ID

11158

Beskrivning

RTOG-0522 IM: Local PET/CT Qualitative and Semi-Quantitative Assessment Form NCT00265941 Radiation Therapy and Cisplatin With or Without Cetuximab in Treating Patients With Stage III or Stage IV Head and Neck Cancer Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=F7655132-1754-5B7C-E034-0003BA3F9857

Länk

https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=F7655132-1754-5B7C-E034-0003BA3F9857

Nyckelord

Versioner (3)
  1. 2012-09-19 2012-09-19 -
  2. 2015-01-09 2015-01-09 - Martin Dugas
  3. 2015-06-21 2015-06-21 -
Uppladdad den

21 juni 2015

DOI

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Creative Commons BY-NC 3.0 Legacy
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RTOG-0522 IM: Local PET/CT Qualitative and Semi-Quantitative Assessment Form NCT00265941

Engelsk

No Instruction available.

1 Formulär  
  1. StudyEvent: RTOG-0522 IM: Local PET/CT Qualitative and Semi-Quantitative Assessment Form
    1. No Instruction available.
Header
Beskrivning

Header

RTOG Study No.
Beskrivning

Protocol ID RTOG

Datatyp

text

Alias
NCI Thesaurus ValueDomain
C25337
UMLS CUI-1
C3274381
NCI Thesaurus ObjectClass
C25320
UMLS CUI-2
C1514695
NCI Thesaurus Property
C19778
NCI Thesaurus Property-2
C25364
Case #
Beskrivning

RadiationTherapyOncologyGroupPatientCaseIdentifierNumber

Datatyp

text

Alias
NCI Thesaurus ObjectClass
C16960
UMLS 2011AA ObjectClass
C0030705
NCI Thesaurus ObjectClass-2
C19778
UMLS 2011AA ObjectClass-2
C1514695
NCI Thesaurus Property
C25364
UMLS 2011AA Property
C0600091
NCI Thesaurus Property-2
C49152
UMLS 2011AA Property-2
C1706256
NCI Thesaurus ValueDomain
C25337
UMLS 2011AA ValueDomain
C0237753
Institution Name
Beskrivning

Institution Name

Datatyp

text

Alias
NCI Thesaurus ValueDomain
C25191
UMLS CUI-1
C1301943
NCI Thesaurus ObjectClass
C21541
NCI Thesaurus ValueDomain-2
C21541
NCI Thesaurus Property
C25364
Institution No.
Beskrivning

Institution Number

Datatyp

text

Alias
NCI Thesaurus ValueDomain
C25337
UMLS CUI-1
C1301943
NCI Thesaurus ObjectClass
C21541
UMLS CUI-2
C0805701
NCI Thesaurus Property
C25364
Patient Initials
Beskrivning

Patient Initials

Datatyp

text

Alias
NCI Thesaurus ValueDomain
C25191
UMLS CUI-1
C2986440
NCI Thesaurus ObjectClass
C16960
NCI Thesaurus Property
C25536
RTOG Patient ID
Beskrivning

Trial subject ID RTOG

Datatyp

text

Alias
NCI Thesaurus ValueDomain
C25337
UMLS CUI-1
C2348585
NCI Thesaurus ObjectClass
C16960
UMLS CUI-2
C1514695
NCI Thesaurus Property
C19778
NCI Thesaurus Property-2
C25364
Qualitative and Semi-Quantitative Assessment
Beskrivning

Qualitative and Semi-Quantitative Assessment

Amended data
Beskrivning

Data amended

Datatyp

boolean

Alias
NCI Thesaurus ValueDomain
C38148
UMLS CUI-1
C0680532
NCI Thesaurus ObjectClass
C25474
NCI Thesaurus Property
C25416
Timepoint of PET/CT Imaging
Beskrivning

PositronEmissionTomographyAssessmentPeriodTime

Datatyp

text

Alias
NCI Thesaurus ObjectClass
C20989
UMLS 2011AA ObjectClass
C0031809
NCI Thesaurus Property
C25616
UMLS 2011AA Property
C1948053
NCI Thesaurus ObjectClass-2
C17007
UMLS 2011AA ObjectClass-2
C0032743
NCI Thesaurus ValueDomain
C25207
UMLS 2011AA ValueDomain
C0040223
Was PET/CT Imaging completed?
Beskrivning

MedicalImagingPositronEmissionTomographyCompleteInd-2

Datatyp

boolean

Alias
NCI Thesaurus ValueDomain
C38147
UMLS 2011AA ValueDomain
C1512698
NCI Thesaurus Property
C25250
UMLS 2011AA Property
C0205197
NCI Thesaurus ObjectClass
C17007
UMLS 2011AA ObjectClass
C0032743
NCI Thesaurus ObjectClass-2
C16831
If no, provide reason
Beskrivning

MedicalImagingPositronEmissionTomographyNotCompleteReason

Datatyp

text

Alias
NCI Thesaurus ObjectClass
C17007
UMLS 2011AA ObjectClass
C0032743
NCI Thesaurus ObjectClass-2
C16831
NCI Thesaurus Property
C25250
UMLS 2011AA Property
C0205197
NCI Thesaurus Property-2
C25594
UMLS 2011AA Property-2
C1518422
NCI Thesaurus ValueDomain
C25638
UMLS 2011AA ValueDomain
C0392360
Other, specify
Beskrivning

MedicalImagingPositronEmissionTomographyNotCompleteSpecify

Datatyp

text

Alias
NCI Thesaurus ObjectClass
C17007
UMLS 2011AA ObjectClass
C0032743
NCI Thesaurus ObjectClass-2
C16831
NCI Thesaurus Property
C25250
UMLS 2011AA Property
C0205197
NCI Thesaurus Property-2
C25594
UMLS 2011AA Property-2
C1518422
NCI Thesaurus ValueDomain
C25685
UMLS 2011AA ValueDomain
C1521902
Date of PET/CT Exam (mm-dd-yyyy)
Beskrivning

PositronEmissionTomographyDiagnosticImagingAssessmentDate

Datatyp

date

Alias
NCI Thesaurus ValueDomain
C25164
UMLS 2011AA ValueDomain
C0011008
NCI Thesaurus Property
C20989
UMLS 2011AA Property
C0031809
NCI Thesaurus ObjectClass
C17007
UMLS 2011AA ObjectClass
C0032743
NCI Thesaurus ObjectClass-2
C16502
UMLS 2011AA ObjectClass-2
C0011923
Date of PET/CT Interpretation (mm-dd-yyyy)
Beskrivning

PositronEmissionTomographyExamResultAssessmentDate

Datatyp

date

Alias
NCI Thesaurus ObjectClass
C17007
UMLS 2011AA ObjectClass
C0032743
NCI Thesaurus ObjectClass-2
C25305
UMLS 2011AA ObjectClass-2
C0582103
NCI Thesaurus Property
C20989
UMLS 2011AA Property
C0031809
NCI Metathesaurus Property
CL282989
NCI Thesaurus ValueDomain
C25164
UMLS 2011AA ValueDomain
C0011008
Image Quality
Beskrivning

PositronEmissionTomographyImagingQualityType

Datatyp

text

Alias
NCI Thesaurus ValueDomain
C25284
UMLS 2011AA ValueDomain
C0332307
NCI Thesaurus ObjectClass
C17007
UMLS 2011AA ObjectClass
C0032743
NCI Thesaurus ObjectClass-2
C16831
NCI Thesaurus Property
C25283
UMLS 2011AA Property
C0332306
Reason Image Inadequate
Beskrivning

PositronEmissionTomographyImagingInadequateAssessmentReason

Datatyp

text

Alias
NCI Thesaurus ObjectClass
C17007
UMLS 2011AA ObjectClass
C0032743
NCI Thesaurus ObjectClass-2
C16831
NCI Thesaurus Property
C20989
UMLS 2011AA Property
C0031809
NCI Metathesaurus Property
CL124436
NCI Thesaurus ValueDomain
C25638
UMLS 2011AA ValueDomain
C0392360
SUVs cannot be calculated, specify (reason)
Beskrivning

PositronEmissionTomographyImagingStandardUptakeRatioInadequateAssessmentSpecify

Datatyp

text

Alias
NCI Thesaurus ObjectClass
C17007
UMLS 2011AA ObjectClass
C0032743
NCI Thesaurus ObjectClass-2
C16831
NCI Thesaurus Property
C20989
UMLS 2011AA Property
C0031809
NCI Thesaurus Property-2
C44275
UMLS 2011AA Property-2
C1442989
NCI Metathesaurus Property
C0243144
NCI Thesaurus Property-3
C25712
UMLS 2011AA Property-3
C1522609
NCI Metathesaurus Property-2
CL124436
NCI Thesaurus ValueDomain
C25685
UMLS 2011AA ValueDomain
C1521902
Other, specify
Beskrivning

PositronEmissionTomographyImagingInadequateAssessmentSpecify

Datatyp

text

Alias
NCI Thesaurus ObjectClass
C17007
UMLS 2011AA ObjectClass
C0032743
NCI Thesaurus ObjectClass-2
C16831
NCI Thesaurus Property
C20989
UMLS 2011AA Property
C0031809
NCI Metathesaurus Property
CL124436
NCI Thesaurus ValueDomain
C25685
UMLS 2011AA ValueDomain
C1521902
Semi-quantitative Assessment
Beskrivning

Semi-quantitative Assessment

Primary Tumor Site
Beskrivning

PositronEmissionTomographyPrimaryNeoplasmUptakeResultScale

Datatyp

text

Alias
NCI Thesaurus ObjectClass
C17007
UMLS 2011AA ObjectClass
C0032743
NCI Thesaurus ObjectClass-2
C8509
UMLS 2011AA ObjectClass-2
C0677930
NCI Thesaurus Property
C20200
UMLS 2011AA Property
C1274040
NCI Metathesaurus Property
C0243144
NCI Thesaurus ValueDomain
C25664
UMLS 2011AA ValueDomain
C0349674
Level I (Submandibular) Left
Beskrivning

PositronEmissionTomographySubmandibularLymphNodeLeftUptakeResultScale

Datatyp

text

Alias
NCI Thesaurus ObjectClass
C17007
UMLS 2011AA ObjectClass
C0032743
NCI Metathesaurus ObjectClass
C0229722
NCI Thesaurus Property
C25229
UMLS 2011AA Property
C0205091
NCI Thesaurus Property-2
C20200
UMLS 2011AA Property-2
C1274040
NCI Metathesaurus Property
C0243144
NCI Thesaurus ValueDomain
C25664
UMLS 2011AA ValueDomain
C0349674
Level II (Upper 1/3 Internal Jugular) Left
Beskrivning

PositronEmissionTomographyUpperJugularLymphNodeLeftUptakeResultScale

Datatyp

text

Alias
NCI Thesaurus ObjectClass
C17007
UMLS 2011AA ObjectClass
C0032743
NCI Metathesaurus ObjectClass
CL215314
NCI Thesaurus Property
C25229
UMLS 2011AA Property
C0205091
NCI Thesaurus Property-2
C20200
UMLS 2011AA Property-2
C1274040
NCI Metathesaurus Property
C0243144
NCI Thesaurus ValueDomain
C25664
UMLS 2011AA ValueDomain
C0349674
Level III (Mid 1/3 Internal Jugular) Left
Beskrivning

PositronEmissionTomographyMiddleJugularLymphNodeLeftUptakeResultScale

Datatyp

text

Alias
NCI Thesaurus ObjectClass
C17007
UMLS 2011AA ObjectClass
C0032743
NCI Metathesaurus ObjectClass
CL215316
NCI Thesaurus Property
C25229
UMLS 2011AA Property
C0205091
NCI Thesaurus Property-2
C20200
UMLS 2011AA Property-2
C1274040
NCI Metathesaurus Property
C0243144
NCI Thesaurus ValueDomain
C25664
UMLS 2011AA ValueDomain
C0349674
Level IV (Lower 1/3 Internal Jugular) Left
Beskrivning

PositronEmissionTomographyLowerJugularLymphNodeLeftUptakeResultScale

Datatyp

text

Alias
NCI Thesaurus ObjectClass
C17007
UMLS 2011AA ObjectClass
C0032743
NCI Metathesaurus ObjectClass
CL215315
NCI Thesaurus Property
C25229
UMLS 2011AA Property
C0205091
NCI Thesaurus Property-2
C20200
UMLS 2011AA Property-2
C1274040
NCI Metathesaurus Property
C0243144
NCI Thesaurus ValueDomain
C25664
UMLS 2011AA ValueDomain
C0349674
Level V (Posterior Triangle) Left
Beskrivning

PositronEmissionTomographyPosteriorTriangleLymphNodeLeftUptakeResultScale

Datatyp

text

Alias
NCI Thesaurus ObjectClass
C17007
UMLS 2011AA ObjectClass
C0032743
NCI Thesaurus ObjectClass-2
C12745
UMLS 2011AA ObjectClass-2
C0024204
NCI Metathesaurus ObjectClass
C0230073
NCI Thesaurus Property
C25229
UMLS 2011AA Property
C0205091
NCI Thesaurus Property-2
C20200
UMLS 2011AA Property-2
C1274040
NCI Metathesaurus Property
C0243144
NCI Thesaurus ValueDomain
C25664
UMLS 2011AA ValueDomain
C0349674
Retropharyngeal Left
Beskrivning

PositronEmissionTomographyRetropharyngealLymphNodeLeftUptakeResultScale

Datatyp

text

Alias
NCI Thesaurus ObjectClass
C17007
UMLS 2011AA ObjectClass
C0032743
NCI Metathesaurus ObjectClass
C0229737
NCI Thesaurus Property
C25229
UMLS 2011AA Property
C0205091
NCI Thesaurus Property-2
C20200
UMLS 2011AA Property-2
C1274040
NCI Metathesaurus Property
C0243144
NCI Thesaurus ValueDomain
C25664
UMLS 2011AA ValueDomain
C0349674
Other Location Left
Beskrivning

PositronEmissionTomographyOtherLymphNodeLeftUptakeResultScale

Datatyp

text

Alias
NCI Thesaurus ObjectClass
C17649
UMLS 2011AA ObjectClass
C0205394
NCI Thesaurus ObjectClass-2
C17007
UMLS 2011AA ObjectClass-2
C0032743
NCI Thesaurus ObjectClass-3
C12745
UMLS 2011AA ObjectClass-3
C0024204
NCI Thesaurus Property
C25229
UMLS 2011AA Property
C0205091
NCI Thesaurus Property-2
C20200
UMLS 2011AA Property-2
C1274040
NCI Metathesaurus Property
C0243144
NCI Thesaurus ValueDomain
C25664
UMLS 2011AA ValueDomain
C0349674
Level I (Submandibular) Right
Beskrivning

PositronEmissionTomographySubmandibularLymphNodeRightUptakeResultScale

Datatyp

text

Alias
NCI Thesaurus ObjectClass
C17007
UMLS 2011AA ObjectClass
C0032743
NCI Metathesaurus ObjectClass
C0229722
NCI Thesaurus Property
C25228
UMLS 2011AA Property
C0205090
NCI Thesaurus Property-2
C20200
UMLS 2011AA Property-2
C1274040
NCI Metathesaurus Property
C0243144
NCI Thesaurus ValueDomain
C25664
UMLS 2011AA ValueDomain
C0349674
Level II (Upper 1/3 Internal Jugular) Right
Beskrivning

PositronEmissionTomographyUpperJugularLymphNodeRightUptakeResultScale

Datatyp

text

Alias
NCI Thesaurus ObjectClass
C17007
UMLS 2011AA ObjectClass
C0032743
NCI Metathesaurus ObjectClass
CL215314
NCI Thesaurus Property
C25228
UMLS 2011AA Property
C0205090
NCI Thesaurus Property-2
C20200
UMLS 2011AA Property-2
C1274040
NCI Metathesaurus Property
C0243144
NCI Thesaurus ValueDomain
C25664
UMLS 2011AA ValueDomain
C0349674
Level III (Mid 1/3 Internal Jugular) Right
Beskrivning

PositronEmissionTomographyMiddleJugularLymphNodeRightUptakeResultScale

Datatyp

text

Alias
NCI Thesaurus ObjectClass
C17007
UMLS 2011AA ObjectClass
C0032743
NCI Metathesaurus ObjectClass
CL215316
NCI Thesaurus Property
C25228
UMLS 2011AA Property
C0205090
NCI Thesaurus Property-2
C20200
UMLS 2011AA Property-2
C1274040
NCI Metathesaurus Property
C0243144
NCI Thesaurus ValueDomain
C25664
UMLS 2011AA ValueDomain
C0349674
Level IV (Lower 1/3 Internal Jugular) Right
Beskrivning

PositronEmissionTomographyLowerJugularLymphNodeRightUptakeResultScale

Datatyp

text

Alias
NCI Thesaurus ObjectClass
C17007
UMLS 2011AA ObjectClass
C0032743
NCI Metathesaurus ObjectClass
CL215315
NCI Thesaurus Property
C25228
UMLS 2011AA Property
C0205090
NCI Thesaurus Property-2
C20200
UMLS 2011AA Property-2
C1274040
NCI Metathesaurus Property
C0243144
NCI Thesaurus ValueDomain
C25664
UMLS 2011AA ValueDomain
C0349674
Level V (Posterior Triangle) Right
Beskrivning

PositronEmissionTomographyPosteriorTriangleLymphNodeRightUptakeResultScale

Datatyp

text

Alias
NCI Thesaurus ObjectClass
C17007
UMLS 2011AA ObjectClass
C0032743
NCI Thesaurus ObjectClass-2
C12745
UMLS 2011AA ObjectClass-2
C0024204
NCI Metathesaurus ObjectClass
C0230073
NCI Thesaurus Property
C25228
UMLS 2011AA Property
C0205090
NCI Thesaurus Property-2
C20200
UMLS 2011AA Property-2
C1274040
NCI Metathesaurus Property
C0243144
NCI Thesaurus ValueDomain
C25664
UMLS 2011AA ValueDomain
C0349674
Retropharyngeal Right
Beskrivning

PositronEmissionTomographyRetropharyngealLymphNodeRightUptakeResultScale

Datatyp

text

Alias
NCI Thesaurus ObjectClass
C17007
UMLS 2011AA ObjectClass
C0032743
NCI Metathesaurus ObjectClass
C0229737
NCI Thesaurus Property
C25228
UMLS 2011AA Property
C0205090
NCI Thesaurus Property-2
C20200
UMLS 2011AA Property-2
C1274040
NCI Metathesaurus Property
C0243144
NCI Thesaurus ValueDomain
C25664
UMLS 2011AA ValueDomain
C0349674
SUV (peak)
Beskrivning

StandardUptakeValuePositronEmissionTomographyAssessmentMeasurement

Datatyp

float

Alias
NCI Thesaurus ObjectClass
C17007
UMLS 2011AA ObjectClass
C0032743
NCI Thesaurus ObjectClass-2
C44275
UMLS 2011AA ObjectClass-2
C1442989
NCI Metathesaurus ObjectClass
C0243144
NCI Thesaurus ObjectClass-3
C25712
UMLS 2011AA ObjectClass-3
C1522609
NCI Thesaurus Property
C20989
UMLS 2011AA Property
C0031809
NCI Thesaurus ValueDomain
C25209
UMLS 2011AA ValueDomain
C0242485
SUV (peak)
Beskrivning

StandardUptakeValuePositronEmissionTomographyAssessmentMeasurement

Datatyp

float

Alias
NCI Thesaurus ObjectClass
C17007
UMLS 2011AA ObjectClass
C0032743
NCI Thesaurus ObjectClass-2
C44275
UMLS 2011AA ObjectClass-2
C1442989
NCI Metathesaurus ObjectClass
C0243144
NCI Thesaurus ObjectClass-3
C25712
UMLS 2011AA ObjectClass-3
C1522609
NCI Thesaurus Property
C20989
UMLS 2011AA Property
C0031809
NCI Thesaurus ValueDomain
C25209
UMLS 2011AA ValueDomain
C0242485
SUV (peak)
Beskrivning

StandardUptakeValuePositronEmissionTomographyAssessmentMeasurement

Datatyp

float

Alias
NCI Thesaurus ObjectClass
C17007
UMLS 2011AA ObjectClass
C0032743
NCI Thesaurus ObjectClass-2
C44275
UMLS 2011AA ObjectClass-2
C1442989
NCI Metathesaurus ObjectClass
C0243144
NCI Thesaurus ObjectClass-3
C25712
UMLS 2011AA ObjectClass-3
C1522609
NCI Thesaurus Property
C20989
UMLS 2011AA Property
C0031809
NCI Thesaurus ValueDomain
C25209
UMLS 2011AA ValueDomain
C0242485
SUV (peak)
Beskrivning

StandardUptakeValuePositronEmissionTomographyAssessmentMeasurement

Datatyp

float

Alias
NCI Thesaurus ObjectClass
C17007
UMLS 2011AA ObjectClass
C0032743
NCI Thesaurus ObjectClass-2
C44275
UMLS 2011AA ObjectClass-2
C1442989
NCI Metathesaurus ObjectClass
C0243144
NCI Thesaurus ObjectClass-3
C25712
UMLS 2011AA ObjectClass-3
C1522609
NCI Thesaurus Property
C20989
UMLS 2011AA Property
C0031809
NCI Thesaurus ValueDomain
C25209
UMLS 2011AA ValueDomain
C0242485
SUV (peak)
Beskrivning

StandardUptakeValuePositronEmissionTomographyAssessmentMeasurement

Datatyp

float

Alias
NCI Thesaurus ObjectClass
C17007
UMLS 2011AA ObjectClass
C0032743
NCI Thesaurus ObjectClass-2
C44275
UMLS 2011AA ObjectClass-2
C1442989
NCI Metathesaurus ObjectClass
C0243144
NCI Thesaurus ObjectClass-3
C25712
UMLS 2011AA ObjectClass-3
C1522609
NCI Thesaurus Property
C20989
UMLS 2011AA Property
C0031809
NCI Thesaurus ValueDomain
C25209
UMLS 2011AA ValueDomain
C0242485
SUV (peak)
Beskrivning

StandardUptakeValuePositronEmissionTomographyAssessmentMeasurement

Datatyp

float

Alias
NCI Thesaurus ObjectClass
C17007
UMLS 2011AA ObjectClass
C0032743
NCI Thesaurus ObjectClass-2
C44275
UMLS 2011AA ObjectClass-2
C1442989
NCI Metathesaurus ObjectClass
C0243144
NCI Thesaurus ObjectClass-3
C25712
UMLS 2011AA ObjectClass-3
C1522609
NCI Thesaurus Property
C20989
UMLS 2011AA Property
C0031809
NCI Thesaurus ValueDomain
C25209
UMLS 2011AA ValueDomain
C0242485
SUV (peak)
Beskrivning

StandardUptakeValuePositronEmissionTomographyAssessmentMeasurement

Datatyp

float

Alias
NCI Thesaurus ObjectClass
C17007
UMLS 2011AA ObjectClass
C0032743
NCI Thesaurus ObjectClass-2
C44275
UMLS 2011AA ObjectClass-2
C1442989
NCI Metathesaurus ObjectClass
C0243144
NCI Thesaurus ObjectClass-3
C25712
UMLS 2011AA ObjectClass-3
C1522609
NCI Thesaurus Property
C20989
UMLS 2011AA Property
C0031809
NCI Thesaurus ValueDomain
C25209
UMLS 2011AA ValueDomain
C0242485
SUV (peak)
Beskrivning

StandardUptakeValuePositronEmissionTomographyAssessmentMeasurement

Datatyp

float

Alias
NCI Thesaurus ObjectClass
C17007
UMLS 2011AA ObjectClass
C0032743
NCI Thesaurus ObjectClass-2
C44275
UMLS 2011AA ObjectClass-2
C1442989
NCI Metathesaurus ObjectClass
C0243144
NCI Thesaurus ObjectClass-3
C25712
UMLS 2011AA ObjectClass-3
C1522609
NCI Thesaurus Property
C20989
UMLS 2011AA Property
C0031809
NCI Thesaurus ValueDomain
C25209
UMLS 2011AA ValueDomain
C0242485
SUV (peak)
Beskrivning

StandardUptakeValuePositronEmissionTomographyAssessmentMeasurement

Datatyp

float

Alias
NCI Thesaurus ObjectClass
C17007
UMLS 2011AA ObjectClass
C0032743
NCI Thesaurus ObjectClass-2
C44275
UMLS 2011AA ObjectClass-2
C1442989
NCI Metathesaurus ObjectClass
C0243144
NCI Thesaurus ObjectClass-3
C25712
UMLS 2011AA ObjectClass-3
C1522609
NCI Thesaurus Property
C20989
UMLS 2011AA Property
C0031809
NCI Thesaurus ValueDomain
C25209
UMLS 2011AA ValueDomain
C0242485
SUV (peak)
Beskrivning

StandardUptakeValuePositronEmissionTomographyAssessmentMeasurement

Datatyp

float

Alias
NCI Thesaurus ObjectClass
C17007
UMLS 2011AA ObjectClass
C0032743
NCI Thesaurus ObjectClass-2
C44275
UMLS 2011AA ObjectClass-2
C1442989
NCI Metathesaurus ObjectClass
C0243144
NCI Thesaurus ObjectClass-3
C25712
UMLS 2011AA ObjectClass-3
C1522609
NCI Thesaurus Property
C20989
UMLS 2011AA Property
C0031809
NCI Thesaurus ValueDomain
C25209
UMLS 2011AA ValueDomain
C0242485
SUV (peak)
Beskrivning

StandardUptakeValuePositronEmissionTomographyAssessmentMeasurement

Datatyp

float

Alias
NCI Thesaurus ObjectClass
C17007
UMLS 2011AA ObjectClass
C0032743
NCI Thesaurus ObjectClass-2
C44275
UMLS 2011AA ObjectClass-2
C1442989
NCI Metathesaurus ObjectClass
C0243144
NCI Thesaurus ObjectClass-3
C25712
UMLS 2011AA ObjectClass-3
C1522609
NCI Thesaurus Property
C20989
UMLS 2011AA Property
C0031809
NCI Thesaurus ValueDomain
C25209
UMLS 2011AA ValueDomain
C0242485
SUV (peak)
Beskrivning

StandardUptakeValuePositronEmissionTomographyAssessmentMeasurement

Datatyp

float

Alias
NCI Thesaurus ObjectClass
C17007
UMLS 2011AA ObjectClass
C0032743
NCI Thesaurus ObjectClass-2
C44275
UMLS 2011AA ObjectClass-2
C1442989
NCI Metathesaurus ObjectClass
C0243144
NCI Thesaurus ObjectClass-3
C25712
UMLS 2011AA ObjectClass-3
C1522609
NCI Thesaurus Property
C20989
UMLS 2011AA Property
C0031809
NCI Thesaurus ValueDomain
C25209
UMLS 2011AA ValueDomain
C0242485
SUV (peak)
Beskrivning

StandardUptakeValuePositronEmissionTomographyAssessmentMeasurement

Datatyp

float

Alias
NCI Thesaurus ObjectClass
C17007
UMLS 2011AA ObjectClass
C0032743
NCI Thesaurus ObjectClass-2
C44275
UMLS 2011AA ObjectClass-2
C1442989
NCI Metathesaurus ObjectClass
C0243144
NCI Thesaurus ObjectClass-3
C25712
UMLS 2011AA ObjectClass-3
C1522609
NCI Thesaurus Property
C20989
UMLS 2011AA Property
C0031809
NCI Thesaurus ValueDomain
C25209
UMLS 2011AA ValueDomain
C0242485
SUV (peak)
Beskrivning

StandardUptakeValuePositronEmissionTomographyAssessmentMeasurement

Datatyp

float

Alias
NCI Thesaurus ObjectClass
C17007
UMLS 2011AA ObjectClass
C0032743
NCI Thesaurus ObjectClass-2
C44275
UMLS 2011AA ObjectClass-2
C1442989
NCI Metathesaurus ObjectClass
C0243144
NCI Thesaurus ObjectClass-3
C25712
UMLS 2011AA ObjectClass-3
C1522609
NCI Thesaurus Property
C20989
UMLS 2011AA Property
C0031809
NCI Thesaurus ValueDomain
C25209
UMLS 2011AA ValueDomain
C0242485
SUV (peak)
Beskrivning

StandardUptakeValuePositronEmissionTomographyAssessmentMeasurement

Datatyp

float

Alias
NCI Thesaurus ObjectClass
C17007
UMLS 2011AA ObjectClass
C0032743
NCI Thesaurus ObjectClass-2
C44275
UMLS 2011AA ObjectClass-2
C1442989
NCI Metathesaurus ObjectClass
C0243144
NCI Thesaurus ObjectClass-3
C25712
UMLS 2011AA ObjectClass-3
C1522609
NCI Thesaurus Property
C20989
UMLS 2011AA Property
C0031809
NCI Thesaurus ValueDomain
C25209
UMLS 2011AA ValueDomain
C0242485
Other location Right
Beskrivning

PositronEmissionTomographyOtherLymphNodeRightUptakeResultScale

Datatyp

text

Alias
NCI Thesaurus ObjectClass
C17649
UMLS 2011AA ObjectClass
C0205394
NCI Thesaurus ObjectClass-2
C17007
UMLS 2011AA ObjectClass-2
C0032743
NCI Thesaurus ObjectClass-3
C12745
UMLS 2011AA ObjectClass-3
C0024204
NCI Thesaurus Property
C25228
UMLS 2011AA Property
C0205090
NCI Thesaurus Property-2
C20200
UMLS 2011AA Property-2
C1274040
NCI Metathesaurus Property
C0243144
NCI Thesaurus ValueDomain
C25664
UMLS 2011AA ValueDomain
C0349674
Other location, specify (Right)
Beskrivning

LymphadenopathyPositronEmissionTomographyAssessmentSpecify

Datatyp

text

Alias
NCI Thesaurus ValueDomain
C25685
UMLS 2011AA ValueDomain
C1521902
NCI Thesaurus Property
C25367
NCI Thesaurus Property-2
C17007
UMLS 2011AA Property
C0032743
NCI Thesaurus ObjectClass
C3206
UMLS 2011AA ObjectClass
C0024228
Other location, specify (Right)
Beskrivning

LymphadenopathyPositronEmissionTomographyAssessmentSpecify

Datatyp

text

Alias
NCI Thesaurus ValueDomain
C25685
UMLS 2011AA ValueDomain
C1521902
NCI Thesaurus Property
C25367
NCI Thesaurus Property-2
C17007
UMLS 2011AA Property
C0032743
NCI Thesaurus ObjectClass
C3206
UMLS 2011AA ObjectClass
C0024228
Indicate Any Lymphadenopathy
Beskrivning

Indicate Any Lymphadenopathy

Were there any distant metastases with PET findings?
Beskrivning

DistantMetastasisDetectedPositronEmissionTomographyInd-2

Datatyp

boolean

Alias
NCI Thesaurus ObjectClass
C25321
UMLS 2011AA ObjectClass
C0443203
NCI Thesaurus ObjectClass-2
C19151
UMLS 2011AA ObjectClass-2
C0027627
NCI Thesaurus Property
C17007
UMLS 2011AA Property
C0032743
NCI Thesaurus Property-2
C25481
NCI Thesaurus ValueDomain
C38147
UMLS 2011AA ValueDomain
C1512698
Specify site
Beskrivning

OtherHeadAndNeckDistantMetastasisSpecify

Datatyp

text

Alias
NCI Thesaurus ValueDomain
C25685
UMLS 2011AA ValueDomain
C1521902
NCI Thesaurus ObjectClass
C17649
UMLS 2011AA ObjectClass
C0205394
NCI Thesaurus ObjectClass-2
C12418
UMLS 2011AA ObjectClass-2
C0460004
NCI Metathesaurus Property
CL031818
Comments
Beskrivning

Comments

COMMENTS
Beskrivning

Research Comments

Datatyp

text

Alias
NCI Thesaurus ValueDomain
C25704
UMLS CUI-1
C0947611
NCI Thesaurus ObjectClass
C15319
NCI Thesaurus Property
C25393
Signature of Nuclear Medicine M.D.
Beskrivning

NuclearMedicinePhysicianSignatureText

Datatyp

text

Alias
NCI Thesaurus ValueDomain
C25704
UMLS 2011AA ValueDomain
C1527021
NCI Thesaurus Property
C25678
UMLS 2011AA Property
C1519316
NCI Thesaurus ObjectClass
C25741
UMLS 2011AA ObjectClass
C0031831
NCI Thesaurus ObjectClass-2
C16922
UMLS 2011AA ObjectClass-2
C0028582
Person Completing Form
Beskrivning

Person Completing Form

Datatyp

text

Alias
NCI Thesaurus ValueDomain
C25191
UMLS CUI-1
C1550483
NCI Thesaurus ObjectClass
C25657
NCI Thesaurus Property
C25364
Form Completion Date, Original (mm-dd-yyyy)
Beskrivning

Form Completion Date

Datatyp

date

Alias
NCI Thesaurus ObjectClass
C19464
UMLS CUI-1
C1549507
NCI Thesaurus Property
C25250
NCI Thesaurus Property-2
C25604
NCI Thesaurus ValueDomain
C25164
NCI Thesaurus ValueDomain-2
C25367
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Similar models

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1 Formulär
  1. StudyEvent: RTOG-0522 IM: Local PET/CT Qualitative and Semi-Quantitative Assessment Form
    1. No Instruction available.
Name
Typ
Description | Question | Decode (Coded Value)
Datatyp
Alias
Item Group
Header
Protocol ID RTOG
Item
RTOG Study No.
text
C25337 (NCI Thesaurus ValueDomain)
C3274381 (UMLS CUI-1)
C25320 (NCI Thesaurus ObjectClass)
C1514695 (UMLS CUI-2)
C19778 (NCI Thesaurus Property)
C25364 (NCI Thesaurus Property-2)
RadiationTherapyOncologyGroupPatientCaseIdentifierNumber
Item
Case #
text
C16960 (NCI Thesaurus ObjectClass)
C0030705 (UMLS 2011AA ObjectClass)
C19778 (NCI Thesaurus ObjectClass-2)
C1514695 (UMLS 2011AA ObjectClass-2)
C25364 (NCI Thesaurus Property)
C0600091 (UMLS 2011AA Property)
C49152 (NCI Thesaurus Property-2)
C1706256 (UMLS 2011AA Property-2)
C25337 (NCI Thesaurus ValueDomain)
C0237753 (UMLS 2011AA ValueDomain)
Institution Name
Item
Institution Name
text
C25191 (NCI Thesaurus ValueDomain)
C1301943 (UMLS CUI-1)
C21541 (NCI Thesaurus ObjectClass)
C21541 (NCI Thesaurus ValueDomain-2)
C25364 (NCI Thesaurus Property)
Institution Number
Item
Institution No.
text
C25337 (NCI Thesaurus ValueDomain)
C1301943 (UMLS CUI-1)
C21541 (NCI Thesaurus ObjectClass)
C0805701 (UMLS CUI-2)
C25364 (NCI Thesaurus Property)
Patient Initials
Item
Patient Initials
text
C25191 (NCI Thesaurus ValueDomain)
C2986440 (UMLS CUI-1)
C16960 (NCI Thesaurus ObjectClass)
C25536 (NCI Thesaurus Property)
Trial subject ID RTOG
Item
RTOG Patient ID
text
C25337 (NCI Thesaurus ValueDomain)
C2348585 (UMLS CUI-1)
C16960 (NCI Thesaurus ObjectClass)
C1514695 (UMLS CUI-2)
C19778 (NCI Thesaurus Property)
C25364 (NCI Thesaurus Property-2)
Item Group
Qualitative and Semi-Quantitative Assessment
Data amended
Item
Amended data
boolean
C38148 (NCI Thesaurus ValueDomain)
C0680532 (UMLS CUI-1)
C25474 (NCI Thesaurus ObjectClass)
C25416 (NCI Thesaurus Property)
Item
Timepoint of PET/CT Imaging
text
C20989 (NCI Thesaurus ObjectClass)
C0031809 (UMLS 2011AA ObjectClass)
C25616 (NCI Thesaurus Property)
C1948053 (UMLS 2011AA Property)
C17007 (NCI Thesaurus ObjectClass-2)
C0032743 (UMLS 2011AA ObjectClass-2)
C25207 (NCI Thesaurus ValueDomain)
C0040223 (UMLS 2011AA ValueDomain)
CL.2
Code List
Timepoint of PET/CT Imaging
CL Item
Pre-treatment (Pre-treatment)
CL Item
Post-treatment (Post-treatment)
CL024863 (NCI Metathesaurus)
MedicalImagingPositronEmissionTomographyCompleteInd-2
Item
Was PET/CT Imaging completed?
boolean
C38147 (NCI Thesaurus ValueDomain)
C1512698 (UMLS 2011AA ValueDomain)
C25250 (NCI Thesaurus Property)
C0205197 (UMLS 2011AA Property)
C17007 (NCI Thesaurus ObjectClass)
C0032743 (UMLS 2011AA ObjectClass)
C16831 (NCI Thesaurus ObjectClass-2)
Item
If no, provide reason
text
C17007 (NCI Thesaurus ObjectClass)
C0032743 (UMLS 2011AA ObjectClass)
C16831 (NCI Thesaurus ObjectClass-2)
C25250 (NCI Thesaurus Property)
C0205197 (UMLS 2011AA Property)
C25594 (NCI Thesaurus Property-2)
C1518422 (UMLS 2011AA Property-2)
C25638 (NCI Thesaurus ValueDomain)
C0392360 (UMLS 2011AA ValueDomain)
CL.4
Code List
If no, provide reason
CL Item
Scheduling Problem (Scheduling problem)
CL Item
Equipment Failure (Equipment failure)
CL Item
Patient Refusal (Patient refusal)
CL Item
Medical Reason (Medical reason)
CL Item
Injection Site Complications (Injection site complications)
CL Item
Claustrophobia (Claustrophobia)
CL Item
Insurance (Insurance)
C16745 (NCI Thesaurus)
C0021672 (UMLS 2011AA)
CL Item
Equipment Not Available (Do not have required equipment)
CL Item
Other (Other)
C17649 (NCI Thesaurus)
C0205394 (UMLS 2011AA)
CL Item
Unknown (Unknown)
C17998 (NCI Thesaurus)
C0439673 (UMLS 2011AA)
MedicalImagingPositronEmissionTomographyNotCompleteSpecify
Item
Other, specify
text
C17007 (NCI Thesaurus ObjectClass)
C0032743 (UMLS 2011AA ObjectClass)
C16831 (NCI Thesaurus ObjectClass-2)
C25250 (NCI Thesaurus Property)
C0205197 (UMLS 2011AA Property)
C25594 (NCI Thesaurus Property-2)
C1518422 (UMLS 2011AA Property-2)
C25685 (NCI Thesaurus ValueDomain)
C1521902 (UMLS 2011AA ValueDomain)
PositronEmissionTomographyDiagnosticImagingAssessmentDate
Item
Date of PET/CT Exam (mm-dd-yyyy)
date
C25164 (NCI Thesaurus ValueDomain)
C0011008 (UMLS 2011AA ValueDomain)
C20989 (NCI Thesaurus Property)
C0031809 (UMLS 2011AA Property)
C17007 (NCI Thesaurus ObjectClass)
C0032743 (UMLS 2011AA ObjectClass)
C16502 (NCI Thesaurus ObjectClass-2)
C0011923 (UMLS 2011AA ObjectClass-2)
PositronEmissionTomographyExamResultAssessmentDate
Item
Date of PET/CT Interpretation (mm-dd-yyyy)
date
C17007 (NCI Thesaurus ObjectClass)
C0032743 (UMLS 2011AA ObjectClass)
C25305 (NCI Thesaurus ObjectClass-2)
C0582103 (UMLS 2011AA ObjectClass-2)
C20989 (NCI Thesaurus Property)
C0031809 (UMLS 2011AA Property)
CL282989 (NCI Metathesaurus Property)
C25164 (NCI Thesaurus ValueDomain)
C0011008 (UMLS 2011AA ValueDomain)
Item
Image Quality
text
C25284 (NCI Thesaurus ValueDomain)
C0332307 (UMLS 2011AA ValueDomain)
C17007 (NCI Thesaurus ObjectClass)
C0032743 (UMLS 2011AA ObjectClass)
C16831 (NCI Thesaurus ObjectClass-2)
C25283 (NCI Thesaurus Property)
C0332306 (UMLS 2011AA Property)
CL.5
Code List
Image Quality
CL Item
Adequate (Adequate)
CL Item
Suboptimal (Suboptimal)
CL Item
Inadequate (Inadequate)
Item
Reason Image Inadequate
text
C17007 (NCI Thesaurus ObjectClass)
C0032743 (UMLS 2011AA ObjectClass)
C16831 (NCI Thesaurus ObjectClass-2)
C20989 (NCI Thesaurus Property)
C0031809 (UMLS 2011AA Property)
CL124436 (NCI Metathesaurus Property)
C25638 (NCI Thesaurus ValueDomain)
C0392360 (UMLS 2011AA ValueDomain)
CL.6
Code List
Reason Image Inadequate
CL Item
N/a (N/A)
CL Item
Entire Study Not Complete (Entire study not complete)
CL Item
Noisy Images (Noisy images)
CL Item
Patient Motion (Patient motion)
CL Item
Radiotracer Infiltration (Radiotracer infiltration)
CL Item
Suvs Cannot Be Calculated (SUVs cannot be calculated)
CL Item
Other (Other)
C17649 (NCI Thesaurus)
C0205394 (UMLS 2011AA)
PositronEmissionTomographyImagingStandardUptakeRatioInadequateAssessmentSpecify
Item
SUVs cannot be calculated, specify (reason)
text
C17007 (NCI Thesaurus ObjectClass)
C0032743 (UMLS 2011AA ObjectClass)
C16831 (NCI Thesaurus ObjectClass-2)
C20989 (NCI Thesaurus Property)
C0031809 (UMLS 2011AA Property)
C44275 (NCI Thesaurus Property-2)
C1442989 (UMLS 2011AA Property-2)
C0243144 (NCI Metathesaurus Property)
C25712 (NCI Thesaurus Property-3)
C1522609 (UMLS 2011AA Property-3)
CL124436 (NCI Metathesaurus Property-2)
C25685 (NCI Thesaurus ValueDomain)
C1521902 (UMLS 2011AA ValueDomain)
PositronEmissionTomographyImagingInadequateAssessmentSpecify
Item
Other, specify
text
C17007 (NCI Thesaurus ObjectClass)
C0032743 (UMLS 2011AA ObjectClass)
C16831 (NCI Thesaurus ObjectClass-2)
C20989 (NCI Thesaurus Property)
C0031809 (UMLS 2011AA Property)
CL124436 (NCI Metathesaurus Property)
C25685 (NCI Thesaurus ValueDomain)
C1521902 (UMLS 2011AA ValueDomain)
Item Group
Semi-quantitative Assessment
Item
Primary Tumor Site
text
C17007 (NCI Thesaurus ObjectClass)
C0032743 (UMLS 2011AA ObjectClass)
C8509 (NCI Thesaurus ObjectClass-2)
C0677930 (UMLS 2011AA ObjectClass-2)
C20200 (NCI Thesaurus Property)
C1274040 (UMLS 2011AA Property)
C0243144 (NCI Metathesaurus Property)
C25664 (NCI Thesaurus ValueDomain)
C0349674 (UMLS 2011AA ValueDomain)
CL.7
Code List
Primary Tumor Site
CL Item
Definitely Abnormal (Definitely abnormal)
CL Item
Definitely Normal (Definitely normal)
CL Item
Indeterminate (Indeterminate)
C48658 (NCI Thesaurus)
C0205258 (UMLS 2011AA)
CL Item
Not Imaged, Cannot Evaluate (Not imaged, cannot evaluate)
CL Item
Probably Abnormal (Probably abnormal)
CL Item
Probably Normal (Probably normal)
Item
Level I (Submandibular) Left
text
C17007 (NCI Thesaurus ObjectClass)
C0032743 (UMLS 2011AA ObjectClass)
C0229722 (NCI Metathesaurus ObjectClass)
C25229 (NCI Thesaurus Property)
C0205091 (UMLS 2011AA Property)
C20200 (NCI Thesaurus Property-2)
C1274040 (UMLS 2011AA Property-2)
C0243144 (NCI Metathesaurus Property)
C25664 (NCI Thesaurus ValueDomain)
C0349674 (UMLS 2011AA ValueDomain)
CL.8
Code List
Level I (Submandibular) Left
CL Item
Definitely Abnormal (Definitely abnormal)
CL Item
Definitely Normal (Definitely normal)
CL Item
Indeterminate (Indeterminate)
C48658 (NCI Thesaurus)
C0205258 (UMLS 2011AA)
CL Item
Not Imaged, Cannot Evaluate (Not imaged, cannot evaluate)
CL Item
Probably Abnormal (Probably abnormal)
CL Item
Probably Normal (Probably normal)
Item
Level II (Upper 1/3 Internal Jugular) Left
text
C17007 (NCI Thesaurus ObjectClass)
C0032743 (UMLS 2011AA ObjectClass)
CL215314 (NCI Metathesaurus ObjectClass)
C25229 (NCI Thesaurus Property)
C0205091 (UMLS 2011AA Property)
C20200 (NCI Thesaurus Property-2)
C1274040 (UMLS 2011AA Property-2)
C0243144 (NCI Metathesaurus Property)
C25664 (NCI Thesaurus ValueDomain)
C0349674 (UMLS 2011AA ValueDomain)
CL.9
Code List
Level II (Upper 1/3 Internal Jugular) Left
CL Item
Definitely Abnormal (Definitely abnormal)
CL Item
Definitely Normal (Definitely normal)
CL Item
Indeterminate (Indeterminate)
C48658 (NCI Thesaurus)
C0205258 (UMLS 2011AA)
CL Item
Not Imaged, Cannot Evaluate (Not imaged, cannot evaluate)
CL Item
Probably Abnormal (Probably abnormal)
CL Item
Probably Normal (Probably normal)
Item
Level III (Mid 1/3 Internal Jugular) Left
text
C17007 (NCI Thesaurus ObjectClass)
C0032743 (UMLS 2011AA ObjectClass)
CL215316 (NCI Metathesaurus ObjectClass)
C25229 (NCI Thesaurus Property)
C0205091 (UMLS 2011AA Property)
C20200 (NCI Thesaurus Property-2)
C1274040 (UMLS 2011AA Property-2)
C0243144 (NCI Metathesaurus Property)
C25664 (NCI Thesaurus ValueDomain)
C0349674 (UMLS 2011AA ValueDomain)
CL.10
Code List
Level III (Mid 1/3 Internal Jugular) Left
CL Item
Definitely Abnormal (Definitely abnormal)
CL Item
Definitely Normal (Definitely normal)
CL Item
Indeterminate (Indeterminate)
C48658 (NCI Thesaurus)
C0205258 (UMLS 2011AA)
CL Item
Not Imaged, Cannot Evaluate (Not imaged, cannot evaluate)
CL Item
Probably Abnormal (Probably abnormal)
CL Item
Probably Normal (Probably normal)
Item
Level IV (Lower 1/3 Internal Jugular) Left
text
C17007 (NCI Thesaurus ObjectClass)
C0032743 (UMLS 2011AA ObjectClass)
CL215315 (NCI Metathesaurus ObjectClass)
C25229 (NCI Thesaurus Property)
C0205091 (UMLS 2011AA Property)
C20200 (NCI Thesaurus Property-2)
C1274040 (UMLS 2011AA Property-2)
C0243144 (NCI Metathesaurus Property)
C25664 (NCI Thesaurus ValueDomain)
C0349674 (UMLS 2011AA ValueDomain)
CL.11
Code List
Level IV (Lower 1/3 Internal Jugular) Left
CL Item
Definitely Abnormal (Definitely abnormal)
CL Item
Definitely Normal (Definitely normal)
CL Item
Indeterminate (Indeterminate)
C48658 (NCI Thesaurus)
C0205258 (UMLS 2011AA)
CL Item
Not Imaged, Cannot Evaluate (Not imaged, cannot evaluate)
CL Item
Probably Abnormal (Probably abnormal)
CL Item
Probably Normal (Probably normal)
Item
Level V (Posterior Triangle) Left
text
C17007 (NCI Thesaurus ObjectClass)
C0032743 (UMLS 2011AA ObjectClass)
C12745 (NCI Thesaurus ObjectClass-2)
C0024204 (UMLS 2011AA ObjectClass-2)
C0230073 (NCI Metathesaurus ObjectClass)
C25229 (NCI Thesaurus Property)
C0205091 (UMLS 2011AA Property)
C20200 (NCI Thesaurus Property-2)
C1274040 (UMLS 2011AA Property-2)
C0243144 (NCI Metathesaurus Property)
C25664 (NCI Thesaurus ValueDomain)
C0349674 (UMLS 2011AA ValueDomain)
CL.12
Code List
Level V (Posterior Triangle) Left
CL Item
Definitely Abnormal (Definitely abnormal)
CL Item
Definitely Normal (Definitely normal)
CL Item
Indeterminate (Indeterminate)
C48658 (NCI Thesaurus)
C0205258 (UMLS 2011AA)
CL Item
Not Imaged, Cannot Evaluate (Not imaged, cannot evaluate)
CL Item
Probably Abnormal (Probably abnormal)
CL Item
Probably Normal (Probably normal)
Item
Retropharyngeal Left
text
C17007 (NCI Thesaurus ObjectClass)
C0032743 (UMLS 2011AA ObjectClass)
C0229737 (NCI Metathesaurus ObjectClass)
C25229 (NCI Thesaurus Property)
C0205091 (UMLS 2011AA Property)
C20200 (NCI Thesaurus Property-2)
C1274040 (UMLS 2011AA Property-2)
C0243144 (NCI Metathesaurus Property)
C25664 (NCI Thesaurus ValueDomain)
C0349674 (UMLS 2011AA ValueDomain)
CL.13
Code List
Retropharyngeal Left
CL Item
Definitely Abnormal (Definitely abnormal)
CL Item
Definitely Normal (Definitely normal)
CL Item
Indeterminate (Indeterminate)
C48658 (NCI Thesaurus)
C0205258 (UMLS 2011AA)
CL Item
Not Imaged, Cannot Evaluate (Not imaged, cannot evaluate)
CL Item
Probably Abnormal (Probably abnormal)
CL Item
Probably Normal (Probably normal)
Item
Other Location Left
text
C17649 (NCI Thesaurus ObjectClass)
C0205394 (UMLS 2011AA ObjectClass)
C17007 (NCI Thesaurus ObjectClass-2)
C0032743 (UMLS 2011AA ObjectClass-2)
C12745 (NCI Thesaurus ObjectClass-3)
C0024204 (UMLS 2011AA ObjectClass-3)
C25229 (NCI Thesaurus Property)
C0205091 (UMLS 2011AA Property)
C20200 (NCI Thesaurus Property-2)
C1274040 (UMLS 2011AA Property-2)
C0243144 (NCI Metathesaurus Property)
C25664 (NCI Thesaurus ValueDomain)
C0349674 (UMLS 2011AA ValueDomain)
CL.14
Code List
Other Location Left
CL Item
Definitely Abnormal (Definitely abnormal)
CL Item
Definitely Normal (Definitely normal)
CL Item
Indeterminate (Indeterminate)
C48658 (NCI Thesaurus)
C0205258 (UMLS 2011AA)
CL Item
Not Imaged, Cannot Evaluate (Not imaged, cannot evaluate)
CL Item
Probably Abnormal (Probably abnormal)
CL Item
Probably Normal (Probably normal)
Item
Level I (Submandibular) Right
text
C17007 (NCI Thesaurus ObjectClass)
C0032743 (UMLS 2011AA ObjectClass)
C0229722 (NCI Metathesaurus ObjectClass)
C25228 (NCI Thesaurus Property)
C0205090 (UMLS 2011AA Property)
C20200 (NCI Thesaurus Property-2)
C1274040 (UMLS 2011AA Property-2)
C0243144 (NCI Metathesaurus Property)
C25664 (NCI Thesaurus ValueDomain)
C0349674 (UMLS 2011AA ValueDomain)
CL.15
Code List
Level I (Submandibular) Right
CL Item
Definitely Abnormal (Definitely abnormal)
CL Item
Definitely Normal (Definitely normal)
CL Item
Indeterminate (Indeterminate)
C48658 (NCI Thesaurus)
C0205258 (UMLS 2011AA)
CL Item
Not Imaged, Cannot Evaluate (Not imaged, cannot evaluate)
CL Item
Probably Abnormal (Probably abnormal)
CL Item
Probably Normal (Probably normal)
Item
Level II (Upper 1/3 Internal Jugular) Right
text
C17007 (NCI Thesaurus ObjectClass)
C0032743 (UMLS 2011AA ObjectClass)
CL215314 (NCI Metathesaurus ObjectClass)
C25228 (NCI Thesaurus Property)
C0205090 (UMLS 2011AA Property)
C20200 (NCI Thesaurus Property-2)
C1274040 (UMLS 2011AA Property-2)
C0243144 (NCI Metathesaurus Property)
C25664 (NCI Thesaurus ValueDomain)
C0349674 (UMLS 2011AA ValueDomain)
CL.16
Code List
Level II (Upper 1/3 Internal Jugular) Right
CL Item
Definitely Abnormal (Definitely abnormal)
CL Item
Definitely Normal (Definitely normal)
CL Item
Indeterminate (Indeterminate)
C48658 (NCI Thesaurus)
C0205258 (UMLS 2011AA)
CL Item
Not Imaged, Cannot Evaluate (Not imaged, cannot evaluate)
CL Item
Probably Abnormal (Probably abnormal)
CL Item
Probably Normal (Probably normal)
Item
Level III (Mid 1/3 Internal Jugular) Right
text
C17007 (NCI Thesaurus ObjectClass)
C0032743 (UMLS 2011AA ObjectClass)
CL215316 (NCI Metathesaurus ObjectClass)
C25228 (NCI Thesaurus Property)
C0205090 (UMLS 2011AA Property)
C20200 (NCI Thesaurus Property-2)
C1274040 (UMLS 2011AA Property-2)
C0243144 (NCI Metathesaurus Property)
C25664 (NCI Thesaurus ValueDomain)
C0349674 (UMLS 2011AA ValueDomain)
CL.17
Code List
Level III (Mid 1/3 Internal Jugular) Right
CL Item
Definitely Abnormal (Definitely abnormal)
CL Item
Definitely Normal (Definitely normal)
CL Item
Indeterminate (Indeterminate)
C48658 (NCI Thesaurus)
C0205258 (UMLS 2011AA)
CL Item
Not Imaged, Cannot Evaluate (Not imaged, cannot evaluate)
CL Item
Probably Abnormal (Probably abnormal)
CL Item
Probably Normal (Probably normal)
Item
Level IV (Lower 1/3 Internal Jugular) Right
text
C17007 (NCI Thesaurus ObjectClass)
C0032743 (UMLS 2011AA ObjectClass)
CL215315 (NCI Metathesaurus ObjectClass)
C25228 (NCI Thesaurus Property)
C0205090 (UMLS 2011AA Property)
C20200 (NCI Thesaurus Property-2)
C1274040 (UMLS 2011AA Property-2)
C0243144 (NCI Metathesaurus Property)
C25664 (NCI Thesaurus ValueDomain)
C0349674 (UMLS 2011AA ValueDomain)
CL.18
Code List
Level IV (Lower 1/3 Internal Jugular) Right
CL Item
Definitely Abnormal (Definitely abnormal)
CL Item
Definitely Normal (Definitely normal)
CL Item
Indeterminate (Indeterminate)
C48658 (NCI Thesaurus)
C0205258 (UMLS 2011AA)
CL Item
Not Imaged, Cannot Evaluate (Not imaged, cannot evaluate)
CL Item
Probably Abnormal (Probably abnormal)
CL Item
Probably Normal (Probably normal)
Item
Level V (Posterior Triangle) Right
text
C17007 (NCI Thesaurus ObjectClass)
C0032743 (UMLS 2011AA ObjectClass)
C12745 (NCI Thesaurus ObjectClass-2)
C0024204 (UMLS 2011AA ObjectClass-2)
C0230073 (NCI Metathesaurus ObjectClass)
C25228 (NCI Thesaurus Property)
C0205090 (UMLS 2011AA Property)
C20200 (NCI Thesaurus Property-2)
C1274040 (UMLS 2011AA Property-2)
C0243144 (NCI Metathesaurus Property)
C25664 (NCI Thesaurus ValueDomain)
C0349674 (UMLS 2011AA ValueDomain)
CL.19
Code List
Level V (Posterior Triangle) Right
CL Item
Definitely Abnormal (Definitely abnormal)
CL Item
Definitely Normal (Definitely normal)
CL Item
Indeterminate (Indeterminate)
C48658 (NCI Thesaurus)
C0205258 (UMLS 2011AA)
CL Item
Not Imaged, Cannot Evaluate (Not imaged, cannot evaluate)
CL Item
Probably Abnormal (Probably abnormal)
CL Item
Probably Normal (Probably normal)
Item
Retropharyngeal Right
text
C17007 (NCI Thesaurus ObjectClass)
C0032743 (UMLS 2011AA ObjectClass)
C0229737 (NCI Metathesaurus ObjectClass)
C25228 (NCI Thesaurus Property)
C0205090 (UMLS 2011AA Property)
C20200 (NCI Thesaurus Property-2)
C1274040 (UMLS 2011AA Property-2)
C0243144 (NCI Metathesaurus Property)
C25664 (NCI Thesaurus ValueDomain)
C0349674 (UMLS 2011AA ValueDomain)
CL.20
Code List
Retropharyngeal Right
CL Item
Definitely Abnormal (Definitely abnormal)
CL Item
Definitely Normal (Definitely normal)
CL Item
Indeterminate (Indeterminate)
C48658 (NCI Thesaurus)
C0205258 (UMLS 2011AA)
CL Item
Not Imaged, Cannot Evaluate (Not imaged, cannot evaluate)
CL Item
Probably Abnormal (Probably abnormal)
CL Item
Probably Normal (Probably normal)
StandardUptakeValuePositronEmissionTomographyAssessmentMeasurement
Item
SUV (peak)
float
C17007 (NCI Thesaurus ObjectClass)
C0032743 (UMLS 2011AA ObjectClass)
C44275 (NCI Thesaurus ObjectClass-2)
C1442989 (UMLS 2011AA ObjectClass-2)
C0243144 (NCI Metathesaurus ObjectClass)
C25712 (NCI Thesaurus ObjectClass-3)
C1522609 (UMLS 2011AA ObjectClass-3)
C20989 (NCI Thesaurus Property)
C0031809 (UMLS 2011AA Property)
C25209 (NCI Thesaurus ValueDomain)
C0242485 (UMLS 2011AA ValueDomain)
StandardUptakeValuePositronEmissionTomographyAssessmentMeasurement
Item
SUV (peak)
float
C17007 (NCI Thesaurus ObjectClass)
C0032743 (UMLS 2011AA ObjectClass)
C44275 (NCI Thesaurus ObjectClass-2)
C1442989 (UMLS 2011AA ObjectClass-2)
C0243144 (NCI Metathesaurus ObjectClass)
C25712 (NCI Thesaurus ObjectClass-3)
C1522609 (UMLS 2011AA ObjectClass-3)
C20989 (NCI Thesaurus Property)
C0031809 (UMLS 2011AA Property)
C25209 (NCI Thesaurus ValueDomain)
C0242485 (UMLS 2011AA ValueDomain)
StandardUptakeValuePositronEmissionTomographyAssessmentMeasurement
Item
SUV (peak)
float
C17007 (NCI Thesaurus ObjectClass)
C0032743 (UMLS 2011AA ObjectClass)
C44275 (NCI Thesaurus ObjectClass-2)
C1442989 (UMLS 2011AA ObjectClass-2)
C0243144 (NCI Metathesaurus ObjectClass)
C25712 (NCI Thesaurus ObjectClass-3)
C1522609 (UMLS 2011AA ObjectClass-3)
C20989 (NCI Thesaurus Property)
C0031809 (UMLS 2011AA Property)
C25209 (NCI Thesaurus ValueDomain)
C0242485 (UMLS 2011AA ValueDomain)
StandardUptakeValuePositronEmissionTomographyAssessmentMeasurement
Item
SUV (peak)
float
C17007 (NCI Thesaurus ObjectClass)
C0032743 (UMLS 2011AA ObjectClass)
C44275 (NCI Thesaurus ObjectClass-2)
C1442989 (UMLS 2011AA ObjectClass-2)
C0243144 (NCI Metathesaurus ObjectClass)
C25712 (NCI Thesaurus ObjectClass-3)
C1522609 (UMLS 2011AA ObjectClass-3)
C20989 (NCI Thesaurus Property)
C0031809 (UMLS 2011AA Property)
C25209 (NCI Thesaurus ValueDomain)
C0242485 (UMLS 2011AA ValueDomain)
StandardUptakeValuePositronEmissionTomographyAssessmentMeasurement
Item
SUV (peak)
float
C17007 (NCI Thesaurus ObjectClass)
C0032743 (UMLS 2011AA ObjectClass)
C44275 (NCI Thesaurus ObjectClass-2)
C1442989 (UMLS 2011AA ObjectClass-2)
C0243144 (NCI Metathesaurus ObjectClass)
C25712 (NCI Thesaurus ObjectClass-3)
C1522609 (UMLS 2011AA ObjectClass-3)
C20989 (NCI Thesaurus Property)
C0031809 (UMLS 2011AA Property)
C25209 (NCI Thesaurus ValueDomain)
C0242485 (UMLS 2011AA ValueDomain)
StandardUptakeValuePositronEmissionTomographyAssessmentMeasurement
Item
SUV (peak)
float
C17007 (NCI Thesaurus ObjectClass)
C0032743 (UMLS 2011AA ObjectClass)
C44275 (NCI Thesaurus ObjectClass-2)
C1442989 (UMLS 2011AA ObjectClass-2)
C0243144 (NCI Metathesaurus ObjectClass)
C25712 (NCI Thesaurus ObjectClass-3)
C1522609 (UMLS 2011AA ObjectClass-3)
C20989 (NCI Thesaurus Property)
C0031809 (UMLS 2011AA Property)
C25209 (NCI Thesaurus ValueDomain)
C0242485 (UMLS 2011AA ValueDomain)
StandardUptakeValuePositronEmissionTomographyAssessmentMeasurement
Item
SUV (peak)
float
C17007 (NCI Thesaurus ObjectClass)
C0032743 (UMLS 2011AA ObjectClass)
C44275 (NCI Thesaurus ObjectClass-2)
C1442989 (UMLS 2011AA ObjectClass-2)
C0243144 (NCI Metathesaurus ObjectClass)
C25712 (NCI Thesaurus ObjectClass-3)
C1522609 (UMLS 2011AA ObjectClass-3)
C20989 (NCI Thesaurus Property)
C0031809 (UMLS 2011AA Property)
C25209 (NCI Thesaurus ValueDomain)
C0242485 (UMLS 2011AA ValueDomain)
StandardUptakeValuePositronEmissionTomographyAssessmentMeasurement
Item
SUV (peak)
float
C17007 (NCI Thesaurus ObjectClass)
C0032743 (UMLS 2011AA ObjectClass)
C44275 (NCI Thesaurus ObjectClass-2)
C1442989 (UMLS 2011AA ObjectClass-2)
C0243144 (NCI Metathesaurus ObjectClass)
C25712 (NCI Thesaurus ObjectClass-3)
C1522609 (UMLS 2011AA ObjectClass-3)
C20989 (NCI Thesaurus Property)
C0031809 (UMLS 2011AA Property)
C25209 (NCI Thesaurus ValueDomain)
C0242485 (UMLS 2011AA ValueDomain)
StandardUptakeValuePositronEmissionTomographyAssessmentMeasurement
Item
SUV (peak)
float
C17007 (NCI Thesaurus ObjectClass)
C0032743 (UMLS 2011AA ObjectClass)
C44275 (NCI Thesaurus ObjectClass-2)
C1442989 (UMLS 2011AA ObjectClass-2)
C0243144 (NCI Metathesaurus ObjectClass)
C25712 (NCI Thesaurus ObjectClass-3)
C1522609 (UMLS 2011AA ObjectClass-3)
C20989 (NCI Thesaurus Property)
C0031809 (UMLS 2011AA Property)
C25209 (NCI Thesaurus ValueDomain)
C0242485 (UMLS 2011AA ValueDomain)
StandardUptakeValuePositronEmissionTomographyAssessmentMeasurement
Item
SUV (peak)
float
C17007 (NCI Thesaurus ObjectClass)
C0032743 (UMLS 2011AA ObjectClass)
C44275 (NCI Thesaurus ObjectClass-2)
C1442989 (UMLS 2011AA ObjectClass-2)
C0243144 (NCI Metathesaurus ObjectClass)
C25712 (NCI Thesaurus ObjectClass-3)
C1522609 (UMLS 2011AA ObjectClass-3)
C20989 (NCI Thesaurus Property)
C0031809 (UMLS 2011AA Property)
C25209 (NCI Thesaurus ValueDomain)
C0242485 (UMLS 2011AA ValueDomain)
StandardUptakeValuePositronEmissionTomographyAssessmentMeasurement
Item
SUV (peak)
float
C17007 (NCI Thesaurus ObjectClass)
C0032743 (UMLS 2011AA ObjectClass)
C44275 (NCI Thesaurus ObjectClass-2)
C1442989 (UMLS 2011AA ObjectClass-2)
C0243144 (NCI Metathesaurus ObjectClass)
C25712 (NCI Thesaurus ObjectClass-3)
C1522609 (UMLS 2011AA ObjectClass-3)
C20989 (NCI Thesaurus Property)
C0031809 (UMLS 2011AA Property)
C25209 (NCI Thesaurus ValueDomain)
C0242485 (UMLS 2011AA ValueDomain)
StandardUptakeValuePositronEmissionTomographyAssessmentMeasurement
Item
SUV (peak)
float
C17007 (NCI Thesaurus ObjectClass)
C0032743 (UMLS 2011AA ObjectClass)
C44275 (NCI Thesaurus ObjectClass-2)
C1442989 (UMLS 2011AA ObjectClass-2)
C0243144 (NCI Metathesaurus ObjectClass)
C25712 (NCI Thesaurus ObjectClass-3)
C1522609 (UMLS 2011AA ObjectClass-3)
C20989 (NCI Thesaurus Property)
C0031809 (UMLS 2011AA Property)
C25209 (NCI Thesaurus ValueDomain)
C0242485 (UMLS 2011AA ValueDomain)
StandardUptakeValuePositronEmissionTomographyAssessmentMeasurement
Item
SUV (peak)
float
C17007 (NCI Thesaurus ObjectClass)
C0032743 (UMLS 2011AA ObjectClass)
C44275 (NCI Thesaurus ObjectClass-2)
C1442989 (UMLS 2011AA ObjectClass-2)
C0243144 (NCI Metathesaurus ObjectClass)
C25712 (NCI Thesaurus ObjectClass-3)
C1522609 (UMLS 2011AA ObjectClass-3)
C20989 (NCI Thesaurus Property)
C0031809 (UMLS 2011AA Property)
C25209 (NCI Thesaurus ValueDomain)
C0242485 (UMLS 2011AA ValueDomain)
StandardUptakeValuePositronEmissionTomographyAssessmentMeasurement
Item
SUV (peak)
float
C17007 (NCI Thesaurus ObjectClass)
C0032743 (UMLS 2011AA ObjectClass)
C44275 (NCI Thesaurus ObjectClass-2)
C1442989 (UMLS 2011AA ObjectClass-2)
C0243144 (NCI Metathesaurus ObjectClass)
C25712 (NCI Thesaurus ObjectClass-3)
C1522609 (UMLS 2011AA ObjectClass-3)
C20989 (NCI Thesaurus Property)
C0031809 (UMLS 2011AA Property)
C25209 (NCI Thesaurus ValueDomain)
C0242485 (UMLS 2011AA ValueDomain)
StandardUptakeValuePositronEmissionTomographyAssessmentMeasurement
Item
SUV (peak)
float
C17007 (NCI Thesaurus ObjectClass)
C0032743 (UMLS 2011AA ObjectClass)
C44275 (NCI Thesaurus ObjectClass-2)
C1442989 (UMLS 2011AA ObjectClass-2)
C0243144 (NCI Metathesaurus ObjectClass)
C25712 (NCI Thesaurus ObjectClass-3)
C1522609 (UMLS 2011AA ObjectClass-3)
C20989 (NCI Thesaurus Property)
C0031809 (UMLS 2011AA Property)
C25209 (NCI Thesaurus ValueDomain)
C0242485 (UMLS 2011AA ValueDomain)
Item
Other location Right
text
C17649 (NCI Thesaurus ObjectClass)
C0205394 (UMLS 2011AA ObjectClass)
C17007 (NCI Thesaurus ObjectClass-2)
C0032743 (UMLS 2011AA ObjectClass-2)
C12745 (NCI Thesaurus ObjectClass-3)
C0024204 (UMLS 2011AA ObjectClass-3)
C25228 (NCI Thesaurus Property)
C0205090 (UMLS 2011AA Property)
C20200 (NCI Thesaurus Property-2)
C1274040 (UMLS 2011AA Property-2)
C0243144 (NCI Metathesaurus Property)
C25664 (NCI Thesaurus ValueDomain)
C0349674 (UMLS 2011AA ValueDomain)
CL.21
Code List
Other location Right
CL Item
Definitely Abnormal (Definitely abnormal)
CL Item
Definitely Normal (Definitely normal)
CL Item
Indeterminate (Indeterminate)
C48658 (NCI Thesaurus)
C0205258 (UMLS 2011AA)
CL Item
Not Imaged, Cannot Evaluate (Not imaged, cannot evaluate)
CL Item
Probably Abnormal (Probably abnormal)
CL Item
Probably Normal (Probably normal)
LymphadenopathyPositronEmissionTomographyAssessmentSpecify
Item
Other location, specify (Right)
text
C25685 (NCI Thesaurus ValueDomain)
C1521902 (UMLS 2011AA ValueDomain)
C25367 (NCI Thesaurus Property)
C17007 (NCI Thesaurus Property-2)
C0032743 (UMLS 2011AA Property)
C3206 (NCI Thesaurus ObjectClass)
C0024228 (UMLS 2011AA ObjectClass)
LymphadenopathyPositronEmissionTomographyAssessmentSpecify
Item
Other location, specify (Right)
text
C25685 (NCI Thesaurus ValueDomain)
C1521902 (UMLS 2011AA ValueDomain)
C25367 (NCI Thesaurus Property)
C17007 (NCI Thesaurus Property-2)
C0032743 (UMLS 2011AA Property)
C3206 (NCI Thesaurus ObjectClass)
C0024228 (UMLS 2011AA ObjectClass)
Item Group
Indicate Any Lymphadenopathy
DistantMetastasisDetectedPositronEmissionTomographyInd-2
Item
Were there any distant metastases with PET findings?
boolean
C25321 (NCI Thesaurus ObjectClass)
C0443203 (UMLS 2011AA ObjectClass)
C19151 (NCI Thesaurus ObjectClass-2)
C0027627 (UMLS 2011AA ObjectClass-2)
C17007 (NCI Thesaurus Property)
C0032743 (UMLS 2011AA Property)
C25481 (NCI Thesaurus Property-2)
C38147 (NCI Thesaurus ValueDomain)
C1512698 (UMLS 2011AA ValueDomain)
OtherHeadAndNeckDistantMetastasisSpecify
Item
Specify site
text
C25685 (NCI Thesaurus ValueDomain)
C1521902 (UMLS 2011AA ValueDomain)
C17649 (NCI Thesaurus ObjectClass)
C0205394 (UMLS 2011AA ObjectClass)
C12418 (NCI Thesaurus ObjectClass-2)
C0460004 (UMLS 2011AA ObjectClass-2)
CL031818 (NCI Metathesaurus Property)
Item Group
Comments
Research Comments
Item
COMMENTS
text
C25704 (NCI Thesaurus ValueDomain)
C0947611 (UMLS CUI-1)
C15319 (NCI Thesaurus ObjectClass)
C25393 (NCI Thesaurus Property)
NuclearMedicinePhysicianSignatureText
Item
Signature of Nuclear Medicine M.D.
text
C25704 (NCI Thesaurus ValueDomain)
C1527021 (UMLS 2011AA ValueDomain)
C25678 (NCI Thesaurus Property)
C1519316 (UMLS 2011AA Property)
C25741 (NCI Thesaurus ObjectClass)
C0031831 (UMLS 2011AA ObjectClass)
C16922 (NCI Thesaurus ObjectClass-2)
C0028582 (UMLS 2011AA ObjectClass-2)
Person Completing Form
Item
Person Completing Form
text
C25191 (NCI Thesaurus ValueDomain)
C1550483 (UMLS CUI-1)
C25657 (NCI Thesaurus ObjectClass)
C25364 (NCI Thesaurus Property)
Form Completion Date
Item
Form Completion Date, Original (mm-dd-yyyy)
date
C19464 (NCI Thesaurus ObjectClass)
C1549507 (UMLS CUI-1)
C25250 (NCI Thesaurus Property)
C25604 (NCI Thesaurus Property-2)
C25164 (NCI Thesaurus ValueDomain)
C25367 (NCI Thesaurus ValueDomain-2)
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