ID

6899

Description

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

Link

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

Keywords

Versions (2)
  1. 9/19/12 9/19/12 -
  2. 1/8/15 1/8/15 - Martin Dugas
Uploaded on

January 8, 2015

DOI

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License

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

English

No Instruction available.

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

Crf Header

Coordinating Group Protocol Number
Description

CoordinatingGroupProtocolNumber

Data type

text

Coordinating Group Code
Description

CoordinatingGroupCode

Data type

text

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

Protocol Title

Data type

text

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

PatientStudyID,CoordinatingGroup

Data type

text

Patient Study ID, Participating Group
Description

PatientStudyID,ParticipatingGroup

Data type

text

Participating Group Code
Description

ParticipatingGroupCode

Data type

text

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

InstitutionName

Data type

text

Affiliate Name
Description

AffiliateName

Data type

text

Patient Name, Last
Description

PatientName,Last

Data type

text

Patient Name, First
Description

PatientName,First

Data type

text

Patient Name, Middle
Description

PatientName,Middle

Data type

text

Bladder: Form Administration
Description

Bladder: Form Administration

Person Completing Form, Last Name
Description

PersonCompletingForm,LastName

Data type

text

Person Completing Form, First Name
Description

PersonCompletingForm,FirstName

Data type

text

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

AmendedDataInd

Data type

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
Description

Bladder: Disease Description For Muscle Invasive Bladder Cancer

Prior Superficial Disease Ind
Description

PriorSuperficialDiseaseInd

Data type

text

Prior Papillary Occurrences
Description

PriorPapillaryOccurrences

Data type

float

Prior CIS Occurrences
Description

PriorCISOccurrences

Data type

float

Initial Diagnosis Date, Pathologic
Description

InitialDiagnosisDate,Pathologic

Data type

date

Initial Diagnosis Date, Pathologic
Description

InitialDiagnosisDate,Pathologic

Data type

date

Pathologic Diagnosis Date
Description

PathologicDiagnosisDate

Data type

date

Prior Recent Recurrence Date
Description

PriorRecentRecurrenceDate

Data type

date

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

HistologicType

Data type

text

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

HistologicType,OtherName

Data type

text

Histologic Grade
Description

HistologicGrade

Data type

text

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

TStage,Pathologic

Data type

text

T Stage, Clinical
Description

TStage,Clinical

Data type

text

N Stage, Pathologic
Description

NStage,Pathologic

Data type

text

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

NStage,Clinical

Data type

text

Lymph Node(s) Examined Number
Description

LymphNode(s)ExaminedNumber

Data type

float

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

LymphNode(s)PositiveNumber

Data type

float

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

LymphNodesType

Data type

text

Lymph Node Involvement
Description

LymphNodeInvolvement

Data type

text

Assessment Type
Description

AssessmentType

Data type

text

Lymph Node Type, Other
Description

LymphNodeType,Other

Data type

text

Tumor Margin Ind
Description

TumorMarginInd

Data type

text

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

TumorAdherenceInd

Data type

text

Muscle Invasive Bladder Disease: Prior Treatment Affecting The Bladder
Description

Muscle Invasive Bladder Disease: Prior Treatment Affecting The Bladder

Prior Intravesical Therapy Ind
Description

PriorIntravesicalTherapyInd

Data type

text

Prior Immunotherapy Type
Description

PriorImmunotherapyType

Data type

text

Prior Immunotherapy Count
Description

PriorImmunotherapyCount

Data type

float

Prior Immunotherapy Other Agent
Description

PriorImmunotherapyOtherAgent

Data type

text

Prior Intravesical Chemotherapy Type
Description

PriorIntravesicalChemotherapyType

Data type

text

Prior Intravesical Chemotherapy Count
Description

PriorIntravesicalChemotherapyCount

Data type

float

Prior Intravesical Chemotherapy Other Agent
Description

PriorIntravesicalChemotherapyOtherAgent

Data type

text

Prior Chemotherapy Ind
Description

PriorChemotherapyInd

Data type

text

Prior Neoadjuvant Chemotherapy Ind
Description

PriorNeoadjuvantChemotherapyInd

Data type

text

Prior Neoadjuvant Chemotherapy Type
Description

PriorNeoadjuvantChemotherapyType

Data type

text

Prior Neoadjuvant Chemotherapy Count
Description

PriorNeoadjuvantChemotherapyCount

Data type

float

Prior Neoadjuvant Chemotherapy Other Type
Description

PriorNeoadjuvantChemotherapyOtherType

Data type

text

Prior Adjuvant Chemotherapy Ind
Description

PriorAdjuvantChemotherapyInd

Data type

text

Prior Adjuvant Chemotherapy Type
Description

PriorAdjuvantChemotherapyType

Data type

text

Prior Adjuvant Chemotherapy Count
Description

PriorAdjuvantChemotherapyCount

Data type

float

Prior Adjuvant Chemotherapy Other Agent
Description

PriorAdjuvantChemotherapyOtherAgent

Data type

text

Prior Pelvic RT Ind
Description

PriorPelvicRTInd

Data type

text

Prior Surgery Ind
Description

PriorSurgeryInd

Data type

text

Prior Surgery Type
Description

PriorSurgeryType

Data type

text

Prior Surgery, TURBT Count
Description

PriorSurgery,TURBTCount

Data type

float

Prior Surgery, Other Type
Description

PriorSurgery,OtherType

Data type

text

Prior Other Therapy Ind
Description

PriorOtherTherapyInd

Data type

text

Prior Other Therapy Name
Description

PriorOtherTherapyName

Data type

text

Allows Documentation Of Any Additional Cooments
Description

Allows Documentation Of Any Additional Cooments

Comments
Description

Comments

Data type

text

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1 forms
  1. StudyEvent: Muscle Invasive Bladder Cancer - On-Study Form
    1. No Instruction available.
Name
Type
Description | Question | Decode (Coded Value)
Data type
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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