ID
11110
Description
CALGB-10501 Lymphoma Measurement Form NCT00513747 Early or Delayed Fludarabine and Rituximab in Treating Patients With Previously Untreated Chronic Lymphocytic Leukemia Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=3410554E-9E7A-2D64-E044-0003BA3F9857
Link
Keywords
Versions (3)
- 9/19/12 9/19/12 -
- 1/9/15 1/9/15 - Martin Dugas
- 6/18/15 6/18/15 -
Uploaded on
June 18, 2015
DOI
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License
Creative Commons BY-NC 3.0 Legacy
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CALGB-10501 Lymphoma Measurement Form NCT00513747
INSTRUCTIONS: Complete and submit this form as required by the protocol. Information in the upper right box must be completed for this form to be accepted. For optimal accuracy use black ink. Mark an X in the appropriate box for fields with a choice
Description
Patient demographics
Description
Patient Initials
Data type
text
Alias
- NCI Thesaurus ValueDomain
- C25191
- UMLS CUI-1
- C2986440
- NCI Thesaurus ObjectClass
- C16960
- NCI Thesaurus Property
- C25536
Description
Medical Record Number
Data type
text
Alias
- NCI Thesaurus ValueDomain
- C25337
- UMLS CUI-1
- C1301894
- NCI Thesaurus ObjectClass
- C16960
- NCI Thesaurus Property
- C25261
- NCI Thesaurus Property-2
- C25198
Description
Institution Name
Data type
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
Description
Participating Group
Data type
text
Alias
- NCI Thesaurus ValueDomain
- C25191
- UMLS CUI-1
- C2347449
- NCI Thesaurus ObjectClass
- C25608
- NCI Thesaurus ObjectClass-2
- C17005
- NCI Thesaurus Property
- C25364
Description
Study Number Participating Group
Data type
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
Description
Trial subject ID Participating Group
Data type
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
Description
Measurable Sites
Description
Measurable Disease
Data type
boolean
Alias
- NCI Thesaurus ValueDomain
- C38148
- UMLS CUI-1
- C1513041
- NCI Thesaurus Property
- C25626
- NCI Thesaurus ObjectClass
- C2991
- NCI Thesaurus ObjectClass-2
- C37894
Description
LesionSiteNumber
Data type
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
Description
Lesion Site, Primary
Data type
text
Alias
- NCI Thesaurus ValueDomain
- C13717
- UMLS CUI-1
- C0449695
- NCI Thesaurus ObjectClass
- C3824
- NCI Thesaurus Property
- C25341
Description
Evaluation method
Data type
text
Alias
- NCI Thesaurus ValueDomain
- C25284
- UMLS CUI-1
- C2911685
- NCI Thesaurus ObjectClass
- C20989
- NCI Thesaurus Property
- C16847
Description
Evaluation method, specify
Data type
text
Alias
- NCI Thesaurus ValueDomain
- C25685
- UMLS CUI-1
- C2911685
- NCI Thesaurus ObjectClass
- C20989
- UMLS CUI-2
- C1521902
- NCI Thesaurus Property
- C16847
Description
LymphomaLesionLongestDimensionMeasurement
Data type
float
Alias
- NCI Thesaurus ObjectClass
- C3824
- UMLS 2011AA ObjectClass
- C0221198
- NCI Thesaurus ObjectClass-2
- C3208
- UMLS 2011AA ObjectClass-2
- C0024299
- NCI Thesaurus Property
- C25558
- UMLS 2011AA Property
- C1522425
- NCI Thesaurus Property-2
- C25483
- UMLS 2011AA Property-2
- C0439534
- NCI Thesaurus ValueDomain
- C25209
- UMLS 2011AA ValueDomain
- C0242485
Description
LymphomaLesionLongestDimensionPerpendicularMeasurement
Data type
float
Alias
- NCI Thesaurus ObjectClass
- C3824
- UMLS 2011AA ObjectClass
- C0221198
- NCI Thesaurus ObjectClass-2
- C3208
- UMLS 2011AA ObjectClass-2
- C0024299
- NCI Thesaurus Property
- C25558
- UMLS 2011AA Property
- C1522425
- NCI Thesaurus Property-2
- C25483
- UMLS 2011AA Property-2
- C0439534
- NCI Thesaurus ValueDomain
- C25209
- UMLS 2011AA ValueDomain
- C0242485
- NCI Thesaurus ValueDomain-2
- C54649
- UMLS 2011AA ValueDomain-2
- C1295725
Description
LymphomaLesionLongestDimensionProductMeasurement
Data type
float
Alias
- NCI Thesaurus ObjectClass
- C3824
- UMLS 2011AA ObjectClass
- C0221198
- NCI Thesaurus ObjectClass-2
- C3208
- UMLS 2011AA ObjectClass-2
- C0024299
- NCI Thesaurus Property
- C25558
- UMLS 2011AA Property
- C1522425
- NCI Thesaurus Property-2
- C25483
- UMLS 2011AA Property-2
- C0439534
- NCI Thesaurus ValueDomain
- C25209
- UMLS 2011AA ValueDomain
- C0242485
- NCI Thesaurus ValueDomain-2
- C40352
- UMLS 2011AA ValueDomain-2
- C1704444
Description
LesionAssessmentDate
Data type
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
Description
LymphomaLesionProductDimensionSumMeasurement
Data type
float
Alias
- NCI Thesaurus ObjectClass
- C3824
- UMLS 2011AA ObjectClass
- C0221198
- NCI Thesaurus ObjectClass-2
- C3208
- UMLS 2011AA ObjectClass-2
- C0024299
- NCI Thesaurus Property
- C25483
- UMLS 2011AA Property
- C0439534
- NCI Thesaurus Property-2
- C40352
- UMLS 2011AA Property-2
- C1704444
- NCI Thesaurus ValueDomain
- C25209
- UMLS 2011AA ValueDomain
- C0242485
- NCI Thesaurus ValueDomain-2
- C25697
- UMLS 2011AA ValueDomain-2
- C1515051
Description
Measurable Sites
Description
Non-Measurable Disease
Data type
boolean
Alias
- NCI Thesaurus ValueDomain
- C38148
- UMLS CUI-1
- C1334988
- NCI Thesaurus Property
- C25626
- NCI Thesaurus ObjectClass
- C2991
- NCI Thesaurus ObjectClass-2
- C25589
Description
LesionSiteNumber
Data type
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
Description
Lesion Site, Primary
Data type
text
Alias
- NCI Thesaurus ValueDomain
- C13717
- UMLS CUI-1
- C0449695
- NCI Thesaurus ObjectClass
- C3824
- NCI Thesaurus Property
- C25341
Description
Evaluation method
Data type
text
Alias
- NCI Thesaurus ValueDomain
- C25284
- UMLS CUI-1
- C2911685
- NCI Thesaurus ObjectClass
- C20989
- NCI Thesaurus Property
- C16847
Description
Evaluation method, specify
Data type
text
Alias
- NCI Thesaurus ValueDomain
- C25685
- UMLS CUI-1
- C2911685
- NCI Thesaurus ObjectClass
- C20989
- UMLS CUI-2
- C1521902
- NCI Thesaurus Property
- C16847
Description
LesionFollow-UpAssessmentType
Data type
text
Alias
- NCI Thesaurus ValueDomain
- C25284
- UMLS 2011AA ValueDomain
- C0332307
- NCI Thesaurus ObjectClass
- C3824
- UMLS 2011AA ObjectClass
- C0221198
- NCI Thesaurus Property
- C20989
- UMLS 2011AA Property
- C0031809
Description
LesionAssessmentDate
Data type
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
Description
Bone Marrow Biopsy
Description
BoneMarrowBiopsyDate
Data type
date
Alias
- NCI Thesaurus ValueDomain
- C25164
- UMLS 2011AA ValueDomain
- C0011008
- NCI Thesaurus ValueDomain-2
- C25367
- NCI Thesaurus Property
- C15189
- UMLS 2011AA Property
- C0005558
- NCI Thesaurus ObjectClass
- C12431
- UMLS 2011AA ObjectClass
- C0005953
Description
BiopsyProcedure
Data type
text
Alias
- NCI Thesaurus ObjectClass
- C15189
- UMLS 2011AA ObjectClass
- C0005558
- NCI Thesaurus Property
- C15368
- NCI Thesaurus ValueDomain
- C25218
- UMLS 2011AA ValueDomain
- C1948041
Description
BoneMarrowBiopsyResultType
Data type
text
Alias
- NCI Thesaurus ValueDomain
- C25284
- UMLS 2011AA ValueDomain
- C0332307
- NCI Thesaurus ObjectClass
- C15189
- UMLS 2011AA ObjectClass
- C0005558
- NCI Thesaurus ObjectClass-2
- C12431
- UMLS 2011AA ObjectClass-2
- C0005953
- NCI Thesaurus Property
- C20200
- UMLS 2011AA Property
- C1274040
Description
LaboratoryProcedureBoneMarrowMalignantNeoplasmOutcomePercentageValue
Data type
float
Measurement units
- %
Alias
- NCI Thesaurus ObjectClass
- C25294
- UMLS 2011AA ObjectClass
- C0022885
- NCI Thesaurus Property
- C12431
- UMLS 2011AA Property
- C0005953
- NCI Thesaurus Property-2
- C9305
- UMLS 2011AA Property-2
- C0006826
- NCI Thesaurus Property-3
- C20200
- UMLS 2011AA Property-3
- C1274040
- NCI Thesaurus ValueDomain
- C25613
- UMLS 2011AA ValueDomain
- C0439165
- NCI Thesaurus ValueDomain-2
- C25712
- UMLS 2011AA ValueDomain-2
- C1522609
Description
LaboratoryProcedureBoneMarrowHistologyOutcomePatternType
Data type
text
Alias
- NCI Thesaurus ObjectClass
- C25294
- UMLS 2011AA ObjectClass
- C0022885
- NCI Thesaurus Property
- C16681
- UMLS 2011AA Property
- C0019638
- NCI Thesaurus Property-2
- C12431
- UMLS 2011AA Property-2
- C0005953
- NCI Thesaurus Property-3
- C20200
- UMLS 2011AA Property-3
- C1274040
- NCI Metathesaurus ValueDomain
- C0332307
Description
LaboratoryProcedureBoneMarrowOutcomeSpecify
Data type
text
Alias
- NCI Thesaurus ValueDomain
- C25685
- UMLS 2011AA ValueDomain
- C1521902
- NCI Thesaurus Property
- C12431
- UMLS 2011AA Property
- C0005953
- NCI Thesaurus Property-2
- C20200
- UMLS 2011AA Property-2
- C1274040
- NCI Thesaurus ObjectClass
- C25294
- UMLS 2011AA ObjectClass
- C0022885
Description
TumorMalignantPresentPercentageAmount
Data type
float
Alias
- NCI Thesaurus ObjectClass
- C9305
- UMLS 2011AA ObjectClass
- C0006826
- NCI Thesaurus Property
- C25626
- UMLS 2011AA Property
- C0150312
- NCI Thesaurus Property-2
- C14143
- UMLS 2011AA Property-2
- C0205282
- NCI Thesaurus ValueDomain
- C25613
- UMLS 2011AA ValueDomain
- C0439165
- NCI Thesaurus ValueDomain-2
- C25417
Description
LymphomaResponseType
Data type
text
Alias
- NCI Thesaurus ValueDomain
- C25284
- UMLS 2011AA ValueDomain
- C0332307
- NCI Thesaurus Property
- C25755
- UMLS 2011AA Property
- C0871261
- NCI Thesaurus ObjectClass
- C3208
- UMLS 2011AA ObjectClass
- C0024299
Description
Footer Module
Description
Person Completing Form
Data type
text
Alias
- NCI Thesaurus ValueDomain
- C25191
- UMLS CUI-1
- C1550483
- NCI Thesaurus ObjectClass
- C25657
- NCI Thesaurus Property
- C25364
Description
Date Form Completed
Data type
date
Alias
- NCI Thesaurus ValueDomain
- C25164
- UMLS CUI-1
- C1115437
- NCI Thesaurus ObjectClass
- C40988
- NCI Thesaurus Property
- C25250
- NCI Thesaurus ValueDomain-2
- C25367
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INSTRUCTIONS: Complete and submit this form as required by the protocol. Information in the upper right box must be completed for this form to be accepted. For optimal accuracy use black ink. Mark an X in the appropriate box for fields with a choice
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