ID
11054
Beskrivning
E3F05 Baseline Primary Brain Tumor Disease Evaluation Form NCT00978458 Radiation Therapy With or Without Temozolomide in Treating Patients With Low-Grade Glioma Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=6C1947D6-6AFF-2C82-E040-BB89AD4371C6
Länk
Nyckelord
Versioner (3)
- 2012-08-26 2012-08-26 -
- 2015-01-09 2015-01-09 - Martin Dugas
- 2015-06-16 2015-06-16 -
Uppladdad den
16 juni 2015
DOI
För en begäran logga in.
Licens
Creative Commons BY-NC 3.0 Legacy
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E3F05 Baseline Primary Brain Tumor Disease Evaluation Form NCT00978458
INSTRUCTIONS: Complete this form and submit original to the ECOG Coordinating Center within one week of registration. Keep a copy for your files.
- StudyEvent: E3F05 Baseline Primary Brain Tumor Disease Evaluation Form
Beskrivning
Data amendment
Beskrivning
Data amended
Datatyp
text
Alias
- NCI Thesaurus ValueDomain
- C25704
- UMLS CUI-1
- C0680532
- NCI Thesaurus ObjectClass
- C25474
- NCI Thesaurus Property
- C25416
Beskrivning
Data amended date
Datatyp
date
Alias
- NCI Thesaurus ValueDomain
- C25164
- UMLS CUI-1
- C0680532
- NCI Thesaurus ObjectClass
- C25474
- UMLS CUI-2
- C0011008
- NCI Thesaurus Property
- C25416
- NCI Thesaurus ValueDomain-2
- C25367
Beskrivning
Section I Measurable Lesions
Beskrivning
DiagnosticImagingRadiologyDiseaseEvaluationPresentInd-2
Datatyp
boolean
Alias
- NCI Thesaurus ObjectClass
- C16502
- UMLS 2011AA ObjectClass
- C0011923
- NCI Thesaurus Property
- C25214
- UMLS 2011AA Property
- C0220825
- NCI Thesaurus Property-2
- C25626
- UMLS 2011AA Property-2
- C0150312
- NCI Thesaurus Property-3
- C17059
- UMLS 2011AA Property-3
- C0034599
- NCI Thesaurus Property-4
- C2991
- UMLS 2011AA Property-4
- C0012634
- NCI Thesaurus ValueDomain
- C38147
- UMLS 2011AA ValueDomain
- C1512698
Beskrivning
MagneticResonanceDiagnosticImagingBaselineAssessmentDate
Datatyp
date
Alias
- NCI Thesaurus ObjectClass
- C16502
- UMLS 2011AA ObjectClass
- C0011923
- NCI Thesaurus ObjectClass-2
- C16809
- UMLS 2011AA ObjectClass-2
- C0024485
- NCI Thesaurus Property
- C25213
- UMLS 2011AA Property
- C1442488
- NCI Thesaurus Property-2
- C25217
- UMLS 2011AA Property-2
- C1516048
- NCI Thesaurus ValueDomain
- C25164
- UMLS 2011AA ValueDomain
- C0011008
Beskrivning
Measurable Disease
Datatyp
boolean
Alias
- NCI Thesaurus ValueDomain
- C38148
- UMLS CUI-1
- C1513041
- NCI Thesaurus Property
- C25626
- NCI Thesaurus ObjectClass
- C2991
- NCI Thesaurus ObjectClass-2
- C37894
Beskrivning
MeasurableDiseaseEnhancingLesionPresentInd-2
Datatyp
boolean
Alias
- NCI Thesaurus ObjectClass
- C2991
- UMLS 2011AA ObjectClass
- C0012634
- NCI Thesaurus ObjectClass-2
- C37894
- UMLS 2011AA ObjectClass-2
- C1513040
- NCI Thesaurus Property
- C25626
- UMLS 2011AA Property
- C0150312
- NCI Thesaurus Property-2
- C28746
- UMLS 2011AA Property-2
- C1333400
- NCI Thesaurus ValueDomain
- C38147
- UMLS 2011AA ValueDomain
- C1512698
Beskrivning
MeasurableDiseaseNoncontrast-EnhancingTissuePresentInd-2
Datatyp
boolean
Alias
- NCI Thesaurus ObjectClass
- C2991
- UMLS 2011AA ObjectClass
- C0012634
- NCI Thesaurus ObjectClass-2
- C37894
- UMLS 2011AA ObjectClass-2
- C1513040
- NCI Thesaurus Property
- C25626
- UMLS 2011AA Property
- C0150312
- NCI Thesaurus Property-2
- C81175
- UMLS 2011AA Property-2
- C2825493
- NCI Thesaurus ValueDomain
- C38147
- UMLS 2011AA ValueDomain
- C1512698
Beskrivning
T2/FLAIR
Beskrivning
LesionSiteNumber
Datatyp
float
Alias
- NCI Thesaurus ValueDomain
- C25337
- UMLS 2011AA ValueDomain
- C0237753
- NCI Thesaurus ObjectClass
- C3824
- UMLS 2011AA ObjectClass
- C0221198
- NCI Thesaurus Property
- C25341
- UMLS 2011AA Property
- C0450429
Beskrivning
Lesion Site, Primary
Datatyp
text
Alias
- NCI Thesaurus ValueDomain
- C13717
- UMLS CUI-1
- C0449695
- NCI Thesaurus ObjectClass
- C3824
- NCI Thesaurus Property
- C25341
Beskrivning
LesionAssessmentDate
Datatyp
date
Alias
- NCI Thesaurus ValueDomain
- C25164
- UMLS 2011AA ValueDomain
- C0011008
- NCI Thesaurus ObjectClass
- C3824
- UMLS 2011AA ObjectClass
- C0221198
- NCI Thesaurus Property
- C20989
- UMLS 2011AA Property
- C0031809
- NCI Thesaurus ValueDomain-2
- C25367
Beskrivning
LesionLongestBidimensionalDimensionMeasurement
Datatyp
float
Alias
- NCI Thesaurus ObjectClass
- C3824
- UMLS 2011AA ObjectClass
- C0221198
- NCI Thesaurus Property
- C25558
- UMLS 2011AA Property
- C1522425
- NCI Thesaurus Property-2
- C25483
- UMLS 2011AA Property-2
- C0439534
- NCI Thesaurus Property-3
- C48282
- UMLS 2011AA Property-3
- C1705052
- NCI Thesaurus ValueDomain
- C25209
- UMLS 2011AA ValueDomain
- C0242485
Beskrivning
LesionLongestBidimensionalDimensionPerpendicularMeasurement
Datatyp
float
Alias
- NCI Thesaurus ObjectClass
- C3824
- UMLS 2011AA ObjectClass
- C0221198
- NCI Thesaurus Property
- C25558
- UMLS 2011AA Property
- C1522425
- NCI Thesaurus Property-2
- C25483
- UMLS 2011AA Property-2
- C0439534
- NCI Thesaurus Property-3
- C48282
- UMLS 2011AA Property-3
- C1705052
- NCI Thesaurus ValueDomain
- C25209
- UMLS 2011AA ValueDomain
- C0242485
- NCI Thesaurus ValueDomain-2
- C54649
- UMLS 2011AA ValueDomain-2
- C1295725
Beskrivning
LesionLongestBidimensionalDimensionProductMeasurement
Datatyp
float
Alias
- NCI Thesaurus ObjectClass
- C3824
- UMLS 2011AA ObjectClass
- C0221198
- NCI Thesaurus Property
- C25558
- UMLS 2011AA Property
- C1522425
- NCI Thesaurus Property-2
- C25483
- UMLS 2011AA Property-2
- C0439534
- NCI Thesaurus Property-3
- C48282
- UMLS 2011AA Property-3
- C1705052
- NCI Thesaurus ValueDomain
- C25209
- UMLS 2011AA ValueDomain
- C0242485
- NCI Thesaurus ValueDomain-2
- C40352
- UMLS 2011AA ValueDomain-2
- C1704444
Beskrivning
InvolvedOrganLateralityType
Datatyp
text
Alias
- NCI Thesaurus ValueDomain
- C25284
- UMLS 2011AA ValueDomain
- C0332307
- NCI Thesaurus ObjectClass
- C25547
- NCI Thesaurus ObjectClass-2
- C13018
- UMLS 2011AA ObjectClass
- C0178784
- NCI Thesaurus Property
- C25185
- UMLS 2011AA Property
- C0332304
Beskrivning
BrainLesionSite
Datatyp
text
Alias
- NCI Thesaurus ValueDomain
- C13717
- UMLS 2011AA ValueDomain
- C1515974
- NCI Thesaurus ObjectClass
- C3824
- UMLS 2011AA ObjectClass
- C0221198
- NCI Thesaurus Property
- C25341
- UMLS 2011AA Property
- C0450429
- NCI Thesaurus ObjectClass-2
- C12439
- UMLS 2011AA ObjectClass-2
- C0006104
Beskrivning
BrainLesionSiteSpecify
Datatyp
text
Alias
- NCI Thesaurus ValueDomain
- C25685
- UMLS 2011AA ValueDomain
- C1521902
- NCI Thesaurus ObjectClass
- C3824
- UMLS 2011AA ObjectClass
- C0221198
- NCI Thesaurus Property
- C25341
- UMLS 2011AA Property
- C0450429
- NCI Thesaurus ObjectClass-2
- C12439
- UMLS 2011AA ObjectClass-2
- C0006104
Beskrivning
MalignantNeoplasmBrainMidlineInvolvementInd-2
Datatyp
boolean
Alias
- NCI Thesaurus ObjectClass
- C12439
- UMLS 2011AA ObjectClass
- C0006104
- NCI Thesaurus ObjectClass-2
- C9305
- UMLS 2011AA ObjectClass-2
- C0006826
- NCI Thesaurus Property
- C25548
- UMLS 2011AA Property
- C1314939
- NCI Thesaurus Property-2
- C81170
- UMLS 2011AA Property-2
- C0549183
- NCI Thesaurus ValueDomain
- C38147
- UMLS 2011AA ValueDomain
- C1512698
Beskrivning
SumLesionDiameterProductMeasurement
Datatyp
float
Alias
- NCI Thesaurus ObjectClass
- C3824
- UMLS 2011AA ObjectClass
- C0221198
- NCI Thesaurus ObjectClass-2
- C25697
- UMLS 2011AA ObjectClass-2
- C1515051
- NCI Thesaurus Property
- C25285
- UMLS 2011AA Property
- C1301886
- NCI Thesaurus ValueDomain
- C25209
- UMLS 2011AA ValueDomain
- C0242485
- NCI Thesaurus ValueDomain-2
- C40352
- UMLS 2011AA ValueDomain-2
- C1704444
Beskrivning
T1/Contrast
Beskrivning
Section Ii Non-measurable Lesions
Beskrivning
Non-Measurable Disease
Datatyp
boolean
Alias
- NCI Thesaurus ValueDomain
- C38148
- UMLS CUI-1
- C1334988
- NCI Thesaurus Property
- C25626
- NCI Thesaurus ObjectClass
- C2991
- NCI Thesaurus ObjectClass-2
- C25589
Beskrivning
Non-measurableDiseaseEnhancingLesionPresentInd-2
Datatyp
boolean
Alias
- NCI Thesaurus ObjectClass
- C2991
- UMLS 2011AA ObjectClass
- C0012634
- NCI Thesaurus ObjectClass-2
- C25589
- UMLS 2011AA ObjectClass-2
- C1518373
- NCI Thesaurus Property
- C25626
- UMLS 2011AA Property
- C0150312
- NCI Thesaurus Property-2
- C28746
- UMLS 2011AA Property-2
- C1333400
- NCI Thesaurus ValueDomain
- C38147
- UMLS 2011AA ValueDomain
- C1512698
Beskrivning
Non-measurableDiseaseNoncontrast-EnhancingTissuePresentInd-2
Datatyp
boolean
Alias
- NCI Thesaurus ObjectClass
- C2991
- UMLS 2011AA ObjectClass
- C0012634
- NCI Thesaurus ObjectClass-2
- C25589
- UMLS 2011AA ObjectClass-2
- C1518373
- NCI Thesaurus Property
- C25626
- UMLS 2011AA Property
- C0150312
- NCI Thesaurus Property-2
- C81175
- UMLS 2011AA Property-2
- C2825493
- NCI Thesaurus ValueDomain
- C38147
- UMLS 2011AA ValueDomain
- C1512698
Beskrivning
Nontarget Lesions
Beskrivning
Nontarget Lesions
Beskrivning
Section Iii
Beskrivning
CorticosteroidAdministrationInd-3
Datatyp
boolean
Alias
- NCI Thesaurus ValueDomain
- C38148
- UMLS 2011AA ValueDomain
- C1512699
- NCI Thesaurus Property
- C25629
- UMLS 2011AA Property
- C0332152
- NCI Thesaurus ObjectClass
- C2322
- UMLS 2011AA ObjectClass
- C0001617
- NCI Thesaurus Property-2
- C25382
- UMLS 2011AA Property-2
- C1521801
Beskrivning
ConcomitantMedicationReceivedType
Datatyp
text
Alias
- NCI Thesaurus ValueDomain
- C25284
- UMLS 2011AA ValueDomain
- C0332307
- NCI Thesaurus ObjectClass
- C459
- UMLS 2011AA ObjectClass
- C0013227
- NCI Thesaurus Property
- C25639
- UMLS 2011AA Property
- C1514756
- NCI Thesaurus ObjectClass-2
- C25730
- UMLS 2011AA ObjectClass-2
- C0521115
Beskrivning
SteroidTherapyAdministeredSpecify
Datatyp
text
Alias
- NCI Thesaurus ValueDomain
- C25685
- UMLS 2011AA ValueDomain
- C1521902
- NCI Metathesaurus ObjectClass
- C0149783
- NCI Thesaurus Property
- C25382
- UMLS 2011AA Property
- C1521801
Beskrivning
Concomitant Medication Daily Dose
Datatyp
float
Alias
- NCI Thesaurus ObjectClass
- C25473
- UMLS CUI-1
- C2826638
- NCI Thesaurus ObjectClass-2
- C1708
- NCI Thesaurus Property
- C25304
- NCI Thesaurus Property-2
- C25256
- NCI Thesaurus ValueDomain
- C25488
- NCI Thesaurus ValueDomain-2
- C1708
Beskrivning
Agent Start Date
Datatyp
date
Alias
- NCI Thesaurus ValueDomain
- C25164
- UMLS CUI-1
- C1521826
- NCI Thesaurus ValueDomain-2
- C25431
- UMLS CUI-2
- C0808070
- NCI Thesaurus ObjectClass
- C1708
- NCI Thesaurus Property
- C25275
Beskrivning
Comments
Beskrivning
Research Comments
Datatyp
text
Alias
- NCI Thesaurus ValueDomain
- C25704
- UMLS CUI-1
- C0947611
- NCI Thesaurus ObjectClass
- C15319
- NCI Thesaurus Property
- C25393
Beskrivning
Investigator Signature
Datatyp
text
Alias
- NCI Thesaurus ValueDomain
- C25704
- UMLS CUI-1
- C2346576
- NCI Thesaurus Property
- C25678
- NCI Thesaurus ObjectClass
- C17089
Beskrivning
Investigator Signature Date
Datatyp
date
Alias
- NCI Thesaurus ValueDomain
- C25164
- UMLS CUI-1
- C2346576
- NCI Thesaurus Property
- C25678
- UMLS CUI-2
- C0011008
- NCI Thesaurus ValueDomain-2
- C25367
- NCI Thesaurus ObjectClass
- C17089
Similar models
INSTRUCTIONS: Complete this form and submit original to the ECOG Coordinating Center within one week of registration. Keep a copy for your files.
- StudyEvent: E3F05 Baseline Primary Brain Tumor Disease Evaluation Form
C3274381 (UMLS CUI-1)
C25320 (NCI Thesaurus ObjectClass)
C1512162 (UMLS CUI-2)
C25364 (NCI Thesaurus Property)
C25491 (NCI Thesaurus Property-2)
C2348585 (UMLS CUI-1)
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C2347449 (UMLS CUI-2)
C25608 (NCI Thesaurus Property)
C25364 (NCI Thesaurus Property-2)
C2348585 (UMLS CUI-1)
C16960 (NCI Thesaurus ObjectClass)
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C21541 (NCI Thesaurus ValueDomain-2)
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C25367 (NCI Thesaurus ValueDomain-2)
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C0220825 (UMLS 2011AA Property)
C25626 (NCI Thesaurus Property-2)
C0150312 (UMLS 2011AA Property-2)
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C25213 (NCI Thesaurus Property)
C1442488 (UMLS 2011AA Property)
C25217 (NCI Thesaurus Property-2)
C1516048 (UMLS 2011AA Property-2)
C25164 (NCI Thesaurus ValueDomain)
C0011008 (UMLS 2011AA ValueDomain)
C1513041 (UMLS CUI-1)
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C0221198 (UMLS 2011AA ObjectClass)
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C0221198 (UMLS 2011AA ObjectClass)
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C13018 (NCI Thesaurus ObjectClass-2)
C0178784 (UMLS 2011AA ObjectClass)
C25185 (NCI Thesaurus Property)
C0332304 (UMLS 2011AA Property)
C0205090 (UMLS 2011AA)
C0205091 (UMLS 2011AA)
C0238767 (UMLS 2011AA)
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C25629 (NCI Thesaurus Property)
C0332152 (UMLS 2011AA Property)
C2322 (NCI Thesaurus ObjectClass)
C0001617 (UMLS 2011AA ObjectClass)
C25382 (NCI Thesaurus Property-2)
C1521801 (UMLS 2011AA Property-2)
C0332307 (UMLS 2011AA ValueDomain)
C459 (NCI Thesaurus ObjectClass)
C0013227 (UMLS 2011AA ObjectClass)
C25639 (NCI Thesaurus Property)
C1514756 (UMLS 2011AA Property)
C25730 (NCI Thesaurus ObjectClass-2)
C0521115 (UMLS 2011AA ObjectClass-2)
C1521902 (UMLS 2011AA ValueDomain)
C0149783 (NCI Metathesaurus ObjectClass)
C25382 (NCI Thesaurus Property)
C1521801 (UMLS 2011AA Property)
C2826638 (UMLS CUI-1)
C1708 (NCI Thesaurus ObjectClass-2)
C25304 (NCI Thesaurus Property)
C25256 (NCI Thesaurus Property-2)
C25488 (NCI Thesaurus ValueDomain)
C1708 (NCI Thesaurus ValueDomain-2)
C1521826 (UMLS CUI-1)
C25431 (NCI Thesaurus ValueDomain-2)
C0808070 (UMLS CUI-2)
C1708 (NCI Thesaurus ObjectClass)
C25275 (NCI Thesaurus Property)
C0947611 (UMLS CUI-1)
C15319 (NCI Thesaurus ObjectClass)
C25393 (NCI Thesaurus Property)
C2346576 (UMLS CUI-1)
C25678 (NCI Thesaurus Property)
C17089 (NCI Thesaurus ObjectClass)
C2346576 (UMLS CUI-1)
C25678 (NCI Thesaurus Property)
C0011008 (UMLS CUI-2)
C25367 (NCI Thesaurus ValueDomain-2)
C17089 (NCI Thesaurus ObjectClass)
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