (UMLS 2011AA Property)
C18058 (NCI Thesaurus ObjectClass)
C1521726 (UMLS 2011AA ObjectClass)
CL.17
Code List
Partial Remission (PR) Confirmed
CL Item
No (No)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
CL Item
Yes (Yes)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
PartialRemissionConfirmedDate
Item
Partial Remission (PR) Confirmed Date (mm/dd/yyyy)
date
C25164 (NCI Thesaurus ValueDomain)
C0011008 (UMLS 2011AA ValueDomain)
C25458 (NCI Thesaurus Property)
C0750484 (UMLS 2011AA Property)
C18058 (NCI Thesaurus ObjectClass)
C1521726 (UMLS 2011AA ObjectClass)
Item
Method of Evaluation
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.18
Code List
Method of Evaluation
CL Item
Palpation (Palpation)
CL Item
X-ray (X-ray)
CL Item
Ct Scan (CT scan)
CL Item
Mri Scan (MRI scan)
CL Item
Ultrasound (Ultrasound)
C64384 (NCI Thesaurus)
C1456803 (UMLS 2011AA)
CL Item
Intravenous Pyelogram (IVP)
CL Item
Gallium Scan (Gallium scan)
C38087 (NCI Thesaurus)
C0521316 (UMLS 2011AA)
CL Item
Lymphangiogram (Lymphangiogram)
C16805 (NCI Thesaurus)
C0024219 (UMLS 2011AA)
CL Item
Bone Scan (Bone scan)
C17646 (NCI Thesaurus)
C0203668 (UMLS 2011AA)
CL Item
Biopsy (Biopsy)
C15189 (NCI Thesaurus)
C0005558 (UMLS 2011AA)
C15189 (NCI Thesaurus)
C0005558 (UMLS 2011AA)
CL Item
Pet Scan (PET scan)
CL Item
Pet/ct Scan (PET/CT scan)
CL Item
Peripheral Blood Counts (Peripheral Blood Counts)
CL Item
Aspirate, Bone Marrow (Bone Marrow Aspirate)
C15644 (NCI Thesaurus)
C0398523 (UMLS 2011AA)
CL Item
Bone Marrow Biopsy (Bone Marrow Biopsy)
C15193 (NCI Thesaurus)
C0005954 (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 Group
Extra Nodal Involvement Evaluation
Item
Has the patient been diagnosed with relapsed/recurrent or progressive disease (If Yes, continue. Otherwise, stop)
text
C2991 (NCI Thesaurus ObjectClass)
C0012634 (UMLS 2011AA ObjectClass)
C38155 (NCI Thesaurus Property)
C0277556 (UMLS 2011AA Property)
C15220 (NCI Thesaurus Property)
C0011900 (UMLS 2011AA Property)
C19987 (NCI Thesaurus Property)
C0242656 (UMLS 2011AA Property)
C38148 (NCI Thesaurus ValueDomain)
C1512699 (UMLS 2011AA ValueDomain)
CL.19
Code List
Has the patient been diagnosed with relapsed/recurrent or progressive disease (If Yes, continue. Otherwise, stop)
CL Item
No (No)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
CL Item
Yes (Yes)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
RelapseProgressionNeoplasmObservedDate
Item
Progression/relapsed disease first observed date (mm/dd/yyyy)
date
C3262 (NCI Thesaurus ObjectClass)
C0027651 (UMLS 2011AA ObjectClass)
C18265 (NCI Thesaurus ObjectClass)
C25331 (NCI Thesaurus ObjectClass)
C25599 (NCI Thesaurus Property)
C1441672 (UMLS 2011AA Property)
C25164 (NCI Thesaurus ValueDomain)
C0011008 (UMLS 2011AA ValueDomain)
Item
Please indicate site of progression/relapse
text
C13717 (NCI Thesaurus ValueDomain)
C1515974 (UMLS 2011AA ValueDomain)
C25331 (NCI Thesaurus Property)
C2991 (NCI Thesaurus ObjectClass)
C0012634 (UMLS 2011AA ObjectClass)
CL.20
Code List
Please indicate site of progression/relapse
CL Item
Original Site Only (Original site only)
CL Item
New Site Only (New site only)
CL Item
New Site Plus Original Site (New site plus original site)
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)
Voltar ao início da página 

Contacto

Use este formulário para feedback, perguntas e sugestões de aperfeiçoamento.

Campos marcados com * são obrigatórios.

Ajuda

Do you need help on how to use the search function? Please watch the corresponding tutorial video for more details and learn how to use the search function most efficiently.

Watch Tutorial