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  1. StudyEvent: CALGB: 90104 Chemotherapy Dose Form
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Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Chemotherapy Dose Form
CALGB Form
Item
CALGB Form
text
C3262252 (UMLS CUI-1)
C1516238 (UMLS CUI-2)
Protocol ID CALGB
Item
CALGB Study No.
text
C25337 (NCI Thesaurus ValueDomain)
C3274381 (UMLS CUI-1)
C25320 (NCI Thesaurus ObjectClass)
C1516238 (UMLS CUI-2)
C25364 (NCI Thesaurus Property)
C25442 (NCI Thesaurus Property-2)
Trial subject ID CALGB
Item
CALGB Patient ID
text
C25337 (NCI Thesaurus ValueDomain)
C2348585 (UMLS CUI-1)
C16960 (NCI Thesaurus ObjectClass)
C1516238 (UMLS CUI-2)
C25364 (NCI Thesaurus Property)
C25442 (NCI Thesaurus Property-2)
Patient Initials
Item
Patient Initials
text
C25191 (NCI Thesaurus ValueDomain)
C2986440 (UMLS CUI-1)
C16960 (NCI Thesaurus ObjectClass)
C25536 (NCI Thesaurus Property)
Participating Group
Item
Participating group
text
C25191 (NCI Thesaurus ValueDomain)
C2347449 (UMLS CUI-1)
C25608 (NCI Thesaurus ObjectClass)
C17005 (NCI Thesaurus ObjectClass-2)
C25364 (NCI Thesaurus Property)
Medical Record Number
Item
Patient medical record number
text
C25337 (NCI Thesaurus ValueDomain)
C1301894 (UMLS CUI-1)
C16960 (NCI Thesaurus ObjectClass)
C25261 (NCI Thesaurus Property)
C25198 (NCI Thesaurus Property-2)
Study Number Participating Group
Item
Participating group protocol number
text
C25337 (NCI Thesaurus ValueDomain)
C3274381 (UMLS CUI-1)
C25320 (NCI Thesaurus ObjectClass)
C2347449 (UMLS CUI-2)
C25608 (NCI Thesaurus Property)
C25364 (NCI Thesaurus Property-2)
Institution Name
Item
Institution/Affiliate
text
C25454 (NCI Thesaurus ObjectClass)
C1301943 (UMLS CUI-1)
C21541 (NCI Thesaurus ObjectClass-2)
C25364 (NCI Thesaurus Property)
C25191 (NCI Thesaurus ValueDomain)
C21541 (NCI Thesaurus ValueDomain-2)
Trial subject ID Participating Group
Item
Participating Group Patient ID
text
C25337 (NCI Thesaurus ValueDomain)
C2348585 (UMLS CUI-1)
C16960 (NCI Thesaurus ObjectClass)
C2347449 (UMLS CUI-2)
C25608 (NCI Thesaurus Property)
C25364 (NCI Thesaurus Property-2)
Height
Item
Height
float
C25209 (NCI Thesaurus ValueDomain)
C16960 (NCI Thesaurus ObjectClass)
C25347 (NCI Thesaurus Property)
C0005890 (UMLS CUI-1)
Weight
Item
Body weight
float
C25209 (NCI Thesaurus ValueDomain)
C16960 (NCI Thesaurus ObjectClass)
C25208 (NCI Thesaurus Property)
C0005910 (UMLS CUI-1)
BSA
Item
Body surface area
float
C25209 (NCI Thesaurus ValueDomain)
C16960 (NCI Thesaurus ObjectClass)
C25157 (NCI Thesaurus Property)
C0005902 (UMLS CUI-1)
Cycle Number Chemotherapeutics
Item
Cycle number
integer
C2045829 (UMLS CUI-1)
Chemotherapy Cycle Start Date
Item
Date of First Day of Cycle
date
C1302181 (UMLS CUI-1)
C3173309 (UMLS CUI-2)
Chemotherapy Cycle End Date
Item
Last date Drugs administered
date
C1302181 (UMLS CUI-1)
C0806020 (UMLS CUI-2)
Drug Code
Item
Drug Code
text
C1708005 (UMLS CUI-1)
Agent
Item
Agent Name
text
C25364 (NCI Thesaurus Property)
C1708 (NCI Thesaurus ObjectClass)
C1708 (NCI Thesaurus ValueDomain)
C42614 (NCI Thesaurus ValueDomain-2)
C1521826 (UMLS CUI-1)
Agent Total Dose
Item
Total dose received this cycle
float
C25304 (NCI Thesaurus ValueDomain)
C2986497 (UMLS CUI-1)
C25379 (NCI Thesaurus Property)
C25488 (NCI Thesaurus ValueDomain-2)
C1708 (NCI Thesaurus ObjectClass)
Item
Units
text
C1708 (NCI Thesaurus ObjectClass)
C1519795 (UMLS CUI-1)
C25256 (NCI Thesaurus Property)
C25709 (NCI Thesaurus ValueDomain)
CL.1
Code List
Units
CL Item
Gram (grams)
C0439208 (NCI Metathesaurus)
CL Item
Meter (milligrams)
C0475209 (NCI Metathesaurus)
CL Item
Microgram (micrograms)
CL Item
Liter (liters)
CL Item
Milliliter (milliliters)
C28254 (NCI Thesaurus)
C0439242 (UMLS 2011AA)
CL Item
Unit (units)
C44278 (NCI Thesaurus)
C0439148 (UMLS 2011AA)
CL Item
International Unit (international units)
C28255 (NCI Thesaurus)
Item
Dose Modified?
text
C25180 (NCI Thesaurus ValueDomain)
C1707811 (UMLS CUI-1)
C25256 (NCI Thesaurus ObjectClass)
C25572 (NCI Thesaurus Property)
C25572 (NCI Thesaurus ValueDomain-2)
CL.2
Code List
Dose Modified?
CL Item
No (no)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
CL Item
Yes, Planned (i.e., The Treatment Was Changed According To Protocol Guidelines) (yes, planned)
CL Item
Yes, Unplanned (i.e., The Treatment Change Was Not Part Of Protocol Guidelines) (yes, unplanned)
Item
If yes, why
text
C25638 (NCI Thesaurus ValueDomain)
C1299575 (UMLS CUI-1)
C15368 (NCI Thesaurus ObjectClass)
C25572 (NCI Thesaurus Property)
CL.3
Code List
If yes, why
CL Item
hematologic tox (hematologic tox)
CL Item
hepatic dys (hepatic dys)
CL Item
PNS toxicity (PNS toxicity)
CL Item
CNS toxicity (CNS toxicity)
CL Item
GI toxicity (GI toxicity)
CL Item
cardiotoxicity (cardiotoxicity)
CL Item
pulmonary toxicity (pulmonary toxicity)
CL Item
renal toxicity (renal toxicity)
CL Item
infection/fever (infection/fever)
CL Item
other (other)
Item
Dose Delayed?
text
C38148 (NCI Thesaurus ValueDomain)
C1299577 (UMLS CUI-1)
C25477 (NCI Thesaurus Property)
C25472 (NCI Thesaurus Property-2)
C15368 (NCI Thesaurus ObjectClass)
CL.4
Code List
Dose Delayed?
CL Item
No (no)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
CL Item
Yes (yes, unplanned)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
CL Item
Yes (yes, planned)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
Item
If yes, why
text
C1298642 (UMLS CUI-1)
CL.5
Code List
If yes, why
CL Item
Cycle Was Delayed Due To Hematologic Toxicity (hematologic tox)
CL Item
hepatic dys (hepatic dys)
CL Item
PNS toxicity (PNS toxicity)
CL Item
CNS toxicity (CNS toxicity)
CL Item
GI toxicity (GI toxicity)
CL Item
cardiotoxicity (cardiotoxicity)
CL Item
pulmonary toxicity (pulmonary toxicity)
CL Item
Cycle Was Delayed Due To Renal Toxicity (renal toxicity)
CL Item
infection/fever (infection/fever)
CL Item
other (other)
Reason for treatment delay, specify
Item
If why, specify (why dose delayed)
text
C25704 (NCI Thesaurus ValueDomain)
C1298642 (UMLS CUI-1)
C25477 (NCI Thesaurus Property)
C1708 (NCI Thesaurus ObjectClass)
C25409 (NCI Thesaurus Property-2)
Person Completing Form
Item
completed by
text
C25191 (NCI Thesaurus ValueDomain)
C1550483 (UMLS CUI-1)
C25657 (NCI Thesaurus ObjectClass)
C25364 (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)
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