ID

22280

Beschrijving

Study part: Tumor Assessment Worksheet & Tumor Assessment. A phase III multinational, randomized, single-blind study of recombinant humanized anti-p185HER2 monoclonal antibody (rhuMAb HER2) in patients with HER2/neu overexpression who have not received prior cytotoxic chemotherapy for metastatic breast cancer. "Terms of use: You may not use this document or the information contained herein to a regulatory authority in connection with an application for a marketing authorization or any other regulatory submission without the express written consent of Roche"

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  1. 29-05-17 29-05-17 -
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TUMOR ASSESSMENT WORKSHEET & TUMOR ASSESSMENT Roche H0650g Breast Cancer

Engels

TUMOR ASSESSMENT WORKSHEET & TUMOR ASSESSMENT

1 Formulieren  
TUMOR LOCATION
Beschrijving

TUMOR LOCATION

Alias
UMLS CUI-1
C0872338
PATIENT INT.
Beschrijving

Patient initial

Datatype

text

Alias
UMLS CUI [1]
C2986440
PATIENT NUMBER
Beschrijving

Patient id

Datatype

integer

Alias
UMLS CUI [1]
C2348585
CHEST WALL
Beschrijving

chest wall

Datatype

text

Alias
UMLS CUI [1]
C0205076
ABDOMEN
Beschrijving

Abdomen

Datatype

text

Alias
UMLS CUI [1]
C0000726
LIVER
Beschrijving

Liver

Datatype

text

Alias
UMLS CUI [1]
C0023884
LUNGS
Beschrijving

Lungs

Datatype

text

Alias
UMLS CUI [1]
C0024109
TUMOR ASSESSMENT
Beschrijving

TUMOR ASSESSMENT

Alias
UMLS CUI-1
C3889740
A. COMPLETE TUMOR ASSESSMENT WORKSHEET
Beschrijving

worksheet tumor assessment

Datatype

boolean

Alias
UMLS CUI [1,1]
C2349155
UMLS CUI [1,2]
C3889740
B. DATE OF ASSESSMENT WHICH DETERMINED OVERALL RESPONSE/PROGRESSION·
Beschrijving

IN THE CASE OF PROGRESSIVE DISEASE. USE THE EARLIEST DATE THE PROGRESSION WAS DIAGNOSED. IN ALL OTHER CASES. THE DATE OF THE LAST ASSESSMENT (1.e., CT. X-RAY, ETC.) PERFORMED SHOULD BE RECORDED.

Datatype

date

Alias
UMLS CUI [1,1]
C0011008
UMLS CUI [1,2]
C3889740
C. METHOD(S) OF ASSESSMENT USED: X-RAY
Beschrijving

X-ray

Datatype

boolean

Alias
UMLS CUI [1]
C0043309
C. METHOD(S) OF ASSESSMENT USED: CT CHEST
Beschrijving

CT chest

Datatype

boolean

Alias
UMLS CUI [1]
C0202823
C. METHOD(S) OF ASSESSMENT USED: CT ABDOMEN
Beschrijving

CT Abdomen

Datatype

boolean

Alias
UMLS CUI [1]
C0412620
C. METHOD(S) OF ASSESSMENT USED: MRI
Beschrijving

MRI

Datatype

boolean

Alias
UMLS CUI [1]
C0024485
C. METHOD(S) OF ASSESSMENT USED: ULTRASOUND
Beschrijving

ULTRASOUND

Datatype

boolean

Alias
UMLS CUI [1]
C0041618
C. METHOD(S) OF ASSESSMENT USED: PHOTOGRAPH
Beschrijving

PHOTOGRAPH

Datatype

boolean

Alias
UMLS CUI [1]
C0441468
C. METHOD(S) OF ASSESSMENT USED: PHYSICAL EXAMINATION
Beschrijving

PHYSICAL EXAMINATION

Datatype

boolean

Alias
UMLS CUI [1]
C0031809
C. METHOD(S) OF ASSESSMENT USED: OTHER
Beschrijving

other

Datatype

text

Alias
UMLS CUI [1]
C0205394
D INVESTIGATOR ASSESSMENT OF OVERALL RESPONSE (CHECK ONE):
Beschrijving

tumor response

Datatype

integer

Alias
UMLS CUI [1]
C3539879
E. SITES OF PROGRESSION: BONE
Beschrijving

Tumor site Tumor Progression bone

Datatype

boolean

Alias
UMLS CUI [1,1]
C0475445
UMLS CUI [1,2]
C0178874
UMLS CUI [1,3]
C0262950
E. SITES OF PROGRESSION: LIVER
Beschrijving

Tumor site Tumor Progression Liver

Datatype

boolean

Alias
UMLS CUI [1,1]
C0475445
UMLS CUI [1,2]
C0178874
UMLS CUI [1,3]
C0023884
E. SITES OF PROGRESSION: LUNG
Beschrijving

Tumor site Tumor Progression LUNG

Datatype

boolean

Alias
UMLS CUI [1,1]
C0475445
UMLS CUI [1,2]
C0178874
UMLS CUI [1,3]
C0024109
E. SITES OF PROGRESSION: DISTAL LYMPH NODES
Beschrijving

Tumor site Tumor Progression LYMPH NODES

Datatype

boolean

Alias
UMLS CUI [1,1]
C0475445
UMLS CUI [1,2]
C0178874
UMLS CUI [1,3]
C0024204
E. SITES OF PROGRESSION: REGIONAL LYMPH NODES
Beschrijving

Tumor site Tumor Progression REGIONAL LYMPH NODES

Datatype

boolean

Alias
UMLS CUI [1,1]
C0475445
UMLS CUI [1,2]
C0178874
UMLS CUI [1,3]
C0807729
E. SITES OF PROGRESSION: CHEST WALL
Beschrijving

Tumor site Tumor Progression CHEST WALL

Datatype

boolean

Alias
UMLS CUI [1,1]
C0475445
UMLS CUI [1,2]
C0178874
UMLS CUI [1,3]
C0205076
E. SITES OF PROGRESSION: ABDOMEN
Beschrijving

Tumor site Tumor Progression abdomen

Datatype

boolean

Alias
UMLS CUI [1,1]
C0475445
UMLS CUI [1,2]
C0178874
UMLS CUI [1,3]
C0000726
E. SITES OF PROGRESSION: MEDIASTINUM
Beschrijving

Tumor site Tumor Progression Mediastinum

Datatype

boolean

Alias
UMLS CUI [1,1]
C0475445
UMLS CUI [1,2]
C0178874
UMLS CUI [1,3]
C0025066
E. SITES OF PROGRESSION: CNS
Beschrijving

Tumor site Tumor Progression CNS

Datatype

boolean

Alias
UMLS CUI [1,1]
C0475445
UMLS CUI [1,2]
C0178874
UMLS CUI [1,3]
C3714787
E. SITES OF PROGRESSION: OTHER
Beschrijving

Tumor site Tumor Progression Other

Datatype

text

Alias
UMLS CUI [1,1]
C0475445
UMLS CUI [1,2]
C0178874
UMLS CUI [1,3]
C0205394
TUMOR LOCATION
Beschrijving

TUMOR LOCATION

Alias
UMLS CUI-1
C0872338
LYMPH NODES
Beschrijving

LYMPH NODES

Datatype

text

Alias
UMLS CUI [1]
C0024204
BONE
Beschrijving

BONE

Datatype

text

Alias
UMLS CUI [1]
C0262950
ABDOMEN
Beschrijving

ABDOMEN

Datatype

text

Alias
UMLS CUI [1]
C0000726
OTHER
Beschrijving

OTHER

Datatype

text

Alias
UMLS CUI [1]
C0205394
TUMOR ASSESSMENT WORKSHEET
Beschrijving

TUMOR ASSESSMENT WORKSHEET

Alias
UMLS CUI-1
C2349155
UMLS CUI-2
C3889740
LESION NUMBER
Beschrijving

Lesion number

Datatype

integer

Alias
UMLS CUI [1]
C0449791
SITE OF LESION
Beschrijving

tumor site

Datatype

integer

Alias
UMLS CUI [1]
C0475445
IF "OTHER" SITE, DESCRIBE:
Beschrijving

other

Datatype

text

Alias
UMLS CUI [1]
C0205394
DATE OF ASSESSMENT PROCEDURE:
Beschrijving

Date Tumor assessment

Datatype

date

Alias
UMLS CUI [1,1]
C0011008
UMLS CUI [1,2]
C3889740
METHOD OF ASSESSMENT
Beschrijving

METHOD OF ASSESSMENT

Datatype

integer

Alias
UMLS CUI [1]
C2598110
IF "OTHER" METHOD, DESCRIBE:
Beschrijving

other

Datatype

text

Alias
UMLS CUI [1]
C0205394
SIZE OF LESION
Beschrijving

lesion size

Datatype

text

Maateenheden
  • cm x cm
Alias
UMLS CUI [1]
C0449453
cm x cm
MEASURABLE?
Beschrijving

Lesion size Measurable

Datatype

boolean

Alias
UMLS CUI [1,1]
C0449453
UMLS CUI [1,2]
C1513040
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Similar models

TUMOR ASSESSMENT WORKSHEET & TUMOR ASSESSMENT

1 Formulieren
Name
Type
Description | Question | Decode (Coded Value)
Datatype
Alias
Item Group
TUMOR LOCATION
C0872338 (UMLS CUI-1)
Patient initial
Item
PATIENT INT.
text
C2986440 (UMLS CUI [1])
Patient id
Item
PATIENT NUMBER
integer
C2348585 (UMLS CUI [1])
chest wall
Item
CHEST WALL
text
C0205076 (UMLS CUI [1])
Abdomen
Item
ABDOMEN
text
C0000726 (UMLS CUI [1])
Liver
Item
LIVER
text
C0023884 (UMLS CUI [1])
Lungs
Item
LUNGS
text
C0024109 (UMLS CUI [1])
Item Group
TUMOR ASSESSMENT
C3889740 (UMLS CUI-1)
worksheet tumor assessment
Item
A. COMPLETE TUMOR ASSESSMENT WORKSHEET
boolean
C2349155 (UMLS CUI [1,1])
C3889740 (UMLS CUI [1,2])
date Tumor assessment
Item
B. DATE OF ASSESSMENT WHICH DETERMINED OVERALL RESPONSE/PROGRESSION·
date
C0011008 (UMLS CUI [1,1])
C3889740 (UMLS CUI [1,2])
X-ray
Item
C. METHOD(S) OF ASSESSMENT USED: X-RAY
boolean
C0043309 (UMLS CUI [1])
CT chest
Item
C. METHOD(S) OF ASSESSMENT USED: CT CHEST
boolean
C0202823 (UMLS CUI [1])
CT Abdomen
Item
C. METHOD(S) OF ASSESSMENT USED: CT ABDOMEN
boolean
C0412620 (UMLS CUI [1])
MRI
Item
C. METHOD(S) OF ASSESSMENT USED: MRI
boolean
C0024485 (UMLS CUI [1])
ULTRASOUND
Item
C. METHOD(S) OF ASSESSMENT USED: ULTRASOUND
boolean
C0041618 (UMLS CUI [1])
PHOTOGRAPH
Item
C. METHOD(S) OF ASSESSMENT USED: PHOTOGRAPH
boolean
C0441468 (UMLS CUI [1])
PHYSICAL EXAMINATION
Item
C. METHOD(S) OF ASSESSMENT USED: PHYSICAL EXAMINATION
boolean
C0031809 (UMLS CUI [1])
other
Item
C. METHOD(S) OF ASSESSMENT USED: OTHER
text
C0205394 (UMLS CUI [1])
Item
D INVESTIGATOR ASSESSMENT OF OVERALL RESPONSE (CHECK ONE):
integer
C3539879 (UMLS CUI [1])
tumor response
Code List
D INVESTIGATOR ASSESSMENT OF OVERALL RESPONSE (CHECK ONE):
CL Item
COMPLETE RESPONSE: DISAPPEARANCE OF ALL RADIOGRAPHICALLY AND/OR VISUALLY APPARENT TUMOR. COMPLETE RESPONSE OF SKIN AND CHEST WALL MUST BE CONFIRMED BY BIOPSY.  (1)
CL Item
PARTIAL RESPONSE: REDUCTION OF AT LEAST 50% IN THE SUM OF THE PRODUCTS OF THE PERPENDICULAR DIAMETERS OF ALL MEASURABLE LESIONS. NO NEW LESIONS MAY HAVE APPEARED, NOR MAY ANY LESION HAVE PROGRESSED IN SIZE.  (2)
CL Item
MINOR RESPONSE: REDUCTION OF 25% TO 49% IN THE SUM OF THE PRODUCTS OF THE PERPENDICULAR DIAMETERS OF ALL MEASURABLE LESIONS. NO NEW LESIONS MAY HAVE APPEARED. NOR MAY ANY LESION HAVE PROGRESSED IN SIZE.  (3)
CL Item
STABLE DISEASE: NO CHANGE OF GREATER THAN 25% IN THE SIZE OF MEASURABLE LESIONS. NO NEW LESIONS MAY HAVE APPEARED. (4)
CL Item
PROGRESSIVE DISEASE: OBJECTIVE EVIDENCE OF AN INCREASE OF 25% OR MORE IN ANY MEASURABLE LESION OR THE APPEARANCE OF NEW LESIONS. IF PROGRESSION IS NOTED. COMPLETE QUESTION "E" (SITES OF PROGRESSION) AND STUDY TERMINATION SECTION OF THE CASE REPORT FORM. (5)
Tumor site Tumor Progression bone
Item
E. SITES OF PROGRESSION: BONE
boolean
C0475445 (UMLS CUI [1,1])
C0178874 (UMLS CUI [1,2])
C0262950 (UMLS CUI [1,3])
Tumor site Tumor Progression Liver
Item
E. SITES OF PROGRESSION: LIVER
boolean
C0475445 (UMLS CUI [1,1])
C0178874 (UMLS CUI [1,2])
C0023884 (UMLS CUI [1,3])
Tumor site Tumor Progression LUNG
Item
E. SITES OF PROGRESSION: LUNG
boolean
C0475445 (UMLS CUI [1,1])
C0178874 (UMLS CUI [1,2])
C0024109 (UMLS CUI [1,3])
Tumor site Tumor Progression LYMPH NODES
Item
E. SITES OF PROGRESSION: DISTAL LYMPH NODES
boolean
C0475445 (UMLS CUI [1,1])
C0178874 (UMLS CUI [1,2])
C0024204 (UMLS CUI [1,3])
Tumor site Tumor Progression REGIONAL LYMPH NODES
Item
E. SITES OF PROGRESSION: REGIONAL LYMPH NODES
boolean
C0475445 (UMLS CUI [1,1])
C0178874 (UMLS CUI [1,2])
C0807729 (UMLS CUI [1,3])
Tumor site Tumor Progression CHEST WALL
Item
E. SITES OF PROGRESSION: CHEST WALL
boolean
C0475445 (UMLS CUI [1,1])
C0178874 (UMLS CUI [1,2])
C0205076 (UMLS CUI [1,3])
Tumor site Tumor Progression abdomen
Item
E. SITES OF PROGRESSION: ABDOMEN
boolean
C0475445 (UMLS CUI [1,1])
C0178874 (UMLS CUI [1,2])
C0000726 (UMLS CUI [1,3])
Tumor site Tumor Progression Mediastinum
Item
E. SITES OF PROGRESSION: MEDIASTINUM
boolean
C0475445 (UMLS CUI [1,1])
C0178874 (UMLS CUI [1,2])
C0025066 (UMLS CUI [1,3])
Tumor site Tumor Progression CNS
Item
E. SITES OF PROGRESSION: CNS
boolean
C0475445 (UMLS CUI [1,1])
C0178874 (UMLS CUI [1,2])
C3714787 (UMLS CUI [1,3])
Tumor site Tumor Progression Other
Item
E. SITES OF PROGRESSION: OTHER
text
C0475445 (UMLS CUI [1,1])
C0178874 (UMLS CUI [1,2])
C0205394 (UMLS CUI [1,3])
Item Group
TUMOR LOCATION
C0872338 (UMLS CUI-1)
LYMPH NODES
Item
LYMPH NODES
text
C0024204 (UMLS CUI [1])
BONE
Item
BONE
text
C0262950 (UMLS CUI [1])
ABDOMEN
Item
ABDOMEN
text
C0000726 (UMLS CUI [1])
OTHER
Item
OTHER
text
C0205394 (UMLS CUI [1])
Item Group
TUMOR ASSESSMENT WORKSHEET
C2349155 (UMLS CUI-1)
C3889740 (UMLS CUI-2)
Lesion number
Item
LESION NUMBER
integer
C0449791 (UMLS CUI [1])
Item
SITE OF LESION
integer
C0475445 (UMLS CUI [1])
tumor site
Code List
SITE OF LESION
CL Item
BONE  (1)
CL Item
LIVER  (2)
CL Item
LUNG  (3)
CL Item
DISTAL LYMPH NODES  (4)
CL Item
REGIONAL LYMPH NODES  (5)
CL Item
CHEST WALL  (6)
CL Item
ABDOMEN. (EXCLUDING LIVER)  (7)
CL Item
MEDIASTINUM  (8)
CL Item
CNS  (9)
CL Item
OTHER (DESCRIBE) (10)
other
Item
IF "OTHER" SITE, DESCRIBE:
text
C0205394 (UMLS CUI [1])
Date Tumor assessment
Item
DATE OF ASSESSMENT PROCEDURE:
date
C0011008 (UMLS CUI [1,1])
C3889740 (UMLS CUI [1,2])
Item
METHOD OF ASSESSMENT
integer
C2598110 (UMLS CUI [1])
METHOD OF ASSESSMENT
Code List
METHOD OF ASSESSMENT
CL Item
X-RAY  (1)
CL Item
CT CHEST  (2)
CL Item
CT ABDOMEN  (3)
CL Item
MRI  (4)
CL Item
ULTRASOUND  (5)
CL Item
PHOTOGRAPH  (6)
CL Item
PHYSICAL EXAMINATION  (7)
CL Item
OTHER (DESCRIBE) (1O)
other
Item
IF "OTHER" METHOD, DESCRIBE:
text
C0205394 (UMLS CUI [1])
lesion size
Item
SIZE OF LESION
text
C0449453 (UMLS CUI [1])
Lesion size Measurable
Item
MEASURABLE?
boolean
C0449453 (UMLS CUI [1,1])
C1513040 (UMLS CUI [1,2])
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