Protocol Number ECOG
Item
ECOG Protocol Number
text
C25337 (NCI Thesaurus ValueDomain)
C3274381 (UMLS CUI-1)
C25320 (NCI Thesaurus ObjectClass)
C1512162 (UMLS CUI-2)
C25364 (NCI Thesaurus Property)
C25491 (NCI Thesaurus Property-2)
Patient ID ECOG
Item
ECOG Patient ID
text
C25337 (NCI Thesaurus ValueDomain)
C2348585 (UMLS CUI-1)
C16960 (NCI Thesaurus ObjectClass)
C1512162 (UMLS CUI-2)
C25364 (NCI Thesaurus Property)
C25491 (NCI Thesaurus Property-2)
Generic drug form
Item
DCI Name
text
C25191 (NCI Thesaurus ValueDomain)
C3242750 (UMLS CUI-1)
C19464 (NCI Thesaurus Property)
C25474 (NCI Thesaurus ObjectClass)
C25452 (NCI Thesaurus ObjectClass-2)
Registration Number
Item
Registration Step
text
C25337 (NCI Thesaurus ValueDomain)
C1514821 (UMLS CUI-1)
C25646 (NCI Thesaurus ObjectClass)
C0237753 (UMLS CUI-2)
C16154 (NCI Thesaurus Property)
C16154 (NCI Thesaurus ValueDomain-2)
Patient Initials
Item
Patient Initials (Last, First)
text
C25191 (NCI Thesaurus ValueDomain)
C2986440 (UMLS CUI-1)
C16960 (NCI Thesaurus ObjectClass)
C25536 (NCI Thesaurus Property)
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)
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)
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)
Data amended
Item
Please mark an 'X' if data have been amended. (Please circle amended items in red)
text
C25704 (NCI Thesaurus ValueDomain)
C0680532 (UMLS CUI-1)
C25474 (NCI Thesaurus ObjectClass)
C25416 (NCI Thesaurus Property)
Data amended date
Item
Date data amended (MM/DD/YYYY)
date
C25164 (NCI Thesaurus ValueDomain)
C0680532 (UMLS CUI-1)
C25474 (NCI Thesaurus ObjectClass)
C0011008 (UMLS CUI-2)
C25416 (NCI Thesaurus Property)
C25367 (NCI Thesaurus ValueDomain-2)
Investigator Signature
Item
Investigator Signature
text
C25704 (NCI Thesaurus ValueDomain)
C2346576 (UMLS CUI-1)
C25678 (NCI Thesaurus Property)
C17089 (NCI Thesaurus ObjectClass)
Investigator Signature Date
Item
Investigator Signature Date
date
C25164 (NCI Thesaurus ValueDomain)
C2346576 (UMLS CUI-1)
C25678 (NCI Thesaurus Property)
C0011008 (UMLS CUI-2)
C25367 (NCI Thesaurus ValueDomain-2)
C17089 (NCI Thesaurus ObjectClass)
Item
On Treatment Report Period (Choose one x)
text
C25284 (NCI Thesaurus ValueDomain)
C25214 (NCI Thesaurus Property)
C25616 (NCI Thesaurus Property-2)
C15368 (NCI Thesaurus ObjectClass)
C2045829 (UMLS CUI-1)
Code List
On Treatment Report Period (Choose one x)
CL Item
Baseline (baseline)
C25213 (NCI Thesaurus)
C25213 (NCI Thesaurus-3)
C1442488 (UMLS CUI-1)
CL Item
Week 12 (Week 12)
C0439231 (UMLS CUI-1)
C0205449 (UMLS CUI-2)
CL Item
Week 24 (Week 24)
C0439231 (UMLS CUI-1)
C0205452 (UMLS CUI-2)
CL Item
Week 36 (Week 36)
C0439231 (UMLS CUI-1)
C0205455 (UMLS CUI-2)
CL Item
Week 48 (Week 48)
C0439231 (UMLS CUI-1)
C0205458 (UMLS CUI-2)
CL Item
Relapse (Relapse)
C18265 (NCI Thesaurus)
C0277556 (UMLS CUI-1)
Item
Off Treatment Report Period (since registration - Choose one x)
text
C25190 (NCI Thesaurus ObjectClass)
C0027361 (UMLS 2011AA ObjectClass)
C25616 (NCI Thesaurus Property)
C1948053 (UMLS 2011AA Property)
C25601 (NCI Thesaurus Property-2)
C1518544 (UMLS 2011AA Property-2)
C25207 (NCI Thesaurus Property-3)
C0040223 (UMLS 2011AA Property-3)
C25284 (NCI Thesaurus ValueDomain)
C0332307 (UMLS 2011AA ValueDomain)
Code List
Off Treatment Report Period (since registration - Choose one x)
CL Item
24 Months (24 months post registration)
CL Item
Relapse (Relapse)
C18265 (NCI Thesaurus)
hematology
Item
Were hematology/chemistry results obtained this report period (cycle)?
boolean
C38148 (NCI Thesaurus ValueDomain)
C25217 (NCI Thesaurus Property)
C16673 (NCI Thesaurus ObjectClass)
C0474523 (UMLS CUI-1)
Hematology date
Item
Date Hematology (Blood) Sample Obtained
date
C25164 (NCI Thesaurus ValueDomain)
C16673 (NCI Thesaurus ObjectClass)
C19157 (NCI Thesaurus ObjectClass-2)
C25452 (NCI Thesaurus Property)
C0474523 (UMLS CUI-1)
C0011008 (UMLS CUI-2)
LaboratoryProcedureNotPerformedText
Item
Test not done
text
C25704 (NCI Thesaurus ValueDomain)
C25594 (NCI Thesaurus Property)
C38000 (NCI Thesaurus Property-2)
C25294 (NCI Thesaurus ObjectClass)
C0022885 (UMLS CUI-1)
C0445106 (UMLS CUI-2)
CRP ULN
Item
C-reactive protein ULN
float
C25294 (NCI Thesaurus ObjectClass)
C20200 (NCI Thesaurus Property)
C60651 (NCI Thesaurus Property-2)
C25712 (NCI Thesaurus ValueDomain)
C25706 (NCI Thesaurus ValueDomain-2)
C0006560 (UMLS CUI-1)
C1519815 (UMLS CUI-2)
CRP
Item
C-reactive Protein
float
C20200 (NCI Thesaurus Property)
C25294 (NCI Thesaurus ObjectClass)
C25712 (NCI Thesaurus ValueDomain)
C60651 (NCI Thesaurus Property-2)
C0006560 (UMLS CUI-1)
LDH ULN
Item
Lactate Dehydrogenase ULN
float
C25294 (NCI Thesaurus ObjectClass)
C20200 (NCI Thesaurus Property)
C25184 (NCI Thesaurus Property-2)
C25712 (NCI Thesaurus ValueDomain)
C25706 (NCI Thesaurus ValueDomain-2)
C0202113 (UMLS CUI-1)
C1519815 (UMLS CUI-2)
LDH
Item
Lactate Dehydrogenase (LDH)
float
C20200 (NCI Thesaurus Property)
C25294 (NCI Thesaurus ObjectClass)
C25712 (NCI Thesaurus ValueDomain)
C25184 (NCI Thesaurus Property-2)
C0202113 (UMLS CUI-1)
Lymphocyte
Item
Peripheral Lymphocyte Count
float
C12535 (NCI Thesaurus Property)
C20200 (NCI Thesaurus Property-2)
C25463 (NCI Thesaurus ValueDomain)
C25294 (NCI Thesaurus ObjectClass)
C0024264 (UMLS CUI-1)
Lymphocyte LLN
Item
Peripheral Lymphocyte Count LLN
float
C25294 (NCI Thesaurus ObjectClass)
C12535 (NCI Thesaurus Property)
C20200 (NCI Thesaurus Property-2)
C25712 (NCI Thesaurus ValueDomain)
C25555 (NCI Thesaurus ValueDomain-2)
C0024264 (UMLS CUI-1)
C1518030 (UMLS CUI-2)
Item
Anticardiolipin
text
C20200 (NCI Thesaurus Property)
C95408 (NCI Thesaurus ObjectClass)
C25688 (NCI Thesaurus ValueDomain)
C0201535 (UMLS CUI-1)
Code List
Anticardiolipin
CL Item
Negative (negative)
C25247 (NCI Thesaurus)
C0205160 (UMLS 2011AA)
CL Item
Positive (positive)
C25246 (NCI Thesaurus)
C1446409 (UMLS 2011AA)
CL Item
Equivocal (Equivocal)
C86071 (NCI Thesaurus)
C0332241 (UMLS 2011AA)
CL Item
Not Done (Not Done)
C49484 (NCI Thesaurus)
C1272696 (UMLS 2011AA)
Item
Antimicrosomal antibody
text
C20200 (NCI Thesaurus Property)
C81991 (NCI Thesaurus ObjectClass)
C25688 (NCI Thesaurus ValueDomain)
C2825872 (UMLS CUI-1)
Code List
Antimicrosomal antibody
CL Item
Negative (negative)
C25247 (NCI Thesaurus)
C0205160 (UMLS 2011AA)
CL Item
Positive (positive)
C25246 (NCI Thesaurus)
C1446409 (UMLS 2011AA)
CL Item
Equivocal (Equivocal)
C86071 (NCI Thesaurus)
C0332241 (UMLS 2011AA)
CL Item
Not Done (Not Done)
C49484 (NCI Thesaurus)
C1272696 (UMLS 2011AA)
Item
Antinuclear antibody screen
text
C20200 (NCI Thesaurus Property)
C70547 (NCI Thesaurus ObjectClass)
C25688 (NCI Thesaurus ValueDomain)
C0003243 (UMLS CUI-1)
Code List
Antinuclear antibody screen
CL Item
Negative (negative)
C25247 (NCI Thesaurus)
C0205160 (UMLS 2011AA)
CL Item
Positive (positive)
C25246 (NCI Thesaurus)
C1446409 (UMLS 2011AA)
CL Item
Equivocal (Equivocal)
C86071 (NCI Thesaurus)
C0332241 (UMLS 2011AA)
CL Item
Not Done (Not Done)
C49484 (NCI Thesaurus)
C1272696 (UMLS 2011AA)
Item
Antithyroglobulin antibody
text
C20200 (NCI Thesaurus Property)
C81992 (NCI Thesaurus ObjectClass)
C25688 (NCI Thesaurus ValueDomain)
C2825873 (UMLS CUI-1)
Code List
Antithyroglobulin antibody
CL Item
Negative (negative)
C25247 (NCI Thesaurus)
C0205160 (UMLS 2011AA)
CL Item
Positive (positive)
C25246 (NCI Thesaurus)
C1446409 (UMLS 2011AA)
CL Item
Equivocal (Equivocal)
C86071 (NCI Thesaurus)
C0332241 (UMLS 2011AA)
CL Item
Not Done (Not Done)
C49484 (NCI Thesaurus)
C1272696 (UMLS 2011AA)
Item
Antithyroperoxidase antibody
text
C20200 (NCI Thesaurus Property)
C16752 (NCI Thesaurus ObjectClass)
C25688 (NCI Thesaurus ValueDomain)
C0021965 (UMLS CUI-1)
Code List
Antithyroperoxidase antibody
CL Item
Negative (negative)
C25247 (NCI Thesaurus)
C0205160 (UMLS 2011AA)
CL Item
Positive (positive)
C25246 (NCI Thesaurus)
C1446409 (UMLS 2011AA)
CL Item
Equivocal (Equivocal)
C86071 (NCI Thesaurus)
C0332241 (UMLS 2011AA)
CL Item
Not Done (Not Done)
C49484 (NCI Thesaurus)
C1272696 (UMLS 2011AA)
Item
Thyroid stimulating immunoglobulin
text
C61406 (NCI Thesaurus ObjectClass)
C572 (NCI Thesaurus ObjectClass-2)
C886 (NCI Thesaurus ObjectClass-3)
C20200 (NCI Thesaurus Property)
C25688 (NCI Thesaurus ValueDomain)
C0040139 (UMLS CUI-1)
Code List
Thyroid stimulating immunoglobulin
CL Item
Negative (negative)
C25247 (NCI Thesaurus)
C0205160 (UMLS 2011AA)
CL Item
Positive (positive)
C25246 (NCI Thesaurus)
C1446409 (UMLS 2011AA)
CL Item
Equivocal (Equivocal)
C86071 (NCI Thesaurus)
C0332241 (UMLS 2011AA)
CL Item
Not Done (Not Done)
C49484 (NCI Thesaurus)
C1272696 (UMLS 2011AA)
Assessment Date
Item
Assessment date
date
C25164 (NCI Thesaurus ValueDomain)
C2985720 (UMLS CUI-1)
C25367 (NCI Thesaurus ObjectClass)
C25367 (NCI Thesaurus ValueDomain-2)
C38000 (NCI Thesaurus Property)
AssessmentImageReportingSpecify
Item
Explain equivocal results
text
C25685 (NCI Thesaurus ValueDomain)
C20989 (NCI Thesaurus ObjectClass)
C25651 (NCI Thesaurus ValueDomain-2)
C19477 (NCI Thesaurus Property)
C1704254 (UMLS CUI-1)