ID

10346

Description

ECOG4599 Baseline Disease Evaluation Form (RECIST) Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=A1317E8C-0271-4779-E034-080020C9C0E0

Link

https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=A1317E8C-0271-4779-E034-080020C9C0E0

Keywords

  1. 9/19/12 9/19/12 -
  2. 5/28/15 5/28/15 -
Uploaded on

May 28, 2015

DOI

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License

Creative Commons BY-NC 3.0 Legacy

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ECOG4599 Baseline Disease Evaluation Form (RECIST)

No Instruction available.

  1. StudyEvent: ECOG4599 Baseline Disease Evaluation Form (RECIST)
    1. No Instruction available.
Baseline Disease Evaluation Data
Description

Baseline Disease Evaluation Data

Date of data transfer
Description

Dateofdatatransfer

Data type

text

Transfer Method
Description

TransferMethod

Data type

text

Specify other transfer method
Description

Specifyothertransfermethod

Data type

text

Step No.
Description

TreatmentStep

Data type

text

Patient Name
Description

PatientName

Data type

text

Particip. Group Protocol Number
Description

Particip.GroupProtocolNumber

Data type

double

Patient Study ID, Participating Group
Description

PatientStudyID,ParticipatingGroup

Data type

text

Institution Name
Description

InstitutionName

Data type

text

Affiliate Name
Description

AffiliateName

Data type

text

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
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
Target Lesion Ind
Description

TargetLesionInd

Data type

text

Lesion, Reference Number, Target
Description

Lesion,ReferenceNumber,Target

Data type

text

Lesion, Anatomic Site, Target
Description

Lesion,AnatomicSite,Target

Data type

text

Site Code, Target
Description

SiteCode,Target

Data type

text

Assessment Type, Target
Description

AssessmentType,Target

Data type

text

Assessment Date, Target
Description

AssessmentDate,Target

Data type

text

Lesion, Tumor Diameter
Description

Lesion,TumorDiameter

Data type

double

Alias
NCI Thesaurus ValueDomain
C25209
UMLS 2011AA ValueDomain
C0242485
Lesion, Diameter, Longest Sum
Description

Lesion,Diameter,LongestSum

Data type

double

Lesion, Reference Number, Nontarget
Description

Lesion,ReferenceNumber,Nontarget

Data type

text

Lesion, Anatomic Site, Nontarget
Description

Lesion,AnatomicSite,Nontarget

Data type

text

Site Code, Nontarget
Description

SiteCode,Nontarget

Data type

text

Assessment Type, Nontarget
Description

AssessmentType,Nontarget

Data type

text

Assessment Date, Nontarget
Description

AssessmentDate,Nontarget

Data type

date

Cytology Result
Description

CytologyResult

Data type

text

Alias
NCI Thesaurus ObjectClass
C16491
UMLS 2011AA ObjectClass
C0010819
NCI Thesaurus Property
C20200
UMLS 2011AA Property
C1274040
Comments
Description

Comments

Data type

text

Comments2
Description

Comments2

Data type

text

Similar models

No Instruction available.

  1. StudyEvent: ECOG4599 Baseline Disease Evaluation Form (RECIST)
    1. No Instruction available.
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Baseline Disease Evaluation Data
Dateofdatatransfer
Item
Date of data transfer
text
TransferMethod
Item
Transfer Method
text
Specifyothertransfermethod
Item
Specify other transfer method
text
TreatmentStep
Item
Step No.
text
PatientName
Item
Patient Name
text
Particip.GroupProtocolNumber
Item
Particip. Group Protocol Number
double
PatientStudyID,ParticipatingGroup
Item
Patient Study ID, Participating Group
text
InstitutionName
Item
Institution Name
text
AffiliateName
Item
Affiliate Name
text
AmendedDataInd
Item
Amended Data Ind
text
C25474 (NCI Thesaurus ObjectClass)
C1511726 (UMLS 2011AA ObjectClass)
C25416 (NCI Thesaurus Property)
C1691222 (UMLS 2011AA Property)
AmendedDataInd
Item
Amended Data Ind
text
C25474 (NCI Thesaurus ObjectClass)
C1511726 (UMLS 2011AA ObjectClass)
C25416 (NCI Thesaurus Property)
C1691222 (UMLS 2011AA Property)
TargetLesionInd
Item
Target Lesion Ind
text
Lesion,ReferenceNumber,Target
Item
Lesion, Reference Number, Target
text
Lesion,AnatomicSite,Target
Item
Lesion, Anatomic Site, Target
text
SiteCode,Target
Item
Site Code, Target
text
AssessmentType,Target
Item
Assessment Type, Target
text
AssessmentDate,Target
Item
Assessment Date, Target
text
Lesion,TumorDiameter
Item
Lesion, Tumor Diameter
double
C25209 (NCI Thesaurus ValueDomain)
C0242485 (UMLS 2011AA ValueDomain)
Lesion,Diameter,LongestSum
Item
Lesion, Diameter, Longest Sum
double
Lesion,ReferenceNumber,Nontarget
Item
Lesion, Reference Number, Nontarget
text
Lesion,AnatomicSite,Nontarget
Item
Lesion, Anatomic Site, Nontarget
text
SiteCode,Nontarget
Item
Site Code, Nontarget
text
AssessmentType,Nontarget
Item
Assessment Type, Nontarget
text
AssessmentDate,Nontarget
Item
Assessment Date, Nontarget
date
CytologyResult
Item
Cytology Result
text
C16491 (NCI Thesaurus ObjectClass)
C0010819 (UMLS 2011AA ObjectClass)
C20200 (NCI Thesaurus Property)
C1274040 (UMLS 2011AA Property)
Comments
Item
Comments
text
Comments2
Item
Comments2
text

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