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11828

Description

Southwest Oncology Group S0600 Prestudy Form Irinotecan and Cetuximab With or Without Bevacizumab in Treating Patients With Metastatic Colorectal Cancer That Progressed During First-Line Therapy Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=153FB385-1447-52C3-E044-0003BA3F9857

Lien

https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=153FB385-1447-52C3-E044-0003BA3F9857

Mots-clés

Versions (4)
  1. 27/08/2012 27/08/2012 -
  2. 08/08/2014 08/08/2014 - Martin Dugas
  3. 09/01/2015 09/01/2015 - Martin Dugas
  4. 05/08/2015 05/08/2015 - Martin Dugas
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5 août 2015

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Creative Commons BY-NC 3.0 Legacy
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    Pre-Study Form Colorectal Cancer SWOG S0600 NCT00499369

    Anglais

    No Instruction available.

    1 Formulaires  
    1. StudyEvent: Southwest Oncology Group S0600 Prestudy Form
      1. No Instruction available.
    Header
    Description

    Header

    SWOG Patient ID
    Description

    Trial subject ID SWOG

    Type de données

    float

    Alias
    NCI Thesaurus ValueDomain
    C25337
    UMLS CUI-1
    C2348585
    NCI Thesaurus ObjectClass
    C16960
    UMLS CUI-2
    C1519429
    NCI Thesaurus Property
    C25364
    NCI Thesaurus Property-2
    C25699
    SWOG Study No.
    Description

    Protocol ID SWOG

    Type de données

    text

    Alias
    NCI Thesaurus ValueDomain
    C25337
    UMLS CUI-1
    C3274381
    NCI Thesaurus ObjectClass
    C25320
    UMLS CUI-2
    C1519429
    NCI Thesaurus Property
    C25364
    NCI Thesaurus Property-2
    C25699
    Registration Step
    Description

    Registration Number

    Type de données

    text

    Alias
    NCI Thesaurus ValueDomain
    C25337
    UMLS CUI-1
    C1514821
    NCI Thesaurus ObjectClass
    C25646
    UMLS CUI-2
    C0237753
    NCI Thesaurus Property
    C16154
    NCI Thesaurus ValueDomain-2
    C16154
    Patient Initials (L, F M)
    Description

    Patient Initials

    Type de données

    text

    Alias
    NCI Thesaurus ValueDomain
    C25191
    UMLS CUI-1
    C2986440
    NCI Thesaurus ObjectClass
    C16960
    NCI Thesaurus Property
    C25536
    Institution/Affiliate
    Description

    Institution Name

    Type de données

    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
    Physician
    Description

    Investigator Name

    Type de données

    text

    Alias
    NCI Thesaurus ValueDomain
    C25191
    UMLS CUI-1
    C2826892
    NCI Thesaurus Property
    C25364
    NCI Thesaurus ObjectClass
    C17089
    NCI Thesaurus ObjectClass-2
    C25644
    Participating Group Name
    Description

    Participating Group

    Type de données

    text

    Alias
    NCI Thesaurus ValueDomain
    C25191
    UMLS CUI-1
    C2347449
    NCI Thesaurus ObjectClass
    C25608
    NCI Thesaurus ObjectClass-2
    C17005
    NCI Thesaurus Property
    C25364
    Participating Group Study No.
    Description

    Study Number Participating Group

    Type de données

    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
    Participating Group Patient ID (Place an X in appropriate boxes. Circle AMENDED items in red and write AMENDED across the top of the form.)
    Description

    Trial subject ID Participating Group

    Type de données

    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
    Comments
    Description

    Research Comments

    Type de données

    text

    Alias
    NCI Thesaurus ValueDomain
    C25704
    UMLS CUI-1
    C0947611
    NCI Thesaurus ObjectClass
    C15319
    NCI Thesaurus Property
    C25393
    Disease Description
    Description

    Disease Description

    Performance Status
    Description

    ECOG Performance Status

    Type de données

    text

    Alias
    NCI Thesaurus ValueDomain
    C25664
    UMLS CUI-1
    C1520224
    NCI Thesaurus Property
    C25367
    NCI Thesaurus ValueDomain-2
    C25491
    NCI Thesaurus ObjectClass
    C20641
    Date of progression on first-line chemotherapy
    Description

    First-LineTherapyProgressionChemotherapyRegimenDate

    Type de données

    date

    Alias
    NCI Thesaurus ObjectClass
    C15632
    UMLS 2011AA ObjectClass
    C0392920
    NCI Thesaurus ObjectClass-2
    C25331
    NCI Thesaurus ObjectClass-3
    C45792
    UMLS 2011AA ObjectClass-2
    C1708063
    NCI Thesaurus Property
    C15697
    UMLS 2011AA Property
    C0040808
    NCI Thesaurus ValueDomain
    C25164
    UMLS 2011AA ValueDomain
    C0011008
    Site of Involvement (s - select all that apply for current disease:)
    Description

    DiseaseInvolvementSite

    Type de données

    text

    Alias
    NCI Thesaurus ValueDomain
    C13717
    UMLS 2011AA ValueDomain
    C1515974
    NCI Thesaurus ObjectClass
    C2991
    UMLS 2011AA ObjectClass
    C0012634
    NCI Thesaurus Property
    C25548
    UMLS 2011AA Property
    C1314939
    Laboratory Values
    Description

    Laboratory Values

    ANC
    Description

    ANC

    Type de données

    float

    Unités de mesure
    • 1000/ul
    Alias
    NCI Thesaurus ObjectClass
    C25294
    NCI Thesaurus Property
    C12533
    NCI Thesaurus Property-2
    C20200
    NCI Thesaurus ValueDomain
    C25304
    NCI Thesaurus ValueDomain-2
    C25712
    UMLS CUI [1]
    C0200633
    1000/ul
    Absolute neutrophil count LLN
    Description

    Absolute neutrophil count LLN

    Type de données

    float

    Unités de mesure
    • /ul
    Alias
    NCI Thesaurus ObjectClass
    C25294
    NCI Thesaurus Property
    C12533
    NCI Thesaurus Property-2
    C20200
    NCI Thesaurus ValueDomain
    C25712
    NCI Thesaurus ValueDomain-2
    C25555
    UMLS CUI [1,1]
    C0948762
    UMLS CUI [1,2]
    C1518030
    /ul
    Collection Date
    Description

    SpecimenCollectedDate

    Type de données

    date

    Alias
    NCI Thesaurus ValueDomain
    C25164
    UMLS 2011AA ValueDomain
    C0011008
    NCI Thesaurus ObjectClass
    C19157
    UMLS 2011AA ObjectClass
    C0370003
    NCI Thesaurus Property
    C25452
    NCI Thesaurus Property-2
    C25275
    UMLS 2011AA Property
    C2745955
    Peripheral Platelet Count
    Description

    Peripheral Platelet Count

    Type de données

    float

    Unités de mesure
    • 1000/uL
    Alias
    NCI Thesaurus Property
    C20200
    NCI Thesaurus Property-2
    C12520
    NCI Thesaurus ObjectClass
    C25294
    NCI Thesaurus ValueDomain
    C25712
    UMLS CUI [1]
    C0005821
    1000/uL
    Platelets LLN
    Description

    Platelets LLN

    Type de données

    float

    Unités de mesure
    • 1000/ul
    Alias
    NCI Thesaurus ObjectClass
    C25294
    NCI Thesaurus Property
    C20200
    NCI Thesaurus Property-2
    C12520
    NCI Thesaurus ValueDomain
    C25712
    NCI Thesaurus ValueDomain-2
    C25555
    UMLS CUI [1,1]
    C0005821
    UMLS CUI [1,2]
    C1518030
    1000/ul
    Hemoglobin
    Description

    Hemoglobin

    Type de données

    float

    Unités de mesure
    • g/dL
    Alias
    NCI Thesaurus Property
    C16676
    NCI Thesaurus Property-2
    C20200
    NCI Thesaurus ObjectClass
    C25294
    NCI Thesaurus ValueDomain
    C25712
    UMLS CUI [1]
    C0019046
    g/dL
    Hemoglobin, LLN
    Description

    Hemoglobin, LLN

    Type de données

    float

    Unités de mesure
    • g/dL
    Alias
    NCI Thesaurus ObjectClass
    C25294
    NCI Thesaurus Property
    C16676
    NCI Thesaurus Property-2
    C20200
    NCI Thesaurus ValueDomain
    C25712
    NCI Thesaurus ValueDomain-2
    C38024
    NCI Thesaurus ValueDomain-3
    C25555
    UMLS CUI [1,1]
    C0019046
    UMLS CUI [1,2]
    C1518030
    g/dL
    Patient receiving full-dose anticoagulants
    Description

    FullDoseAnticoagulantAgentCurrentUseInd-2

    Type de données

    boolean

    Alias
    NCI Thesaurus ObjectClass
    C25488
    UMLS 2011AA ObjectClass
    C0178602
    NCI Thesaurus ObjectClass-2
    C263
    UMLS 2011AA ObjectClass-2
    C0003280
    NCI Thesaurus ObjectClass-3
    C25517
    UMLS 2011AA ObjectClass-3
    C0443225
    NCI Thesaurus Property
    C25471
    UMLS 2011AA Property
    C0521116
    NCI Thesaurus Property-2
    C25340
    UMLS 2011AA Property-2
    C0457083
    NCI Thesaurus ValueDomain
    C38147
    UMLS 2011AA ValueDomain
    C1512698
    INR
    Description

    INR

    Type de données

    float

    Alias
    NCI Thesaurus Property
    C20200
    NCI Thesaurus ObjectClass
    C25294
    NCI Thesaurus Property-2
    C25352
    NCI Thesaurus ValueDomain
    C25712
    UMLS CUI [1]
    C0525032
    Liver metastases (Hepatic:)
    Description

    MalignantNeoplasmLiverMetastaticInvolvementInd-3

    Type de données

    boolean

    Alias
    NCI Thesaurus ObjectClass
    C9305
    UMLS 2011AA ObjectClass
    C0006826
    NCI Thesaurus Property
    C14174
    UMLS 2011AA Property
    C0036525
    NCI Thesaurus Property-2
    C12392
    UMLS 2011AA Property-2
    C0023884
    NCI Thesaurus Property-3
    C25548
    UMLS 2011AA Property-3
    C1314939
    NCI Thesaurus ValueDomain
    C38148
    UMLS 2011AA ValueDomain
    C1512699
    Total Bilirubin
    Description

    Total Bilirubin

    Type de données

    float

    Unités de mesure
    • mg/dL
    Alias
    NCI Thesaurus ObjectClass
    C25304
    NCI Thesaurus ObjectClass-2
    C305
    NCI Thesaurus Property
    C13308
    NCI Thesaurus Property-2
    C37984
    NCI Thesaurus ValueDomain
    C38046
    NCI Thesaurus ValueDomain-2
    C25712
    UMLS CUI [1]
    C0201913
    mg/dL
    Total bilirubin ULN
    Description

    Total bilirubin ULN

    Type de données

    float

    Unités de mesure
    • mg/dL
    Alias
    NCI Thesaurus ObjectClass
    C25294
    NCI Thesaurus Property
    C20200
    NCI Thesaurus Property-2
    C38037
    NCI Thesaurus ValueDomain
    C25712
    NCI Thesaurus ValueDomain-2
    C38024
    NCI Thesaurus ValueDomain-3
    C25706
    UMLS CUI [1,1]
    C0201913
    UMLS CUI [1,2]
    C1519815
    mg/dL
    AST (SGOT)
    Description

    AST (SGOT)

    Type de données

    float

    Unités de mesure
    • U/L
    Alias
    NCI Thesaurus Property
    C25202
    NCI Thesaurus Property-2
    C20200
    NCI Thesaurus ObjectClass
    C25294
    NCI Thesaurus ValueDomain
    C25712
    UMLS CUI [1]
    C0201899
    U/L
    AST (SGOT) ULN
    Description

    AST (SGOT) ULN

    Type de données

    float

    Unités de mesure
    • U/L
    Alias
    NCI Thesaurus Property
    C25202
    NCI Thesaurus Property-2
    C20200
    NCI Thesaurus ObjectClass
    C25294
    NCI Thesaurus ValueDomain
    C25712
    NCI Thesaurus ValueDomain-2
    C25706
    UMLS CUI [1,1]
    C0242192
    UMLS CUI [1,2]
    C1519815
    U/L
    ALT (SGPT)
    Description

    ALT (SGPT)

    Type de données

    float

    Unités de mesure
    • U/L
    Alias
    NCI Thesaurus ObjectClass
    C13308
    NCI Thesaurus Property
    C37984
    NCI Thesaurus Property-2
    C25293
    NCI Thesaurus ValueDomain
    C38046
    NCI Thesaurus ValueDomain-2
    C25712
    UMLS CUI [1]
    C0201836
    U/L
    ALT (SGPT) ULN
    Description

    ALT (SGPT) ULN

    Type de données

    float

    Unités de mesure
    • U/L
    Alias
    NCI Thesaurus ObjectClass
    C25294
    NCI Thesaurus Property
    C20200
    NCI Thesaurus Property-2
    C25293
    NCI Thesaurus ValueDomain
    C25712
    NCI Thesaurus ValueDomain-2
    C25706
    UMLS CUI [1,1]
    C0376147
    UMLS CUI [1,2]
    C1519815
    U/L
    Serum creatinine
    Description

    Serum creatinine

    Type de données

    float

    Unités de mesure
    • mg/dL
    Alias
    NCI Thesaurus ObjectClass
    C16960
    NCI Thesaurus Property
    C13325
    NCI Thesaurus Property-2
    C399
    UMLS CUI [1]
    C0201976
    mg/dL
    Serum Creatinine ULN
    Description

    Creatinine, serum ULN

    Type de données

    float

    Unités de mesure
    • mg/dL
    Alias
    NCI Thesaurus ObjectClass
    C25294
    UMLS CUI-1
    C0201976
    NCI Thesaurus Property
    C20200
    UMLS CUI-2
    C1519815
    NCI Thesaurus Property-2
    C399
    NCI Thesaurus ValueDomain
    C25712
    NCI Thesaurus ValueDomain-2
    C25706
    mg/dL
    Creatinine Clearance measured
    Description

    Creatinine Clearance measured

    Type de données

    float

    Unités de mesure
    • mL/min
    Alias
    NCI Thesaurus Property
    C20200
    NCI Thesaurus Property-2
    C25747
    NCI Thesaurus ObjectClass
    C25294
    NCI Thesaurus ValueDomain
    C25712
    UMLS CUI [1]
    C0373595
    mL/min
    Creatinine Clearance estimated
    Description

    Creatinine Clearance estimated

    Type de données

    float

    Unités de mesure
    • mL/min
    Alias
    NCI Thesaurus ObjectClass
    C25294
    NCI Thesaurus Property
    C20200
    NCI Thesaurus Property-2
    C25747
    NCI Thesaurus ValueDomain
    C25498
    NCI Thesaurus ValueDomain-2
    C25712
    UMLS CUI [1]
    C0373595
    mL/min
    UPC ratio
    Description

    UrinaryCreatinineProteinAssessmentValue

    Type de données

    float

    Alias
    NCI Thesaurus ObjectClass
    C25711
    UMLS 2011AA ObjectClass
    C1524119
    NCI Thesaurus ObjectClass-2
    C17021
    UMLS 2011AA ObjectClass-2
    C0033684
    NCI Metathesaurus ObjectClass
    C0010294
    NCI Thesaurus Property
    C25367
    NCI Thesaurus ValueDomain
    C25712
    UMLS 2011AA ValueDomain
    C1522609
    Protein from 24 hour Urine Collection (if > 0.5, then 24 hour:)
    Description

    UrinaryProteinCollectionValue

    Type de données

    float

    Unités de mesure
    • g/24 hours
    Alias
    NCI Thesaurus Property
    C25453
    UMLS 2011AA Property
    C1516698
    NCI Thesaurus ValueDomain
    C25712
    UMLS 2011AA ValueDomain
    C1522609
    NCI Thesaurus ObjectClass
    C17021
    UMLS 2011AA ObjectClass
    C0033684
    g/24 hours
    Ionized serum calcium
    Description

    Ionized serum calcium

    Type de données

    float

    Unités de mesure
    • mmol/L
    Alias
    NCI Thesaurus Property
    C20200
    NCI Thesaurus ObjectClass
    C25294
    NCI Thesaurus ValueDomain
    C25712
    NCI Thesaurus Property-2
    C464
    NCI Thesaurus Property-3
    C61660
    UMLS CUI [1]
    C0201927
    mmol/L
    Ionized serum calcium LLN
    Description

    Ionized serum calcium LLN

    Type de données

    float

    Unités de mesure
    • mmol/L
    Alias
    NCI Thesaurus ObjectClass
    C25294
    NCI Thesaurus Property
    C20200
    NCI Thesaurus Property-2
    C464
    NCI Thesaurus Property-3
    C61660
    NCI Thesaurus ValueDomain
    C25712
    NCI Thesaurus ValueDomain-2
    C25555
    UMLS CUI [1,1]
    C0201927
    UMLS CUI [1,2]
    C1518030
    mmol/L
    Calcium
    Description

    Calcium

    Type de données

    float

    Unités de mesure
    • mmol/l
    Alias
    NCI Thesaurus ObjectClass
    C25294
    NCI Thesaurus Property
    C331
    NCI Thesaurus Property-2
    C20200
    NCI Thesaurus Property-3
    C464
    NCI Thesaurus ValueDomain
    C25712
    UMLS CUI [1]
    C0201925
    mmol/l
    Calcium LLN
    Description

    Calcium LLN

    Type de données

    float

    Unités de mesure
    • mmol/l
    Alias
    NCI Thesaurus ObjectClass
    C25294
    NCI Thesaurus Property
    C331
    NCI Thesaurus Property-2
    C13325
    NCI Thesaurus Property-3
    C20200
    NCI Thesaurus ValueDomain
    C25712
    NCI Thesaurus ValueDomain-2
    C25555
    UMLS CUI [1,1]
    C0201925
    UMLS CUI [1,2]
    C1518030
    mmol/l
    Magnesium
    Description

    Magnesium

    Type de données

    float

    Unités de mesure
    • mmol/L
    Alias
    NCI Thesaurus ObjectClass
    C25294
    NCI Thesaurus Property
    C20200
    NCI Thesaurus Property-2
    C29239
    NCI Thesaurus ValueDomain
    C38046
    NCI Thesaurus ValueDomain-2
    C25712
    UMLS CUI [1]
    C0024467
    mmol/L
    Magnesium, LLN
    Description

    Magnesium, LLN

    Type de données

    float

    Unités de mesure
    • mmol/l
    Alias
    NCI Thesaurus ObjectClass
    C25294
    NCI Thesaurus Property
    C20200
    NCI Thesaurus Property-2
    C29239
    NCI Thesaurus ValueDomain
    C38046
    NCI Thesaurus ValueDomain-2
    C25712
    NCI Thesaurus ValueDomain-3
    C25555
    UMLS CUI [1,1]
    C0024467
    UMLS CUI [1,2]
    C1518030
    mmol/l
    Sodium
    Description

    Sodium

    Type de données

    float

    Unités de mesure
    • mmol/L
    Alias
    NCI Thesaurus ObjectClass
    C25294
    NCI Thesaurus Property
    C20200
    NCI Thesaurus Property-2
    C830
    NCI Thesaurus Property-3
    C464
    NCI Thesaurus ValueDomain
    C25712
    UMLS CUI [1]
    C0337443
    mmol/L
    Sodium LLN
    Description

    Sodium LLN

    Type de données

    float

    Unités de mesure
    • mmol/l
    Alias
    NCI Thesaurus ObjectClass
    C25294
    NCI Thesaurus Property
    C20200
    NCI Thesaurus Property-2
    C830
    NCI Thesaurus Property-3
    C464
    NCI Thesaurus ValueDomain
    C25712
    NCI Thesaurus ValueDomain-2
    C25555
    UMLS CUI [1,1]
    C0037473
    UMLS CUI [1,2]
    C1518030
    mmol/l
    Potassium
    Description

    Potassium

    Type de données

    float

    Unités de mesure
    • mmol/l
    Alias
    NCI Thesaurus ObjectClass
    C25294
    NCI Thesaurus Property
    C20200
    NCI Thesaurus Property-2
    C464
    NCI Thesaurus Property-3
    C765
    NCI Thesaurus ValueDomain
    C25712
    UMLS CUI [1]
    C0202194
    mmol/l
    Potassium LLN
    Description

    Potassium LLN

    Type de données

    float

    Unités de mesure
    • mmol/l
    Alias
    NCI Thesaurus ObjectClass
    C25294
    NCI Thesaurus Property
    C20200
    NCI Thesaurus Property-2
    C464
    NCI Thesaurus Property-3
    C765
    NCI Thesaurus ValueDomain
    C25712
    NCI Thesaurus ValueDomain-2
    C25555
    UMLS CUI [1,1]
    C0202194
    UMLS CUI [1,2]
    C1518030
    mmol/l
    Bicarbonate
    Description

    Bicarbonate

    Type de données

    float

    Unités de mesure
    • mmol/L
    Alias
    NCI Thesaurus ObjectClass
    C25294
    NCI Thesaurus Property
    C20200
    NCI Thesaurus Property-2
    C37918
    NCI Thesaurus ValueDomain
    C38046
    NCI Thesaurus ValueDomain-2
    C25712
    UMLS CUI [1]
    C0005367
    mmol/L
    Bicarbonate LLN
    Description

    Bicarbonate LLN

    Type de données

    float

    Unités de mesure
    • mmol/L
    Alias
    NCI Thesaurus ObjectClass
    C25294
    NCI Thesaurus Property
    C20200
    NCI Thesaurus Property-2
    C37918
    NCI Thesaurus ValueDomain
    C38046
    NCI Thesaurus ValueDomain-2
    C25712
    NCI Thesaurus ValueDomain-3
    C25555
    UMLS CUI [1,1]
    C0005367
    UMLS CUI [1,2]
    C1518030
    mmol/L
    Chloride
    Description

    Chloride

    Type de données

    float

    Unités de mesure
    • mmol/L
    Alias
    NCI Thesaurus ObjectClass
    C25294
    NCI Thesaurus Property
    C20200
    NCI Thesaurus Property-2
    C464
    NCI Thesaurus Property-3
    C1741
    NCI Thesaurus ValueDomain
    C25712
    UMLS CUI [1]
    C0201952
    mmol/L
    Chloride LLN
    Description

    Chloride LLN

    Type de données

    float

    Unités de mesure
    • mmol/L
    Alias
    NCI Thesaurus ObjectClass
    C25294
    NCI Thesaurus Property
    C20200
    NCI Thesaurus Property-2
    C464
    NCI Thesaurus Property-3
    C1741
    NCI Thesaurus ValueDomain
    C25712
    NCI Thesaurus ValueDomain-2
    C25555
    UMLS CUI [1,1]
    C0201952
    UMLS CUI [1,2]
    C1518030
    mmol/L
    Systolic
    Description

    Systolic

    Type de données

    integer

    Unités de mesure
    • mmHg
    Alias
    NCI Thesaurus ValueDomain
    C25209
    NCI Thesaurus Property
    C25214
    NCI Thesaurus ObjectClass
    C25298
    UMLS CUI [1]
    C0871470
    mmHg
    Diastolic
    Description

    Diastolic

    Type de données

    integer

    Unités de mesure
    • mmHg
    Alias
    NCI Thesaurus ValueDomain
    C25209
    NCI Thesaurus Property
    C25214
    NCI Thesaurus ObjectClass
    C25299
    UMLS CUI [1]
    C0428883
    mmHg
    Prior Treatment Related To This Cancer
    Description

    Prior Treatment Related To This Cancer

    Prior Therapy Type (select ALL that apply)
    Description

    SWOGPriorTherapyAdministeredType

    Type de données

    text

    Alias
    NCI Thesaurus ObjectClass
    C25699
    UMLS 2011AA ObjectClass
    C1519429
    NCI Thesaurus ObjectClass-2
    C25629
    UMLS 2011AA ObjectClass-2
    C0332152
    NCI Thesaurus ObjectClass-3
    C15368
    NCI Thesaurus Property
    C25409
    UMLS 2011AA Property
    C1533734
    NCI Thesaurus ValueDomain
    C25284
    UMLS 2011AA ValueDomain
    C0332307
    Number of prior chemotherapy regimens
    Description

    PriorChemotherapyRegimenNumber

    Type de données

    text

    Alias
    NCI Thesaurus ValueDomain
    C25337
    UMLS 2011AA ValueDomain
    C0237753
    NCI Thesaurus ObjectClass
    C15632
    UMLS 2011AA ObjectClass
    C0392920
    NCI Thesaurus ObjectClass-2
    C25629
    UMLS 2011AA ObjectClass-2
    C0332152
    NCI Thesaurus Property
    C15697
    UMLS 2011AA Property
    C0040808
    Date Prior Chemotherapy Ended
    Description

    PriorChemotherapyAdministeredEndDate

    Type de données

    date

    Alias
    NCI Thesaurus ValueDomain
    C25164
    UMLS 2011AA ValueDomain
    C0011008
    NCI Thesaurus ObjectClass
    C15632
    UMLS 2011AA ObjectClass
    C0392920
    NCI Thesaurus ObjectClass-2
    C25629
    UMLS 2011AA ObjectClass-2
    C0332152
    NCI Thesaurus Property
    C25382
    UMLS 2011AA Property
    C1521801
    Date prior bevacizumab ended
    Description

    LastBevacizumabPriorAdministeredDate

    Type de données

    date

    Alias
    NCI Thesaurus ObjectClass
    C2039
    UMLS 2011AA ObjectClass
    C0796392
    NCI Thesaurus ObjectClass-2
    C25551
    UMLS 2011AA ObjectClass-2
    C1517741
    NCI Thesaurus Property
    C25629
    UMLS 2011AA Property
    C0332152
    NCI Thesaurus Property-2
    C25382
    UMLS 2011AA Property-2
    C1521801
    NCI Thesaurus ValueDomain
    C25164
    UMLS 2011AA ValueDomain
    C0011008
    Front-line chemotherapy regimen (select one)
    Description

    First-LineTherapyChemotherapyRegimenType

    Type de données

    text

    Alias
    NCI Thesaurus ValueDomain
    C25284
    UMLS 2011AA ValueDomain
    C0332307
    NCI Thesaurus ObjectClass
    C15632
    UMLS 2011AA ObjectClass
    C0392920
    NCI Thesaurus Property
    C15697
    UMLS 2011AA Property
    C0040808
    NCI Thesaurus ObjectClass-2
    C45792
    UMLS 2011AA ObjectClass-2
    C1708063
    Prior radiation therapy stop date (if applicable)
    Description

    PriorRadiationTherapyAdministeredEndDate

    Type de données

    date

    Alias
    NCI Thesaurus ValueDomain
    C25164
    UMLS 2011AA ValueDomain
    C0011008
    NCI Thesaurus ObjectClass
    C15313
    UMLS 2011AA ObjectClass
    C1522449
    NCI Thesaurus ObjectClass-2
    C25629
    UMLS 2011AA ObjectClass-2
    C0332152
    NCI Thesaurus Property
    C25382
    UMLS 2011AA Property
    C1521801
    Date of Most Recent Surgery (major if applicable)
    Description

    RecentSurgeryDate

    Type de données

    date

    Alias
    NCI Thesaurus ObjectClass
    C15329
    UMLS 2011AA ObjectClass
    C0543467
    NCI Thesaurus ObjectClass-2
    C25280
    UMLS 2011AA ObjectClass-2
    C0332185
    NCI Thesaurus Property
    C25275
    UMLS 2011AA Property
    C2745955
    NCI Thesaurus ValueDomain
    C25164
    UMLS 2011AA ValueDomain
    C0011008
    NCI Thesaurus ValueDomain-2
    C25367
    Other therapy, specify
    Description

    SWOGPriorTherapyAdministrationSpecify

    Type de données

    text

    Alias
    NCI Thesaurus ObjectClass
    C25699
    UMLS 2011AA ObjectClass
    C1519429
    NCI Thesaurus ObjectClass-2
    C25629
    UMLS 2011AA ObjectClass-2
    C0332152
    NCI Thesaurus ObjectClass-3
    C15368
    NCI Thesaurus Property
    C25409
    UMLS 2011AA Property
    C1533734
    NCI Thesaurus ValueDomain
    C25685
    UMLS 2011AA ValueDomain
    C1521902
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    1 Formulaires
    1. StudyEvent: Southwest Oncology Group S0600 Prestudy Form
      1. No Instruction available.
    Name
    Type
    Description | Question | Decode (Coded Value)
    Type de données
    Alias
    Item Group
    Header
    Trial subject ID SWOG
    Item
    SWOG Patient ID
    float
    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
    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
    Participating 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
    Participating Group 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
    Participating Group Patient ID (Place an X in appropriate boxes. Circle AMENDED items in red and write AMENDED across the top of the form.)
    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)
    Research Comments
    Item
    Comments
    text
    C25704 (NCI Thesaurus ValueDomain)
    C0947611 (UMLS CUI-1)
    C15319 (NCI Thesaurus ObjectClass)
    C25393 (NCI Thesaurus Property)
    Item Group
    Disease Description
    Item
    Performance Status
    text
    C25664 (NCI Thesaurus ValueDomain)
    C1520224 (UMLS CUI-1)
    C25367 (NCI Thesaurus Property)
    C25491 (NCI Thesaurus ValueDomain-2)
    C20641 (NCI Thesaurus ObjectClass)
    CL.1
    Code List
    Performance Status
    CL Item
    Fully Active, Able To Carry On All Pre-disease Performance Without Restriction. (0)
    CL Item
    Restricted In Physically Strenuous Activity But Ambulatory And Able To Carry Out Work Of A Light Or Sedentary Nature, E.g., Light Housework, Office Work. (1)
    CL Item
    Ambulatory And Capable Of All Selfcare But Unable To Carry Out Any Work Activities. Up And About More Than 50% Of Waking Hours. (2)
    CL Item
    Capable Of Only Limited Selfcare, Confined To Bed Or Chair More Than 50% Of Waking Hours. (3)
    CL Item
    Completely Disabled. Cannot Carry On Any Selfcare. Totally Confined To Bed Or Chair. (4)
    CL Item
    Dead (5)
    First-LineTherapyProgressionChemotherapyRegimenDate
    Item
    Date of progression on first-line chemotherapy
    date
    C15632 (NCI Thesaurus ObjectClass)
    C0392920 (UMLS 2011AA ObjectClass)
    C25331 (NCI Thesaurus ObjectClass-2)
    C45792 (NCI Thesaurus ObjectClass-3)
    C1708063 (UMLS 2011AA ObjectClass-2)
    C15697 (NCI Thesaurus Property)
    C0040808 (UMLS 2011AA Property)
    C25164 (NCI Thesaurus ValueDomain)
    C0011008 (UMLS 2011AA ValueDomain)
    Item
    Site of Involvement (s - select all that apply for current disease:)
    text
    C13717 (NCI Thesaurus ValueDomain)
    C1515974 (UMLS 2011AA ValueDomain)
    C2991 (NCI Thesaurus ObjectClass)
    C0012634 (UMLS 2011AA ObjectClass)
    C25548 (NCI Thesaurus Property)
    C1314939 (UMLS 2011AA Property)
    CL.19
    Code List
    Site of Involvement (s - select all that apply for current disease:)
    CL Item
    Primary Site/direct Extension (Primary site/direct extension)
    CL Item
    Regional Lymph Nodes (Regional lymph nodes)
    CL Item
    Distant Lymph Nodes (Distant lymph nodes)
    CL Item
    Lung (Lung)
    C12468 (NCI Thesaurus)
    C0024109 (UMLS 2011AA)
    CL Item
    Pleura (Pleura)
    C12469 (NCI Thesaurus)
    C0032225 (UMLS 2011AA)
    CL Item
    Liver (Liver)
    C12392 (NCI Thesaurus)
    C0023884 (UMLS 2011AA)
    CL Item
    Bone (Bone)
    C12366 (NCI Thesaurus)
    C0262950 (UMLS 2011AA)
    CL Item
    Other Abdominal (Other abdominal)
    CL Item
    Other Specify (Other)
    Item Group
    Laboratory Values
    Neutrophil count
    Item
    ANC
    float
    C25294 (NCI Thesaurus ObjectClass)
    C12533 (NCI Thesaurus Property)
    C20200 (NCI Thesaurus Property-2)
    C25304 (NCI Thesaurus ValueDomain)
    C25712 (NCI Thesaurus ValueDomain-2)
    C0200633 (UMLS CUI [1])
    ANC LLN
    Item
    Absolute neutrophil count LLN
    float
    C25294 (NCI Thesaurus ObjectClass)
    C12533 (NCI Thesaurus Property)
    C20200 (NCI Thesaurus Property-2)
    C25712 (NCI Thesaurus ValueDomain)
    C25555 (NCI Thesaurus ValueDomain-2)
    C0948762 (UMLS CUI [1,1])
    C1518030 (UMLS CUI [1,2])
    SpecimenCollectedDate
    Item
    Collection Date
    date
    C25164 (NCI Thesaurus ValueDomain)
    C0011008 (UMLS 2011AA ValueDomain)
    C19157 (NCI Thesaurus ObjectClass)
    C0370003 (UMLS 2011AA ObjectClass)
    C25452 (NCI Thesaurus Property)
    C25275 (NCI Thesaurus Property-2)
    C2745955 (UMLS 2011AA Property)
    Platelets
    Item
    Peripheral Platelet Count
    float
    C20200 (NCI Thesaurus Property)
    C12520 (NCI Thesaurus Property-2)
    C25294 (NCI Thesaurus ObjectClass)
    C25712 (NCI Thesaurus ValueDomain)
    C0005821 (UMLS CUI [1])
    Platelets LLN
    Item
    Platelets LLN
    float
    C25294 (NCI Thesaurus ObjectClass)
    C20200 (NCI Thesaurus Property)
    C12520 (NCI Thesaurus Property-2)
    C25712 (NCI Thesaurus ValueDomain)
    C25555 (NCI Thesaurus ValueDomain-2)
    C0005821 (UMLS CUI [1,1])
    C1518030 (UMLS CUI [1,2])
    Hemoglobin
    Item
    Hemoglobin
    float
    C16676 (NCI Thesaurus Property)
    C20200 (NCI Thesaurus Property-2)
    C25294 (NCI Thesaurus ObjectClass)
    C25712 (NCI Thesaurus ValueDomain)
    C0019046 (UMLS CUI [1])
    Hemoglobin LLN
    Item
    Hemoglobin, LLN
    float
    C25294 (NCI Thesaurus ObjectClass)
    C16676 (NCI Thesaurus Property)
    C20200 (NCI Thesaurus Property-2)
    C25712 (NCI Thesaurus ValueDomain)
    C38024 (NCI Thesaurus ValueDomain-2)
    C25555 (NCI Thesaurus ValueDomain-3)
    C0019046 (UMLS CUI [1,1])
    C1518030 (UMLS CUI [1,2])
    FullDoseAnticoagulantAgentCurrentUseInd-2
    Item
    Patient receiving full-dose anticoagulants
    boolean
    C25488 (NCI Thesaurus ObjectClass)
    C0178602 (UMLS 2011AA ObjectClass)
    C263 (NCI Thesaurus ObjectClass-2)
    C0003280 (UMLS 2011AA ObjectClass-2)
    C25517 (NCI Thesaurus ObjectClass-3)
    C0443225 (UMLS 2011AA ObjectClass-3)
    C25471 (NCI Thesaurus Property)
    C0521116 (UMLS 2011AA Property)
    C25340 (NCI Thesaurus Property-2)
    C0457083 (UMLS 2011AA Property-2)
    C38147 (NCI Thesaurus ValueDomain)
    C1512698 (UMLS 2011AA ValueDomain)
    INR
    Item
    INR
    float
    C20200 (NCI Thesaurus Property)
    C25294 (NCI Thesaurus ObjectClass)
    C25352 (NCI Thesaurus Property-2)
    C25712 (NCI Thesaurus ValueDomain)
    C0525032 (UMLS CUI [1])
    MalignantNeoplasmLiverMetastaticInvolvementInd-3
    Item
    Liver metastases (Hepatic:)
    boolean
    C9305 (NCI Thesaurus ObjectClass)
    C0006826 (UMLS 2011AA ObjectClass)
    C14174 (NCI Thesaurus Property)
    C0036525 (UMLS 2011AA Property)
    C12392 (NCI Thesaurus Property-2)
    C0023884 (UMLS 2011AA Property-2)
    C25548 (NCI Thesaurus Property-3)
    C1314939 (UMLS 2011AA Property-3)
    C38148 (NCI Thesaurus ValueDomain)
    C1512699 (UMLS 2011AA ValueDomain)
    Bilirubin, total
    Item
    Total Bilirubin
    float
    C25304 (NCI Thesaurus ObjectClass)
    C305 (NCI Thesaurus ObjectClass-2)
    C13308 (NCI Thesaurus Property)
    C37984 (NCI Thesaurus Property-2)
    C38046 (NCI Thesaurus ValueDomain)
    C25712 (NCI Thesaurus ValueDomain-2)
    C0201913 (UMLS CUI [1])
    Bilirubin, total ULN
    Item
    Total bilirubin ULN
    float
    C25294 (NCI Thesaurus ObjectClass)
    C20200 (NCI Thesaurus Property)
    C38037 (NCI Thesaurus Property-2)
    C25712 (NCI Thesaurus ValueDomain)
    C38024 (NCI Thesaurus ValueDomain-2)
    C25706 (NCI Thesaurus ValueDomain-3)
    C0201913 (UMLS CUI [1,1])
    C1519815 (UMLS CUI [1,2])
    AST
    Item
    AST (SGOT)
    float
    C25202 (NCI Thesaurus Property)
    C20200 (NCI Thesaurus Property-2)
    C25294 (NCI Thesaurus ObjectClass)
    C25712 (NCI Thesaurus ValueDomain)
    C0201899 (UMLS CUI [1])
    AST ULN
    Item
    AST (SGOT) ULN
    float
    C25202 (NCI Thesaurus Property)
    C20200 (NCI Thesaurus Property-2)
    C25294 (NCI Thesaurus ObjectClass)
    C25712 (NCI Thesaurus ValueDomain)
    C25706 (NCI Thesaurus ValueDomain-2)
    C0242192 (UMLS CUI [1,1])
    C1519815 (UMLS CUI [1,2])
    ALT
    Item
    ALT (SGPT)
    float
    C13308 (NCI Thesaurus ObjectClass)
    C37984 (NCI Thesaurus Property)
    C25293 (NCI Thesaurus Property-2)
    C38046 (NCI Thesaurus ValueDomain)
    C25712 (NCI Thesaurus ValueDomain-2)
    C0201836 (UMLS CUI [1])
    ALT ULN
    Item
    ALT (SGPT) ULN
    float
    C25294 (NCI Thesaurus ObjectClass)
    C20200 (NCI Thesaurus Property)
    C25293 (NCI Thesaurus Property-2)
    C25712 (NCI Thesaurus ValueDomain)
    C25706 (NCI Thesaurus ValueDomain-2)
    C0376147 (UMLS CUI [1,1])
    C1519815 (UMLS CUI [1,2])
    Creatinine, Serum
    Item
    Serum creatinine
    float
    C16960 (NCI Thesaurus ObjectClass)
    C13325 (NCI Thesaurus Property)
    C399 (NCI Thesaurus Property-2)
    C0201976 (UMLS CUI [1])
    Creatinine, serum ULN
    Item
    Serum Creatinine ULN
    float
    C25294 (NCI Thesaurus ObjectClass)
    C0201976 (UMLS CUI-1)
    C20200 (NCI Thesaurus Property)
    C1519815 (UMLS CUI-2)
    C399 (NCI Thesaurus Property-2)
    C25712 (NCI Thesaurus ValueDomain)
    C25706 (NCI Thesaurus ValueDomain-2)
    Creatinine Clearance measured
    Item
    Creatinine Clearance measured
    float
    C20200 (NCI Thesaurus Property)
    C25747 (NCI Thesaurus Property-2)
    C25294 (NCI Thesaurus ObjectClass)
    C25712 (NCI Thesaurus ValueDomain)
    C0373595 (UMLS CUI [1])
    Creatinine Clearance estimated
    Item
    Creatinine Clearance estimated
    float
    C25294 (NCI Thesaurus ObjectClass)
    C20200 (NCI Thesaurus Property)
    C25747 (NCI Thesaurus Property-2)
    C25498 (NCI Thesaurus ValueDomain)
    C25712 (NCI Thesaurus ValueDomain-2)
    C0373595 (UMLS CUI [1])
    UrinaryCreatinineProteinAssessmentValue
    Item
    UPC ratio
    float
    C25711 (NCI Thesaurus ObjectClass)
    C1524119 (UMLS 2011AA ObjectClass)
    C17021 (NCI Thesaurus ObjectClass-2)
    C0033684 (UMLS 2011AA ObjectClass-2)
    C0010294 (NCI Metathesaurus ObjectClass)
    C25367 (NCI Thesaurus Property)
    C25712 (NCI Thesaurus ValueDomain)
    C1522609 (UMLS 2011AA ValueDomain)
    UrinaryProteinCollectionValue
    Item
    Protein from 24 hour Urine Collection (if > 0.5, then 24 hour:)
    float
    C25453 (NCI Thesaurus Property)
    C1516698 (UMLS 2011AA Property)
    C25712 (NCI Thesaurus ValueDomain)
    C1522609 (UMLS 2011AA ValueDomain)
    C17021 (NCI Thesaurus ObjectClass)
    C0033684 (UMLS 2011AA ObjectClass)
    Serum Ionized Calcium
    Item
    Ionized serum calcium
    float
    C20200 (NCI Thesaurus Property)
    C25294 (NCI Thesaurus ObjectClass)
    C25712 (NCI Thesaurus ValueDomain)
    C464 (NCI Thesaurus Property-2)
    C61660 (NCI Thesaurus Property-3)
    C0201927 (UMLS CUI [1])
    Serum Ionized Calcium LLN
    Item
    Ionized serum calcium LLN
    float
    C25294 (NCI Thesaurus ObjectClass)
    C20200 (NCI Thesaurus Property)
    C464 (NCI Thesaurus Property-2)
    C61660 (NCI Thesaurus Property-3)
    C25712 (NCI Thesaurus ValueDomain)
    C25555 (NCI Thesaurus ValueDomain-2)
    C0201927 (UMLS CUI [1,1])
    C1518030 (UMLS CUI [1,2])
    Calcium
    Item
    Calcium
    float
    C25294 (NCI Thesaurus ObjectClass)
    C331 (NCI Thesaurus Property)
    C20200 (NCI Thesaurus Property-2)
    C464 (NCI Thesaurus Property-3)
    C25712 (NCI Thesaurus ValueDomain)
    C0201925 (UMLS CUI [1])
    Calcium LLN
    Item
    Calcium LLN
    float
    C25294 (NCI Thesaurus ObjectClass)
    C331 (NCI Thesaurus Property)
    C13325 (NCI Thesaurus Property-2)
    C20200 (NCI Thesaurus Property-3)
    C25712 (NCI Thesaurus ValueDomain)
    C25555 (NCI Thesaurus ValueDomain-2)
    C0201925 (UMLS CUI [1,1])
    C1518030 (UMLS CUI [1,2])
    Magnesium
    Item
    Magnesium
    float
    C25294 (NCI Thesaurus ObjectClass)
    C20200 (NCI Thesaurus Property)
    C29239 (NCI Thesaurus Property-2)
    C38046 (NCI Thesaurus ValueDomain)
    C25712 (NCI Thesaurus ValueDomain-2)
    C0024467 (UMLS CUI [1])
    Magnesium LLN
    Item
    Magnesium, LLN
    float
    C25294 (NCI Thesaurus ObjectClass)
    C20200 (NCI Thesaurus Property)
    C29239 (NCI Thesaurus Property-2)
    C38046 (NCI Thesaurus ValueDomain)
    C25712 (NCI Thesaurus ValueDomain-2)
    C25555 (NCI Thesaurus ValueDomain-3)
    C0024467 (UMLS CUI [1,1])
    C1518030 (UMLS CUI [1,2])
    Sodium
    Item
    Sodium
    float
    C25294 (NCI Thesaurus ObjectClass)
    C20200 (NCI Thesaurus Property)
    C830 (NCI Thesaurus Property-2)
    C464 (NCI Thesaurus Property-3)
    C25712 (NCI Thesaurus ValueDomain)
    C0337443 (UMLS CUI [1])
    Sodium LLN
    Item
    Sodium LLN
    float
    C25294 (NCI Thesaurus ObjectClass)
    C20200 (NCI Thesaurus Property)
    C830 (NCI Thesaurus Property-2)
    C464 (NCI Thesaurus Property-3)
    C25712 (NCI Thesaurus ValueDomain)
    C25555 (NCI Thesaurus ValueDomain-2)
    C0037473 (UMLS CUI [1,1])
    C1518030 (UMLS CUI [1,2])
    Potassium
    Item
    Potassium
    float
    C25294 (NCI Thesaurus ObjectClass)
    C20200 (NCI Thesaurus Property)
    C464 (NCI Thesaurus Property-2)
    C765 (NCI Thesaurus Property-3)
    C25712 (NCI Thesaurus ValueDomain)
    C0202194 (UMLS CUI [1])
    Potassium LLN
    Item
    Potassium LLN
    float
    C25294 (NCI Thesaurus ObjectClass)
    C20200 (NCI Thesaurus Property)
    C464 (NCI Thesaurus Property-2)
    C765 (NCI Thesaurus Property-3)
    C25712 (NCI Thesaurus ValueDomain)
    C25555 (NCI Thesaurus ValueDomain-2)
    C0202194 (UMLS CUI [1,1])
    C1518030 (UMLS CUI [1,2])
    Bicarbonate
    Item
    Bicarbonate
    float
    C25294 (NCI Thesaurus ObjectClass)
    C20200 (NCI Thesaurus Property)
    C37918 (NCI Thesaurus Property-2)
    C38046 (NCI Thesaurus ValueDomain)
    C25712 (NCI Thesaurus ValueDomain-2)
    C0005367 (UMLS CUI [1])
    Bicarbonate LLN
    Item
    Bicarbonate LLN
    float
    C25294 (NCI Thesaurus ObjectClass)
    C20200 (NCI Thesaurus Property)
    C37918 (NCI Thesaurus Property-2)
    C38046 (NCI Thesaurus ValueDomain)
    C25712 (NCI Thesaurus ValueDomain-2)
    C25555 (NCI Thesaurus ValueDomain-3)
    C0005367 (UMLS CUI [1,1])
    C1518030 (UMLS CUI [1,2])
    Chloride
    Item
    Chloride
    float
    C25294 (NCI Thesaurus ObjectClass)
    C20200 (NCI Thesaurus Property)
    C464 (NCI Thesaurus Property-2)
    C1741 (NCI Thesaurus Property-3)
    C25712 (NCI Thesaurus ValueDomain)
    C0201952 (UMLS CUI [1])
    Chloride LLN
    Item
    Chloride LLN
    float
    C25294 (NCI Thesaurus ObjectClass)
    C20200 (NCI Thesaurus Property)
    C464 (NCI Thesaurus Property-2)
    C1741 (NCI Thesaurus Property-3)
    C25712 (NCI Thesaurus ValueDomain)
    C25555 (NCI Thesaurus ValueDomain-2)
    C0201952 (UMLS CUI [1,1])
    C1518030 (UMLS CUI [1,2])
    Systolic blood pressure
    Item
    Systolic
    integer
    C25209 (NCI Thesaurus ValueDomain)
    C25214 (NCI Thesaurus Property)
    C25298 (NCI Thesaurus ObjectClass)
    C0871470 (UMLS CUI [1])
    Diastolic blood pressure
    Item
    Diastolic
    integer
    C25209 (NCI Thesaurus ValueDomain)
    C25214 (NCI Thesaurus Property)
    C25299 (NCI Thesaurus ObjectClass)
    C0428883 (UMLS CUI [1])
    Item Group
    Prior Treatment Related To This Cancer
    Item
    Prior Therapy Type (select ALL that apply)
    text
    C25699 (NCI Thesaurus ObjectClass)
    C1519429 (UMLS 2011AA ObjectClass)
    C25629 (NCI Thesaurus ObjectClass-2)
    C0332152 (UMLS 2011AA ObjectClass-2)
    C15368 (NCI Thesaurus ObjectClass-3)
    C25409 (NCI Thesaurus Property)
    C1533734 (UMLS 2011AA Property)
    C25284 (NCI Thesaurus ValueDomain)
    C0332307 (UMLS 2011AA ValueDomain)
    CL.20
    Code List
    Prior Therapy Type (select ALL that apply)
    CL Item
    Chemotherapy Single Agent Systemic (Chemotherapy single agent systemic)
    CL Item
    Chemotherapy Multiple Agents Systemic (Chemotherapy multiple agents systemic)
    CL040135 (NCI Metathesaurus)
    CL Item
    Chemotherapy Non-cytotoxic (Chemotherapy non-cytotoxic)
    CL Item
    Chemotherapy Nos (Chemotherapy NOS)
    CL Item
    Radiotherapy (Radiotherapy)
    CL Item
    Surgery (Surgery)
    C17173 (NCI Thesaurus)
    C0038894 (UMLS 2011AA)
    CL Item
    Other (Other)
    C17649 (NCI Thesaurus)
    C0205394 (UMLS 2011AA)
    PriorChemotherapyRegimenNumber
    Item
    Number of prior chemotherapy regimens
    text
    C25337 (NCI Thesaurus ValueDomain)
    C0237753 (UMLS 2011AA ValueDomain)
    C15632 (NCI Thesaurus ObjectClass)
    C0392920 (UMLS 2011AA ObjectClass)
    C25629 (NCI Thesaurus ObjectClass-2)
    C0332152 (UMLS 2011AA ObjectClass-2)
    C15697 (NCI Thesaurus Property)
    C0040808 (UMLS 2011AA Property)
    PriorChemotherapyAdministeredEndDate
    Item
    Date Prior Chemotherapy Ended
    date
    C25164 (NCI Thesaurus ValueDomain)
    C0011008 (UMLS 2011AA ValueDomain)
    C15632 (NCI Thesaurus ObjectClass)
    C0392920 (UMLS 2011AA ObjectClass)
    C25629 (NCI Thesaurus ObjectClass-2)
    C0332152 (UMLS 2011AA ObjectClass-2)
    C25382 (NCI Thesaurus Property)
    C1521801 (UMLS 2011AA Property)
    LastBevacizumabPriorAdministeredDate
    Item
    Date prior bevacizumab ended
    date
    C2039 (NCI Thesaurus ObjectClass)
    C0796392 (UMLS 2011AA ObjectClass)
    C25551 (NCI Thesaurus ObjectClass-2)
    C1517741 (UMLS 2011AA ObjectClass-2)
    C25629 (NCI Thesaurus Property)
    C0332152 (UMLS 2011AA Property)
    C25382 (NCI Thesaurus Property-2)
    C1521801 (UMLS 2011AA Property-2)
    C25164 (NCI Thesaurus ValueDomain)
    C0011008 (UMLS 2011AA ValueDomain)
    Item
    Front-line chemotherapy regimen (select one)
    text
    C25284 (NCI Thesaurus ValueDomain)
    C0332307 (UMLS 2011AA ValueDomain)
    C15632 (NCI Thesaurus ObjectClass)
    C0392920 (UMLS 2011AA ObjectClass)
    C15697 (NCI Thesaurus Property)
    C0040808 (UMLS 2011AA Property)
    C45792 (NCI Thesaurus ObjectClass-2)
    C1708063 (UMLS 2011AA ObjectClass-2)
    CL.21
    Code List
    Front-line chemotherapy regimen (select one)
    CL Item
    Fluorouracil/leucovorin Calcium/oxaliplatin (FOLFOX)
    C11197 (NCI Thesaurus)
    C0392943 (UMLS 2011AA)
    CL Item
    First-line Therapy With Folfox-bev, Xelox-bev, Or Flox-bev With Discontinuation Of Oxaliplatin And Then Addition Of Fluoropyrimidine (OPTIMOX)
    CL Item
    Capecitabine/oxaliplatin/bevacizumab (xelox) (XELOX)
    PriorRadiationTherapyAdministeredEndDate
    Item
    Prior radiation therapy stop date (if applicable)
    date
    C25164 (NCI Thesaurus ValueDomain)
    C0011008 (UMLS 2011AA ValueDomain)
    C15313 (NCI Thesaurus ObjectClass)
    C1522449 (UMLS 2011AA ObjectClass)
    C25629 (NCI Thesaurus ObjectClass-2)
    C0332152 (UMLS 2011AA ObjectClass-2)
    C25382 (NCI Thesaurus Property)
    C1521801 (UMLS 2011AA Property)
    RecentSurgeryDate
    Item
    Date of Most Recent Surgery (major if applicable)
    date
    C15329 (NCI Thesaurus ObjectClass)
    C0543467 (UMLS 2011AA ObjectClass)
    C25280 (NCI Thesaurus ObjectClass-2)
    C0332185 (UMLS 2011AA ObjectClass-2)
    C25275 (NCI Thesaurus Property)
    C2745955 (UMLS 2011AA Property)
    C25164 (NCI Thesaurus ValueDomain)
    C0011008 (UMLS 2011AA ValueDomain)
    C25367 (NCI Thesaurus ValueDomain-2)
    SWOGPriorTherapyAdministrationSpecify
    Item
    Other therapy, specify
    text
    C25699 (NCI Thesaurus ObjectClass)
    C1519429 (UMLS 2011AA ObjectClass)
    C25629 (NCI Thesaurus ObjectClass-2)
    C0332152 (UMLS 2011AA ObjectClass-2)
    C15368 (NCI Thesaurus ObjectClass-3)
    C25409 (NCI Thesaurus Property)
    C1533734 (UMLS 2011AA Property)
    C25685 (NCI Thesaurus ValueDomain)
    C1521902 (UMLS 2011AA ValueDomain)
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