ID

24965

Description

ECOG 4599 Follow-Up Disease Evaluation Form (RECIST) Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=A1332372-319A-59AF-E034-080020C9C0E0

Lien

https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=A1332372-319A-59AF-E034-080020C9C0E0

Mots-clés

  1. 19/09/2012 19/09/2012 -
  2. 23/08/2017 23/08/2017 -
  3. 23/08/2017 23/08/2017 -
Téléchargé le

23 août 2017

DOI

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Licence

Creative Commons BY-NC 3.0 Legacy

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    ECOG 4599 Follow-Up Disease Evaluation Form (RECIST)

    No Instruction available.

    1. StudyEvent: ECOG 4599 Follow-Up Disease Evaluation Form (RECIST)
      1. No Instruction available.
    Follow-Up Disease Evaluation Form
    Description

    Follow-Up Disease Evaluation Form

    Alias
    UMLS CUI-1
    C1522577
    UMLS CUI-2
    C0012634
    UMLS CUI-3
    C0220825
    UMLS CUI-4
    C0242379
    Date of data transfer
    Description

    Date of data transfer

    Type de données

    date

    Alias
    UMLS CUI [1,1]
    C3272293
    UMLS CUI [1,2]
    C0011008
    Transfer Method
    Description

    Method

    Type de données

    text

    Alias
    UMLS CUI [1,1]
    C3272293
    UMLS CUI [1,2]
    C0025663
    Specify other transfer method
    Description

    transfer method

    Type de données

    text

    Alias
    UMLS CUI [1,1]
    C3272293
    UMLS CUI [1,2]
    C0025663
    Step No.
    Description

    Identifier

    Type de données

    text

    Alias
    UMLS CUI [1,1]
    C1261552
    UMLS CUI [1,2]
    C0600091
    Course Identification
    Description

    Course Identification

    Type de données

    text

    Alias
    UMLS CUI [1,1]
    C0750729
    UMLS CUI [1,2]
    C0600091
    Patient Name
    Description

    Patient Name

    Type de données

    text

    Alias
    UMLS CUI [1]
    C1299487
    Particip. Group Protocol Number
    Description

    Particip. Group Protocol Number

    Type de données

    float

    Alias
    UMLS CUI [1,1]
    C0008971
    UMLS CUI [1,2]
    C0441833
    UMLS CUI [1,3]
    C0600091
    Patient Study ID, Participating Group
    Description

    Patient Study ID

    Type de données

    text

    Alias
    UMLS CUI [1]
    C2348585
    Institution Name
    Description

    Institution Name

    Type de données

    text

    Alias
    UMLS CUI [1]
    C1301943
    Affiliate Name
    Description

    Affiliate Name

    Type de données

    text

    Alias
    UMLS CUI [1,1]
    C1510825
    UMLS CUI [1,2]
    C0027365
    Amended Data Ind
    Description

    Data amended

    Type de données

    text

    Alias
    NCI Thesaurus ObjectClass
    C25474
    NCI Thesaurus Property
    C25416
    UMLS CUI [1,1]
    C1511726
    UMLS CUI [1,2]
    C1691222
    Lesion, Reference Number, Target
    Description

    Reference Number

    Type de données

    text

    Alias
    UMLS CUI [1,1]
    C2826265
    UMLS CUI [1,2]
    C0221198
    UMLS CUI [2]
    C1521840
    Lesion, Anatomic Site, Target
    Description

    Anatomic Site

    Type de données

    text

    Alias
    UMLS CUI [1,1]
    C1515974
    UMLS CUI [1,2]
    C0221198
    UMLS CUI [2]
    C1521840
    Site Code, Target
    Description

    Site Code

    Type de données

    text

    Alias
    UMLS CUI [1,1]
    C1515974
    UMLS CUI [1,2]
    C0600091
    UMLS CUI [1,3]
    C0221198
    UMLS CUI [2]
    C1521840
    Assessment Type, Target
    Description

    Assessment Type

    Type de données

    text

    Alias
    UMLS CUI [1]
    C2911685
    UMLS CUI [2]
    C1521840
    Assessment Date, Target
    Description

    Assessment Date

    Type de données

    date

    Alias
    UMLS CUI [1,1]
    C0220825
    UMLS CUI [1,2]
    C0011008
    UMLS CUI [2]
    C1521840
    Lesion, Tumor Diameter
    Description

    Tumor Diameter

    Type de données

    float

    Alias
    NCI Thesaurus ValueDomain
    C25209
    UMLS CUI [1,1]
    C1301886
    UMLS CUI [1,2]
    C0221198
    UMLS CUI [2]
    C1521840
    Lesion, Baseline Tumor Diameter
    Description

    Baseline Tumor Diameter

    Type de données

    text

    Alias
    UMLS CUI [1,1]
    C1301886
    UMLS CUI [1,2]
    C0221198
    UMLS CUI [2]
    C1521840
    Lesion, Diameter, Longest Sum
    Description

    Longest Sum

    Type de données

    float

    Alias
    UMLS CUI [1,1]
    C3272914
    UMLS CUI [1,2]
    C0221198
    UMLS CUI [2]
    C1521840
    Lesion, Reference Number, Nontarget
    Description

    Lesion,ReferenceNumber,Nontarget

    Type de données

    text

    Alias
    UMLS CUI [1,1]
    C2826265
    UMLS CUI [1,2]
    C0221198
    UMLS CUI [2]
    C1518389
    Lesion, Anatomic Site, Nontarget
    Description

    Lesion,AnatomicSite,Nontarget

    Type de données

    text

    Alias
    UMLS CUI [1,1]
    C1515974
    UMLS CUI [1,2]
    C0221198
    UMLS CUI [2]
    C1518389
    Site Code, Nontarget
    Description

    SiteCode,Nontarget

    Type de données

    text

    Alias
    UMLS CUI [1,1]
    C1515974
    UMLS CUI [1,2]
    C0600091
    UMLS CUI [1,3]
    C0221198
    UMLS CUI [2]
    C1518389
    Assessment Type, Nontarget
    Description

    AssessmentType,Nontarget

    Type de données

    text

    Alias
    UMLS CUI [1]
    C2911685
    UMLS CUI [2]
    C1518389
    Assessment Date, Nontarget
    Description

    AssessmentDate,Nontarget

    Type de données

    date

    Alias
    UMLS CUI [1,1]
    C0220825
    UMLS CUI [1,2]
    C0011008
    UMLS CUI [2]
    C1518389
    Lesion, Follow-up Status
    Description

    Follow-up Status

    Type de données

    text

    Alias
    UMLS CUI [1,1]
    C0589120
    UMLS CUI [1,2]
    C0221198
    UMLS CUI [2]
    C1518389
    Cytology Result, Nontarget
    Description

    Cytology Result

    Type de données

    text

    Alias
    UMLS CUI [1,1]
    C0010819
    UMLS CUI [1,2]
    C1274040
    UMLS CUI [2]
    C1518389
    Other Specify
    Description

    Other Specify

    Type de données

    text

    Alias
    UMLS CUI [1,1]
    C0010819
    UMLS CUI [1,2]
    C1274040
    UMLS CUI [2]
    C1518389
    New Lesion Ind
    Description

    New Lesion Ind

    Type de données

    text

    Alias
    UMLS CUI [1,1]
    C0221198
    UMLS CUI [1,2]
    C0205314
    Lesion, Reference Number, New
    Description

    Lesion,ReferenceNumber,New

    Type de données

    text

    Alias
    UMLS CUI [1,1]
    C2826265
    UMLS CUI [1,2]
    C0221198
    UMLS CUI [1,3]
    C0205314
    Lesion, Anatomic Site, New
    Description

    Lesion,AnatomicSite,New

    Type de données

    text

    Alias
    UMLS CUI [1]
    C1515974
    UMLS CUI [2,1]
    C0221198
    UMLS CUI [2,2]
    C0205314
    Site Code, New
    Description

    SiteCode,New

    Type de données

    text

    Alias
    UMLS CUI [1,1]
    C1515974
    UMLS CUI [1,2]
    C0600091
    UMLS CUI [2,1]
    C0221198
    UMLS CUI [2,2]
    C0205314
    Assessment Type, New
    Description

    AssessmentType,New

    Type de données

    text

    Alias
    UMLS CUI [1]
    C2911685
    UMLS CUI [2,1]
    C0221198
    UMLS CUI [2,2]
    C0205314
    Assessment Date, New
    Description

    AssessmentDate,New

    Type de données

    date

    Alias
    UMLS CUI [1,1]
    C0220825
    UMLS CUI [1,2]
    C0011008
    UMLS CUI [2,1]
    C0221198
    UMLS CUI [2,2]
    C0205314
    Cytology Result, New
    Description

    CytologyResult,New

    Type de données

    text

    Alias
    UMLS CUI [1,1]
    C0010819
    UMLS CUI [1,2]
    C1274040
    UMLS CUI [2,1]
    C0221198
    UMLS CUI [2,2]
    C0205314
    Has Target Lesion Response Status Change
    Description

    Response Status

    Type de données

    text

    Alias
    UMLS CUI [1,1]
    C0871261
    UMLS CUI [1,2]
    C0449438
    UMLS CUI [2,1]
    C1521840
    UMLS CUI [2,2]
    C0221198
    Target Lesion Response Status
    Description

    Target Lesion Response Status

    Type de données

    text

    Alias
    UMLS CUI [1,1]
    C0871261
    UMLS CUI [1,2]
    C0449438
    UMLS CUI [2,1]
    C1521840
    UMLS CUI [2,2]
    C0221198
    Response Status Change
    Description

    Response Status Change

    Type de données

    text

    Alias
    UMLS CUI [1,1]
    C1515926
    UMLS CUI [1,2]
    C0871261
    UMLS CUI [1,3]
    C0449438
    UMLS CUI [2,1]
    C1521840
    UMLS CUI [2,2]
    C0221198
    Overall Tumor Response
    Description

    Overall Tumor Response

    Type de données

    text

    Alias
    UMLS CUI [1,1]
    C3272903
    UMLS CUI [1,2]
    C0006826
    Progressive Disease Observed Date
    Description

    Progressive Disease Observed Date

    Type de données

    date

    Alias
    UMLS CUI [1,1]
    C1335499
    UMLS CUI [1,2]
    C0011008
    Response Confirmed Ind
    Description

    Response Confirmed

    Type de données

    text

    Alias
    UMLS CUI [1,1]
    C0871261
    UMLS CUI [1,2]
    C0750484
    PR/CR First Observed Date
    Description

    remission

    Type de données

    text

    Alias
    NCI Thesaurus Property
    C18212
    NCI Thesaurus ObjectClass
    C9305
    NCI Thesaurus Property-2
    C4870
    NCI Thesaurus Property-3
    C25599
    UMLS CUI [1,1]
    C0544452
    UMLS CUI [1,2]
    C0006826
    UMLS CUI [1,3]
    C1441672
    UMLS CUI [1,4]
    C0011008
    Symptomatic Deterioration Ind
    Description

    Symptomatic Deterioration

    Type de données

    text

    Alias
    UMLS CUI [1]
    C4086879
    Symptomatic Deterioration Specify
    Description

    Symptomatic Deterioration

    Type de données

    text

    Alias
    UMLS CUI [1]
    C4086879
    Symptomatic Deterioration Date
    Description

    Symptomatic Deterioration Date

    Type de données

    date

    Alias
    UMLS CUI [1,1]
    C4086879
    UMLS CUI [1,2]
    C0011008
    Comments
    Description

    Comments

    Type de données

    text

    Alias
    UMLS CUI [1,1]
    C0947611
    UMLS CUI [1,2]
    C0242379
    Comments2
    Description

    Comments2

    Type de données

    text

    Alias
    UMLS CUI [1,1]
    C0947611
    UMLS CUI [1,2]
    C0242379

    Similar models

    No Instruction available.

    1. StudyEvent: ECOG 4599 Follow-Up Disease Evaluation Form (RECIST)
      1. No Instruction available.
    Name
    Type
    Description | Question | Decode (Coded Value)
    Type de données
    Alias
    Item Group
    Follow-Up Disease Evaluation Form
    C1522577 (UMLS CUI-1)
    C0012634 (UMLS CUI-2)
    C0220825 (UMLS CUI-3)
    C0242379 (UMLS CUI-4)
    Date of data transfer
    Item
    Date of data transfer
    date
    C3272293 (UMLS CUI [1,1])
    C0011008 (UMLS CUI [1,2])
    Method
    Item
    Transfer Method
    text
    C3272293 (UMLS CUI [1,1])
    C0025663 (UMLS CUI [1,2])
    transfer method
    Item
    Specify other transfer method
    text
    C3272293 (UMLS CUI [1,1])
    C0025663 (UMLS CUI [1,2])
    Identifier
    Item
    Step No.
    text
    C1261552 (UMLS CUI [1,1])
    C0600091 (UMLS CUI [1,2])
    Course Identification
    Item
    Course Identification
    text
    C0750729 (UMLS CUI [1,1])
    C0600091 (UMLS CUI [1,2])
    Patient Name
    Item
    Patient Name
    text
    C1299487 (UMLS CUI [1])
    Particip. Group Protocol Number
    Item
    Particip. Group Protocol Number
    float
    C0008971 (UMLS CUI [1,1])
    C0441833 (UMLS CUI [1,2])
    C0600091 (UMLS CUI [1,3])
    Patient Study ID
    Item
    Patient Study ID, Participating Group
    text
    C2348585 (UMLS CUI [1])
    Institution Name
    Item
    Institution Name
    text
    C1301943 (UMLS CUI [1])
    Affiliate Name
    Item
    Affiliate Name
    text
    C1510825 (UMLS CUI [1,1])
    C0027365 (UMLS CUI [1,2])
    Data amended
    Item
    Amended Data Ind
    text
    C25474 (NCI Thesaurus ObjectClass)
    C25416 (NCI Thesaurus Property)
    C1511726 (UMLS CUI [1,1])
    C1691222 (UMLS CUI [1,2])
    Reference Number
    Item
    Lesion, Reference Number, Target
    text
    C2826265 (UMLS CUI [1,1])
    C0221198 (UMLS CUI [1,2])
    C1521840 (UMLS CUI [2])
    Anatomic Site
    Item
    Lesion, Anatomic Site, Target
    text
    C1515974 (UMLS CUI [1,1])
    C0221198 (UMLS CUI [1,2])
    C1521840 (UMLS CUI [2])
    Site Code
    Item
    Site Code, Target
    text
    C1515974 (UMLS CUI [1,1])
    C0600091 (UMLS CUI [1,2])
    C0221198 (UMLS CUI [1,3])
    C1521840 (UMLS CUI [2])
    Assessment Type
    Item
    Assessment Type, Target
    text
    C2911685 (UMLS CUI [1])
    C1521840 (UMLS CUI [2])
    Assessment Date
    Item
    Assessment Date, Target
    date
    C0220825 (UMLS CUI [1,1])
    C0011008 (UMLS CUI [1,2])
    C1521840 (UMLS CUI [2])
    Tumor Diameter
    Item
    Lesion, Tumor Diameter
    float
    C25209 (NCI Thesaurus ValueDomain)
    C1301886 (UMLS CUI [1,1])
    C0221198 (UMLS CUI [1,2])
    C1521840 (UMLS CUI [2])
    Baseline Tumor Diameter
    Item
    Lesion, Baseline Tumor Diameter
    text
    C1301886 (UMLS CUI [1,1])
    C0221198 (UMLS CUI [1,2])
    C1521840 (UMLS CUI [2])
    Longest Sum
    Item
    Lesion, Diameter, Longest Sum
    float
    C3272914 (UMLS CUI [1,1])
    C0221198 (UMLS CUI [1,2])
    C1521840 (UMLS CUI [2])
    Lesion,ReferenceNumber,Nontarget
    Item
    Lesion, Reference Number, Nontarget
    text
    C2826265 (UMLS CUI [1,1])
    C0221198 (UMLS CUI [1,2])
    C1518389 (UMLS CUI [2])
    Lesion,AnatomicSite,Nontarget
    Item
    Lesion, Anatomic Site, Nontarget
    text
    C1515974 (UMLS CUI [1,1])
    C0221198 (UMLS CUI [1,2])
    C1518389 (UMLS CUI [2])
    SiteCode,Nontarget
    Item
    Site Code, Nontarget
    text
    C1515974 (UMLS CUI [1,1])
    C0600091 (UMLS CUI [1,2])
    C0221198 (UMLS CUI [1,3])
    C1518389 (UMLS CUI [2])
    AssessmentType,Nontarget
    Item
    Assessment Type, Nontarget
    text
    C2911685 (UMLS CUI [1])
    C1518389 (UMLS CUI [2])
    AssessmentDate,Nontarget
    Item
    Assessment Date, Nontarget
    date
    C0220825 (UMLS CUI [1,1])
    C0011008 (UMLS CUI [1,2])
    C1518389 (UMLS CUI [2])
    Follow-up Status
    Item
    Lesion, Follow-up Status
    text
    C0589120 (UMLS CUI [1,1])
    C0221198 (UMLS CUI [1,2])
    C1518389 (UMLS CUI [2])
    Cytology Result
    Item
    Cytology Result, Nontarget
    text
    C0010819 (UMLS CUI [1,1])
    C1274040 (UMLS CUI [1,2])
    C1518389 (UMLS CUI [2])
    Other Specify
    Item
    Other Specify
    text
    C0010819 (UMLS CUI [1,1])
    C1274040 (UMLS CUI [1,2])
    C1518389 (UMLS CUI [2])
    New Lesion Ind
    Item
    New Lesion Ind
    text
    C0221198 (UMLS CUI [1,1])
    C0205314 (UMLS CUI [1,2])
    Lesion,ReferenceNumber,New
    Item
    Lesion, Reference Number, New
    text
    C2826265 (UMLS CUI [1,1])
    C0221198 (UMLS CUI [1,2])
    C0205314 (UMLS CUI [1,3])
    Lesion,AnatomicSite,New
    Item
    Lesion, Anatomic Site, New
    text
    C1515974 (UMLS CUI [1])
    C0221198 (UMLS CUI [2,1])
    C0205314 (UMLS CUI [2,2])
    SiteCode,New
    Item
    Site Code, New
    text
    C1515974 (UMLS CUI [1,1])
    C0600091 (UMLS CUI [1,2])
    C0221198 (UMLS CUI [2,1])
    C0205314 (UMLS CUI [2,2])
    AssessmentType,New
    Item
    Assessment Type, New
    text
    C2911685 (UMLS CUI [1])
    C0221198 (UMLS CUI [2,1])
    C0205314 (UMLS CUI [2,2])
    AssessmentDate,New
    Item
    Assessment Date, New
    date
    C0220825 (UMLS CUI [1,1])
    C0011008 (UMLS CUI [1,2])
    C0221198 (UMLS CUI [2,1])
    C0205314 (UMLS CUI [2,2])
    CytologyResult,New
    Item
    Cytology Result, New
    text
    C0010819 (UMLS CUI [1,1])
    C1274040 (UMLS CUI [1,2])
    C0221198 (UMLS CUI [2,1])
    C0205314 (UMLS CUI [2,2])
    Response Status
    Item
    Has Target Lesion Response Status Change
    text
    C0871261 (UMLS CUI [1,1])
    C0449438 (UMLS CUI [1,2])
    C1521840 (UMLS CUI [2,1])
    C0221198 (UMLS CUI [2,2])
    Target Lesion Response Status
    Item
    Target Lesion Response Status
    text
    C0871261 (UMLS CUI [1,1])
    C0449438 (UMLS CUI [1,2])
    C1521840 (UMLS CUI [2,1])
    C0221198 (UMLS CUI [2,2])
    Response Status Change
    Item
    Response Status Change
    text
    C1515926 (UMLS CUI [1,1])
    C0871261 (UMLS CUI [1,2])
    C0449438 (UMLS CUI [1,3])
    C1521840 (UMLS CUI [2,1])
    C0221198 (UMLS CUI [2,2])
    Overall Tumor Response
    Item
    Overall Tumor Response
    text
    C3272903 (UMLS CUI [1,1])
    C0006826 (UMLS CUI [1,2])
    Progressive Disease Observed Date
    Item
    Progressive Disease Observed Date
    date
    C1335499 (UMLS CUI [1,1])
    C0011008 (UMLS CUI [1,2])
    Response Confirmed
    Item
    Response Confirmed Ind
    text
    C0871261 (UMLS CUI [1,1])
    C0750484 (UMLS CUI [1,2])
    remission
    Item
    PR/CR First Observed Date
    text
    C18212 (NCI Thesaurus Property)
    C9305 (NCI Thesaurus ObjectClass)
    C4870 (NCI Thesaurus Property-2)
    C25599 (NCI Thesaurus Property-3)
    C0544452 (UMLS CUI [1,1])
    C0006826 (UMLS CUI [1,2])
    C1441672 (UMLS CUI [1,3])
    C0011008 (UMLS CUI [1,4])
    Symptomatic Deterioration
    Item
    Symptomatic Deterioration Ind
    text
    C4086879 (UMLS CUI [1])
    Symptomatic Deterioration
    Item
    Symptomatic Deterioration Specify
    text
    C4086879 (UMLS CUI [1])
    Symptomatic Deterioration Date
    Item
    Symptomatic Deterioration Date
    date
    C4086879 (UMLS CUI [1,1])
    C0011008 (UMLS CUI [1,2])
    Comments
    Item
    Comments
    text
    C0947611 (UMLS CUI [1,1])
    C0242379 (UMLS CUI [1,2])
    Comments2
    Item
    Comments2
    text
    C0947611 (UMLS CUI [1,1])
    C0242379 (UMLS CUI [1,2])

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