ID

6899

Beskrivning

Muscle Invasive Bladder Cancer - On-Study Form Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=99CD59C5-A95D-3FA4-E034-080020C9C0E0

Länk

https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=99CD59C5-A95D-3FA4-E034-080020C9C0E0

Nyckelord

Versioner (2)
  1. 2012-09-19 2012-09-19 -
  2. 2015-01-08 2015-01-08 - Martin Dugas
Uppladdad den

8 januari 2015

DOI

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Licens

Creative Commons BY-NC 3.0 Legacy
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On-Study - Muscle Invasive Bladder Cancer - On-Study Form - 2019331v2.31

Engelsk

No Instruction available.

1 Formulär  
  1. StudyEvent: Muscle Invasive Bladder Cancer - On-Study Form
    1. No Instruction available.
Crf Header
Beskrivning

Crf Header

Coordinating Group Protocol Number
Beskrivning

CoordinatingGroupProtocolNumber

Datatyp

text

Coordinating Group Code
Beskrivning

CoordinatingGroupCode

Datatyp

text

Alias
NCI Thesaurus ValueDomain
C25162
UMLS 2011AA ValueDomain
C0805701
Protocol Title
Beskrivning

Protocol Title

Datatyp

text

Alias
NCI Thesaurus ObjectClass
C25320
UMLS CUI-1
C2986303
NCI Thesaurus Property
C42774
Patient Study ID, Coordinating Group
Beskrivning

PatientStudyID,CoordinatingGroup

Datatyp

text

Patient Study ID, Participating Group
Beskrivning

PatientStudyID,ParticipatingGroup

Datatyp

text

Participating Group Code
Beskrivning

ParticipatingGroupCode

Datatyp

text

Alias
NCI Thesaurus ValueDomain
C25162
UMLS 2011AA ValueDomain
C0805701
Institution Name
Beskrivning

InstitutionName

Datatyp

text

Affiliate Name
Beskrivning

AffiliateName

Datatyp

text

Patient Name, Last
Beskrivning

PatientName,Last

Datatyp

text

Patient Name, First
Beskrivning

PatientName,First

Datatyp

text

Patient Name, Middle
Beskrivning

PatientName,Middle

Datatyp

text

Bladder: Form Administration
Beskrivning

Bladder: Form Administration

Person Completing Form, Last Name
Beskrivning

PersonCompletingForm,LastName

Datatyp

text

Person Completing Form, First Name
Beskrivning

PersonCompletingForm,FirstName

Datatyp

text

Alias
NCI Thesaurus ObjectClass
C25190
UMLS 2011AA ObjectClass
C0027361
NCI Thesaurus Property
C25364
UMLS 2011AA Property
C0600091
Amended Data Ind
Beskrivning

AmendedDataInd

Datatyp

text

Alias
NCI Thesaurus ObjectClass
C25474
UMLS 2011AA ObjectClass
C1511726
NCI Thesaurus Property
C25416
UMLS 2011AA Property
C1691222
Bladder: Disease Description For Muscle Invasive Bladder Cancer
Beskrivning

Bladder: Disease Description For Muscle Invasive Bladder Cancer

Prior Superficial Disease Ind
Beskrivning

PriorSuperficialDiseaseInd

Datatyp

text

Prior Papillary Occurrences
Beskrivning

PriorPapillaryOccurrences

Datatyp

float

Prior CIS Occurrences
Beskrivning

PriorCISOccurrences

Datatyp

float

Initial Diagnosis Date, Pathologic
Beskrivning

InitialDiagnosisDate,Pathologic

Datatyp

date

Initial Diagnosis Date, Pathologic
Beskrivning

InitialDiagnosisDate,Pathologic

Datatyp

date

Pathologic Diagnosis Date
Beskrivning

PathologicDiagnosisDate

Datatyp

date

Prior Recent Recurrence Date
Beskrivning

PriorRecentRecurrenceDate

Datatyp

date

Alias
NCI Thesaurus ObjectClass
C2991
UMLS 2011AA ObjectClass
C0012634
NCI Thesaurus Property
C25279
UMLS 2011AA Property
C0332162
Histologic Type
Beskrivning

HistologicType

Datatyp

text

Alias
NCI Thesaurus ValueDomain
C25372
UMLS 2011AA ValueDomain
C0683312
NCI Thesaurus ValueDomain-2
C25526
UMLS 2011AA ValueDomain-2
C0205462
Histologic Type, Other Name
Beskrivning

HistologicType,OtherName

Datatyp

text

Histologic Grade
Beskrivning

HistologicGrade

Datatyp

text

Alias
NCI Thesaurus ValueDomain
C25526
UMLS 2011AA ValueDomain
C0205462
NCI Thesaurus ValueDomain-2
C18000
UMLS 2011AA ValueDomain-2
C0919553
T Stage, Pathologic
Beskrivning

TStage,Pathologic

Datatyp

text

T Stage, Clinical
Beskrivning

TStage,Clinical

Datatyp

text

N Stage, Pathologic
Beskrivning

NStage,Pathologic

Datatyp

text

Alias
NCI Thesaurus ValueDomain
C16899
UMLS 2011AA ValueDomain
C1300072
N Stage, Clinical
Beskrivning

NStage,Clinical

Datatyp

text

Lymph Node(s) Examined Number
Beskrivning

LymphNode(s)ExaminedNumber

Datatyp

float

Alias
NCI Thesaurus Property
C25500
UMLS 2011AA Property
C0332128
NCI Thesaurus ObjectClass
C12745
UMLS 2011AA ObjectClass
C0024204
Lymph Node(s) Positive Number
Beskrivning

LymphNode(s)PositiveNumber

Datatyp

float

Alias
NCI Thesaurus Property
C25246
UMLS 2011AA Property
C1446409
NCI Thesaurus ObjectClass
C12745
UMLS 2011AA ObjectClass
C0024204
Lymph Nodes Type
Beskrivning

LymphNodesType

Datatyp

text

Lymph Node Involvement
Beskrivning

LymphNodeInvolvement

Datatyp

text

Assessment Type
Beskrivning

AssessmentType

Datatyp

text

Lymph Node Type, Other
Beskrivning

LymphNodeType,Other

Datatyp

text

Tumor Margin Ind
Beskrivning

TumorMarginInd

Datatyp

text

Alias
NCI Thesaurus ObjectClass
C3262
UMLS 2011AA ObjectClass
C0027651
NCI Thesaurus Property
C25563
UMLS 2011AA Property
C0205284
Tumor Adherence Ind
Beskrivning

TumorAdherenceInd

Datatyp

text

Muscle Invasive Bladder Disease: Prior Treatment Affecting The Bladder
Beskrivning

Muscle Invasive Bladder Disease: Prior Treatment Affecting The Bladder

Prior Intravesical Therapy Ind
Beskrivning

PriorIntravesicalTherapyInd

Datatyp

text

Prior Immunotherapy Type
Beskrivning

PriorImmunotherapyType

Datatyp

text

Prior Immunotherapy Count
Beskrivning

PriorImmunotherapyCount

Datatyp

float

Prior Immunotherapy Other Agent
Beskrivning

PriorImmunotherapyOtherAgent

Datatyp

text

Prior Intravesical Chemotherapy Type
Beskrivning

PriorIntravesicalChemotherapyType

Datatyp

text

Prior Intravesical Chemotherapy Count
Beskrivning

PriorIntravesicalChemotherapyCount

Datatyp

float

Prior Intravesical Chemotherapy Other Agent
Beskrivning

PriorIntravesicalChemotherapyOtherAgent

Datatyp

text

Prior Chemotherapy Ind
Beskrivning

PriorChemotherapyInd

Datatyp

text

Prior Neoadjuvant Chemotherapy Ind
Beskrivning

PriorNeoadjuvantChemotherapyInd

Datatyp

text

Prior Neoadjuvant Chemotherapy Type
Beskrivning

PriorNeoadjuvantChemotherapyType

Datatyp

text

Prior Neoadjuvant Chemotherapy Count
Beskrivning

PriorNeoadjuvantChemotherapyCount

Datatyp

float

Prior Neoadjuvant Chemotherapy Other Type
Beskrivning

PriorNeoadjuvantChemotherapyOtherType

Datatyp

text

Prior Adjuvant Chemotherapy Ind
Beskrivning

PriorAdjuvantChemotherapyInd

Datatyp

text

Prior Adjuvant Chemotherapy Type
Beskrivning

PriorAdjuvantChemotherapyType

Datatyp

text

Prior Adjuvant Chemotherapy Count
Beskrivning

PriorAdjuvantChemotherapyCount

Datatyp

float

Prior Adjuvant Chemotherapy Other Agent
Beskrivning

PriorAdjuvantChemotherapyOtherAgent

Datatyp

text

Prior Pelvic RT Ind
Beskrivning

PriorPelvicRTInd

Datatyp

text

Prior Surgery Ind
Beskrivning

PriorSurgeryInd

Datatyp

text

Prior Surgery Type
Beskrivning

PriorSurgeryType

Datatyp

text

Prior Surgery, TURBT Count
Beskrivning

PriorSurgery,TURBTCount

Datatyp

float

Prior Surgery, Other Type
Beskrivning

PriorSurgery,OtherType

Datatyp

text

Prior Other Therapy Ind
Beskrivning

PriorOtherTherapyInd

Datatyp

text

Prior Other Therapy Name
Beskrivning

PriorOtherTherapyName

Datatyp

text

Allows Documentation Of Any Additional Cooments
Beskrivning

Allows Documentation Of Any Additional Cooments

Comments
Beskrivning

Comments

Datatyp

text

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Similar models

No Instruction available.

1 Formulär
  1. StudyEvent: Muscle Invasive Bladder Cancer - On-Study Form
    1. No Instruction available.
Name
Typ
Description | Question | Decode (Coded Value)
Datatyp
Alias
Item Group
Crf Header
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 Name
text
PatientName,Last
Item
Patient Name, Last
text
PatientName,First
Item
Patient Name, First
text
PatientName,Middle
Item
Patient Name, Middle
text
Item Group
Bladder: 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)
Item
Amended Data Ind
text
C25474 (NCI Thesaurus ObjectClass)
C1511726 (UMLS 2011AA ObjectClass)
C25416 (NCI Thesaurus Property)
C1691222 (UMLS 2011AA Property)
CL.1
Code List
Amended Data Ind
CL Item
Yes (YES)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
CL Item
Unknown (UNKNOWN)
C17998 (NCI Thesaurus)
C0439673 (UMLS 2011AA)
CL Item
No (NO)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
Item Group
Bladder: Disease Description For Muscle Invasive Bladder Cancer
Item
Prior Superficial Disease Ind
text
CL.2
Code List
Prior Superficial Disease Ind
CL Item
No (No)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
CL Item
Unknown (unknown)
C17998 (NCI Thesaurus)
C0439673 (UMLS 2011AA)
CL Item
Yes (Yes)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
PriorPapillaryOccurrences
Item
Prior Papillary Occurrences
float
PriorCISOccurrences
Item
Prior CIS Occurrences
float
InitialDiagnosisDate,Pathologic
Item
Initial Diagnosis Date, Pathologic
date
InitialDiagnosisDate,Pathologic
Item
Initial Diagnosis Date, Pathologic
date
PathologicDiagnosisDate
Item
Pathologic Diagnosis Date
date
PriorRecentRecurrenceDate
Item
Prior Recent Recurrence Date
date
C2991 (NCI Thesaurus ObjectClass)
C0012634 (UMLS 2011AA ObjectClass)
C25279 (NCI Thesaurus Property)
C0332162 (UMLS 2011AA Property)
Item
Histologic Type
text
C25372 (NCI Thesaurus ValueDomain)
C0683312 (UMLS 2011AA ValueDomain)
C25526 (NCI Thesaurus ValueDomain-2)
C0205462 (UMLS 2011AA ValueDomain-2)
CL.3
Code List
Histologic Type
CL Item
Cis Only (CIS only)
CL Item
Adenocarcinoma (adenocarcinoma)
C2852 (NCI Thesaurus)
C0001418 (UMLS 2011AA)
CL Item
Other Specify (other, specify)
CL Item
Transitional Cell Carcinoma (transitional cell carcinoma)
C2930 (NCI Thesaurus)
C0007138 (UMLS 2011AA)
CL Item
Papillary And Cis (papillary and CIS)
CL Item
Small Cell Carcinoma (small cell carcinoma)
C3915 (NCI Thesaurus)
C0262584 (UMLS 2011AA)
CL Item
Squamous Cell Carcinoma (squamous cell carcinoma)
C2929 (NCI Thesaurus)
C0007137 (UMLS 2011AA)
CL Item
Papillary (papillary)
C14166 (NCI Thesaurus)
C0205312 (UMLS 2011AA)
HistologicType,OtherName
Item
Histologic Type, Other Name
text
Item
Histologic Grade
text
C25526 (NCI Thesaurus ValueDomain)
C0205462 (UMLS 2011AA ValueDomain)
C18000 (NCI Thesaurus ValueDomain-2)
C0919553 (UMLS 2011AA ValueDomain-2)
CL.4
Code List
Histologic Grade
CL Item
Tumor Grade Cannot Be Assessed (grade cannot be assessed (GX))
CL Item
Well Differentiated (well differentiated (G1))
C14171 (NCI Thesaurus)
C0205615 (UMLS 2011AA)
CL Item
Poorly Differentiated (poorly differentiated (G3))
C14167 (NCI Thesaurus)
C0205617 (UMLS 2011AA)
CL Item
Moderately Differentiated (moderately differentiated (G2))
C14162 (NCI Thesaurus)
C0205616 (UMLS 2011AA)
Item
T Stage, Pathologic
text
CL.5
Code List
T Stage, Pathologic
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
Primary Tumor Cannot Be Assessed (Tx)
CL Item
Tumor Invades Perivesical Tissue Macroscopically (extravesical Mass) (T3b)
CL Item
Inflammatory Carcinoma (T4)
C0334385 (NCI Metathesaurus)
CL Item
Noninvasive Papillary Carcinoma (Ta)
CL Item
Carcinoma In Situ: "flat Tumor" (Tis)
CL Item
Tumor Invades Perivesical Tissue Microscopically (T3a)
Item
T Stage, Clinical
text
CL.6
Code List
T Stage, Clinical
CL Item
No Evidence Of Primary Tumor (T0)
CL Item
Carcinoma In Situ: Intraductal Carcinoma, Lobular Carcinoma In Situ, Or Paget's Disease Of The Nipple With No Tumor (Tis)
CL Item
Tumor More Than 0.1 Cm But Not More Than 0.5 Cm In Greatest Dimension (T1a)
CL Item
Tumor More Than 0.5 Cm But Not More Than 1 Cm In Greatest Dimension (T1b)
CL Item
Tumor More Than 1 Cm But Not More Than 2 Cm In Greatest Dimension (T1c)
CL Item
Microinvasion 0.1 Cm Or Less In Greatest Dimension (T1mic)
CL Item
Tumor More Than 2 Cm But Not More Than 5 Cm In Greatest Dimension (T2)
CL Item
Tumor More Than 5 Cm In Greatest Dimension (T3)
CL Item
Tumor Of Any Size With Direct Extension To (a) Chest Wall Or (b) Skin, Only As Described Below (T4)
CL Item
Extension To Chest Wall (T4a)
CL Item
Edema (including Peau D'orange) Or Ulceration Of The Skin Of The Breast Or Satellite Skin Nodules Confined To The Same Breast (T4b)
CL Item
Both T4a And T4b (T4c)
CL Item
Inflammatory Carcinoma (T4d)
C0334385 (NCI Metathesaurus)
CL Item
Primary Tumor Cannot Be Assessed (TX)
CL Item
Tumor 2 Cm Or Less In Greatest Dimension (T1)
Item
N Stage, Pathologic
text
C16899 (NCI Thesaurus ValueDomain)
C1300072 (UMLS 2011AA ValueDomain)
CL.7
Code List
N Stage, Pathologic
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
Regional Lymph Nodes Cannot Be Assessed (Nx)
CL Item
Metastasis In A Lymph Node More Than 5 Cm In Greatest Dimension (N3)
CL Item
No Regional Lymph Node Metastasis (NO)
Item
N Stage, Clinical
text
CL.8
Code List
N Stage, Clinical
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
Regional Lymph Nodes Cannot Be Assessed (NX)
CL Item
Metastasis In A Lymph Node More Than 5 Cm In Greatest Dimension (N3)
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)
LymphNode(s)ExaminedNumber
Item
Lymph Node(s) Examined Number
float
C25500 (NCI Thesaurus Property)
C0332128 (UMLS 2011AA Property)
C12745 (NCI Thesaurus ObjectClass)
C0024204 (UMLS 2011AA ObjectClass)
LymphNode(s)PositiveNumber
Item
Lymph Node(s) Positive Number
float
C25246 (NCI Thesaurus Property)
C1446409 (UMLS 2011AA Property)
C12745 (NCI Thesaurus ObjectClass)
C0024204 (UMLS 2011AA ObjectClass)
Item
Lymph Nodes Type
text
CL.9
Code List
Lymph Nodes Type
CL Item
Common Iliac (common iliac)
CL Item
External Iliac (external iliac)
CL Item
Para-aortic (para-aortic)
CL Item
Internal Iliac (internal iliac)
CL Item
Other, Specify (other, specify)
CL Item
Hypogastric (hypogastric)
Item
Lymph Node Involvement
text
CL.10
Code List
Lymph Node Involvement
CL Item
The Node Is Considered To Be Negative But Not Based Upon Histological Evaluation. (clinically negative)
CL Item
The Node Is Considered To Be Positive But Not Based Upon Histological Evaluation. (clinically positive)
CL Item
Lymph Nodes Were Evaluated For Involvement, And They Were Equivocal (equivocal)
CL Item
Lymph Nodes Were Evaluated For Involvement, And They Were Negative (negative)
CL Item
Unknown Whether The Lymph Nodes Were Evaluated For Involvement (unknown)
CL Item
The Node Is Considered To Be Negative Based Upon Histological Evaluation. (pathologically negative)
CL Item
The Node Is Considered To Be Positive Based Upon Histological Evaluation. (pathologically positive)
CL Item
Lymph Nodes Were Evaluated For Involvement, And They Were Positive (positive)
CL Item
Lymph Nodes Were Not Evaluated For Involvement (not evaluated)
Item
Assessment Type
text
CL.11
Code List
Assessment Type
CL Item
Biopsy (Biopsy)
C15189 (NCI Thesaurus)
C0005558 (UMLS 2011AA)
CL Item
Ultrasound (Ultrasound)
C64384 (NCI Thesaurus)
C1456803 (UMLS 2011AA)
CL Item
Ct Scan (CT Scan)
CL Item
Chest X-ray (Chest X-Ray)
CL Item
Clinical Examination (Clinical examination)
CL Item
Cytology (Cytology)
CL Item
Histology (Histology)
CL Item
Bone Scan (Bone scan)
C17646 (NCI Thesaurus)
C0203668 (UMLS 2011AA)
CL Item
Not Applicable (Not applicable)
C48660 (NCI Thesaurus)
C1272460 (UMLS 2011AA)
CL Item
Not Evaluated (Not evaluated)
CL Item
Other (Other)
C17649 (NCI Thesaurus)
C0205394 (UMLS 2011AA)
CL Item
Other, Specify (Other, specify)
CL Item
Pathologic (Pathologic)
C25610 (NCI Thesaurus)
C1521733 (UMLS 2011AA)
CL Item
Physical Exam (Physical exam)
CL Item
Radiograph (Radiograph)
CL Item
Spiral Ct Scan (Spiral CT Scan)
CL Item
Tumor Markers (Tumor Markers)
CL Item
Mri (MRI (NMR))
LymphNodeType,Other
Item
Lymph Node Type, Other
text
Item
Tumor Margin Ind
text
C3262 (NCI Thesaurus ObjectClass)
C0027651 (UMLS 2011AA ObjectClass)
C25563 (NCI Thesaurus Property)
C0205284 (UMLS 2011AA Property)
CL.12
Code List
Tumor Margin Ind
CL Item
No (No)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
CL Item
Unknown (unknown)
C17998 (NCI Thesaurus)
C0439673 (UMLS 2011AA)
CL Item
Yes (Yes)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
Item
Tumor Adherence Ind
text
CL.13
Code List
Tumor Adherence Ind
CL Item
No (No)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
CL Item
Unknown (unknown)
C17998 (NCI Thesaurus)
C0439673 (UMLS 2011AA)
CL Item
Yes (Yes)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
Item Group
Muscle Invasive Bladder Disease: Prior Treatment Affecting The Bladder
Item
Prior Intravesical Therapy Ind
text
CL.14
Code List
Prior Intravesical Therapy Ind
CL Item
No (No)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
CL Item
Unknown (unknown)
C17998 (NCI Thesaurus)
C0439673 (UMLS 2011AA)
CL Item
Yes (Yes)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
Item
Prior Immunotherapy Type
text
CL.15
Code List
Prior Immunotherapy Type
CL Item
Interferon (Interferon)
C20493 (NCI Thesaurus)
C0733470 (UMLS 2011AA)
CL Item
Other (Other)
C17649 (NCI Thesaurus)
C0205394 (UMLS 2011AA)
CL Item
Bcg (BCG)
C1328 (NCI Thesaurus)
PriorImmunotherapyCount
Item
Prior Immunotherapy Count
float
PriorImmunotherapyOtherAgent
Item
Prior Immunotherapy Other Agent
text
Item
Prior Intravesical Chemotherapy Type
text
CL.16
Code List
Prior Intravesical Chemotherapy Type
CL Item
Other (Other)
C17649 (NCI Thesaurus)
C0205394 (UMLS 2011AA)
CL Item
Thiotepa (Thiotepa)
C875 (NCI Thesaurus)
C0039871 (UMLS 2011AA)
CL Item
Mmc (MMC)
PriorIntravesicalChemotherapyCount
Item
Prior Intravesical Chemotherapy Count
float
PriorIntravesicalChemotherapyOtherAgent
Item
Prior Intravesical Chemotherapy Other Agent
text
Item
Prior Chemotherapy Ind
text
CL.17
Code List
Prior Chemotherapy Ind
CL Item
Yes (YES)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
CL Item
Unknown (UNKNOWN)
C17998 (NCI Thesaurus)
C0439673 (UMLS 2011AA)
CL Item
No (NO)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
Item
Prior Neoadjuvant Chemotherapy Ind
text
CL.18
Code List
Prior Neoadjuvant Chemotherapy Ind
CL Item
No (No)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
CL Item
Unknown (unknown)
C17998 (NCI Thesaurus)
C0439673 (UMLS 2011AA)
CL Item
Yes (Yes)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
Item
Prior Neoadjuvant Chemotherapy Type
text
CL.19
Code List
Prior Neoadjuvant Chemotherapy Type
CL Item
Carboplatin/paclitaxel (Carboplatin/Paclitaxel)
C10662 (NCI Thesaurus)
C0281297 (UMLS 2011AA)
CL Item
Other (Other)
C17649 (NCI Thesaurus)
C0205394 (UMLS 2011AA)
CL Item
Cisplatin/gemcitabine (Cisplatin/Gemcitabine)
C11117 (NCI Thesaurus)
C0338265 (UMLS 2011AA)
CL Item
M-vac (M-VAC)
PriorNeoadjuvantChemotherapyCount
Item
Prior Neoadjuvant Chemotherapy Count
float
PriorNeoadjuvantChemotherapyOtherType
Item
Prior Neoadjuvant Chemotherapy Other Type
text
Item
Prior Adjuvant Chemotherapy Ind
text
CL.20
Code List
Prior Adjuvant Chemotherapy Ind
CL Item
Yes (YES)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
CL Item
Unknown (UNKNOWN)
C17998 (NCI Thesaurus)
C0439673 (UMLS 2011AA)
CL Item
No (NO)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
Item
Prior Adjuvant Chemotherapy Type
text
CL.21
Code List
Prior Adjuvant Chemotherapy Type
CL Item
Carboplatin/paclitaxel (Carboplatin/Paclitaxel)
C10662 (NCI Thesaurus)
C0281297 (UMLS 2011AA)
CL Item
Other (Other)
C17649 (NCI Thesaurus)
C0205394 (UMLS 2011AA)
CL Item
Cisplatin/gemcitabine (Cisplatin/Gemcitabine)
C11117 (NCI Thesaurus)
C0338265 (UMLS 2011AA)
CL Item
M-vac (M-VAC)
PriorAdjuvantChemotherapyCount
Item
Prior Adjuvant Chemotherapy Count
float
PriorAdjuvantChemotherapyOtherAgent
Item
Prior Adjuvant Chemotherapy Other Agent
text
Item
Prior Pelvic RT Ind
text
CL.22
Code List
Prior Pelvic RT Ind
CL Item
No (No)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
CL Item
Unknown (unknown)
C17998 (NCI Thesaurus)
C0439673 (UMLS 2011AA)
CL Item
Yes (Yes)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
Item
Prior Surgery Ind
text
CL.23
Code List
Prior Surgery Ind
CL Item
Yes (YES)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
CL Item
Unknown (UNKNOWN)
C17998 (NCI Thesaurus)
C0439673 (UMLS 2011AA)
CL Item
No (NO)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
Item
Prior Surgery Type
text
CL.24
Code List
Prior Surgery Type
CL Item
Patient Previosly Had A Turbt (TURBT)
CL Item
Patient Previosly Had A Radical Cystectomy (radical cystectomy)
CL Item
Patient Previosly Had A Partial Cystectomy (partial cystectomy)
CL Item
Patient Previously Had Other Surgery, Specify (other, specify)
PriorSurgery,TURBTCount
Item
Prior Surgery, TURBT Count
float
PriorSurgery,OtherType
Item
Prior Surgery, Other Type
text
Item
Prior Other Therapy Ind
text
CL.25
Code List
Prior Other Therapy Ind
CL Item
Yes (YES)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
CL Item
Unknown (UNKNOWN)
C17998 (NCI Thesaurus)
C0439673 (UMLS 2011AA)
CL Item
No (NO)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
PriorOtherTherapyName
Item
Prior Other Therapy Name
text
Item Group
Allows Documentation Of Any Additional Cooments
Comments
Item
Comments
text
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