ID

2792

Beschrijving

S0205 Advanced GI Carcinoma Prestudy Form S0205 Gemcitabine With or Without Cetuximab as First-Line Therapy in Treating Patients With Locally Advanced Unresectable or Metastatic Adenocarcinoma of the Pancreas Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=A11A5640-9768-6C93-E034-080020C9C0E0

Link

https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=A11A5640-9768-6C93-E034-080020C9C0E0

Trefwoorden

Versies (2)
  1. 19-09-12 19-09-12 -
  2. 09-01-15 09-01-15 - Martin Dugas
Geüploaded op

19 september 2012

DOI

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Licentie

Creative Commons BY-NC 3.0 Legacy
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Pancreatic Cancer NCT00075686 Pre-Study - S0205 Advanced GI Carcinoma Prestudy Form - 2035482v3.0

Engels

Instructions: All dates are MONTH, DAY, YEAR. Explain any blank fields or blank dates in the Comments section. Place an X in appropriate boxes. Circle AMENDED items in red.

1 Formulieren  
Unnamed1
Beschrijving

Unnamed1

SWOG Patient ID
Beschrijving

SWOGPatientID

Datatype

text

SWOG Study No.
Beschrijving

SWOGStudyNo.

Datatype

text

Registration Step
Beschrijving

RegistrationStep

Datatype

text

Patient Initials (L, F M)
Beschrijving

PatientInitialsName

Datatype

text

Alias
NCI Thesaurus ValueDomain
C25191
UMLS 2011AA ValueDomain
C1547383
NCI Thesaurus ObjectClass
C16960
UMLS 2011AA ObjectClass
C0030705
NCI Thesaurus Property
C25536
UMLS 2011AA Property
C1555582
Institution
Beschrijving

InstitutionName

Datatype

text

Affiliate
Beschrijving

AffiliateName

Datatype

text

Physician
Beschrijving

RegisteredInvestigator

Datatype

text

Description Of Disease
Beschrijving

Description Of Disease

Date of initial diagnosis of pancreatic cancer
Beschrijving

InitialDiagnosisDate

Datatype

date

Stage of disease at initial diagnosis
Beschrijving

StageGrouping

Datatype

text

Current Disease Status
Beschrijving

Diseasestatus

Datatype

text

Alias
NCI Thesaurus ObjectClass
C2991
UMLS 2011AA ObjectClass
C0012634
NCI Metathesaurus Property
C0449438
Height (cm)
Beschrijving

PatientHeight

Datatype

double

Alias
NCI Thesaurus ObjectClass
C16960
UMLS 2011AA ObjectClass
C0030705
NCI Thesaurus Property
C25347
UMLS 2011AA Property
C0489786
Performance Status
Beschrijving

PerformanceStatus

Datatype

text

Current Disease Sites (select all that apply)
Beschrijving

DiseaseInvolvementSite

Datatype

text

Other, specify
Beschrijving

DiseaseInvolvementSite,Other

Datatype

text

Prior Treatment Related To This Cancer
Beschrijving

Prior Treatment Related To This Cancer

Prior Systemic Therapy
Beschrijving

PriorChemotherapyInd

Datatype

text

Prior Radiation Therapy
Beschrijving

PriorRTInd

Datatype

text

Prior Surgery
Beschrijving

PriorSurgeryInd

Datatype

text

Prior Immunotherapy
Beschrijving

PriorImmunotherapyInd

Datatype

text

Comments
Beschrijving

Comments

Comments
Beschrijving

Comments

Datatype

text

Ccrr Module For S0205 Advanced Gi Carcinoma Prestudy Form
Beschrijving

Ccrr Module For S0205 Advanced Gi Carcinoma Prestudy Form

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Instructions: All dates are MONTH, DAY, YEAR. Explain any blank fields or blank dates in the Comments section. Place an X in appropriate boxes. Circle AMENDED items in red.

1 Formulieren
Name
Type
Description | Question | Decode (Coded Value)
Datatype
Alias
Item Group
Unnamed1
SWOGPatientID
Item
SWOG Patient ID
text
SWOGStudyNo.
Item
SWOG Study No.
text
RegistrationStep
Item
Registration Step
text
PatientInitialsName
Item
Patient Initials (L, F M)
text
C25191 (NCI Thesaurus ValueDomain)
C1547383 (UMLS 2011AA ValueDomain)
C16960 (NCI Thesaurus ObjectClass)
C0030705 (UMLS 2011AA ObjectClass)
C25536 (NCI Thesaurus Property)
C1555582 (UMLS 2011AA Property)
InstitutionName
Item
Institution
text
AffiliateName
Item
Affiliate
text
RegisteredInvestigator
Item
Physician
text
Item Group
Description Of Disease
InitialDiagnosisDate
Item
Date of initial diagnosis of pancreatic cancer
date
Item
Stage of disease at initial diagnosis
text
CL.1
Code List
Stage of disease at initial diagnosis
CL Item
The Cancer Is No Bigger Than 2 Centimeters (about 1 Inch) And Has Not Spread Outside The Breast. (I)
CL Item
Iia (II)
CL Item
Defined By Either Of The Following: The Cancer Is Smaller Than 5 Centimeters And Has Spread To The Lymh Nodes Under The Arm, Which Have Grown Into Each Other Or Into Other Structures And Are Attached To Them. The Cancer Is Bigger Than 5 Cm And Has Spre* (III)
CL Item
The Cancer Has Spread To Other Organs Of The Body, Most Often The Bones, Lungs, Liver, Or Brain. Or, Tumor Has Spread Locally To The Skin And Lymph Nodes Inside The Neck, Near The Collarbone. (IVA)
CL Item
IVB (IVB)
CL Item
Iib (IIB)
CL Item
Defined By Either Of The Following.: The Cancer Has Spread To Tissues Near The Breast (skin, Chest Wall, Including The Ribs And The Muscles In The Chest). The Cancer Has Spread To Lymph Nodes Inside The Chest Wall Along The Breast Bone. (IIIB)
Item
Current Disease Status
text
C2991 (NCI Thesaurus ObjectClass)
C0012634 (UMLS 2011AA ObjectClass)
C0449438 (NCI Metathesaurus Property)
CL.2
Code List
Current Disease Status
CL Item
Locally Advanced Unresectable (Locally advanced unresectable)
CL Item
Metastatic (Metastatic)
C14174 (NCI Thesaurus)
C0036525 (UMLS 2011AA)
PatientHeight
Item
Height (cm)
double
C16960 (NCI Thesaurus ObjectClass)
C0030705 (UMLS 2011AA ObjectClass)
C25347 (NCI Thesaurus Property)
C0489786 (UMLS 2011AA Property)
PerformanceStatus
Item
Performance Status
text
Item
Current Disease Sites (select all that apply)
text
CL.3
Code List
Current Disease Sites (select all that apply)
CL Item
Primary Site/Direct Extension (Primary Site/Direct Extension)
CL Item
Regional Lymph Nodes (Regional Nodes)
CL Item
Distant Lymph Nodes (Distant Nodes)
CL Item
Lung (Lung/Pleura)
C12468 (NCI Thesaurus)
C0024109 (UMLS 2011AA)
CL Item
Liver (Liver)
C12392 (NCI Thesaurus)
C0023884 (UMLS 2011AA)
CL Item
Bone (Bone)
C12366 (NCI Thesaurus)
C0262950 (UMLS 2011AA)
CL Item
Other abdominal (Other abdominal)
CL Item
Other, Specify (Other, specify)
DiseaseInvolvementSite,Other
Item
Other, specify
text
Item Group
Prior Treatment Related To This Cancer
Item
Prior Systemic Therapy
text
CL.4
Code List
Prior Systemic Therapy
CL Item
No (No)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
CL Item
Yes (Yes)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
Item
Prior Radiation Therapy
text
CL.5
Code List
Prior Radiation Therapy
CL Item
No (No)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
CL Item
Yes (Yes)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
Item
Prior Surgery
text
CL.6
Code List
Prior Surgery
CL Item
No (No)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
CL Item
Yes (Yes)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
Item
Prior Immunotherapy
text
CL.7
Code List
Prior Immunotherapy
CL Item
No (No)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
CL Item
Yes (Yes)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
Item Group
Comments
Comments
Item
Comments
text
Item Group
Ccrr Module For S0205 Advanced Gi Carcinoma Prestudy Form
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