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  1. StudyEvent: NCI Cooperative Group On-Study Form (CALGB-90104)
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Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Mskcc 00-138; Calgb-90104; Ecog
CoordinatingGroupProtocolNumber
Item
Coordinating Group Protocol Number
text
CoordinatingGroupCode
Item
Coordinating Group Code
text
C25162 (NCI Thesaurus ValueDomain)
C0805701 (UMLS 2011AA ValueDomain)
Protocol Title
Item
Protocol Title
text
C25320 (NCI Thesaurus ObjectClass)
C2986303 (UMLS CUI-1)
C42774 (NCI Thesaurus Property)
PatientStudyID,CoordinatingGroup
Item
Patient Study ID, Coordinating Group
text
PatientStudyID,ParticipatingGroup
Item
Patient Study ID, Participating Group
text
ParticipatingGroupCode
Item
Participating Group Code
text
C25162 (NCI Thesaurus ValueDomain)
C0805701 (UMLS 2011AA ValueDomain)
InstitutionName
Item
Institution Name
text
AffiliateName
Item
Affiliate
text
PatientName,Last
Item
Patient Last Name (initials acceptable)
text
PatientName,First
Item
Patient First Name (initials acceptable)
text
PatientName,Middle
Item
Patient Middle Name (initials acceptable)
text
Item Group
Form Administration
PersonCompletingForm,LastName
Item
Person Completing Form, Last Name
text
PersonCompletingForm,FirstName
Item
Person Completing Form, First Name
text
C25190 (NCI Thesaurus ObjectClass)
C0027361 (UMLS 2011AA ObjectClass)
C25364 (NCI Thesaurus Property)
C0600091 (UMLS 2011AA Property)
AmendedDataInd
Item
Are data amended?
boolean
C25474 (NCI Thesaurus ObjectClass)
C1511726 (UMLS 2011AA ObjectClass)
C25416 (NCI Thesaurus Property)
C1691222 (UMLS 2011AA Property)
Item Group
Disease Description For Muscle Invasive Bladder Cancer
SymptomaticDeteriorationDate
Item
Date of Initial Symptom
date
PriorSuperficialDiseaseInd
Item
Has the patient had a prior history of superficial disease?
boolean
PriorPapillaryOccurrences
Item
No. of Prior Occurrences of Papillary
float
PriorCISOccurrences
Item
NO. of Prior Occurrences of CIS
float
InitialDiagnosisDate
Item
Date of Initial Pathologic Diagnosis
date
InitialDiagnosisDate
Item
Date of Initial Pathologic Diagnosis
date
InitialDiagnosisDate,Metastatic
Item
Date of Initial Diagnosis of Metastatic Disease
date
PathologicDiagnosisDate
Item
Date of Current Pathologic Diagnosis
date
PriorRecentRecurrenceDate
Item
Date of Most Recent Prior Recurrence
date
C2991 (NCI Thesaurus ObjectClass)
C0012634 (UMLS 2011AA ObjectClass)
C25279 (NCI Thesaurus Property)
C0332162 (UMLS 2011AA Property)
Item
Histologic Type (mark all that apply)
text
C25372 (NCI Thesaurus ValueDomain)
C0683312 (UMLS 2011AA ValueDomain)
C25526 (NCI Thesaurus ValueDomain-2)
C0205462 (UMLS 2011AA ValueDomain-2)
Code List
Histologic Type (mark all that apply)
CL Item
Transitional Cell Carcinoma (Transitional cell carcinoma)
C2930 (NCI Thesaurus)
C0007138 (UMLS 2011AA)
CL Item
Other Specify (Other, specify)
HistologicType,OtherName
Item
Other, specify
text
Item
Histologic Grade (check the highest grade)
text
C25526 (NCI Thesaurus ValueDomain)
C0205462 (UMLS 2011AA ValueDomain)
C18000 (NCI Thesaurus ValueDomain-2)
C0919553 (UMLS 2011AA ValueDomain-2)
Code List
Histologic Grade (check the highest grade)
CL Item
Well Differentiated (Well differentiated (G1))
C14171 (NCI Thesaurus)
C0205615 (UMLS 2011AA)
CL Item
Moderately Differentiated (Moderately differentiated (G2))
C14162 (NCI Thesaurus)
C0205616 (UMLS 2011AA)
CL Item
Poorly Differentiated (Poorly differentiated (G3))
C14167 (NCI Thesaurus)
C0205617 (UMLS 2011AA)
CL Item
Tumor Grade Cannot Be Assessed (Grade cannot be assessed (GX))
Item
Pathologic T Stage (Indicate highest stage at the current presentation of disease)
text
Code List
Pathologic T Stage (Indicate highest stage at the current presentation of disease)
CL Item
No Evidence Of Primary Tumor (T0)
CL Item
Tumor Invades Subepithelial Connective Tissue (T1)
CL Item
Tumor Invades Superficial Muscles (inner Half) (T2a)
CL Item
Tumor Invades Deep Muscles (outer Half) (T2b)
CL Item
Tumor Invades Perivesical Tissue Microscopically (T3a)
CL Item
Tumor Invades Perivesical Tissue Macroscopically (extravesical Mass) (T3b)
CL Item
Inflammatory Carcinoma (T4)
C0334385 (NCI Metathesaurus)
Item
Pathologic N Stage (Distant Metastasis)
text
C16899 (NCI Thesaurus ValueDomain)
C1300072 (UMLS 2011AA ValueDomain)
Code List
Pathologic N Stage (Distant Metastasis)
CL Item
No Regional Lymph Node Metastasis (N0)
CL Item
Metastasis In A Single Lymph Node, 2 Cm Or Less In Greatest Dimension (N1)
CL Item
Metastasis In A Single Lymph Node, More Than 2 Cm But Not More Than 5 Cm In Greatest Dimension; Or Multiple Lymph Nodes, None More Than 5 Cm In Greatest Dimension (N2)
CL Item
Metastasis In A Lymph Node More Than 5 Cm In Greatest Dimension (N3)
CL Item
Regional Lymph Nodes Cannot Be Assessed (Nx)
Item
Pathologic M Stage
text
C16899 (NCI Thesaurus ValueDomain)
C1300072 (UMLS 2011AA ValueDomain)
Code List
Pathologic M Stage
CL Item
M0, According To Ajcc Staging Definitions (M0)
CL Item
M1, According To Ajcc Staging Definitions (M1)
CL Item
Mx (Mx)
Item
Lymph Node Type
text
Code List
Lymph Node Type
CL Item
Internal Iliac (Internal Iliac)
CL Item
External Iliac (External Iliac)
CL Item
Common Iliac (Common Iliac)
CL Item
Hypogastric (Hypogastric)
CL Item
Para-aortic (Para-aortic)
CL Item
Other, Specify (Other, specify)
LymphNodeType,Other
Item
Other, specify
text
Item
Lymph Node Involvement
text
Code List
Lymph Node Involvement
CL Item
Not Evaluated (not evaluated)
CL Item
Positive (positive)
CL Item
Negative (negative)
CL Item
Equivocal (equivocal)
CL Item
Unknown (unknown)
LymphNode(s)ExaminedNumber
Item
No. of Lymph Nodes Examined
float
C25500 (NCI Thesaurus Property)
C0332128 (UMLS 2011AA Property)
C12745 (NCI Thesaurus ObjectClass)
C0024204 (UMLS 2011AA ObjectClass)
LymphNode(s)PositiveNumber
Item
No. of Positive Lymph Nodes
float
C25246 (NCI Thesaurus Property)
C1446409 (UMLS 2011AA Property)
C12745 (NCI Thesaurus ObjectClass)
C0024204 (UMLS 2011AA ObjectClass)
TumorMarginInd
Item
Is the tumor(s) at the surgical margin?
boolean
C3262 (NCI Thesaurus ObjectClass)
C0027651 (UMLS 2011AA ObjectClass)
C25563 (NCI Thesaurus Property)
C0205284 (UMLS 2011AA Property)
Item Group
Muscle Invasive Bladder Disease: Prior Treatment Affecting The Bladder
PriorIntravesicalTherapyInd
Item
Prior Intravesical Therapy (Note: If no, skip to Prior Surgery below)
boolean
Item
Type of Prior Immunotherapy
text
Code List
Type of Prior Immunotherapy
CL Item
Bcg (BCG)
C1328 (NCI Thesaurus)
CL Item
Interferon (Interferon)
C20493 (NCI Thesaurus)
C0733470 (UMLS 2011AA)
CL Item
Other (Other)
C17649 (NCI Thesaurus)
C0205394 (UMLS 2011AA)
PriorImmunotherapyCount
Item
No. of Courses
float
PriorImmunotherapyOtherAgent
Item
Specify agent
text
AgentBeginDate
Item
Agent Start Date
date
AgentEndDate
Item
Agent End Date
date
Item
Type of Prior Chemotherapy
text
Code List
Type of Prior Chemotherapy
CL Item
Mmc (MMC)
CL Item
Thiotepa (Thiotepa)
C875 (NCI Thesaurus)
C0039871 (UMLS 2011AA)
CL Item
Other (Other)
C17649 (NCI Thesaurus)
C0205394 (UMLS 2011AA)
PriorChemotherapyCount
Item
No. of Courses
float
PriorIntravesicalChemotherapyOtherAgent
Item
Specify agent
text
PriorSurgeryInd
Item
Prior Surgery (for urothelial disease)
boolean
Item
Prior Surgery Type
text
Code List
Prior Surgery Type
CL Item
Patient Previosly Had A Partial Cystectomy (Partial cystectomy)
CL Item
Patient Previosly Had A Radical Cystectomy (radical cystectomy)
CL Item
Patient Previosly Had A Turbt (TURBT)
CL Item
Patient Previously Had Other Surgery, Specify (Other, specify)
PriorSurgeryType,Other
Item
Other, specify
text
PriorSurgery,TURBTCount
Item
TURBT, Number
float
PriorOtherTherapyInd
Item
Any Other Prior Therapy
boolean
PriorOtherTherapyName
Item
Name of other Prior Therapies
text
Item Group
Comments
Comments
Item
Comments
text
Item Group
Ccrr Module For Nci Cooperative Group On-study Form (calgb-90104)

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