FormCompletionDate
Item
Visit Date (Enter the date the course started.)
date
C25164 (NCI Thesaurus ValueDomain)
C0011008 (UMLS 2011AA ValueDomain)
C40988 (NCI Thesaurus ObjectClass)
C1516308 (UMLS 2011AA ObjectClass)
C25250 (NCI Thesaurus Property)
C0205197 (UMLS 2011AA Property)
CourseStartDate
Item
Start Date of Course (Cycle)
date
C25379 (NCI Thesaurus ObjectClass)
C0750729 (UMLS 2011AA ObjectClass)
CL219258 (NCI Metathesaurus ObjectClass)
C25164 (NCI Thesaurus Property)
C0011008 (UMLS 2011AA Property)
C25431 (NCI Thesaurus Property)
C0439659 (UMLS 2011AA Property)
C25164 (NCI Thesaurus ValueDomain)
C0011008 (UMLS 2011AA ValueDomain)
Item
Dose Change from TAC Entered on Course Initiation CRF?
double
C25627 (NCI Thesaurus ObjectClass)
C0205156 (UMLS 2011AA ObjectClass)
C25446 (NCI Thesaurus Property)
C0392747 (UMLS 2011AA Property)
C25488 (NCI Thesaurus ObjectClass)
C0178602 (UMLS 2011AA ObjectClass)
Code List
Dose Change from TAC Entered on Course Initiation CRF?
CL Item
Yes, Unplanned (2)
CL Item
No (3)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
CL Item
Unknown (9)
C17998 (NCI Thesaurus)
C0439673 (UMLS 2011AA)
Item
Course Disposition (Select one of the following values:)
text
C25379 (NCI Thesaurus ObjectClass)
C0750729 (UMLS 2011AA ObjectClass)
C0743223 (NCI Metathesaurus Property)
C25284 (NCI Thesaurus ValueDomain)
C0332307 (UMLS 2011AA ValueDomain)
C25379 (NCI Thesaurus ValueDomain)
C0750729 (UMLS 2011AA ValueDomain)
C41205 (NCI Thesaurus ValueDomain)
C0743223 (UMLS 2011AA ValueDomain)
Code List
Course Disposition (Select one of the following values:)
CL Item
Completed (Completed)
CL Item
Discontinued (Discontinued)
C25484 (NCI Thesaurus)
C1444662 (UMLS 2011AA)
Item
Response Assessment
text
C25284 (NCI Thesaurus ValueDomain)
C0332307 (UMLS 2011AA ValueDomain)
C25755 (NCI Thesaurus ObjectClass)
C0871261 (UMLS 2011AA ObjectClass)
C25367 (NCI Thesaurus Property)
Code List
Response Assessment
CL Item
Not Evauable (NE)
CL Item
Not Assessed (NA)
CL Item
Not Applicable Per Protocol (NP)
CL Item
Complete Response Unconfirmed (CRU)
CL Item
Complete Response (CR)
CL Item
Partial Response (PR)
C18212 (NCI Thesaurus)
CL Item
Less Than Partial Response (MR)
CL Item
Progressive Disease (PD)
C35571 (NCI Thesaurus)
C1335499 (UMLS 2011AA)
CL Item
Stable Disease (SD)
C18213 (NCI Thesaurus)
C0677946 (UMLS 2011AA)
CL Item
Disease Unchanged (DU)
ResponseNoteText
Item
Response Note (Enter the reason why the Response Assessment is Not Evaluable NE or Not Assessed NA.)
text
C25704 (NCI Thesaurus ValueDomain)
C1527021 (UMLS 2011AA ValueDomain)
C25755 (NCI Thesaurus Property)
C0871261 (UMLS 2011AA Property)
C2991 (NCI Thesaurus ObjectClass)
C0012634 (UMLS 2011AA ObjectClass)
ResponseObservedDate
Item
Date of Response (Note: The original date of onset of response should be used for responses that persist through several courses.)
date
C25164 (NCI Thesaurus ValueDomain)
C0011008 (UMLS 2011AA ValueDomain)
C25755 (NCI Thesaurus ObjectClass)
C0871261 (UMLS 2011AA ObjectClass)
C15722 (NCI Thesaurus Property)
C0700325 (UMLS 2011AA Property)
ProgressionDate
Item
Date of Progression
date
C25164 (NCI Thesaurus Property)
C0011008 (UMLS 2011AA Property)
C25164 (NCI Thesaurus ValueDomain)
C0011008 (UMLS 2011AA ValueDomain)
C17747 (NCI Thesaurus ObjectClass)
C0242656 (UMLS 2011AA ObjectClass)
Item
Any Adverse Events in this Course? (Note: The events must be recorded on the Adverse Events case report form.)
text
C25180 (NCI Thesaurus ValueDomain)
C1522602 (UMLS 2011AA ValueDomain)
C41331 (NCI Thesaurus ObjectClass)
C0877248 (UMLS 2011AA ObjectClass)
CL209504 (NCI Metathesaurus Property)
Code List
Any Adverse Events in this Course? (Note: The events must be recorded on the Adverse Events case report form.)
CL Item
Yes (Yes)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
CL Item
No (No)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)