ID

25166

Description

AMC-053 Physical Exam Tumor Assessment Form (PE2) Bortezomib, Ifosfamide, Carboplatin, and Etoposide, With or Without Rituximab, in Treating Patients With Relapsed or Refractory AIDS-Related Non-Hodgkin Lymphoma Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=77F41587-C0EE-F791-E040-BB89AD4363A0

Link

https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=77F41587-C0EE-F791-E040-BB89AD4363A0

Keywords

Versions (2)
  1. 9/19/12 9/19/12 -
  2. 8/28/17 8/28/17 -
Uploaded on

August 28, 2017

DOI

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License

Creative Commons BY-NC 3.0 Legacy
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AMC-053 Physical Exam Tumor Assessment Form (PE2)

English

No Instruction available.

1 forms  
  1. StudyEvent: AMC-053 Physical Exam Tumor Assessment Form (PE2)
    1. No Instruction available.
Header - Physical Exam Tumor Assessment Form
Description

Header - Physical Exam Tumor Assessment Form

Alias
UMLS CUI-1
C1320722
UMLS CUI-2
C0031809
UMLS CUI-3
C1332051
Visit number
Description

Visit number

Data type

float

Alias
NCI Thesaurus ValueDomain
C25337
NCI Thesaurus ObjectClass
C16696
NCI Thesaurus Property
C25385
UMLS CUI-1
C1549755
Physical Exam
Description

Physical Exam

Alias
UMLS CUI-1
C0031809
UMLS CUI-2
C1332051
Date of Evaluation
Description

LesionAssessmentDate

Data type

date

Alias
NCI Thesaurus ValueDomain
C25164
NCI Thesaurus ObjectClass
C3824
NCI Thesaurus Property
C20989
NCI Thesaurus ValueDomain-2
C25367
UMLS CUI [1,1]
C0221198
UMLS CUI [1,2]
C0220825
UMLS CUI [1,3]
C0011008
UMLS CUI [2]
C0031809
Does the patient have measurable disease
Description

Measurable Disease

Data type

boolean

Alias
NCI Thesaurus ValueDomain
C38148
NCI Thesaurus Property
C25626
NCI Thesaurus ObjectClass
C2991
NCI Thesaurus ObjectClass-2
C37894
UMLS CUI [1]
C1513041
Nodal Information
Description

Nodal Information

Alias
UMLS CUI-1
C0024204
UMLS CUI-2
C0031809
Lymph Node Type
Description

LymphomaLymphNodeAnatomicSite

Data type

integer

Alias
NCI Thesaurus ObjectClass
C12745
NCI Thesaurus ObjectClass-2
C3208
NCI Thesaurus Property
C25341
NCI Thesaurus Property-2
C25421
NCI Thesaurus ValueDomain
C13717
UMLS CUI [1,1]
C0024204
UMLS CUI [1,2]
C0332307
UMLS CUI [2]
C1515974
Other specify
Description

LymphNodeAnatomicSiteSpecify

Data type

text

Alias
NCI Thesaurus ValueDomain
C25685
NCI Thesaurus Property
C25341
NCI Thesaurus ObjectClass
C12745
NCI Thesaurus Property-2
C25421
UMLS CUI [1,1]
C0024204
UMLS CUI [1,2]
C0332307
UMLS CUI [2]
C1515974
Dimension 1
Description

TumorLargestDimensionMeasurement (cm)

Data type

float

Measurement units
  • cm
Alias
NCI Thesaurus ValueDomain
C25209
NCI Thesaurus ObjectClass
C3262
NCI Thesaurus Property
C25550
NCI Thesaurus Property-2
C25483
UMLS CUI [1,1]
C0242485
UMLS CUI [1,2]
C0027651
UMLS CUI [1,3]
C0443228
UMLS CUI [1,4]
C0439534
cm
Dimension 2
Description

TumorSecondDimensionMeasurement (cm)

Data type

float

Measurement units
  • cm
Alias
NCI Thesaurus ValueDomain
C25209
NCI Thesaurus ObjectClass
C3262
NCI Thesaurus Property
C25666
NCI Thesaurus Property-2
C25483
UMLS CUI [1,1]
C0242485
UMLS CUI [1,2]
C0027651
UMLS CUI [1,3]
C0439534
cm
Comments
Description

Comments

Alias
UMLS CUI-1
C0947611
UMLS CUI-2
C1332051
Comments
Description

Research Comments

Data type

text

Alias
NCI Thesaurus ValueDomain
C25704
NCI Thesaurus ObjectClass
C15319
NCI Thesaurus Property
C25393
UMLS CUI [1,1]
C0947611
UMLS CUI [1,2]
C1332051
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Similar models

No Instruction available.

1 forms
  1. StudyEvent: AMC-053 Physical Exam Tumor Assessment Form (PE2)
    1. No Instruction available.
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Header - Physical Exam Tumor Assessment Form
C1320722 (UMLS CUI-1)
C0031809 (UMLS CUI-2)
C1332051 (UMLS CUI-3)
Visit number
Item
Visit number
float
C25337 (NCI Thesaurus ValueDomain)
C16696 (NCI Thesaurus ObjectClass)
C25385 (NCI Thesaurus Property)
C1549755 (UMLS CUI-1)
Item Group
Physical Exam
C0031809 (UMLS CUI-1)
C1332051 (UMLS CUI-2)
LesionAssessmentDate
Item
Date of Evaluation
date
C25164 (NCI Thesaurus ValueDomain)
C3824 (NCI Thesaurus ObjectClass)
C20989 (NCI Thesaurus Property)
C25367 (NCI Thesaurus ValueDomain-2)
C0221198 (UMLS CUI [1,1])
C0220825 (UMLS CUI [1,2])
C0011008 (UMLS CUI [1,3])
C0031809 (UMLS CUI [2])
Measurable Disease
Item
Does the patient have measurable disease
boolean
C38148 (NCI Thesaurus ValueDomain)
C25626 (NCI Thesaurus Property)
C2991 (NCI Thesaurus ObjectClass)
C37894 (NCI Thesaurus ObjectClass-2)
C1513041 (UMLS CUI [1])
Item Group
Nodal Information
C0024204 (UMLS CUI-1)
C0031809 (UMLS CUI-2)
Item
Lymph Node Type
integer
C12745 (NCI Thesaurus ObjectClass)
C3208 (NCI Thesaurus ObjectClass-2)
C25341 (NCI Thesaurus Property)
C25421 (NCI Thesaurus Property-2)
C13717 (NCI Thesaurus ValueDomain)
C0024204 (UMLS CUI [1,1])
C0332307 (UMLS CUI [1,2])
C1515974 (UMLS CUI [2])
CL.2
Code List
Lymph Node Type
CL Item
Waldeyer's Ring (1)
CL Item
Pre-auricular (2)
CL Item
Cervical (3)
CL Item
Supraclavicular (4)
CL Item
Infraclavicular/axillary/pectoral (5)
CL Item
Epitrochlear/brachial (6)
CL Item
Inguinal/femoral/iliac (7)
CL Item
Other Nodal (8)
CL Item
Spleen (9)
Other specify
Item
Other specify
text
C25685 (NCI Thesaurus ValueDomain)
C25341 (NCI Thesaurus Property)
C12745 (NCI Thesaurus ObjectClass)
C25421 (NCI Thesaurus Property-2)
C0024204 (UMLS CUI [1,1])
C0332307 (UMLS CUI [1,2])
C1515974 (UMLS CUI [2])
Dimension 1
Item
Dimension 1
float
C25209 (NCI Thesaurus ValueDomain)
C3262 (NCI Thesaurus ObjectClass)
C25550 (NCI Thesaurus Property)
C25483 (NCI Thesaurus Property-2)
C0242485 (UMLS CUI [1,1])
C0027651 (UMLS CUI [1,2])
C0443228 (UMLS CUI [1,3])
C0439534 (UMLS CUI [1,4])
Dimension 2
Item
Dimension 2
float
C25209 (NCI Thesaurus ValueDomain)
C3262 (NCI Thesaurus ObjectClass)
C25666 (NCI Thesaurus Property)
C25483 (NCI Thesaurus Property-2)
C0242485 (UMLS CUI [1,1])
C0027651 (UMLS CUI [1,2])
C0439534 (UMLS CUI [1,3])
Item Group
Comments
C0947611 (UMLS CUI-1)
C1332051 (UMLS CUI-2)
Research Comments
Item
Comments
text
C25704 (NCI Thesaurus ValueDomain)
C15319 (NCI Thesaurus ObjectClass)
C25393 (NCI Thesaurus Property)
C0947611 (UMLS CUI [1,1])
C1332051 (UMLS CUI [1,2])
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