ID
24260
Description
AMC-045 Anal Cancer Initial Evaluation Form (IEF) NCT00324415 Pre-Study - AMC-045 Anal Cancer Initial Evaluation Form (IEF) - 2516530v1.0 Cisplatin, Fluorouracil, Cetuximab, and Radiation Therapy in Treating Patients With HIV and Stage I, Stage II, or Stage III Anal Cancer Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=1C146420-B4DA-57A0-E044-0003BA3F9857
Link
Keywords
Versions (3)
- 9/19/12 9/19/12 -
- 7/28/17 7/28/17 - Martin Dugas
- 7/28/17 7/28/17 - Martin Dugas
Uploaded on
July 28, 2017
DOI
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License
Creative Commons BY-NC 3.0
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Anal Cancer HIV Cisplatin, Fluorouracil, Cetuximab, and Radiation NCT00324415 AMC-045
No Instruction available.
- StudyEvent: AMC-045 Anal Cancer Initial Evaluation Form (IEF)
Description
Anal Cancer Tumor Characteristics
Alias
- UMLS CUI-1
- C0027651
- UMLS CUI-2
- C1521970
Description
Bowel Obstruction
Data type
text
Alias
- NCI Thesaurus Property
- C9175
- NCI Thesaurus ObjectClass
- C7379
- NCI Thesaurus ValueDomain
- C25688
- UMLS CUI [1]
- C0021843
Description
MalignantAnalNeoplasmPrimarySite
Data type
text
Alias
- NCI Thesaurus ValueDomain
- C13717
- NCI Thesaurus Property
- C25341
- NCI Thesaurus Property-2
- C25251
- NCI Thesaurus ObjectClass
- C7379
- UMLS CUI [1,1]
- C0872338
Description
MalignantAnalNeoplasmAnteriorPositionInd-3 (Tumor position)
Data type
text
Alias
- NCI Thesaurus ValueDomain
- C38148
- NCI Thesaurus Property
- C25231
- NCI Thesaurus ObjectClass
- C7379
- NCI Thesaurus Property-2
- C25339
- UMLS CUI [1,1]
- C0205094
Description
MalignantAnalNeoplasmPosteriorPositionInd-3 (Tumor position)
Data type
text
Alias
- NCI Thesaurus ValueDomain
- C38148
- NCI Thesaurus Property
- C25622
- NCI Thesaurus ObjectClass
- C7379
- NCI Thesaurus Property-2
- C25339
- UMLS CUI [1,1]
- C0205095
Description
MalignantAnalNeoplasmRightLateralPositionInd-3 (Tumor position)
Data type
text
Alias
- NCI Thesaurus ObjectClass
- C7379
- NCI Thesaurus Property
- C25228
- NCI Thesaurus Property-2
- C25230
- NCI Thesaurus Property-3
- C25339
- NCI Thesaurus ValueDomain
- C38148
- UMLS CUI [1,1]
- C0450415
Description
MalignantAnalNeoplasmLeftLateralPositionInd-3 (Tumor position)
Data type
text
Alias
- NCI Thesaurus ObjectClass
- C7379
- NCI Thesaurus Property
- C25229
- NCI Thesaurus Property-2
- C25230
- NCI Thesaurus Property-3
- C25339
- NCI Thesaurus ValueDomain
- C38148
- UMLS CUI [1,1]
- C0450414
Description
MalignantAnalNeoplasmCircumferential ResectionMarginInvolvementType
Data type
text
Alias
- NCI Thesaurus ValueDomain
- C25284
- NCI Thesaurus Property
- C25548
- NCI Thesaurus ObjectClass
- C7379
- NCI Thesaurus ObjectClass-2
- C46085
- UMLS CUI [1]
- C1300511
Description
LesionLongestDiameterMeasurement (s) (cm)
Data type
float
Measurement units
- cm
Alias
- NCI Thesaurus ObjectClass
- C3824
- NCI Thesaurus Property
- C25285
- NCI Thesaurus Property-2
- C25558
- NCI Thesaurus ValueDomain
- C25209
- NCI Thesaurus ValueDomain-2
- C25285
- UMLS CUI [1,1]
- C0221198
- UMLS CUI [1,2]
- C1301886
- UMLS CUI [1,3]
- C1522425
Description
PrimaryTumorDiagnosisDate
Data type
date
Measurement units
- mm/dd/yyyy
Alias
- NCI Thesaurus ValueDomain
- C25164
- NCI Thesaurus ObjectClass
- C3262
- NCI Thesaurus ObjectClass-2
- C25251
- NCI Thesaurus Property
- C15220
- UMLS CUI [1,1]
- C2316983
- UMLS CUI [1,2]
- C0205462
Description
MalignantAnalNeoplasmHistologicCategory
Data type
text
Alias
- NCI Thesaurus ValueDomain
- C25372
- NCI Thesaurus Property
- C25526
- NCI Thesaurus ObjectClass
- C7379
- NCI Thesaurus Property-2
- C25161
- UMLS CUI [1,1]
- C0019638
Description
MalignantAnalNeoplasmHistologicCategorySpecify
Data type
text
Alias
- NCI Thesaurus ValueDomain
- C25685
- NCI Thesaurus Property
- C25526
- NCI Thesaurus ObjectClass
- C7379
- NCI Thesaurus Property-2
- C25161
- UMLS CUI [1,1]
- C1707811
- UMLS CUI [1,2]
- C3840932
Description
MalignantAnalNeoplasmHistologicGrade
Data type
text
Alias
- NCI Thesaurus Property
- C25526
- NCI Thesaurus ObjectClass
- C7379
- NCI Thesaurus ValueDomain
- C18000
- NCI Thesaurus Property-2
- C25365
- UMLS CUI [1,1]
- C2945687
Description
PalpableLymphNodeFine-NeedleAspirationBiopsyStatus (Biopsy of palpably enlarged inguinal nodes)
Data type
text
Alias
- NCI Thesaurus ObjectClass
- C12745
- NCI Thesaurus ObjectClass-2
- C25606
- NCI Thesaurus Property
- C15189
- NCI Thesaurus Property-2
- C15361
- NCI Thesaurus ValueDomain
- C25688
- UMLS CUI [1]
- C1510483
Description
PalpableLymphNodeExcisionalBiopsyStatus (required if needle aspiration is negative) (Biopsy of palpably enlarged inguinal nodes)
Data type
text
Alias
- NCI Thesaurus ObjectClass
- C12745
- NCI Thesaurus Property
- C15385
- NCI Thesaurus ObjectClass-2
- C25606
- NCI Thesaurus ValueDomain
- C25688
- UMLS CUI [1]
- C0184921
Description
Biopsy Date
Data type
date
Alias
- NCI Thesaurus ValueDomain
- C25164
- NCI Thesaurus ValueDomain-2
- C25367
- NCI Thesaurus ObjectClass
- C15189
- NCI Thesaurus Property
- C25275
- UMLS CUI [1,1]
- C0005558
- UMLS CUI [1,2]
- C0011008
Description
Pelvic Lymph Node Status
Data type
text
Alias
- NCI Thesaurus ObjectClass
- C12745
- NCI Thesaurus Property
- C25547
- NCI Thesaurus ObjectClass-2
- C25399
- NCI Thesaurus ValueDomain
- C25688
- UMLS CUI [1]
- C0729595
Description
Assessment Method
Data type
text
Alias
- NCI Thesaurus ValueDomain
- C25284
- NCI Thesaurus ObjectClass
- C20989
- NCI Thesaurus Property
- C16847
- UMLS CUI [1]
- C2911685
Description
Assessment Method
Data type
text
Alias
- NCI Thesaurus ValueDomain
- C25685
- NCI Thesaurus ObjectClass
- C20989
- NCI Thesaurus Property
- C16847
- UMLS CUI [1]
- C2911685
Description
PatientFecesIncontinenceAssessmentStatus
Data type
text
Alias
- NCI Thesaurus ObjectClass
- C16960
- NCI Thesaurus Property
- C20989
- NCI Thesaurus Property-2
- C13234
- NCI Metathesaurus Property
- C0021167
- NCI Thesaurus ValueDomain
- C25688
- UMLS CUI [1,1]
- C2584328
Description
Procedures
Alias
- UMLS CUI-1
- C0087111
Description
MalignantAnalNeoplasmProctoscopySigmoidoscopy DiagnosticProcedureStatus
Data type
text
Alias
- NCI Thesaurus ObjectClass
- C7379
- NCI Thesaurus Property
- C18020
- NCI Thesaurus Property-2
- C17131
- NCI Thesaurus Property-3
- C17012
- NCI Thesaurus ValueDomain
- C25688
- UMLS CUI [1,1]
- C0033251
- UMLS CUI [1,2]
- C0037075
Description
PatientMalignantAnalNeoplasmDiagnosisPelvic ComputedTomographyMagneticResonanceImaging DiagnosticProcedureStatus
Data type
text
Alias
- NCI Thesaurus ObjectClass
- C16960
- NCI Thesaurus ObjectClass-2
- C15220
- NCI Thesaurus ObjectClass-3
- C7379
- NCI Thesaurus Property
- C17204
- NCI Thesaurus Property-2
- C16809
- NCI Thesaurus Property-3
- C25399
- NCI Thesaurus Property-4
- C18020
- NCI Thesaurus ValueDomain
- C25688
- UMLS CUI [1,1]
- C1641132
- UMLS CUI [1,2]
- C1631605
Description
PatientMalignantAnalNeoplasmDiagnosisChestX-RayDiagnosticProcedureStatus
Data type
text
Alias
- NCI Thesaurus ObjectClass
- C16960
- NCI Thesaurus ObjectClass-2
- C15220
- NCI Thesaurus ObjectClass-3
- C7379
- NCI Thesaurus Property
- C25389
- NCI Thesaurus Property-2
- C18020
- NCI Thesaurus Property-3
- C17261
- NCI Thesaurus ValueDomain
- C25688
- UMLS CUI [1]
- C0039985
Description
PatientMalignantAnalNeoplasmDiagnosisInguinalLymphangiogram DiagnosticProcedureStatus
Data type
text
Alias
- NCI Thesaurus ObjectClass
- C16960
- NCI Thesaurus ObjectClass-2
- C15220
- NCI Thesaurus ObjectClass-3
- C7379
- NCI Thesaurus Property
- C16805
- NCI Thesaurus Property-2
- C18020
- NCI Thesaurus Property-3
- C12726
- NCI Thesaurus ValueDomain
- C25688
- UMLS CUI [1,1]
- C0024219
- UMLS CUI [1,2]
- C0018246
Description
PatientMalignantAnalNeoplasmDiagnosis OtherDiagnosticProcedureStatus
Data type
text
Alias
- NCI Thesaurus ObjectClass
- C16960
- NCI Thesaurus ObjectClass-2
- C15220
- NCI Thesaurus ObjectClass-3
- C7379
- NCI Thesaurus Property
- C17649
- NCI Thesaurus Property-2
- C18020
- NCI Thesaurus ValueDomain
- C25688
- UMLS CUI [1]
- C0393107
Description
PatientMalignantAnalNeoplasmDiagnosis OtherDiagnosticProcedureSpecify
Data type
text
Alias
- NCI Thesaurus ObjectClass
- C16960
- NCI Thesaurus ObjectClass-2
- C15220
- NCI Thesaurus ObjectClass-3
- C7379
- NCI Thesaurus Property
- C17649
- NCI Thesaurus Property-2
- C18020
- NCI Thesaurus ValueDomain
- C25685
- UMLS CUI [1]
- C3845569
Description
TNM Clinical Classification Pre-treatment
Alias
- UMLS CUI-1
- C0332369
Description
MalignantAnalNeoplasmClinicalTStage
Data type
text
Alias
- NCI Thesaurus Property
- C25398
- NCI Thesaurus ObjectClass
- C7379
- NCI Thesaurus ValueDomain
- C16899
- NCI Thesaurus Property-2
- C25728
- UMLS CUI [1,1]
- C0475455
- UMLS CUI [1,2]
- C0205210
Description
MalignantAnalNeoplasmClinicalNStage
Data type
text
Alias
- NCI Thesaurus Property
- C25398
- NCI Thesaurus ObjectClass
- C7379
- NCI Thesaurus ValueDomain
- C16899
- NCI Thesaurus Property-2
- C25580
- UMLS CUI [1,1]
- C0456532
- UMLS CUI [1,2]
- C0205210
Description
MalignantAnalNeoplasmClinicalMStage
Data type
text
Alias
- NCI Thesaurus Property
- C25398
- NCI Thesaurus ObjectClass
- C7379
- NCI Thesaurus ValueDomain
- C16899
- NCI Thesaurus Property-2
- C25727
- UMLS CUI [1,1]
- C0456533
- UMLS CUI [1,2]
- C0205210
Description
MalignantAnalNeoplasmGroupingStage
Data type
text
Alias
- NCI Thesaurus ObjectClass
- C7379
- NCI Thesaurus ValueDomain
- C16899
- NCI Thesaurus Property
- C25523
- UMLS CUI [1]
- C1300072
Similar models
No Instruction available.
- StudyEvent: AMC-045 Anal Cancer Initial Evaluation Form (IEF)
C16696 (NCI Thesaurus ObjectClass)
C25385 (NCI Thesaurus Property)
C1549755 (UMLS CUI [1])
C15319 (NCI Thesaurus ObjectClass)
C25393 (NCI Thesaurus Property)
C0947611 (UMLS CUI [1])
C1521970 (UMLS CUI-2)
C7379 (NCI Thesaurus ObjectClass)
C25688 (NCI Thesaurus ValueDomain)
C0021843 (UMLS CUI [1])
C1298908 (UMLS 2011AA)
C0728938 (UMLS 2011AA)
C0205197 (UMLS 2011AA)
C0439673 (UMLS 2011AA)
C25341 (NCI Thesaurus Property)
C25251 (NCI Thesaurus Property-2)
C7379 (NCI Thesaurus ObjectClass)
C0872338 (UMLS CUI [1,1])
C0227411 (UMLS 2011AA)
C25231 (NCI Thesaurus Property)
C7379 (NCI Thesaurus ObjectClass)
C25339 (NCI Thesaurus Property-2)
C0205094 (UMLS CUI [1,1])
C1298908 (UMLS 2011AA)
C0439673 (UMLS 2011AA)
C1705108 (UMLS 2011AA)
C25622 (NCI Thesaurus Property)
C7379 (NCI Thesaurus ObjectClass)
C25339 (NCI Thesaurus Property-2)
C0205095 (UMLS CUI [1,1])
C1298908 (UMLS 2011AA)
C0439673 (UMLS 2011AA)
C1705108 (UMLS 2011AA)
C25228 (NCI Thesaurus Property)
C25230 (NCI Thesaurus Property-2)
C25339 (NCI Thesaurus Property-3)
C38148 (NCI Thesaurus ValueDomain)
C0450415 (UMLS CUI [1,1])
C1298908 (UMLS 2011AA)
C0439673 (UMLS 2011AA)
C1705108 (UMLS 2011AA)
C25229 (NCI Thesaurus Property)
C25230 (NCI Thesaurus Property-2)
C25339 (NCI Thesaurus Property-3)
C38148 (NCI Thesaurus ValueDomain)
C0450414 (UMLS CUI [1,1])
C1298908 (UMLS 2011AA)
C0439673 (UMLS 2011AA)
C1705108 (UMLS 2011AA)
C25548 (NCI Thesaurus Property)
C7379 (NCI Thesaurus ObjectClass)
C46085 (NCI Thesaurus ObjectClass-2)
C1300511 (UMLS CUI [1])
C0439673 (UMLS 2011AA)
C25285 (NCI Thesaurus Property)
C25558 (NCI Thesaurus Property-2)
C25209 (NCI Thesaurus ValueDomain)
C25285 (NCI Thesaurus ValueDomain-2)
C0221198 (UMLS CUI [1,1])
C1301886 (UMLS CUI [1,2])
C1522425 (UMLS CUI [1,3])
C3262 (NCI Thesaurus ObjectClass)
C25251 (NCI Thesaurus ObjectClass-2)
C15220 (NCI Thesaurus Property)
C2316983 (UMLS CUI [1,1])
C0205462 (UMLS CUI [1,2])
C25526 (NCI Thesaurus Property)
C7379 (NCI Thesaurus ObjectClass)
C25161 (NCI Thesaurus Property-2)
C0019638 (UMLS CUI [1,1])
C1412036 (UMLS 2011AA)
C0334273 (UMLS 2011AA)
C0280470 (UMLS 2011AA)
C0205394 (UMLS 2011AA)
C25526 (NCI Thesaurus Property)
C7379 (NCI Thesaurus ObjectClass)
C25161 (NCI Thesaurus Property-2)
C1707811 (UMLS CUI [1,1])
C3840932 (UMLS CUI [1,2])
C7379 (NCI Thesaurus ObjectClass)
C18000 (NCI Thesaurus ValueDomain)
C25365 (NCI Thesaurus Property-2)
C2945687 (UMLS CUI [1,1])
C1282907 (UMLS 2011AA)
C1512863 (UMLS 2011AA)
C0205082 (UMLS 2011AA)
C0439673 (UMLS 2011AA)
C25606 (NCI Thesaurus ObjectClass-2)
C15189 (NCI Thesaurus Property)
C15361 (NCI Thesaurus Property-2)
C25688 (NCI Thesaurus ValueDomain)
C1510483 (UMLS CUI [1])
C1272696 (UMLS CUI-1)
(Comment:en)
C1446409 (UMLS CUI-1)
(Comment:en)
C0205160 (UMLS CUI-1)
(Comment:en)
C0332241 (UMLS CUI-1)
(Comment:en)
C0439673 (UMLS CUI-1)
(Comment:en)
(Comment:en)
C15385 (NCI Thesaurus Property)
C25606 (NCI Thesaurus ObjectClass-2)
C25688 (NCI Thesaurus ValueDomain)
C0184921 (UMLS CUI [1])
C1272460 (UMLS 2011AA)
C1446409 (UMLS 2011AA)
C0205160 (UMLS 2011AA)
C0332241 (UMLS 2011AA)
C0439673 (UMLS 2011AA)
C25367 (NCI Thesaurus ValueDomain-2)
C15189 (NCI Thesaurus ObjectClass)
C25275 (NCI Thesaurus Property)
C0005558 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
C25547 (NCI Thesaurus Property)
C25399 (NCI Thesaurus ObjectClass-2)
C25688 (NCI Thesaurus ValueDomain)
C0729595 (UMLS CUI [1])
C0332197 (UMLS 2011AA)
C0150312 (UMLS 2011AA)
C20989 (NCI Thesaurus ObjectClass)
C16847 (NCI Thesaurus Property)
C2911685 (UMLS CUI [1])
(Comment:en)
C1521733 (UMLS CUI-1)
(Comment:en)
C0205394 (UMLS CUI-1)
(Comment:en)
C20989 (NCI Thesaurus ObjectClass)
C16847 (NCI Thesaurus Property)
C2911685 (UMLS CUI [1])
C20989 (NCI Thesaurus Property)
C13234 (NCI Thesaurus Property-2)
C0021167 (NCI Metathesaurus Property)
C25688 (NCI Thesaurus ValueDomain)
C2584328 (UMLS CUI [1,1])
C1272460 (UMLS 2011AA)
C0439673 (UMLS 2011AA)
C18020 (NCI Thesaurus Property)
C17131 (NCI Thesaurus Property-2)
C17012 (NCI Thesaurus Property-3)
C25688 (NCI Thesaurus ValueDomain)
C0033251 (UMLS CUI [1,1])
C0037075 (UMLS CUI [1,2])
C0332241 (UMLS CUI-1)
(Comment:en)
C0205160 (UMLS CUI-1)
(Comment:en)
C1272696 (UMLS CUI-1)
(Comment:en)
(Comment:en)
(Comment:en)
C0439673 (UMLS CUI-1)
(Comment:en)
C15220 (NCI Thesaurus ObjectClass-2)
C7379 (NCI Thesaurus ObjectClass-3)
C17204 (NCI Thesaurus Property)
C16809 (NCI Thesaurus Property-2)
C25399 (NCI Thesaurus Property-3)
C18020 (NCI Thesaurus Property-4)
C25688 (NCI Thesaurus ValueDomain)
C1641132 (UMLS CUI [1,1])
C1631605 (UMLS CUI [1,2])
C0332241 (UMLS CUI-1)
(Comment:en)
C0205160 (UMLS CUI-1)
(Comment:en)
C1272696 (UMLS CUI-1)
(Comment:en)
(Comment:en)
(Comment:en)
C0439673 (UMLS CUI-1)
(Comment:en)
C15220 (NCI Thesaurus ObjectClass-2)
C7379 (NCI Thesaurus ObjectClass-3)
C25389 (NCI Thesaurus Property)
C18020 (NCI Thesaurus Property-2)
C17261 (NCI Thesaurus Property-3)
C25688 (NCI Thesaurus ValueDomain)
C0039985 (UMLS CUI [1])
C0332241 (UMLS CUI-1)
(Comment:en)
C0205160 (UMLS CUI-1)
(Comment:en)
C1272696 (UMLS CUI-1)
(Comment:en)
(Comment:en)
(Comment:en)
C0439673 (UMLS CUI-1)
(Comment:en)
C15220 (NCI Thesaurus ObjectClass-2)
C7379 (NCI Thesaurus ObjectClass-3)
C16805 (NCI Thesaurus Property)
C18020 (NCI Thesaurus Property-2)
C12726 (NCI Thesaurus Property-3)
C25688 (NCI Thesaurus ValueDomain)
C0024219 (UMLS CUI [1,1])
C0018246 (UMLS CUI [1,2])
C0332241 (UMLS CUI-1)
(Comment:en)
C0205160 (UMLS CUI-1)
(Comment:en)
C1272696 (UMLS CUI-1)
(Comment:en)
(Comment:en)
(Comment:en)
C0439673 (UMLS CUI-1)
(Comment:en)
C15220 (NCI Thesaurus ObjectClass-2)
C7379 (NCI Thesaurus ObjectClass-3)
C17649 (NCI Thesaurus Property)
C18020 (NCI Thesaurus Property-2)
C25688 (NCI Thesaurus ValueDomain)
C0393107 (UMLS CUI [1])
C0332241 (UMLS CUI-1)
(Comment:en)
C0205160 (UMLS CUI-1)
(Comment:en)
C1272696 (UMLS CUI-1)
(Comment:en)
(Comment:en)
(Comment:en)
C0439673 (UMLS CUI-1)
(Comment:en)
C15220 (NCI Thesaurus ObjectClass-2)
C7379 (NCI Thesaurus ObjectClass-3)
C17649 (NCI Thesaurus Property)
C18020 (NCI Thesaurus Property-2)
C25685 (NCI Thesaurus ValueDomain)
C3845569 (UMLS CUI [1])
C7379 (NCI Thesaurus ObjectClass)
C16899 (NCI Thesaurus ValueDomain)
C25728 (NCI Thesaurus Property-2)
C0475455 (UMLS CUI [1,1])
C0205210 (UMLS CUI [1,2])
(Comment:en)
(Comment:en)
(Comment:en)
(Comment:en)
(Comment:en)
(Comment:en)
(Comment:en)
C7379 (NCI Thesaurus ObjectClass)
C16899 (NCI Thesaurus ValueDomain)
C25580 (NCI Thesaurus Property-2)
C0456532 (UMLS CUI [1,1])
C0205210 (UMLS CUI [1,2])
(Comment:en)
(Comment:en)
(Comment:en)
(Comment:en)
(Comment:en)
C7379 (NCI Thesaurus ObjectClass)
C16899 (NCI Thesaurus ValueDomain)
C25727 (NCI Thesaurus Property-2)
C0456533 (UMLS CUI [1,1])
C0205210 (UMLS CUI [1,2])
(Comment:en)
(Comment:en)
(Comment:en)
C16899 (NCI Thesaurus ValueDomain)
C25523 (NCI Thesaurus Property)
C1300072 (UMLS CUI [1])
C2242854 (UMLS CUI-1)
(Comment:en)
C0278499 (UMLS CUI-1)
(Comment:en)
C0278500 (UMLS CUI-1)
(Comment:en)
C0278563 (UMLS CUI-1)
(Comment:en)
C0278564 (UMLS CUI-1)
(Comment:en)
C0861424 (UMLS CUI-1)
(Comment:en)