ID

10090

Beschreibung

SOUTHWEST ONCOLOGY GROUP BASELINE TUMOR ASSESSMENT FORM (S0226) S0226 Anastrozole With or Without Fulvestrant as First-Line Therapy in Postmenopausal Women With Metastatic Breast Cancer NCT00075764 Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=C322202A-32BF-25B7-E034-0003BA12F5E7

Link

https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=C322202A-32BF-25B7-E034-0003BA12F5E7

Stichworte

Versionen (3)
  1. 26.08.12 26.08.12 -
  2. 09.01.15 09.01.15 - Martin Dugas
  3. 25.03.15 25.03.15 - Martin Dugas
Hochgeladen am

25. März 2015

DOI

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Lizenz

Creative Commons BY-NC 3.0 Legacy
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Breast Cancer SWOG baseline tumor assessment NCT00075764

Englisch

No Instruction available.

1 Formulare  
  1. StudyEvent: SOUTHWEST ONCOLOGY GROUP BASELINE TUMOR ASSESSMENT FORM (S0226)
    1. No Instruction available.
Header
Beschreibung

Header

SWOG Patient ID
Beschreibung

Trial subject ID SWOG

Datentyp

text

Alias
NCI Thesaurus ValueDomain
C25337
UMLS CUI-1
C2348585
NCI Thesaurus ObjectClass
C16960
UMLS CUI-2
C1519429
NCI Thesaurus Property
C25364
NCI Thesaurus Property-2
C25699
SWOG Study No.
Beschreibung

Protocol ID SWOG

Datentyp

text

Alias
NCI Thesaurus ValueDomain
C25337
UMLS CUI-1
C3274381
NCI Thesaurus ObjectClass
C25320
UMLS CUI-2
C1519429
NCI Thesaurus Property
C25364
NCI Thesaurus Property-2
C25699
Registration Step
Beschreibung

Registration Number

Datentyp

text

Alias
NCI Thesaurus ValueDomain
C25337
UMLS CUI-1
C1514821
NCI Thesaurus ObjectClass
C25646
UMLS CUI-2
C0237753
NCI Thesaurus Property
C16154
NCI Thesaurus ValueDomain-2
C16154
Patient Initials (L, F M)
Beschreibung

Patient Initials

Datentyp

text

Alias
NCI Thesaurus ValueDomain
C25191
UMLS CUI-1
C2986440
NCI Thesaurus ObjectClass
C16960
NCI Thesaurus Property
C25536
Institution/Affiliate
Beschreibung

Institution Name

Datentyp

text

Alias
NCI Thesaurus ObjectClass
C25454
UMLS CUI-1
C1301943
NCI Thesaurus ObjectClass-2
C21541
NCI Thesaurus Property
C25364
NCI Thesaurus ValueDomain
C25191
NCI Thesaurus ValueDomain-2
C21541
Physician (Groups Other than SWOG)
Beschreibung

Investigator Name

Datentyp

text

Alias
NCI Thesaurus ValueDomain
C25191
UMLS CUI-1
C2826892
NCI Thesaurus Property
C25364
NCI Thesaurus ObjectClass
C17089
NCI Thesaurus ObjectClass-2
C25644
Group Name
Beschreibung

Participating Group

Datentyp

text

Alias
NCI Thesaurus ValueDomain
C25191
UMLS CUI-1
C2347449
NCI Thesaurus ObjectClass
C25608
NCI Thesaurus ObjectClass-2
C17005
NCI Thesaurus Property
C25364
Study No.
Beschreibung

Study Number Participating Group

Datentyp

text

Alias
NCI Thesaurus ValueDomain
C25337
UMLS CUI-1
C3274381
NCI Thesaurus ObjectClass
C25320
UMLS CUI-2
C2347449
NCI Thesaurus Property
C25608
NCI Thesaurus Property-2
C25364
Pt. ID (Instructions: Record the requested information for all target lesions and all sites of other disease. Please refer to section 10.0 of the protocol for definitions. Choose all measurable lesions up to a maximum of 5 lesions per organ and 10 lesions in total to follow as target lesions. Record any remaining measurable lesions and all non-measurable lesions as non-terget lesions.)
Beschreibung

Trial subject ID Participating Group

Datentyp

text

Alias
NCI Thesaurus ValueDomain
C25337
UMLS CUI-1
C2348585
NCI Thesaurus ObjectClass
C16960
UMLS CUI-2
C2347449
NCI Thesaurus Property
C25608
NCI Thesaurus Property-2
C25364
Comments
Beschreibung

Comments

Datentyp

text

Target Lesions
Beschreibung

Target Lesions

Alias
UMLS CUI-1
C2986546
Lesion Number
Beschreibung

LesionSiteNumber

Datentyp

integer

Alias
NCI Thesaurus ValueDomain
C25337
NCI Thesaurus ObjectClass
C3824
NCI Thesaurus Property
C25341
UMLS CUI-1
C0449791
Target Lesion Site
Beschreibung

LesionTargetSite

Datentyp

text

Alias
NCI Thesaurus ValueDomain
C13717
NCI Thesaurus ObjectClass
C3824
NCI Thesaurus Property
C25341
NCI Thesaurus Property-2
C25702
UMLS CUI-1
C1521840
UMLS CUI-2
C1515974
Longest Diameter
Beschreibung

Longest Diameter

Datentyp

float

Maßeinheiten
  • cm
Alias
NCI Thesaurus ObjectClass
C3824
NCI Thesaurus Property
C25285
NCI Thesaurus Property-2
C25558
NCI Thesaurus ValueDomain
C25209
NCI Thesaurus ValueDomain-2
C25285
UMLS CUI-1
C0221198
UMLS CUI-2
C1301886
UMLS CUI-3
C1522425
cm
Assessment Type
Beschreibung

Assessment Type

Datentyp

text

Alias
NCI Thesaurus ValueDomain
C25284
NCI Thesaurus ObjectClass
C20989
NCI Thesaurus Property
C16847
UMLS CUI-1
C2911685
Assessment Date
Beschreibung

AssessmentDate

Datentyp

date

Non-target Disease
Beschreibung

Non-target Disease

Alias
UMLS CUI-1
C2986547
Lesion Number
Beschreibung

Lesion,ReferenceNumber

Datentyp

integer

Alias
UMLS CUI-1
C0449791
Lesion site
Beschreibung

Lesion site

Datentyp

text

Extent
Beschreibung

Extent

Datentyp

text

Assessment Type
Beschreibung

Assessment Type

Datentyp

text

Alias
UMLS CUI-1
C2911685
Other tests
Beschreibung

Other tests

Tests/studies
Beschreibung

Tests/studies

Datentyp

text

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Ähnliche Modelle

No Instruction available.

1 Formulare
  1. StudyEvent: SOUTHWEST ONCOLOGY GROUP BASELINE TUMOR ASSESSMENT FORM (S0226)
    1. No Instruction available.
Name
Typ
Description | Question | Decode (Coded Value)
Datentyp
Alias
Item Group
Header
Trial subject ID SWOG
Item
SWOG Patient ID
text
C25337 (NCI Thesaurus ValueDomain)
C2348585 (UMLS CUI-1)
C16960 (NCI Thesaurus ObjectClass)
C1519429 (UMLS CUI-2)
C25364 (NCI Thesaurus Property)
C25699 (NCI Thesaurus Property-2)
Protocol ID SWOG
Item
SWOG Study No.
text
C25337 (NCI Thesaurus ValueDomain)
C3274381 (UMLS CUI-1)
C25320 (NCI Thesaurus ObjectClass)
C1519429 (UMLS CUI-2)
C25364 (NCI Thesaurus Property)
C25699 (NCI Thesaurus Property-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 (L, F M)
text
C25191 (NCI Thesaurus ValueDomain)
C2986440 (UMLS CUI-1)
C16960 (NCI Thesaurus ObjectClass)
C25536 (NCI Thesaurus Property)
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)
Investigator Name
Item
Physician (Groups Other than SWOG)
text
C25191 (NCI Thesaurus ValueDomain)
C2826892 (UMLS CUI-1)
C25364 (NCI Thesaurus Property)
C17089 (NCI Thesaurus ObjectClass)
C25644 (NCI Thesaurus ObjectClass-2)
Participating Group
Item
Group Name
text
C25191 (NCI Thesaurus ValueDomain)
C2347449 (UMLS CUI-1)
C25608 (NCI Thesaurus ObjectClass)
C17005 (NCI Thesaurus ObjectClass-2)
C25364 (NCI Thesaurus Property)
Study Number Participating Group
Item
Study No.
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
Pt. ID (Instructions: Record the requested information for all target lesions and all sites of other disease. Please refer to section 10.0 of the protocol for definitions. Choose all measurable lesions up to a maximum of 5 lesions per organ and 10 lesions in total to follow as target lesions. Record any remaining measurable lesions and all non-measurable lesions as non-terget lesions.)
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)
Comments
Item
Comments
text
Item Group
Target Lesions
C2986546 (UMLS CUI-1)
Lesion Number
Item
Lesion Number
integer
C25337 (NCI Thesaurus ValueDomain)
C3824 (NCI Thesaurus ObjectClass)
C25341 (NCI Thesaurus Property)
C0449791 (UMLS CUI-1)
LesionTargetSite
Item
Target Lesion Site
text
C13717 (NCI Thesaurus ValueDomain)
C3824 (NCI Thesaurus ObjectClass)
C25341 (NCI Thesaurus Property)
C25702 (NCI Thesaurus Property-2)
C1521840 (UMLS CUI-1)
C1515974 (UMLS CUI-2)
Longest Diameter of Lesion
Item
Longest Diameter
float
C3824 (NCI Thesaurus ObjectClass)
C25285 (NCI Thesaurus Property)
C25558 (NCI Thesaurus Property-2)
C25209 (NCI Thesaurus ValueDomain)
C25285 (NCI Thesaurus ValueDomain-2)
C0221198 (UMLS CUI-1)
C1301886 (UMLS CUI-2)
C1522425 (UMLS CUI-3)
Item
Assessment Type
text
C25284 (NCI Thesaurus ValueDomain)
C20989 (NCI Thesaurus ObjectClass)
C16847 (NCI Thesaurus Property)
C2911685 (UMLS CUI-1)
CL.1
Code List
Assessment Type
CL Item
Palpation (Palpation)
C0030247 (UMLS CUI-1)
CL Item
Visualization (Visualization)
C0178707 (UMLS CUI-1)
CL Item
Colposcopy (Colposcopy)
C0009417 (UMLS CUI-1)
CL Item
Endoscopy (Endoscopy)
C0014245 (UMLS CUI-1)
CL Item
Plain film/X-ray without contrast (Plain film/X-ray without contrast)
C1306645 (UMLS CUI-1)
CL Item
Plain film/X-ray with contrast (Plain film/X-ray with contrast)
C3267101 (UMLS CUI-1)
CL Item
CT Scan (CT scan)
C0040405 (UMLS CUI-1)
CL Item
MRI (MRI scan)
C0024485 (UMLS CUI-1)
CL Item
Radioisotope scan (Radioisotope scan)
C0034606 (UMLS CUI-1)
CL Item
Ultrasound (Ultrasound)
C64384 (NCI Thesaurus)
C1456803 (UMLS CUI-1)
CL Item
PET scan (PET scan)
C0032743 (UMLS CUI-1)
CL Item
Spiral CT Scan (Spiral CT scan)
C0860888 (UMLS CUI-1)
CL Item
Cystoscopy (Cystoscopy)
C16482 (NCI Thesaurus)
C0010702 (UMLS CUI-1)
CL Item
Histology (Histologic confirmation)
C16681 (NCI Thesaurus)
C0019638 (UMLS CUI-1)
CL Item
Cytology (Cytologic confirmation)
C16491 (NCI Thesaurus)
C0010819 (UMLS CUI-1)
CL Item
Other (Other)
C17649 (NCI Thesaurus)
C0205394 (UMLS CUI-1)
AssessmentDate
Item
Assessment Date
date
Item Group
Non-target Disease
C2986547 (UMLS CUI-1)
Lesion Number
Item
Lesion Number
integer
C0449791 (UMLS CUI-1)
Lesion site
Item
Lesion site
text
Extent
Item
Extent
text
Item
Assessment Type
text
C2911685 (UMLS CUI-1)
CL.1
Code List
Assessment Type
CL Item
Palpation (Palpation)
C0030247 (UMLS CUI-1)
CL Item
Visualization (Visualization)
C0178707 (UMLS CUI-1)
CL Item
Colposcopy (Colposcopy)
C0009417 (UMLS CUI-1)
CL Item
Endoscopy (Endoscopy)
C0014245 (UMLS CUI-1)
CL Item
Plain film/X-ray without contrast (Plain film/X-ray without contrast)
C1306645 (UMLS CUI-1)
CL Item
Plain film/X-ray with contrast (Plain film/X-ray with contrast)
C3267101 (UMLS CUI-1)
CL Item
CT Scan (CT scan)
C0040405 (UMLS CUI-1)
CL Item
MRI (MRI scan)
C0024485 (UMLS CUI-1)
CL Item
Radioisotope scan (Radioisotope scan)
C0034606 (UMLS CUI-1)
CL Item
Ultrasound (Ultrasound)
C64384 (NCI Thesaurus)
C1456803 (UMLS CUI-1)
CL Item
PET scan (PET scan)
C0032743 (UMLS CUI-1)
CL Item
Spiral CT Scan (Spiral CT scan)
C0860888 (UMLS CUI-1)
CL Item
Cystoscopy (Cystoscopy)
C16482 (NCI Thesaurus)
C0010702 (UMLS CUI-1)
CL Item
Histology (Histologic confirmation)
C16681 (NCI Thesaurus)
C0019638 (UMLS CUI-1)
CL Item
Cytology (Cytologic confirmation)
C16491 (NCI Thesaurus)
C0010819 (UMLS CUI-1)
CL Item
Other (Other)
C17649 (NCI Thesaurus)
C0205394 (UMLS CUI-1)
Item Group
Other tests
Tests/studies
Item
Tests/studies
text
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