0 Evaluaciones
ID

10090

Descripción

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

Palabras clave

Versiones (3)
  1. 26/8/12 26/8/12 -
  2. 9/1/15 9/1/15 - Martin Dugas
  3. 25/3/15 25/3/15 - Martin Dugas
Subido en

25 de marzo de 2015

DOI

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Licencia

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

    Inglés

    No Instruction available.

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

    Header

    SWOG Patient ID
    Descripción

    Trial subject ID SWOG

    Tipo de datos

    text

    Alias
    NCI Thesaurus ValueDomain
    C25337 (undefined)
    UMLS CUI-1
    C2348585 (Clinical Trial Subject Unique Identifier)
    NCI Thesaurus ObjectClass
    C16960 (undefined)
    UMLS CUI-2
    C1519429 (SWOG)
    LOINC
    LA4458-1
    NCI Thesaurus Property
    C25364 (undefined)
    NCI Thesaurus Property-2
    C25699 (undefined)
    SWOG Study No.
    Descripción

    Protocol ID SWOG

    Tipo de datos

    text

    Alias
    NCI Thesaurus ValueDomain
    C25337 (undefined)
    UMLS CUI-1
    C3274381 (Clinical Trial Registry Identifier)
    NCI Thesaurus ObjectClass
    C25320 (undefined)
    UMLS CUI-2
    C1519429 (SWOG)
    LOINC
    LA4458-1
    NCI Thesaurus Property
    C25364 (undefined)
    NCI Thesaurus Property-2
    C25699 (undefined)
    Registration Step
    Descripción

    Registration Number

    Tipo de datos

    text

    Alias
    NCI Thesaurus ValueDomain
    C25337 (undefined)
    UMLS CUI-1
    C1514821 (Registration)
    NCI Thesaurus ObjectClass
    C25646 (undefined)
    UMLS CUI-2
    C0237753 (Numbers)
    SNOMED
    260299005
    LOINC
    LP6841-3
    NCI Thesaurus Property
    C16154 (undefined)
    NCI Thesaurus ValueDomain-2
    C16154 (undefined)
    Patient Initials (L, F M)
    Descripción

    Patient Initials

    Tipo de datos

    text

    Alias
    NCI Thesaurus ValueDomain
    C25191 (undefined)
    UMLS CUI-1
    C2986440 (Person Initials)
    NCI Thesaurus ObjectClass
    C16960 (undefined)
    NCI Thesaurus Property
    C25536 (undefined)
    Institution/Affiliate
    Descripción

    Institution Name

    Tipo de datos

    text

    Alias
    NCI Thesaurus ObjectClass
    C25454 (undefined)
    UMLS CUI-1
    C1301943 (Institution name)
    SNOMED
    398321007
    NCI Thesaurus ObjectClass-2
    C21541 (undefined)
    NCI Thesaurus Property
    C25364 (undefined)
    NCI Thesaurus ValueDomain
    C25191 (undefined)
    NCI Thesaurus ValueDomain-2
    C21541 (undefined)
    Physician (Groups Other than SWOG)
    Descripción

    Investigator Name

    Tipo de datos

    text

    Alias
    NCI Thesaurus ValueDomain
    C25191 (undefined)
    UMLS CUI-1
    C2826892 (Investigator Name)
    NCI Thesaurus Property
    C25364 (undefined)
    NCI Thesaurus ObjectClass
    C17089 (undefined)
    NCI Thesaurus ObjectClass-2
    C25644 (undefined)
    Group Name
    Descripción

    Participating Group

    Tipo de datos

    text

    Alias
    NCI Thesaurus ValueDomain
    C25191 (undefined)
    UMLS CUI-1
    C2347449 (Participating Clinical Study Organization)
    NCI Thesaurus ObjectClass
    C25608 (undefined)
    NCI Thesaurus ObjectClass-2
    C17005 (undefined)
    NCI Thesaurus Property
    C25364 (undefined)
    Study No.
    Descripción

    Study Number Participating Group

    Tipo de datos

    text

    Alias
    NCI Thesaurus ValueDomain
    C25337 (undefined)
    UMLS CUI-1
    C3274381 (Clinical Trial Registry Identifier)
    NCI Thesaurus ObjectClass
    C25320 (undefined)
    UMLS CUI-2
    C2347449 (Participating Clinical Study Organization)
    NCI Thesaurus Property
    C25608 (undefined)
    NCI Thesaurus Property-2
    C25364 (undefined)
    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.)
    Descripción

    Trial subject ID Participating Group

    Tipo de datos

    text

    Alias
    NCI Thesaurus ValueDomain
    C25337 (undefined)
    UMLS CUI-1
    C2348585 (Clinical Trial Subject Unique Identifier)
    NCI Thesaurus ObjectClass
    C16960 (undefined)
    UMLS CUI-2
    C2347449 (Participating Clinical Study Organization)
    NCI Thesaurus Property
    C25608 (undefined)
    NCI Thesaurus Property-2
    C25364 (undefined)
    Comments
    Descripción

    Comments

    Tipo de datos

    text

    Target Lesions
    Descripción

    Target Lesions

    Alias
    UMLS CUI-1
    C2986546 (Target Lesion Identification)
    Lesion Number
    Descripción

    LesionSiteNumber

    Tipo de datos

    integer

    Alias
    NCI Thesaurus ValueDomain
    C25337 (undefined)
    NCI Thesaurus ObjectClass
    C3824 (undefined)
    NCI Thesaurus Property
    C25341 (undefined)
    UMLS CUI-1
    C0449791 (Number of lesions (observable entity))
    SNOMED
    246206008
    Target Lesion Site
    Descripción

    LesionTargetSite

    Tipo de datos

    text

    Alias
    NCI Thesaurus ValueDomain
    C13717 (undefined)
    NCI Thesaurus ObjectClass
    C3824 (undefined)
    NCI Thesaurus Property
    C25341 (undefined)
    NCI Thesaurus Property-2
    C25702 (undefined)
    UMLS CUI-1
    C1521840 (Target)
    UMLS CUI-2
    C1515974 (Anatomic Site)
    Longest Diameter
    Descripción

    Longest Diameter

    Tipo de datos

    float

    Unidades de medida
    • cm
    Alias
    NCI Thesaurus ObjectClass
    C3824 (undefined)
    NCI Thesaurus Property
    C25285 (undefined)
    NCI Thesaurus Property-2
    C25558 (undefined)
    NCI Thesaurus ValueDomain
    C25209 (undefined)
    NCI Thesaurus ValueDomain-2
    C25285 (undefined)
    UMLS CUI-1
    C0221198 (Lesion)
    SNOMED
    52988006
    UMLS CUI-2
    C1301886 (Diameter (qualifier value))
    SNOMED
    81827009
    LOINC
    LP66948-8
    UMLS CUI-3
    C1522425 (Longest)
    cm
    Assessment Type
    Descripción

    Assessment Type

    Tipo de datos

    text

    Alias
    NCI Thesaurus ValueDomain
    C25284 (undefined)
    NCI Thesaurus ObjectClass
    C20989 (undefined)
    NCI Thesaurus Property
    C16847 (undefined)
    UMLS CUI-1
    C2911685 (Evaluation Method)
    Assessment Date
    Descripción

    AssessmentDate

    Tipo de datos

    date

    Non-target Disease
    Descripción

    Non-target Disease

    Alias
    UMLS CUI-1
    C2986547 (Non-Target Lesion Identification)
    Lesion Number
    Descripción

    Lesion,ReferenceNumber

    Tipo de datos

    integer

    Alias
    UMLS CUI-1
    C0449791 (Number of lesions (observable entity))
    SNOMED
    246206008
    Lesion site
    Descripción

    Lesion site

    Tipo de datos

    text

    Extent
    Descripción

    Extent

    Tipo de datos

    text

    Assessment Type
    Descripción

    Assessment Type

    Tipo de datos

    text

    Alias
    UMLS CUI-1
    C2911685 (Evaluation Method)
    Other tests
    Descripción

    Other tests

    Tests/studies
    Descripción

    Tests/studies

    Tipo de datos

    text

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    Similar models

    No Instruction available.

    1 formularios
    1. StudyEvent: SOUTHWEST ONCOLOGY GROUP BASELINE TUMOR ASSESSMENT FORM (S0226)
      1. No Instruction available.
    Name
    Tipo
    Description | Question | Decode (Coded Value)
    Tipo de datos
    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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