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
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)
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)
Data amended
Item
Please mark an 'X' if data have been amended.
text
C25704 (NCI Thesaurus ValueDomain)
C0680532 (UMLS CUI-1)
C25474 (NCI Thesaurus ObjectClass)
C25416 (NCI Thesaurus Property)
Data amended date
Item
Date data amended
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)
Reporting Period Start Date
Item
Reporting period Start Date
date
C15368 (NCI Thesaurus ObjectClass)
C25616 (NCI Thesaurus Property)
C2361257 (UMLS CUI-1)
C25651 (NCI Thesaurus Property-2)
C25164 (NCI Thesaurus ValueDomain)
C25431 (NCI Thesaurus ValueDomain-2)
Reporting Period End Date
Item
Reporting period End Date
date
C25164 (NCI Thesaurus ValueDomain)
C2361259 (UMLS CUI-1)
C25616 (NCI Thesaurus Property)
C15368 (NCI Thesaurus ObjectClass)
C25651 (NCI Thesaurus Property-2)
Research Comments
Item
Comments
text
C25704 (NCI Thesaurus ValueDomain)
C0947611 (UMLS CUI-1)
C15319 (NCI Thesaurus ObjectClass)
C25393 (NCI Thesaurus Property)
Investigator Signature
Item
Investigator Signature
text
C25704 (NCI Thesaurus ValueDomain)
C25678 (NCI Thesaurus Property)
C17089 (NCI Thesaurus ObjectClass)
C2346576 (UMLS CUI-1)
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 (since start of treatment If treatment was delayed, choose the intended time period without delays.)
text
C25284 (NCI Thesaurus ValueDomain)
C2045829 (UMLS CUI-1)
C25214 (NCI Thesaurus Property)
C25616 (NCI Thesaurus Property-2)
C15368 (NCI Thesaurus ObjectClass)
Code List
On Treatment Report Period (since start of treatment If treatment was delayed, choose the intended time period without delays.)
CL Item
Baseline (Baseline)
C25213 (NCI Thesaurus)
C1442488 (UMLS 2011AA)
C25213 (NCI Thesaurus-3)
C1442488 (UMLS 2011AA-4)
CL Item
Cycle 1 (Cycle 1)
CL Item
Cycle 2 (Cycle 2)
CL Item
Cycle 3 (Cycle 3)
CL Item
Cycle 4 (Cycle 4)
CL Item
Cycle 5 (Cycle 5)
CL Item
Cycle 6 (Cycle 6)
CL Item
Cycle 7 (Cycle 7)
CL Item
Cycle 8 (Cycle 8)
CL Item
Cycle 9 (Cycle 9)
CL Item
Cycle 10 (Cycle 10)
CL Item
> Cycle 10 (> Cycle 10)
Concomitant Medication used
Item
Were concomitant medications used during this reporting period?
boolean
C38147 (NCI Thesaurus ValueDomain)
C1708 (NCI Thesaurus ObjectClass)
C25730 (NCI Thesaurus ObjectClass-2)
C25382 (NCI Thesaurus Property)
C2347852 (UMLS CUI-1)
Chemotherapy cycle
Item
Cycle (specify)
text
C15368 (NCI Thesaurus ObjectClass)
C25214 (NCI Thesaurus Property)
C1302181 (UMLS CUI-1)
C25616 (NCI Thesaurus Property-2)
C25685 (NCI Thesaurus ValueDomain)
C25472 (NCI Thesaurus ValueDomain-2)
C25275 (NCI Thesaurus ValueDomain-3)
Agent
Item
Agent Name (Generic Name)
text
C25364 (NCI Thesaurus Property)
C1521826 (UMLS CUI-1)
C1708 (NCI Thesaurus ObjectClass)
C1708 (NCI Thesaurus ValueDomain)
C42614 (NCI Thesaurus ValueDomain-2)
Medication Dose
Item
Dose
float
C25488 (NCI Thesaurus ValueDomain)
C3174092 (UMLS CUI-1)
C1708 (NCI Thesaurus ObjectClass)
C1708 (NCI Thesaurus ValueDomain-2)
C25382 (NCI Thesaurus Property)
Item
Units
text
C1708 (NCI Thesaurus ObjectClass)
C25730 (NCI Thesaurus Property)
C25409 (NCI Thesaurus Property-2)
C25709 (NCI Thesaurus ValueDomain)
C1519795 (UMLS CUI-1)
CL Item
Capsules (capsules)
C0006935 (UMLS CUI-1)
CL Item
Gram (gram)
C48155 (NCI Thesaurus)
C0439208 (UMLS CUI-1)
CL Item
Drops (drops)
C69442 (NCI Thesaurus)
C2347093 (UMLS CUI-1)
CL Item
Inch (inch)
C48500 (NCI Thesaurus)
C0439204 (UMLS CUI-1)
CL Item
Kilograms (kilogram)
C28252 (NCI Thesaurus)
C0439209 (UMLS CUI-1)
CL Item
Liter (liter)
C0475211 (UMLS CUI-1)
CL Item
Microgram (microgram)
C0439211 (UMLS CUI-1)
CL Item
Milliequivalent (milliequivalent)
C0439152 (UMLS CUI-1)
CL Item
Milligram (milligram)
C28253 (NCI Thesaurus)
C0439210 (UMLS CUI-1)
CL Item
Milliliter (milliliter)
C28254 (NCI Thesaurus)
C0439242 (UMLS CUI-1)
CL Item
Ounce (ounce)
C48519 (NCI Thesaurus)
C0439218 (UMLS CUI-1)
CL Item
Tablets (tablets)
C0039225 (UMLS CUI-1)
CL Item
Tablespoon (tablespoon)
C1532188 (UMLS CUI-1)
CL Item
Teaspoon (teaspoon)
C1704619 (UMLS CUI-1)
CL Item
Unit (unit)
C44278 (NCI Thesaurus)
C0439148 (UMLS CUI-1)
CL Item
Other (other)
C17649 (NCI Thesaurus)
C0205394 (UMLS CUI-1)
Unit, other
Item
other unit, specify
text
C25685 (NCI Thesaurus ValueDomain)
C25491 (NCI Thesaurus ObjectClass)
C459 (NCI Thesaurus ObjectClass-2)
C25365 (NCI Thesaurus Property)
C1519795 (UMLS CUI-1)
Item
Frequency
text
C1708 (NCI Thesaurus ObjectClass)
C25515 (NCI Thesaurus ValueDomain)
C25382 (NCI Thesaurus Property)
C3476109 (UMLS CUI-1)
CL Item
Immediately (stat) (immediately)
C0205548 (UMLS CUI-1)
CL Item
As Needed (p.r.n) (as needed)
C1879745 (UMLS CUI-1)
CL Item
Every Day (q.d.) (every day)
C0332173 (UMLS CUI-1)
CL Item
Every Other Day (q.o.d.) (every other day)
C0558287 (UMLS CUI-1)
CL Item
Twice A Day (b.i.d) (twice a day)
C0585361 (UMLS CUI-1)
CL Item
Three Times A Day (t.i.d) (three times a day)
C0556984 (UMLS CUI-1)
CL Item
Four Times A Day (q.i.d) (four times a day)
C0585291 (UMLS CUI-1)
CL Item
Twice A Week (b.i.w) (twice a week)
C0556985 (UMLS CUI-1)
CL Item
Three Times A Week (t.i.w) (three times a week)
C0556987 (UMLS CUI-1)
CL Item
Before Meals (a.c.) (before meals)
C1550738 (UMLS CUI-1)
CL Item
After Meals (p.c.) (after meals)
C0376674 (UMLS CUI-1)
CL Item
At Bedtime Or Hour Of Sleep (h.s.) (at bedtime or hour of sleep)
C0521112 (UMLS CUI-1)
CL Item
Every 4 Hours (q4hr) (every 4 hours)
C0585324 (UMLS CUI-1)
CL Item
Every 6 Hours (q6hr) (every 6 hours)
C0585325 (UMLS CUI-1)
CL Item
Every 8 Hours (q8hr) (every 8 hours)
C0585326 (UMLS CUI-1)
CL Item
Every 12 Hours (q12hr) (every 12 hours)
C0585327 (UMLS CUI-1)
CL Item
Other (other)
C17649 (NCI Thesaurus)
C0205394 (UMLS CUI-1)
Medication frequency
Item
other, specify
text
C25685 (NCI Thesaurus ValueDomain)
C3476109 (UMLS CUI-1)
C1708 (NCI Thesaurus ObjectClass)
C25409 (NCI Thesaurus ObjectClass-2)
C25275 (NCI Thesaurus Property)
Item
Route
text
C25284 (NCI Thesaurus ValueDomain)
C459 (NCI Thesaurus ObjectClass)
C25409 (NCI Thesaurus ObjectClass-2)
C25169 (NCI Thesaurus Property)
C0013153 (UMLS CUI-1)
CL Item
Oral (PO)
C25311 (NCI Thesaurus)
C25311 (NCI Thesaurus-3)
C0442027 (UMLS CUI-1)
CL Item
Subcutaneous (SC)
C13353 (NCI Thesaurus)
C13353 (NCI Thesaurus-3)
C0443315 (UMLS CUI-1)
CL Item
Intramuscular (IM)
C27974 (NCI Thesaurus)
C27974 (NCI Thesaurus-3)
C0442117 (UMLS CUI-1)
CL Item
Intravenous (IV)
X-MO-6794 (MGED)
X-MO-6794 (MGED-2)
C0348016 (UMLS CUI-1)
CL Item
Rectal (rectal)
C25224 (NCI Thesaurus)
C0205052 (UMLS CUI-1)
CL Item
Topical (topical)
C13344 (NCI Thesaurus)
C13344 (NCI Thesaurus-3)
C0332237 (UMLS CUI-1)
CL Item
Nasal (nasal)
C27958 (NCI Thesaurus)
C0028429 (UMLS CUI-1)
CL Item
Inhaled (inhaled)
C0001559 (UMLS CUI-1)
CL Item
Transdermal (transdermal)
C28017 (NCI Thesaurus)
C0694643 (UMLS CUI-1)
CL Item
Sublingual (sublingual)
C89785 (NCI Thesaurus)
C0001565 (UMLS CUI-1)
CL Item
Intradermal (intradermal)
C28213 (NCI Thesaurus)
C0150647 (UMLS CUI-1)
CL Item
Other (other)
C17649 (NCI Thesaurus)
C0205394 (UMLS CUI-1)
Medication Administration Route, Specify
Item
other route, specify
text
C25685 (NCI Thesaurus ValueDomain)
C459 (NCI Thesaurus ObjectClass)
C25409 (NCI Thesaurus ObjectClass-2)
C25169 (NCI Thesaurus Property)
C0013153 (UMLS CUI-1)
Concomitant Medication Start Date
Item
Agent Start Date
date
C25164 (NCI Thesaurus ValueDomain)
C25431 (NCI Thesaurus ValueDomain-2)
C1708 (NCI Thesaurus ObjectClass)
C25275 (NCI Thesaurus Property)
C2826734 (UMLS CUI-1)
Medication continued
Item
Is this medication continuing?
boolean
C38147 (NCI Thesaurus ValueDomain)
C459 (NCI Thesaurus ObjectClass)
C25409 (NCI Thesaurus Property)
C0750536 (NCI Metathesaurus Property)
C0013227 (UMLS CUI-1)
C0549178 (UMLS CUI-2)
Concomitant Medication End Date
Item
Agent End Date
date
C25164 (NCI Thesaurus ValueDomain)
C1708 (NCI Thesaurus ObjectClass)
C25275 (NCI Thesaurus Property)
C2826744 (UMLS CUI-1)