ID

2482

Beskrivning

On-study data collection for Director's Challenge Lung Study 2004. Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=E7FC921D-AD85-346E-E034-0003BA3F9857

Länk

https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=E7FC921D-AD85-346E-E034-0003BA3F9857

Nyckelord

Uppladdad den

19 september 2012

DOI

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Creative Commons BY-NC 3.0 Legacy

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Lung Cancer null On-Study - Director's Challenge Lung Study Clinical Data Form - 2193149v1.0

model
Detaljer

No Instruction available.

1 Formulär

StudyEvent: Director's Challenge Lung Study Clinical Data Form
1. No Instruction available.

Name

Typ

Description | Question | Decode (Coded Value)

Datatyp

Alias

Enrollment Requirements

Item Group

Enrollment Requirements

SpecimenIdentifierNumber

Item

Specimen ID

text

C25337 (NCI Thesaurus ValueDomain)
C0237753 (UMLS 2011AA ValueDomain)
C25364 (NCI Thesaurus Property)
C0600091 (UMLS 2011AA Property)
C19157 (NCI Thesaurus ObjectClass)
C0370003 (UMLS 2011AA ObjectClass)

SurgeryDate

Item

Date of Operation

date

C25164 (NCI Thesaurus ValueDomain)
C0011008 (UMLS 2011AA ValueDomain)
C25367 (NCI Thesaurus ValueDomain)
C15329 (NCI Thesaurus ObjectClass)
C0543467 (UMLS 2011AA ObjectClass)
C25275 (NCI Thesaurus Property)
C2745955 (UMLS 2011AA Property)

Demographics

Item Group

Demographics

DiagnosisAge

Item

Age at diagnosis

double

C25337 (NCI Thesaurus ValueDomain)
C0237753 (UMLS 2011AA ValueDomain)
C2991 (NCI Thesaurus ObjectClass)
C0012634 (UMLS 2011AA ObjectClass)
C15220 (NCI Thesaurus Property)
C0011900 (UMLS 2011AA Property)

PatientGenderCategory

Item

Gender

text

C25372 (NCI Thesaurus ValueDomain)
C0683312 (UMLS 2011AA ValueDomain)
C16960 (NCI Thesaurus ObjectClass)
C0030705 (UMLS 2011AA ObjectClass)
C17357 (NCI Thesaurus Property)
C0079399 (UMLS 2011AA Property)

CL.1

Code List

Gender

CL Item

Female (FEMALE)

C46110 (NCI Thesaurus)
C0015780 (UMLS 2011AA)

CL Item

Unknown (UNKNOWN)

C17998 (NCI Thesaurus)
C0439673 (UMLS 2011AA)

CL Item

Male (MALE)

C46109 (NCI Thesaurus)
C1706180 (UMLS 2011AA)

PatientRaceCategory

Item

Race

text

C25372 (NCI Thesaurus ValueDomain)
C0683312 (UMLS 2011AA ValueDomain)
C16960 (NCI Thesaurus ObjectClass)
C0030705 (UMLS 2011AA ObjectClass)
C17049 (NCI Thesaurus Property)
C0034510 (UMLS 2011AA Property)

CL.2

Code List

Race

CL Item

A Person Having Origins In Any Of The Original Peoples Of North And South America (including Central America), And Who Maintains Tribal Affiliation Or Community Attachment. (American Indian or Alaska Native)

C41259 (NCI Thesaurus)
C1515945 (UMLS 2011AA)

CL Item

A Person Having Origins In Any Of The Original Peoples Of Hawaii, Guam, Samoa, Or Other Pacific Islands. (Native Hawaiian or other Pacific Islander)

C41219 (NCI Thesaurus)
C1513907 (UMLS 2011AA)

CL Item

A Person Having Origins In Any Of The Original Peoples Of The Far East, Southeast Asia, Or The Indian Subcontinent Including, For Example, Cambodia, China, India, Japan, Korea, Malaysia, Pakistan, The Philippine Islands, Thailand, And Vietnam. (Asian)

C41260 (NCI Thesaurus)
C0078988 (UMLS 2011AA)

CL Item

Not Provided Or Available (Not Reported)

C43234 (NCI Thesaurus)
C1706613 (UMLS 2011AA)

CL Item

A Person Having Origins In Any Of The Black Racial Groups Of Africa. Terms Such As "haitian" Or "negro" Can Be Used In Addition To "black Or African American." (Black or African American)

C16352 (NCI Thesaurus)
C0085756 (UMLS 2011AA)

CL Item

Could Not Be Determined Or Unsure (Unknown)

C17998 (NCI Thesaurus)
C0439673 (UMLS 2011AA)

CL Item

A Person Having Origins In Any Of The Original Peoples Of Europe, The Middle East, Or North Africa. (White)

C41261 (NCI Thesaurus)
C0007457 (UMLS 2011AA)

PatientEthnicityCategory

Item

Ethnicity

text

C25372 (NCI Thesaurus ValueDomain)
C0683312 (UMLS 2011AA ValueDomain)
C16960 (NCI Thesaurus ObjectClass)
C0030705 (UMLS 2011AA ObjectClass)
C29933 (NCI Thesaurus Property)

CL.3

Code List

Ethnicity

CL Item

A Person Of Mexican, Puerto Rican, Cuban, Central Or South American Or Other Spanish Culture Or Origin, Regardless Of Race (HISPANIC OR LATINO)

CL Item

Not Provided Or Available (Not reported)

C43234 (NCI Thesaurus)
C1706613 (UMLS 2011AA)

CL Item

Could Not Be Determined Or Unsure (UNKNOWN)

C17998 (NCI Thesaurus)
C0439673 (UMLS 2011AA)

CL Item

A Person Not Meeting The Definition For Hispanic Or Latino. (NOT HISPANIC OR LATINO)

C41222 (NCI Thesaurus)
C1518424 (UMLS 2011AA)

Performance Status

Item Group

Performance Status

ZubrodPerformanceStatus

Item

Performance Status

text

C25361 (NCI Thesaurus ObjectClass)
C0597198 (UMLS 2011AA ObjectClass)
C25688 (NCI Thesaurus ValueDomain)
C0449438 (UMLS 2011AA ValueDomain)
C25365 (NCI Thesaurus Property)
C0678257 (UMLS 2011AA Property)

CL.4

Code List

Performance Status

CL Item

Fully Active, Able To Carry On All Pre-disease Performance Without Restriction (Fully active, able to carry on all pre-disease performance without restriction)

CL Item

Restricted In Physically Strenuous Activity But Ambulatory (Restricted in physically strenuous activity but ambulatory)

CL Item

Completely Disabled (Completely disabled)

CL Item

Capable Of Limited Selfcare, Confined To Bed Or Chair More Than 50% Of Waking Hours (Capable of limited selfcare, confined to bed or chair more than 50% of waking hours)

CL Item

Ambulatory And Capable Of All Selfcare But Unable To Carry Out Any Work Activities (Ambulatory and capable of all selfcare but unable to carry out any work activities)

Smoking History

Item Group

Smoking History

SmokingHistoryInd

Item

Does the patient have a history of smoking?

text

C25180 (NCI Thesaurus ValueDomain)
C1522602 (UMLS 2011AA ValueDomain)
C17934 (NCI Thesaurus ObjectClass)
C0453996 (UMLS 2011AA ObjectClass)
C18772 (NCI Thesaurus Property)
C0262926 (UMLS 2011AA Property)

CL.5

Code List

Does the patient have a history of smoking?

CL Item

Never Smoked (Never smoked)

CL Item

Currently Smoking (Currently smoking)

CL Item

Smoked In The Past (Smoked in the past)

CL Item

Unknown (Unknown)

C17998 (NCI Thesaurus)
C0439673 (UMLS 2011AA)

SmokingCessationDurationTextCategory

Item

Specify time since patient stopped smoking

text

C25704 (NCI Thesaurus ValueDomain)
C1527021 (UMLS 2011AA ValueDomain)
C25372 (NCI Thesaurus ValueDomain)
C0683312 (UMLS 2011AA ValueDomain)
C17934 (NCI Thesaurus ObjectClass)
C0453996 (UMLS 2011AA ObjectClass)
C61497 (NCI Thesaurus Property)
C1880019 (UMLS 2011AA Property)

CL.6

Code List

Specify time since patient stopped smoking

CL Item

Less Than 6 Months (< 6 months)

CL Item

6 To 12 Months (6-12 months)

CL Item

1 To 5 Years (1-5 years)

CL Item

5 To 10 Years (5-10 years)

CL Item

10 To 20 Years (10-20 years)

CL Item

More Than 20 Years (> 20 years)

CL Item

Unknown (Unknown)

C17998 (NCI Thesaurus)
C0439673 (UMLS 2011AA)

AverageNumPacksPerDaySmokingHistoryCount

Item

Average pack per day consumption over entire smoking history (former and current smokers)

double

C1802 (NCI Thesaurus ObjectClass)
C0677453 (UMLS 2011AA ObjectClass)
C17934 (NCI Thesaurus ObjectClass)
C0453996 (UMLS 2011AA ObjectClass)
C37917 (NCI Thesaurus ObjectClass)
C1510992 (UMLS 2011AA ObjectClass)
C0750582 (NCI Metathesaurus ObjectClass)
C66715 (NCI Thesaurus Property)
C1947907 (UMLS 2011AA Property)
C18772 (NCI Thesaurus Property)
C0262926 (UMLS 2011AA Property)
C25463 (NCI Thesaurus ValueDomain)
C0750480 (UMLS 2011AA ValueDomain)

SmokingDurationCount

Item

Number of years smoked

double

C25463 (NCI Thesaurus ValueDomain)
C0750480 (UMLS 2011AA ValueDomain)
C17934 (NCI Thesaurus ObjectClass)
C0453996 (UMLS 2011AA ObjectClass)
C25330 (NCI Thesaurus Property)
C0449238 (UMLS 2011AA Property)

SecondHandSmokeExposureIndicator

Item

Second Hand Smoke Exposure Indicator

text

C25180 (NCI Thesaurus ValueDomain)
C1522602 (UMLS 2011AA ValueDomain)
C0872267 (NCI Metathesaurus ObjectClass)
C17941 (NCI Thesaurus Property)
C0332157 (UMLS 2011AA Property)

CL.7

Code List

Second Hand Smoke Exposure Indicator

CL Item

No (No)

C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)

CL Item

Yes (Yes)

C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)

CL Item

Unknown (Unknown)

C17998 (NCI Thesaurus)
C0439673 (UMLS 2011AA)

SecondHandSmokeExposureDurationinYearsNumber

Item

Number of years exposed to second hand smoke

double

C0872267 (NCI Metathesaurus ObjectClass)
C17941 (NCI Thesaurus Property)
C0332157 (UMLS 2011AA Property)
C25337 (NCI Thesaurus ValueDomain)
C0237753 (UMLS 2011AA ValueDomain)
C29848 (NCI Thesaurus ValueDomain)
C0439234 (UMLS 2011AA ValueDomain)
C25330 (NCI Thesaurus ValueDomain)
C0449238 (UMLS 2011AA ValueDomain)

Baseline Laboratory Studies

Item Group

Baseline Laboratory Studies

LaboratoryFacilityUnitofMeasureScaleTextType

Item

Units used by Lab

text

C25284 (NCI Thesaurus ValueDomain)
C0332307 (UMLS 2011AA ValueDomain)
C25664 (NCI Thesaurus Property)
C0349674 (UMLS 2011AA Property)
C25709 (NCI Thesaurus Property)
C1519795 (UMLS 2011AA Property)
C0598008 (NCI Metathesaurus ObjectClass)

CL.8

Code List

Units used by Lab

CL Item

Si Units (S/I)

CL Item

Imperial Units (Imperial)

CL Item

Unknown (Unknown)

C17998 (NCI Thesaurus)
C0439673 (UMLS 2011AA)

LaboratoryProcedureLactateDehydrogenaseResultSpecifiedValue

Item

Lactate Dehydrogenase (LDH)

double

C20200 (NCI Thesaurus Property)
C1274040 (UMLS 2011AA Property)
C25294 (NCI Thesaurus ObjectClass)
C0022885 (UMLS 2011AA ObjectClass)
C25712 (NCI Thesaurus ValueDomain)
C1522609 (UMLS 2011AA ValueDomain)
C25184 (NCI Thesaurus Property)
C0022917 (UMLS 2011AA Property)

LaboratoryProcedureLactateDehydrogenaseResultSpecifiedUpperLimitofNormalValue

Item

Lactate Dehydrogenase ULN

double

C25294 (NCI Thesaurus ObjectClass)
C0022885 (UMLS 2011AA ObjectClass)
C20200 (NCI Thesaurus Property)
C1274040 (UMLS 2011AA Property)
C25184 (NCI Thesaurus Property)
C0022917 (UMLS 2011AA Property)
C25712 (NCI Thesaurus ValueDomain)
C1522609 (UMLS 2011AA ValueDomain)
C38024 (NCI Thesaurus ValueDomain)
C0205369 (UMLS 2011AA ValueDomain)
C25706 (NCI Thesaurus ValueDomain)
C1519815 (UMLS 2011AA ValueDomain)

Lung Treatment

Item Group

Lung Treatment

AdjuvantRadiationTherapyAdministeredInd-3

Item

Adjuvant RT Administered Ind-3

text

C38148 (NCI Thesaurus ValueDomain)
C1512699 (UMLS 2011AA ValueDomain)
C15313 (NCI Thesaurus ObjectClass)
C1522449 (UMLS 2011AA ObjectClass)
C2140 (NCI Thesaurus ObjectClass)
C0001552 (UMLS 2011AA ObjectClass)
C25382 (NCI Thesaurus Property)
C1521801 (UMLS 2011AA Property)

CL.9

Code List

Adjuvant RT Administered Ind-3

CL Item

Yes (Yes)

C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)

CL Item

Unknown (Unknown)

C17998 (NCI Thesaurus)
C0439673 (UMLS 2011AA)

CL Item

No (No)

C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)

SystemicAdjuvantChemotherapyIndicator

Item

Has the patient received adjuvant systemic chemotherapy?

text

C25180 (NCI Thesaurus ValueDomain)
C1522602 (UMLS 2011AA ValueDomain)
C13310 (NCI Thesaurus ObjectClass)
C0205373 (UMLS 2011AA ObjectClass)
C18772 (NCI Thesaurus Property)
C0262926 (UMLS 2011AA Property)
C0085533 (NCI Metathesaurus ObjectClass)

CL.10

Code List

Has the patient received adjuvant systemic chemotherapy?

CL Item

No (No)

C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)

CL Item

Yes (Yes)

C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)

CL Item

Unknown (Unknown)

C17998 (NCI Thesaurus)
C0439673 (UMLS 2011AA)

Lung Surgical Procedure

Item Group

Lung Surgical Procedure

LungTumorSideType

Item

Side of Tumor Location

text

C3262 (NCI Thesaurus ObjectClass)
C0027651 (UMLS 2011AA ObjectClass)
C12468 (NCI Thesaurus ObjectClass)
C0024109 (UMLS 2011AA ObjectClass)
C25365 (NCI Thesaurus Property)
C0678257 (UMLS 2011AA Property)
C25306 (NCI Thesaurus Property)
C0441987 (UMLS 2011AA Property)
C25284 (NCI Thesaurus ValueDomain)
C0332307 (UMLS 2011AA ValueDomain)
C25306 (NCI Thesaurus ValueDomain)
C0441987 (UMLS 2011AA ValueDomain)

CL.11

Code List

Side of Tumor Location

CL Item

Both (Both)

C49636 (NCI Thesaurus)
C1706086 (UMLS 2011AA)

CL Item

Unknown (Unknown)

C17998 (NCI Thesaurus)
C0439673 (UMLS 2011AA)

CL Item

Right (Right)

C25228 (NCI Thesaurus)
C0205090 (UMLS 2011AA)

CL Item

Left (Left)

C25229 (NCI Thesaurus)
C0205091 (UMLS 2011AA)

SocietyofThoracicSurgeonsSurgicalApproachLungType

Item

Surgical Approach

text

C25284 (NCI Thesaurus ValueDomain)
C0332307 (UMLS 2011AA ValueDomain)
C17195 (NCI Thesaurus ObjectClass)
C0039986 (UMLS 2011AA ObjectClass)
C25424 (NCI Thesaurus Property)
C0449445 (UMLS 2011AA Property)

CL.12

Code List

Surgical Approach

CL Item

Median Sternotomy (Median sternotomy)

CL Item

Other Approach (Other approach)

CL Item

Partial Sternotomy (Partial sternotomy)

CL Item

Thoracoscopy (Thoracoscopy)

C17196 (NCI Thesaurus)
C0039989 (UMLS 2011AA)

CL Item

Thoracotomy (Thoracotomy)

C15537 (NCI Thesaurus)
C0280988 (UMLS 2011AA)

CL Item

Bilateral Anterior Thoracotomies W/transverse Sternotomy (Bilat ant thoracotomies/sternotomy)

CL Item

Unknown (Unknown)

C17998 (NCI Thesaurus)
C0439673 (UMLS 2011AA)

OtherThoracicSurgicalApproachDescriptiveText

Item

Other, Specify

text

C25704 (NCI Thesaurus ValueDomain)
C1527021 (UMLS 2011AA ValueDomain)
C17195 (NCI Thesaurus ObjectClass)
C0039986 (UMLS 2011AA ObjectClass)
C25365 (NCI Thesaurus ValueDomain)
C0678257 (UMLS 2011AA ValueDomain)
C25424 (NCI Thesaurus Property)
C0449445 (UMLS 2011AA Property)

ThoracicSurgicalProcedureName

Item

Primary Pulmonary Procedure

text

C25704 (NCI Thesaurus ValueDomain)
C1527021 (UMLS 2011AA ValueDomain)
C25218 (NCI Thesaurus Property)
C1948041 (UMLS 2011AA Property)
C17195 (NCI Thesaurus ObjectClass)
C0039986 (UMLS 2011AA ObjectClass)
C42614 (NCI Thesaurus ValueDomain)
C0027365 (UMLS 2011AA ValueDomain)

CL.13

Code List

Primary Pulmonary Procedure

CL Item

Completion Pneumonectomy (Completion pneumonectomy)

CL Item

Pneumonectomy (Pneumonectomy)

C15305 (NCI Thesaurus)
C0032284 (UMLS 2011AA)

CL Item

Segmentectomy (Segmentectomy)

CL Item

Lobectomy (Lobectomy)

C15272 (NCI Thesaurus)
C0023928 (UMLS 2011AA)

CL Item

Wedge Resection, Single (Wedge Resection, Single)

CL Item

Bilobectomy (Bilobectomy)

CL Item

Wedge Resection, Multiple (Wedge Resection, Multiple)

ThoracicResectionComponentName

Item

Additional components of resection (Mark all that apply)

text

C25704 (NCI Thesaurus ValueDomain)
C1527021 (UMLS 2011AA ValueDomain)
C17195 (NCI Thesaurus ObjectClass)
C0039986 (UMLS 2011AA ObjectClass)
C25480 (NCI Thesaurus Property)
C1522508 (UMLS 2011AA Property)

CL.14

Code List

Additional components of resection (Mark all that apply)

CL Item

Bronchial Sleeve Resection (Bronchial sleeve resection)

CL Item

Chest Wall Resection, No Reconstruction (Chest wall resection, no reconstruction)

CL Item

Chest Wall Resection, With Reconstruction (Chest wall resection, with reconstruction)

CL Item

Vascular Sleeve Resection (Vascular sleeve resection)

CL Item

Major Vascular Resection, No Reconstruction (Major vascular resection, no reconstruction)

CL Item

Other, Specify (Other, specify)

CL Item

Intrapericardial Reconstruction (Intrapericardial reconstruction)

ThoracicSurgeryProcedureOtherText

Item

Additional Component of resection Other, Specify

text

C25685 (NCI Thesaurus ValueDomain)
C1521902 (UMLS 2011AA ValueDomain)
C25218 (NCI Thesaurus Property)
C1948041 (UMLS 2011AA Property)
C17195 (NCI Thesaurus ObjectClass)
C0039986 (UMLS 2011AA ObjectClass)

Lymph Node Assessment

Item Group

Lymph Node Assessment

LymphNodeAssessmentSiteName

Item

Lymph Node (Station)

text

C20989 (NCI Thesaurus Property)
C0031809 (UMLS 2011AA Property)
C12745 (NCI Thesaurus ObjectClass)
C0024204 (UMLS 2011AA ObjectClass)
C42614 (NCI Thesaurus ValueDomain)
C0027365 (UMLS 2011AA ValueDomain)

CL.15

Code List

Lymph Node (Station)

CL Item

Highest Mediastinal Lymph Node (Highest Mediastinal LN)

CL Item

Left Subsegmental Lymph Node (Left Subsegmental LN)

CL Item

Left Upper Paratracheal Lymph Node (Left Upper Paratracheal LN)

CL Item

Pre-paratracheal Lymph Node (Pre-paratracheal LN)

CL Item

Right Lower Paratracheal Lymph Node (Right Lower Paratracheal LN)

CL Item

Left Lower Paratracheal Lymph Node (Left Lower Paratracheal LN)

CL Item

Subaortic Lymph Node (Subaortic LN)

CL Item

Para-aortic Lymph Node (Para-aortic LN)

CL Item

Subcarinal Lymph Node (Subcarinal LN)

CL Item

Paraesophageal Lymph Node (Paraesophageal LN)

CL Item

Pulmonary Ligament Lymph Node (Pulmonary Ligament LN)

CL Item

Right Hilar Lymph Node (Right Hilar LN)

CL Item

Left Hilar Lymph Node (Left Hilar LN)

CL Item

Interlobar Lymph Node (Interlobar LN)

CL Item

Right Lobar Lymph Node (Right Lobar LN)

CL Item

Left Lobar Lymph Node (Left Lobar LN)

CL Item

Right Segmental Lymph Node (Right Segmental LN)

CL Item

Left Segmental Lymph Node (Left Segmental LN)

CL Item

Right Subsegmental Lymph Node (Right Subsegmental LN)

CL Item

Right Upper Paratracheal Lymph Node (Right Upper Paratracheal LN)

LymphNodeClinicalAssessmentResult

Item

Clinical Involvement

text

C25367 (NCI Thesaurus Property)
C25398 (NCI Thesaurus Property)
C0205210 (UMLS 2011AA Property)
C12745 (NCI Thesaurus ObjectClass)
C0024204 (UMLS 2011AA ObjectClass)
C20200 (NCI Thesaurus ValueDomain)
C1274040 (UMLS 2011AA ValueDomain)

CL.16

Code List

Clinical Involvement

CL Item

Equivocal (Equivocal)

C86071 (NCI Thesaurus)
C0332241 (UMLS 2011AA)

CL Item

Unknown (Unknown)

C17998 (NCI Thesaurus)
C0439673 (UMLS 2011AA)

CL Item

Positive (Positive)

C25246 (NCI Thesaurus)
C1446409 (UMLS 2011AA)

CL Item

Negative (Negative)

C25247 (NCI Thesaurus)
C0205160 (UMLS 2011AA)

LymphNodePathologicAssessmentResult

Item

Pathologic Involvement

text

C25367 (NCI Thesaurus Property)
C25610 (NCI Thesaurus Property)
C1521733 (UMLS 2011AA Property)
C12745 (NCI Thesaurus ObjectClass)
C0024204 (UMLS 2011AA ObjectClass)
C20200 (NCI Thesaurus ValueDomain)
C1274040 (UMLS 2011AA ValueDomain)

CL.17

Code List

Pathologic Involvement

CL Item

Equivocal (Equivocal)

C86071 (NCI Thesaurus)
C0332241 (UMLS 2011AA)

CL Item

Unknown (Unknown)

C17998 (NCI Thesaurus)
C0439673 (UMLS 2011AA)

CL Item

Positive (Positive)

C25246 (NCI Thesaurus)
C1446409 (UMLS 2011AA)

CL Item

Negative (Negative)

C25247 (NCI Thesaurus)
C0205160 (UMLS 2011AA)

Vital Status

Item Group

Vital Status

PatientVitalStatusTextName

Item

Patient's Vital Status

text

C25191 (NCI Thesaurus ValueDomain)
C1547383 (UMLS 2011AA ValueDomain)
C25704 (NCI Thesaurus ValueDomain)
C1527021 (UMLS 2011AA ValueDomain)
C16960 (NCI Thesaurus ObjectClass)
C0030705 (UMLS 2011AA ObjectClass)
C25717 (NCI Thesaurus Property)
C1148433 (UMLS 2011AA Property)

CL.18

Code List

Patient's Vital Status

CL Item

Alive (Alive)

CL Item

Dead (Dead)

CL Item

Unknown (Unknown)

C17998 (NCI Thesaurus)
C0439673 (UMLS 2011AA)

Wasdeathcausedbylungcancer?

Item

Was death caused by lung cancer ?

text

C25180 (NCI Thesaurus ValueDomain)
C1522602 (UMLS 2011AA ValueDomain)
C28554 (NCI Thesaurus Property)
C0011065 (UMLS 2011AA Property)
C12468 (NCI Thesaurus ObjectClass)
C0024109 (UMLS 2011AA ObjectClass)
C9305 (NCI Thesaurus ObjectClass)
C0006826 (UMLS 2011AA ObjectClass)

CL.19

Code List

Was death caused by lung cancer ?

CL Item

Yes (Yes)

C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)

CL Item

Unknown (Unknown)

C17998 (NCI Thesaurus)
C0439673 (UMLS 2011AA)

CL Item

No (No)

C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)

PatientDeathSpecify

Item

Describe cause of death

text

C25685 (NCI Thesaurus ValueDomain)
C1521902 (UMLS 2011AA ValueDomain)
C16960 (NCI Thesaurus ObjectClass)
C0030705 (UMLS 2011AA ObjectClass)
C28554 (NCI Thesaurus Property)
C0011065 (UMLS 2011AA Property)

PatientLastContactDate

Item

Date of Last Contact or Death

date

C16960 (NCI Thesaurus ObjectClass)
C0030705 (UMLS 2011AA ObjectClass)
C25461 (NCI Thesaurus Property)
C0337611 (UMLS 2011AA Property)
C25551 (NCI Thesaurus Property)
C1517741 (UMLS 2011AA Property)
C25164 (NCI Thesaurus ValueDomain)
C0011008 (UMLS 2011AA ValueDomain)
C25367 (NCI Thesaurus ValueDomain)

Follow-Up Status

Item Group

Follow-up Status

FirstDiseaseProgressionorRelapseIndicator

Item

Has patient developed a first pogression or relapse?

text

C25180 (NCI Thesaurus ValueDomain)
C1522602 (UMLS 2011AA ValueDomain)
C25331 (NCI Thesaurus Property)
C2991 (NCI Thesaurus ObjectClass)
C0012634 (UMLS 2011AA ObjectClass)
C25509 (NCI Thesaurus ObjectClass)
C1279901 (UMLS 2011AA ObjectClass)
C25509 (NCI Thesaurus Property)
C1279901 (UMLS 2011AA Property)

CL.20

Code List

Has patient developed a first pogression or relapse?

CL Item

Yes (Yes)

C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)

CL Item

No (No)

C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)

FirstDiseaseProgressionorRelapseDate

Item

Date of first progression or relapse

text

C2991 (NCI Thesaurus ObjectClass)
C0012634 (UMLS 2011AA ObjectClass)
C25509 (NCI Thesaurus ObjectClass)
C1279901 (UMLS 2011AA ObjectClass)
C25331 (NCI Thesaurus Property)
C25509 (NCI Thesaurus Property)
C1279901 (UMLS 2011AA Property)
C25164 (NCI Thesaurus ValueDomain)
C0011008 (UMLS 2011AA ValueDomain)

CancerFollow-UpStatusDate

Item

Date of Last Clinical Assessment

date

C9305 (NCI Thesaurus ObjectClass)
C0006826 (UMLS 2011AA ObjectClass)
C16033 (NCI Thesaurus Property)
C1522577 (UMLS 2011AA Property)
C25365 (NCI Thesaurus Property)
C0678257 (UMLS 2011AA Property)
C25164 (NCI Thesaurus ValueDomain)
C0011008 (UMLS 2011AA ValueDomain)
C25367 (NCI Thesaurus ValueDomain)

Sites of Progression or Relapse

Item Group

Sites Of Progression Or Relapse

ProgressionIpsilateralLungIndicator

Item

Lung, Ipsilateral

text

C13717 (NCI Thesaurus Property)
C1515974 (UMLS 2011AA Property)
C25180 (NCI Thesaurus ValueDomain)
C1522602 (UMLS 2011AA ValueDomain)
C25331 (NCI Thesaurus ObjectClass)
C12468 (NCI Thesaurus Property)
C0024109 (UMLS 2011AA Property)

CL.21

Code List

Lung, Ipsilateral

CL Item

No (No)

C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)

CL Item

Yes (Yes)

C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)

CL Item

Unknown (Unknown)

C17998 (NCI Thesaurus)
C0439673 (UMLS 2011AA)

ProgressionRegionalLymphNodeIndicator

Item

Regional lymph nodes

text

C25180 (NCI Thesaurus ValueDomain)
C1522602 (UMLS 2011AA ValueDomain)
C25331 (NCI Thesaurus ObjectClass)
C25643 (NCI Thesaurus Property)
C0205147 (UMLS 2011AA Property)
C0024204 (NCI Metathesaurus Property)

CL.22

Code List

Regional lymph nodes

CL Item

No (No)

C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)

CL Item

Yes (Yes)

C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)

CL Item

Unknown (Unknown)

C17998 (NCI Thesaurus)
C0439673 (UMLS 2011AA)

ProgressionContralateralLungIndicator

Item

Lung, Contralateral

text

C13717 (NCI Thesaurus Property)
C1515974 (UMLS 2011AA Property)
C25180 (NCI Thesaurus ValueDomain)
C1522602 (UMLS 2011AA ValueDomain)
C25331 (NCI Thesaurus ObjectClass)
C25307 (NCI Thesaurus Property)
C0441988 (UMLS 2011AA Property)

CL.23

Code List

Lung, Contralateral

CL Item

No (No)

C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)

CL Item

Yes (Yes)

C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)

CL Item

Unknown (Unknown)

C17998 (NCI Thesaurus)
C0439673 (UMLS 2011AA)

ProgressionLiverIndicator

Item

Liver

text

C13717 (NCI Thesaurus Property)
C1515974 (UMLS 2011AA Property)
C25180 (NCI Thesaurus ValueDomain)
C1522602 (UMLS 2011AA ValueDomain)
C25331 (NCI Thesaurus ObjectClass)
C12392 (NCI Thesaurus Property)
C0023884 (UMLS 2011AA Property)

CL.24

Code List

Liver

CL Item

No (No)

C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)

CL Item

Yes (Yes)

C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)

CL Item

Unknown (Unknown)

C17998 (NCI Thesaurus)
C0439673 (UMLS 2011AA)

ProgressionPleuraIndicator

Item

Pleura

text

C13717 (NCI Thesaurus Property)
C1515974 (UMLS 2011AA Property)
C25180 (NCI Thesaurus ValueDomain)
C1522602 (UMLS 2011AA ValueDomain)
C25331 (NCI Thesaurus ObjectClass)
C25223 (NCI Thesaurus Property)
C1522720 (UMLS 2011AA Property)

CL.25

Code List

Pleura

CL Item

No (No)

C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)

CL Item

Yes (Yes)

C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)

CL Item

Unknown (Unknown)

C17998 (NCI Thesaurus)
C0439673 (UMLS 2011AA)

ProgressionCNSExcludingBrainIndicator

Item

CNS (Excluding brain)

text

C13717 (NCI Thesaurus Property)
C1515974 (UMLS 2011AA Property)
C25180 (NCI Thesaurus ValueDomain)
C1522602 (UMLS 2011AA ValueDomain)
C25331 (NCI Thesaurus ObjectClass)
C12438 (NCI Thesaurus Property)
C0927232 (UMLS 2011AA Property)

CL.26

Code List

CNS (Excluding brain)

CL Item

No (No)

C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)

CL Item

Yes (Yes)

C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)

CL Item

Unknown (Unknown)

C17998 (NCI Thesaurus)
C0439673 (UMLS 2011AA)

ProgressionBrainIndicator

Item

Brain

text

C13717 (NCI Thesaurus Property)
C1515974 (UMLS 2011AA Property)
C25180 (NCI Thesaurus ValueDomain)
C1522602 (UMLS 2011AA ValueDomain)
C25331 (NCI Thesaurus ObjectClass)
C12439 (NCI Thesaurus Property)
C0006104 (UMLS 2011AA Property)

CL.27

Code List

Brain

CL Item

No (No)

C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)

CL Item

Yes (Yes)

C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)

CL Item

Unknown (Unknown)

C17998 (NCI Thesaurus)
C0439673 (UMLS 2011AA)

ProgressionBoneIndicator

Item

Bone

text

C13717 (NCI Thesaurus Property)
C1515974 (UMLS 2011AA Property)
C25180 (NCI Thesaurus ValueDomain)
C1522602 (UMLS 2011AA ValueDomain)
C25331 (NCI Thesaurus ObjectClass)
C12366 (NCI Thesaurus Property)
C0262950 (UMLS 2011AA Property)

CL.28

Code List

Bone

CL Item

No (No)

C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)

CL Item

Yes (Yes)

C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)

CL Item

Unknown (Unknown)

C17998 (NCI Thesaurus)
C0439673 (UMLS 2011AA)

ProgressionAdrenalGlandIndicator

Item

Adrenal

text

C13717 (NCI Thesaurus Property)
C1515974 (UMLS 2011AA Property)
C25180 (NCI Thesaurus ValueDomain)
C1522602 (UMLS 2011AA ValueDomain)
C25331 (NCI Thesaurus ObjectClass)
C12666 (NCI Thesaurus Property)
C0001625 (UMLS 2011AA Property)

CL.29

Code List

Adrenal

CL Item

No (No)

C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)

CL Item

Yes (Yes)

C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)

CL Item

Unknown (Unknown)

C17998 (NCI Thesaurus)
C0439673 (UMLS 2011AA)

ProgressionDistantLymphNodeIndicator

Item

Distant lymph nodes

text

C25180 (NCI Thesaurus ValueDomain)
C1522602 (UMLS 2011AA ValueDomain)
C25331 (NCI Thesaurus ObjectClass)
C25321 (NCI Thesaurus Property)
C0443203 (UMLS 2011AA Property)
C0024204 (NCI Metathesaurus Property)

CL.30

Code List

Distant lymph nodes

CL Item

No (No)

C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)

CL Item

Yes (Yes)

C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)

CL Item

Unknown (Unknown)

C17998 (NCI Thesaurus)
C0439673 (UMLS 2011AA)

ProgressionDistantSubcutaneousSkinIndicator

Item

Distant skin/subcutaneous tissue

text

C25180 (NCI Thesaurus ValueDomain)
C1522602 (UMLS 2011AA ValueDomain)
C25331 (NCI Thesaurus ObjectClass)
C12470 (NCI Thesaurus Property)
C1123023 (UMLS 2011AA Property)
C13353 (NCI Thesaurus Property)
C0443315 (UMLS 2011AA Property)

CL.31

Code List

Distant skin/subcutaneous tissue

CL Item

No (No)

C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)

CL Item

Yes (Yes)

C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)

CL Item

Unknown (Unknown)

C17998 (NCI Thesaurus)
C0439673 (UMLS 2011AA)

ProgressionOtherAnatomicSitesIndicator

Item

Other Site(s)

text

C13717 (NCI Thesaurus Property)
C1515974 (UMLS 2011AA Property)
C17649 (NCI Thesaurus Property)
C0205394 (UMLS 2011AA Property)
C25180 (NCI Thesaurus ValueDomain)
C1522602 (UMLS 2011AA ValueDomain)
C25331 (NCI Thesaurus ObjectClass)

CL.32

Code List

Other Site(s)

CL Item

No (No)

C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)

CL Item

Yes (Yes)

C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)

CL Item

Unknown (Unknown)

C17998 (NCI Thesaurus)
C0439673 (UMLS 2011AA)

ProgressionOtherAnatomicSitesDescriptiveText

Item

If site(s) other than specified, indicate name

text

C13717 (NCI Thesaurus Property)
C1515974 (UMLS 2011AA Property)
C25704 (NCI Thesaurus ValueDomain)
C1527021 (UMLS 2011AA ValueDomain)
C17649 (NCI Thesaurus Property)
C0205394 (UMLS 2011AA Property)
C25331 (NCI Thesaurus ObjectClass)

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Lung Cancer null On-Study - Director's Challenge Lung Study Clinical Data Form - 2193149v1.0

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