ID

25806

Description

Prior Treatment Summary form for C3D 3.12 Adopters Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=FF0877C8-3E0D-1893-E034-0003BA3F9857

Link

https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=FF0877C8-3E0D-1893-E034-0003BA3F9857

Keywords

Versions (2)
  1. 9/19/12 9/19/12 -
  2. 9/20/17 9/20/17 -
Uploaded on

September 20, 2017

DOI

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License

Creative Commons BY-NC 3.0 Legacy
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PRIOR TREATMENT SUMMARY

English

Dates will appear as 'DD-MON-YYYY'

1 forms  
  1. StudyEvent: PRIOR TREATMENT SUMMARY
    1. Dates will appear as 'DD-MON-YYYY'
Comments - Prior Treatment Summary
Description

Comments - Prior Treatment Summary

Alias
UMLS CUI-1
C0947611
UMLS CUI-2
C1514463
UMLS CUI-3
C0087111
Therapy Type
Description

PriorTherapyTypeTextCode

Data type

text

Alias
NCI Thesaurus ObjectClass
C16124
NCI Thesaurus ObjectClass-2
C19992
NCI Thesaurus Property
C25162
NCI Thesaurus ValueDomain
C25162
NCI Thesaurus ValueDomain-2
C25704
UMLS CUI [1,1]
C0087111
UMLS CUI [1,2]
C0332307
UMLS CUI [2]
C1514463
Note Date
Description

Note Date

Data type

date

Alias
NCI Thesaurus Property
C25164
NCI Thesaurus ValueDomain
C25164
NCI Metathesaurus ObjectClass
C1317574
UMLS CUI [1,1]
C1317574
UMLS CUI [1,2]
C0011008
UMLS CUI [2]
C1514463
Research Comments Text
Description

Research Comments

Data type

text

Alias
NCI Thesaurus ValueDomain
C25704
NCI Thesaurus ObjectClass
C15319
NCI Thesaurus Property
C25393
UMLS CUI [1]
C0947611
UMLS CUI [2]
C1514463
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Similar models

Dates will appear as 'DD-MON-YYYY'

1 forms
  1. StudyEvent: PRIOR TREATMENT SUMMARY
    1. Dates will appear as 'DD-MON-YYYY'
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Comments - Prior Treatment Summary
C0947611 (UMLS CUI-1)
C1514463 (UMLS CUI-2)
C0087111 (UMLS CUI-3)
Item
Therapy Type
text
C16124 (NCI Thesaurus ObjectClass)
C19992 (NCI Thesaurus ObjectClass-2)
C25162 (NCI Thesaurus Property)
C25162 (NCI Thesaurus ValueDomain)
C25704 (NCI Thesaurus ValueDomain-2)
C0087111 (UMLS CUI [1,1])
C0332307 (UMLS CUI [1,2])
C1514463 (UMLS CUI [2])
CL.1
Code List
Therapy Type
CL Item
Anti-retroviral Therapy (AR)
C16165 (NCI Thesaurus)
C0887947 (UMLS 2011AA)
CL Item
Antisense Therapy (AS)
C16236 (NCI Thesaurus)
C0935882 (UMLS 2011AA)
CL Item
Bone Marrow Transplantation (BM)
C15194 (NCI Thesaurus)
C0005961 (UMLS 2011AA)
CL Item
Chemotherapy, Nos (C)
C15632 (NCI Thesaurus)
C0392920 (UMLS 2011AA)
C19594 (NCI Thesaurus-3)
C1518425 (UMLS 2011AA-4)
CL Item
Chemotherapy, Multiple Agents Systemic (CM)
C15632 (NCI Thesaurus)
C0392920 (UMLS 2011AA)
C13310 (NCI Thesaurus-3)
C0205373 (UMLS 2011AA-4)
C17648 (NCI Thesaurus-5)
C0439064 (UMLS 2011AA-6)
C1708 (NCI Thesaurus-7)
C0450442 (UMLS 2011AA-8)
CL Item
Single Agent Systemic Chemotherapy (CS)
C15756 (NCI Thesaurus)
C0854619 (UMLS 2011AA)
CL Item
Extensive Radiation (ER)
C16230 (NCI Thesaurus)
C1517030 (UMLS 2011AA)
CL Item
Gene Transfer (G)
C20185 (NCI Thesaurus)
C1517499 (UMLS 2011AA)
CL Item
Hormone Therapy (H)
C15445 (NCI Thesaurus)
C0279025 (UMLS 2011AA)
CL Item
Hematopoietic Stem Cell Transplantation (HE)
C12551 (NCI Thesaurus)
C0018956 (UMLS 2011AA)
C15342 (NCI Thesaurus-3)
C0029216 (UMLS 2011AA-4)
CL Item
Immunotherapy (I)
C15262 (NCI Thesaurus)
C0021083 (UMLS 2011AA)
CL Item
Image Directed Local Therapy (ID)
C15687 (NCI Thesaurus)
C1517925 (UMLS 2011AA)
C17369 (NCI Thesaurus-3)
C0079595 (UMLS 2011AA-4)
CL Item
Limited Radiation Therapy (LR)
C54225 (NCI Thesaurus)
C1711365 (UMLS 2011AA)
CL Item
No Prior Therapy (N)
C15903 (NCI Thesaurus)
C1518341 (UMLS 2011AA)
CL Item
Chemotherapy, Non-cytotoxic (NC)
CL Item
Oncolytic Virotherapy (OV)
CL Item
Prior Therapy (PT)
C16124 (NCI Thesaurus)
C1514463 (UMLS 2011AA)
CL Item
Radiation Therapy (R)
C15313 (NCI Thesaurus)
C1522449 (UMLS 2011AA)
CL Item
Surgery (S)
C17173 (NCI Thesaurus)
C0038894 (UMLS 2011AA)
CL Item
Vaccine Therapy (V)
C15347 (NCI Thesaurus)
C0042209 (UMLS 2011AA)
Note Date
Item
Note Date
date
C25164 (NCI Thesaurus Property)
C25164 (NCI Thesaurus ValueDomain)
C1317574 (NCI Metathesaurus ObjectClass)
C1317574 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
C1514463 (UMLS CUI [2])
Research Comments
Item
Research Comments Text
text
C25704 (NCI Thesaurus ValueDomain)
C15319 (NCI Thesaurus ObjectClass)
C25393 (NCI Thesaurus Property)
C0947611 (UMLS CUI [1])
C1514463 (UMLS CUI [2])
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