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ID

23846

Description

The course assessment information when the course is completed, and the patient is evaluated or taken off treatment. Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=ACEDB2DF-2AE4-2B69-E040-BB89AD437A84

Link

https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=ACEDB2DF-2AE4-2B69-E040-BB89AD437A84

Keywords

Versions (2)
  1. 9/19/12 9/19/12 -
  2. 7/15/17 7/15/17 - Martin Dugas
Uploaded on

July 15, 2017

DOI

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License

Creative Commons BY-NC 3.0
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    CCR 2011 Template

    English

    No Instruction available.

    1 forms  
    1. StudyEvent: Course Assessment
      1. No Instruction available.
    Course Assessment
    Description

    Course Assessment

    Visit Date
    Description

    (Enter the date the course started.)

    Data type

    date

    Alias
    NCI Thesaurus ValueDomain
    C25164
    NCI Thesaurus ObjectClass
    C40988
    NCI Thesaurus Property
    C25250
    UMLS CUI [1]
    C1115437
    Start Date of Course (Cycle)
    Description

    Course Start Date

    Data type

    date

    Alias
    NCI Thesaurus ObjectClass
    C25379
    NCI Metathesaurus ObjectClass
    CL219258
    NCI Thesaurus Property
    C25164
    NCI Thesaurus Property-2
    C25431
    NCI Thesaurus ValueDomain
    C25164
    UMLS CUI [1,1]
    C0750729
    UMLS CUI [1,2]
    C0808070
    Dose Change from TAC Entered on Course Initiation CRF?
    Description

    Dose Change

    Data type

    boolean

    Alias
    NCI Thesaurus ObjectClass
    C25627
    NCI Thesaurus Property
    C25446
    NCI Thesaurus ObjectClass-2
    C25488
    UMLS CUI [1]
    C1707811
    Course Disposition
    Description

    (Select one of the following values:)

    Data type

    integer

    Alias
    NCI Thesaurus ObjectClass
    C25379
    NCI Metathesaurus Property
    C0743223
    NCI Thesaurus ValueDomain
    C25284
    NCI Thesaurus ValueDomain-2
    C25379
    NCI Thesaurus ValueDomain-3
    C41205
    UMLS CUI [1,1]
    C0750729
    UMLS CUI [1,2]
    C0743223
    Response Assessment
    Description

    Disease Response

    Data type

    text

    Alias
    NCI Thesaurus ValueDomain
    C25284
    NCI Thesaurus ObjectClass
    C25755
    NCI Thesaurus Property
    C25367
    UMLS CUI [1]
    C1704632
    Response Note
    Description

    (Enter the reason why the Response Assessment is Not Evaluable NE or Not Assessed NA.)

    Data type

    text

    Alias
    NCI Thesaurus ValueDomain
    C25704
    NCI Thesaurus Property
    C25755
    NCI Thesaurus ObjectClass
    C2991
    UMLS CUI [1,1]
    C1704632
    UMLS CUI [1,2]
    C0947611
    Date of Response
    Description

    (Note: The original date of onset of response should be used for responses that persist through several courses.)

    Data type

    date

    Alias
    NCI Thesaurus ValueDomain
    C25164
    NCI Thesaurus ObjectClass
    C25755
    NCI Thesaurus Property
    C15722
    UMLS CUI [1,1]
    C1704632
    UMLS CUI [1,2]
    C0011008
    Date of Progression
    Description

    Progression Date

    Data type

    date

    Alias
    NCI Thesaurus Property
    C25164
    NCI Thesaurus ValueDomain
    C25164
    NCI Thesaurus ObjectClass
    C17747
    UMLS CUI [1,1]
    C0242656
    UMLS CUI [1,2]
    C0011008
    Any Adverse Events in this Course?
    Description

    (Note: The events must be recorded on the Adverse Events case report form.)

    Data type

    boolean

    Alias
    NCI Thesaurus ValueDomain
    C25180
    NCI Thesaurus ObjectClass
    C41331
    NCI Metathesaurus Property
    CL209504
    UMLS CUI [1]
    C2697887
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    Similar models

    No Instruction available.

    1 forms
    1. StudyEvent: Course Assessment
      1. No Instruction available.
    Name
    Type
    Description | Question | Decode (Coded Value)
    Data type
    Alias
    Item Group
    Course Assessment
    Form Completion Date
    Item
    Visit Date
    date
    C25164 (NCI Thesaurus ValueDomain)
    C40988 (NCI Thesaurus ObjectClass)
    C25250 (NCI Thesaurus Property)
    C1115437 (UMLS CUI [1])
    Course Start Date
    Item
    Start Date of Course (Cycle)
    date
    C25379 (NCI Thesaurus ObjectClass)
    CL219258 (NCI Metathesaurus ObjectClass)
    C25164 (NCI Thesaurus Property)
    C25431 (NCI Thesaurus Property-2)
    C25164 (NCI Thesaurus ValueDomain)
    C0750729 (UMLS CUI [1,1])
    C0808070 (UMLS CUI [1,2])
    Dose Change
    Item
    Dose Change from TAC Entered on Course Initiation CRF?
    boolean
    C25627 (NCI Thesaurus ObjectClass)
    C25446 (NCI Thesaurus Property)
    C25488 (NCI Thesaurus ObjectClass-2)
    C1707811 (UMLS CUI [1])
    Item
    Course Disposition
    integer
    C25379 (NCI Thesaurus ObjectClass)
    C0743223 (NCI Metathesaurus Property)
    C25284 (NCI Thesaurus ValueDomain)
    C25379 (NCI Thesaurus ValueDomain-2)
    C41205 (NCI Thesaurus ValueDomain-3)
    C0750729 (UMLS CUI [1,1])
    C0743223 (UMLS CUI [1,2])
    CL.2
    Code List
    Course Disposition
    CL Item
    Completed (1)
    C0205197 (UMLS CUI-1)
    CL Item
    Discontinued (2)
    C1444662 (UMLS CUI-1)
    Item
    Response Assessment
    text
    C25284 (NCI Thesaurus ValueDomain)
    C25755 (NCI Thesaurus ObjectClass)
    C25367 (NCI Thesaurus Property)
    C1704632 (UMLS CUI [1])
    CL.3
    Code List
    Response Assessment
    CL Item
    Not Evaluable (NE)
    C1883425 (UMLS CUI-1)
    CL Item
    Not Assessed (NA)
    C3846720 (UMLS CUI-1)
    CL Item
    Not Applicable Per Protocol (NP)
    C1272460 (UMLS CUI-1)
    CL Item
    Too Early (TE)
    C4018905 (UMLS CUI-1)
    CL Item
    Complete Response Unconfirmed (CRU)
    C1275810 (UMLS CUI-1)
    C3842247 (UMLS CUI-2)
    CL Item
    Complete Response (CR)
    C1275810 (UMLS CUI-1)
    CL Item
    Partial Response (PR)
    C18212 (NCI Thesaurus)
    C1521726 (UMLS CUI-1)
    CL Item
    Less Than Partial Response (MR)
    C1521726 (UMLS CUI-1)
    C0439092 (UMLS CUI-2)
    CL Item
    Progressive Disease (PD)
    C35571 (NCI Thesaurus)
    C1335499 (UMLS CUI-1)
    CL Item
    Stable Disease (SD)
    C18213 (NCI Thesaurus)
    C0677946 (UMLS CUI-1)
    CL Item
    Disease Unchanged (DU)
    C0442739 (UMLS CUI-1)
    Response Note Text
    Item
    Response Note
    text
    C25704 (NCI Thesaurus ValueDomain)
    C25755 (NCI Thesaurus Property)
    C2991 (NCI Thesaurus ObjectClass)
    C1704632 (UMLS CUI [1,1])
    C0947611 (UMLS CUI [1,2])
    Response Date
    Item
    Date of Response
    date
    C25164 (NCI Thesaurus ValueDomain)
    C25755 (NCI Thesaurus ObjectClass)
    C15722 (NCI Thesaurus Property)
    C1704632 (UMLS CUI [1,1])
    C0011008 (UMLS CUI [1,2])
    Progression Date
    Item
    Date of Progression
    date
    C25164 (NCI Thesaurus Property)
    C25164 (NCI Thesaurus ValueDomain)
    C17747 (NCI Thesaurus ObjectClass)
    C0242656 (UMLS CUI [1,1])
    C0011008 (UMLS CUI [1,2])
    Adverse Event Occurrence
    Item
    Any Adverse Events in this Course?
    boolean
    C25180 (NCI Thesaurus ValueDomain)
    C41331 (NCI Thesaurus ObjectClass)
    CL209504 (NCI Metathesaurus Property)
    C2697887 (UMLS CUI [1])
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