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ID

3009

Descrição

AMC-070 Evaluation of KS Lesions Form (RK3) Lenalidomide in Treating Patients With AIDS-Related Kaposi Sarcoma Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=91E37C30-3D1D-3E5F-E040-BB89AD43368B

Link

https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=91E37C30-3D1D-3E5F-E040-BB89AD43368B

Palavras-chave

Versões (1)
  1. 19/09/2012 19/09/2012 -
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19 de setembro de 2012

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Licença

Creative Commons BY-NC 3.0 Legacy
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    Nonneoplastic Condition NCT01057121 On-Study - AMC-070 Evaluation of KS Lesions Form (RK3) - 3146676v1.0

    Inglês

    This form represents the aggregate of initial and follow-up evaluation screens. Two questions are present that are not found in the initial evaluation screen: Compared to Previous Evaluation (#2646514); and Oral lesions (#2646680).

    1 Formulários  
    Header Module
    Descrição

    Header Module

    Visit number
    Descrição

    HospitalAdmissionOrdinalNumber

    Tipo de dados

    double

    Alias
    NCI Thesaurus ValueDomain
    C25337
    UMLS 2011AA ValueDomain
    C0237753
    NCI Thesaurus ObjectClass
    C16696
    UMLS 2011AA ObjectClass
    C0019994
    NCI Thesaurus Property
    C25385
    UMLS 2011AA Property
    C0809949
    Unnamed1
    Descrição

    Unnamed1

    Foot Kaposi's Sarcoma (KS)
    Descrição

    KaposiSarcomaRelatedFootDiseaseAssessmentStatus

    Tipo de dados

    text

    Alias
    NCI Thesaurus ObjectClass
    C25648
    UMLS 2011AA ObjectClass
    C0439849
    NCI Thesaurus ObjectClass
    C2991
    UMLS 2011AA ObjectClass
    C0012634
    NCI Thesaurus ObjectClass
    C9087
    UMLS 2011AA ObjectClass
    C0036220
    NCI Thesaurus ObjectClass
    C32622
    UMLS 2011AA ObjectClass
    C0016504
    NCI Thesaurus Property
    C25367
    NCI Thesaurus ValueDomain
    C25688
    UMLS 2011AA ValueDomain
    C0449438
    Compared to Previous Evaluation
    Descrição

    KaposiSarcomaRelatedDiseaseComparisonAssessmentStatus

    Tipo de dados

    text

    Alias
    NCI Thesaurus ObjectClass
    C25648
    UMLS 2011AA ObjectClass
    C0439849
    NCI Thesaurus ObjectClass
    C2991
    UMLS 2011AA ObjectClass
    C0012634
    NCI Thesaurus ObjectClass
    C9087
    UMLS 2011AA ObjectClass
    C0036220
    NCI Thesaurus Property
    C25367
    NCI Thesaurus Property
    C49156
    UMLS 2011AA Property
    C1707455
    NCI Thesaurus ValueDomain
    C25688
    UMLS 2011AA ValueDomain
    C0449438
    Photos Taken
    Descrição

    PatientPhotographMalignantNeoplasmAssessmentInd-2

    Tipo de dados

    text

    Alias
    NCI Thesaurus ObjectClass
    C16960
    UMLS 2011AA ObjectClass
    C0030705
    NCI Thesaurus Property
    C25367
    NCI Thesaurus Property
    C9305
    UMLS 2011AA Property
    C0006826
    NCI Thesaurus Property
    C86035
    UMLS 2011AA Property
    C0441468
    NCI Thesaurus ValueDomain
    C38147
    UMLS 2011AA ValueDomain
    C1512698
    Photos Taken Date
    Descrição

    PatientPhotographMalignantNeoplasmAssessmentDate

    Tipo de dados

    date

    Alias
    NCI Thesaurus ObjectClass
    C16960
    UMLS 2011AA ObjectClass
    C0030705
    NCI Thesaurus Property
    C25367
    NCI Thesaurus Property
    C9305
    UMLS 2011AA Property
    C0006826
    NCI Thesaurus Property
    C86035
    UMLS 2011AA Property
    C0441468
    NCI Thesaurus ValueDomain
    C25164
    UMLS 2011AA ValueDomain
    C0011008
    Physical findings
    Descrição

    KaposiSarcomaRelatedFootDiseaseAssessmentInd-2

    Tipo de dados

    text

    Alias
    NCI Thesaurus ObjectClass
    C25648
    UMLS 2011AA ObjectClass
    C0439849
    NCI Thesaurus ObjectClass
    C2991
    UMLS 2011AA ObjectClass
    C0012634
    NCI Thesaurus ObjectClass
    C9087
    UMLS 2011AA ObjectClass
    C0036220
    NCI Thesaurus ObjectClass
    C32622
    UMLS 2011AA ObjectClass
    C0016504
    NCI Thesaurus Property
    C25367
    NCI Thesaurus ValueDomain
    C38147
    UMLS 2011AA ValueDomain
    C1512698
    Specify (If Yes,)
    Descrição

    KaposiSarcomaRelatedFootDiseaseAssessmentSpecify

    Tipo de dados

    text

    Alias
    NCI Thesaurus ObjectClass
    C25648
    UMLS 2011AA ObjectClass
    C0439849
    NCI Thesaurus ObjectClass
    C2991
    UMLS 2011AA ObjectClass
    C0012634
    NCI Thesaurus ObjectClass
    C9087
    UMLS 2011AA ObjectClass
    C0036220
    NCI Thesaurus ObjectClass
    C32622
    UMLS 2011AA ObjectClass
    C0016504
    NCI Thesaurus Property
    C25367
    NCI Thesaurus ValueDomain
    C25685
    UMLS 2011AA ValueDomain
    C1521902
    NCI Thesaurus ValueDomain
    C25401
    UMLS 2011AA ValueDomain
    C0205161
    Unnamed2
    Descrição

    Unnamed2

    Are there any oral cavity lesions present at this evaluation (If NO, go to GI EVALUATION section)
    Descrição

    OralCavityDisorderAssessmentIndicator

    Tipo de dados

    text

    Alias
    NCI Thesaurus ValueDomain
    C25180
    UMLS 2011AA ValueDomain
    C1522602
    NCI Thesaurus Property
    C25367
    NCI Thesaurus ObjectClass
    C27641
    UMLS 2011AA ObjectClass
    C0026636
    Total Number Raised Lesions
    Descrição

    KaposiSarcomaMalignantNeoplasmElevatedCount

    Tipo de dados

    double

    Alias
    NCI Thesaurus ObjectClass
    C9305
    UMLS 2011AA ObjectClass
    C0006826
    NCI Thesaurus ObjectClass
    C9087
    UMLS 2011AA ObjectClass
    C0036220
    NCI Thesaurus Property
    C25493
    UMLS 2011AA Property
    C0205250
    NCI Thesaurus Property
    C25256
    UMLS 2011AA Property
    C1265611
    NCI Thesaurus ValueDomain
    C25463
    UMLS 2011AA ValueDomain
    C0750480
    Total Number Flat Lesions (which are countable or measurable)
    Descrição

    KaposiSarcomaMalignantNeoplasmFlatCount

    Tipo de dados

    double

    Alias
    NCI Thesaurus ObjectClass
    C9305
    UMLS 2011AA ObjectClass
    C0006826
    NCI Thesaurus ObjectClass
    C9087
    UMLS 2011AA ObjectClass
    C0036220
    NCI Thesaurus Property
    C25256
    UMLS 2011AA Property
    C1265611
    NCI Metathesaurus Property
    C0205324
    NCI Thesaurus ValueDomain
    C25463
    UMLS 2011AA ValueDomain
    C0750480
    Photos Taken
    Descrição

    PatientPhotographMalignantNeoplasmAssessmentInd-2

    Tipo de dados

    text

    Alias
    NCI Thesaurus ObjectClass
    C16960
    UMLS 2011AA ObjectClass
    C0030705
    NCI Thesaurus Property
    C25367
    NCI Thesaurus Property
    C9305
    UMLS 2011AA Property
    C0006826
    NCI Thesaurus Property
    C86035
    UMLS 2011AA Property
    C0441468
    NCI Thesaurus ValueDomain
    C38147
    UMLS 2011AA ValueDomain
    C1512698
    Is non-measurable disease present?
    Descrição

    Non-measurableDiseasePresentInd-3

    Tipo de dados

    text

    Alias
    NCI Thesaurus ValueDomain
    C38148
    UMLS 2011AA ValueDomain
    C1512699
    NCI Thesaurus Property
    C25626
    UMLS 2011AA Property
    C0150312
    NCI Thesaurus ObjectClass
    C2991
    UMLS 2011AA ObjectClass
    C0012634
    NCI Thesaurus ObjectClass
    C25589
    UMLS 2011AA ObjectClass
    C1518373
    Photos Taken Date
    Descrição

    PatientPhotographMalignantNeoplasmAssessmentDate

    Tipo de dados

    date

    Alias
    NCI Thesaurus ObjectClass
    C16960
    UMLS 2011AA ObjectClass
    C0030705
    NCI Thesaurus Property
    C25367
    NCI Thesaurus Property
    C9305
    UMLS 2011AA Property
    C0006826
    NCI Thesaurus Property
    C86035
    UMLS 2011AA Property
    C0441468
    NCI Thesaurus ValueDomain
    C25164
    UMLS 2011AA ValueDomain
    C0011008
    Are oral symptoms related to Kaposi's Sarcoma
    Descrição

    KaposiSarcomaRelatedOralCavityDisorderAssessmentIndicator

    Tipo de dados

    text

    Alias
    NCI Thesaurus ObjectClass
    C25648
    UMLS 2011AA ObjectClass
    C0439849
    NCI Thesaurus ObjectClass
    C9087
    UMLS 2011AA ObjectClass
    C0036220
    NCI Thesaurus ObjectClass
    C27641
    UMLS 2011AA ObjectClass
    C0026636
    NCI Thesaurus Property
    C25367
    NCI Thesaurus ValueDomain
    C25180
    UMLS 2011AA ValueDomain
    C1522602
    Explain (If not,)
    Descrição

    NotKaposiSarcomaRelatedOralCavityDisorderAssessmentText

    Tipo de dados

    text

    Alias
    NCI Thesaurus ObjectClass
    C25648
    UMLS 2011AA ObjectClass
    C0439849
    NCI Thesaurus ObjectClass
    C25594
    UMLS 2011AA ObjectClass
    C1518422
    NCI Thesaurus ObjectClass
    C9087
    UMLS 2011AA ObjectClass
    C0036220
    NCI Thesaurus ObjectClass
    C27641
    UMLS 2011AA ObjectClass
    C0026636
    NCI Thesaurus Property
    C25367
    NCI Thesaurus ValueDomain
    C25704
    UMLS 2011AA ValueDomain
    C1527021
    Oral Site
    Descrição

    OralCavityDisorderAnatomicSite

    Tipo de dados

    text

    Alias
    NCI Thesaurus Property
    C25341
    UMLS 2011AA Property
    C0450429
    NCI Thesaurus ValueDomain
    C37901
    UMLS 2011AA ValueDomain
    C0205145
    NCI Thesaurus Property
    C25421
    UMLS 2011AA Property
    C0002808
    NCI Thesaurus ObjectClass
    C27641
    UMLS 2011AA ObjectClass
    C0026636
    Kaposi's Sarcoma present
    Descrição

    KaposiSarcomaPresentInd-2

    Tipo de dados

    text

    Alias
    NCI Thesaurus ValueDomain
    C38147
    UMLS 2011AA ValueDomain
    C1512698
    NCI Thesaurus Property
    C25626
    UMLS 2011AA Property
    C0150312
    NCI Thesaurus ObjectClass
    C9087
    UMLS 2011AA ObjectClass
    C0036220
    Oral lesions
    Descrição

    OralCavityDisorderAssessmentStatus

    Tipo de dados

    text

    Alias
    NCI Thesaurus Property
    C25367
    NCI Thesaurus ValueDomain
    C25688
    UMLS 2011AA ValueDomain
    C0449438
    NCI Thesaurus ObjectClass
    C27641
    UMLS 2011AA ObjectClass
    C0026636
    Unnamed3
    Descrição

    Unnamed3

    Are there any gastrointestinal (GI) lesions present at this evaluation (If NO, go to PULMONARY EVALUATION section)
    Descrição

    GastrointestinalDiseaseAssessmentIndicator

    Tipo de dados

    text

    Alias
    NCI Thesaurus ValueDomain
    C25180
    UMLS 2011AA ValueDomain
    C1522602
    NCI Thesaurus Property
    C25367
    NCI Thesaurus ObjectClass
    C13359
    UMLS 2011AA ObjectClass
    C0521362
    NCI Thesaurus ObjectClass
    C2991
    UMLS 2011AA ObjectClass
    C0012634
    Are there gastrointestinal (GI) symptoms related to Kaposi's Sarcoma
    Descrição

    GastricKaposiSarcomaAssessmentInd-2

    Tipo de dados

    text

    Alias
    NCI Thesaurus ValueDomain
    C38147
    UMLS 2011AA ValueDomain
    C1512698
    NCI Thesaurus Property
    C25367
    NCI Thesaurus ObjectClass
    C5529
    UMLS 2011AA ObjectClass
    C1333776
    Explain (If not,)
    Descrição

    GastrointestinalNotKaposiSarcomaDiseaseAssessmentText

    Tipo de dados

    text

    Alias
    NCI Thesaurus ObjectClass
    C13359
    UMLS 2011AA ObjectClass
    C0521362
    NCI Thesaurus ObjectClass
    C25594
    UMLS 2011AA ObjectClass
    C1518422
    NCI Thesaurus ObjectClass
    C2991
    UMLS 2011AA ObjectClass
    C0012634
    NCI Thesaurus ObjectClass
    C9087
    UMLS 2011AA ObjectClass
    C0036220
    NCI Thesaurus Property
    C25367
    NCI Thesaurus ValueDomain
    C25704
    UMLS 2011AA ValueDomain
    C1527021
    Method of Evaluation
    Descrição

    AssessmentMethodType

    Tipo de dados

    text

    Alias
    NCI Thesaurus ValueDomain
    C25284
    UMLS 2011AA ValueDomain
    C0332307
    NCI Thesaurus ObjectClass
    C20989
    UMLS 2011AA ObjectClass
    C0031809
    NCI Thesaurus Property
    C16847
    UMLS 2011AA Property
    C0449851
    Performed
    Descrição

    KaposiSarcomaAssessmentPerformedInd-2

    Tipo de dados

    text

    Alias
    NCI Thesaurus ValueDomain
    C38147
    UMLS 2011AA ValueDomain
    C1512698
    NCI Thesaurus ObjectClass
    C25367
    NCI Thesaurus Property
    C38000
    UMLS 2011AA Property
    C0884358
    NCI Thesaurus ObjectClass
    C9087
    UMLS 2011AA ObjectClass
    C0036220
    Assessment Date (mm/dd/yyyy)
    Descrição

    LesionAssessmentDate

    Tipo de dados

    date

    Alias
    NCI Thesaurus ValueDomain
    C25164
    UMLS 2011AA ValueDomain
    C0011008
    NCI Thesaurus ObjectClass
    C3824
    UMLS 2011AA ObjectClass
    C0221198
    NCI Thesaurus Property
    C20989
    UMLS 2011AA Property
    C0031809
    NCI Thesaurus ValueDomain
    C25367
    Findings
    Descrição

    GastrointestinalDiseaseAssessmentSpecify

    Tipo de dados

    text

    Alias
    NCI Thesaurus ValueDomain
    C25685
    UMLS 2011AA ValueDomain
    C1521902
    NCI Thesaurus Property
    C25367
    NCI Thesaurus ObjectClass
    C13359
    UMLS 2011AA ObjectClass
    C0521362
    NCI Thesaurus ObjectClass
    C2991
    UMLS 2011AA ObjectClass
    C0012634
    Unnamed4
    Descrição

    Unnamed4

    Are there any pulmonary Kaposi's Sarcoma (KS) lesions present at this evaluation (If NO, go to EDEMA EVALUATION section)
    Descrição

    PulmonaryDiseaseAssessmentIndicator

    Tipo de dados

    text

    Alias
    NCI Thesaurus ValueDomain
    C25180
    UMLS 2011AA ValueDomain
    C1522602
    NCI Thesaurus Property
    C25367
    NCI Thesaurus ObjectClass
    C13304
    UMLS 2011AA ObjectClass
    C2709248
    NCI Thesaurus ObjectClass
    C2991
    UMLS 2011AA ObjectClass
    C0012634
    Indicate if the lesions are measurable or non-measurable
    Descrição

    MeasurableEvaluableDiseasePresentMeasurableEvaluableDiseasePresentType

    Tipo de dados

    text

    Alias
    NCI Thesaurus ObjectClass
    C2991
    UMLS 2011AA ObjectClass
    C0012634
    NCI Thesaurus ObjectClass
    C37894
    UMLS 2011AA ObjectClass
    C1513040
    NCI Thesaurus ObjectClass
    C8503
    UMLS 2011AA ObjectClass
    C1516986
    NCI Thesaurus Property
    C25626
    UMLS 2011AA Property
    C0150312
    NCI Thesaurus ValueDomain
    C25284
    UMLS 2011AA ValueDomain
    C0332307
    Are the pulmonary symptoms related to Kaposi's Sarcoma
    Descrição

    LungKaposiSarcomaAssessmentInd-2

    Tipo de dados

    text

    Alias
    NCI Thesaurus ValueDomain
    C38147
    UMLS 2011AA ValueDomain
    C1512698
    NCI Thesaurus Property
    C25367
    NCI Thesaurus ObjectClass
    C3551
    UMLS 2011AA ObjectClass
    C0153564
    Explain (If not,)
    Descrição

    PulmonaryNotKaposiSarcomaDiseaseAssessmentText

    Tipo de dados

    text

    Alias
    NCI Thesaurus ObjectClass
    C13304
    UMLS 2011AA ObjectClass
    C2709248
    NCI Thesaurus ObjectClass
    C25594
    UMLS 2011AA ObjectClass
    C1518422
    NCI Thesaurus ObjectClass
    C2991
    UMLS 2011AA ObjectClass
    C0012634
    NCI Thesaurus ObjectClass
    C9087
    UMLS 2011AA ObjectClass
    C0036220
    NCI Thesaurus Property
    C25367
    NCI Thesaurus ValueDomain
    C25704
    UMLS 2011AA ValueDomain
    C1527021
    Method of Evaluation
    Descrição

    AssessmentMethodType

    Tipo de dados

    text

    Alias
    NCI Thesaurus ValueDomain
    C25284
    UMLS 2011AA ValueDomain
    C0332307
    NCI Thesaurus ObjectClass
    C20989
    UMLS 2011AA ObjectClass
    C0031809
    NCI Thesaurus Property
    C16847
    UMLS 2011AA Property
    C0449851
    Performed
    Descrição

    KaposiSarcomaAssessmentPerformedInd-2

    Tipo de dados

    text

    Alias
    NCI Thesaurus ValueDomain
    C38147
    UMLS 2011AA ValueDomain
    C1512698
    NCI Thesaurus ObjectClass
    C25367
    NCI Thesaurus Property
    C38000
    UMLS 2011AA Property
    C0884358
    NCI Thesaurus ObjectClass
    C9087
    UMLS 2011AA ObjectClass
    C0036220
    Assessment Date (mm/dd/yyyy)
    Descrição

    LesionAssessmentDate

    Tipo de dados

    date

    Alias
    NCI Thesaurus ValueDomain
    C25164
    UMLS 2011AA ValueDomain
    C0011008
    NCI Thesaurus ObjectClass
    C3824
    UMLS 2011AA ObjectClass
    C0221198
    NCI Thesaurus Property
    C20989
    UMLS 2011AA Property
    C0031809
    NCI Thesaurus ValueDomain
    C25367
    Pleural Effusion
    Descrição

    LungPleuralEffusionInd-3

    Tipo de dados

    text

    Alias
    NCI Thesaurus ValueDomain
    C38148
    UMLS 2011AA ValueDomain
    C1512699
    NCI Thesaurus ObjectClass
    C12468
    UMLS 2011AA ObjectClass
    C0024109
    NCI Thesaurus Property
    C3003
    UMLS 2011AA Property
    C0013687
    NCI Thesaurus Property
    C25223
    UMLS 2011AA Property
    C1522720
    Specify number of lesions
    Descrição

    LesionCount

    Tipo de dados

    double

    Alias
    NCI Thesaurus ObjectClass
    C3824
    UMLS 2011AA ObjectClass
    C0221198
    NCI Thesaurus ValueDomain
    C25463
    UMLS 2011AA ValueDomain
    C0750480
    NCI Thesaurus Property
    C25256
    UMLS 2011AA Property
    C1265611
    Total Number New Lesions
    Descrição

    KaposiSarcomaMalignantNeoplasmNewCount

    Tipo de dados

    double

    Alias
    NCI Thesaurus ObjectClass
    C9305
    UMLS 2011AA ObjectClass
    C0006826
    NCI Thesaurus ObjectClass
    C9087
    UMLS 2011AA ObjectClass
    C0036220
    NCI Thesaurus Property
    C25586
    UMLS 2011AA Property
    C0205314
    NCI Thesaurus Property
    C25256
    UMLS 2011AA Property
    C1265611
    NCI Thesaurus ValueDomain
    C25463
    UMLS 2011AA ValueDomain
    C0750480
    Lesion Measurements
    Descrição

    Lesion Measurements

    Site of Lesion
    Descrição

    LesionSite

    Tipo de dados

    text

    Alias
    NCI Thesaurus ValueDomain
    C13717
    UMLS 2011AA ValueDomain
    C1515974
    NCI Thesaurus ObjectClass
    C3824
    UMLS 2011AA ObjectClass
    C0221198
    NCI Thesaurus Property
    C25341
    UMLS 2011AA Property
    C0450429
    Dimension 1 (cm)
    Descrição

    TumorLargestDimensionMeasurement

    Tipo de dados

    double

    Unidades de medida
    • cm
    Alias
    NCI Thesaurus ValueDomain
    C25209
    UMLS 2011AA ValueDomain
    C0242485
    NCI Thesaurus ObjectClass
    C3262
    UMLS 2011AA ObjectClass
    C0027651
    NCI Thesaurus Property
    C25550
    UMLS 2011AA Property
    C0443228
    NCI Thesaurus Property
    C25483
    UMLS 2011AA Property
    C0439534
    cm
    Dimension 2 (cm)
    Descrição

    TumorSecondDimensionMeasurement

    Tipo de dados

    double

    Unidades de medida
    • cm
    Alias
    NCI Thesaurus ValueDomain
    C25209
    UMLS 2011AA ValueDomain
    C0242485
    NCI Thesaurus ObjectClass
    C3262
    UMLS 2011AA ObjectClass
    C0027651
    NCI Thesaurus Property
    C25666
    UMLS 2011AA Property
    C0205436
    NCI Thesaurus Property
    C25483
    UMLS 2011AA Property
    C0439534
    cm
    Bronchoscopy And Other Tests
    Descrição

    Bronchoscopy And Other Tests

    Bronchoscopy Performed
    Descrição

    BronchoscopyPerformedInd-2

    Tipo de dados

    text

    Alias
    NCI Thesaurus ValueDomain
    C38147
    UMLS 2011AA ValueDomain
    C1512698
    NCI Thesaurus ObjectClass
    C16366
    UMLS 2011AA ObjectClass
    C0006290
    NCI Thesaurus Property
    C38000
    UMLS 2011AA Property
    C0884358
    Date the bronchoscopy was performed (mm/dd/yyyy)
    Descrição

    BronchoscopyPerformedDate

    Tipo de dados

    date

    Alias
    NCI Thesaurus ValueDomain
    C25164
    UMLS 2011AA ValueDomain
    C0011008
    NCI Thesaurus ObjectClass
    C16366
    UMLS 2011AA ObjectClass
    C0006290
    NCI Thesaurus Property
    C38000
    UMLS 2011AA Property
    C0884358
    Findings
    Descrição

    BronchoscopyOtherFindingProcedure

    Tipo de dados

    text

    Alias
    NCI Thesaurus Property
    C17649
    UMLS 2011AA Property
    C0205394
    NCI Thesaurus ObjectClass
    C16366
    UMLS 2011AA ObjectClass
    C0006290
    NCI Thesaurus ValueDomain
    C25218
    UMLS 2011AA ValueDomain
    C1948041
    NCI Thesaurus Property
    C3367
    UMLS 2011AA Property
    C0037088
    Any Other Tests Performed
    Descrição

    OtherPatientAssessmentInd-2

    Tipo de dados

    text

    Alias
    NCI Thesaurus ValueDomain
    C38147
    UMLS 2011AA ValueDomain
    C1512698
    NCI Thesaurus ObjectClass
    C17649
    UMLS 2011AA ObjectClass
    C0205394
    NCI Thesaurus ObjectClass
    C16960
    UMLS 2011AA ObjectClass
    C0030705
    NCI Thesaurus Property
    C25367
    Other Tests
    Descrição

    OtherPatientAssessmentText

    Tipo de dados

    text

    Alias
    NCI Thesaurus ValueDomain
    C25704
    UMLS 2011AA ValueDomain
    C1527021
    NCI Thesaurus ObjectClass
    C17649
    UMLS 2011AA ObjectClass
    C0205394
    NCI Thesaurus ObjectClass
    C16960
    UMLS 2011AA ObjectClass
    C0030705
    NCI Thesaurus Property
    C25367
    Findings
    Descrição

    OtherPatientAssessmentSpecify

    Tipo de dados

    text

    Alias
    NCI Thesaurus ObjectClass
    C17649
    UMLS 2011AA ObjectClass
    C0205394
    NCI Thesaurus ObjectClass
    C16960
    UMLS 2011AA ObjectClass
    C0030705
    NCI Thesaurus Property
    C25367
    NCI Thesaurus ValueDomain
    C25685
    UMLS 2011AA ValueDomain
    C1521902
    NCI Thesaurus ValueDomain
    C25406
    UMLS 2011AA ValueDomain
    C1524062
    Footer Module
    Descrição

    Footer Module

    Comments
    Descrição

    ResearchCommentsText

    Tipo de dados

    text

    Alias
    NCI Thesaurus ValueDomain
    C25704
    UMLS 2011AA ValueDomain
    C1527021
    NCI Thesaurus ObjectClass
    C15319
    NCI Thesaurus Property
    C25393
    UMLS 2011AA Property
    C0282411
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    This form represents the aggregate of initial and follow-up evaluation screens. Two questions are present that are not found in the initial evaluation screen: Compared to Previous Evaluation (#2646514); and Oral lesions (#2646680).

    1 Formulários
    Name
    Tipo
    Description | Question | Decode (Coded Value)
    Tipo de dados
    Alias
    Item Group
    Header Module
    HospitalAdmissionOrdinalNumber
    Item
    Visit number
    double
    C25337 (NCI Thesaurus ValueDomain)
    C0237753 (UMLS 2011AA ValueDomain)
    C16696 (NCI Thesaurus ObjectClass)
    C0019994 (UMLS 2011AA ObjectClass)
    C25385 (NCI Thesaurus Property)
    C0809949 (UMLS 2011AA Property)
    Item Group
    Unnamed1
    Item
    Foot Kaposi's Sarcoma (KS)
    text
    C25648 (NCI Thesaurus ObjectClass)
    C0439849 (UMLS 2011AA ObjectClass)
    C2991 (NCI Thesaurus ObjectClass)
    C0012634 (UMLS 2011AA ObjectClass)
    C9087 (NCI Thesaurus ObjectClass)
    C0036220 (UMLS 2011AA ObjectClass)
    C32622 (NCI Thesaurus ObjectClass)
    C0016504 (UMLS 2011AA ObjectClass)
    C25367 (NCI Thesaurus Property)
    C25688 (NCI Thesaurus ValueDomain)
    C0449438 (UMLS 2011AA ValueDomain)
    CL.1
    Code List
    Foot Kaposi's Sarcoma (KS)
    CL Item
    Absent (Absent)
    C48190 (NCI Thesaurus)
    C0332197 (UMLS 2011AA)
    CL Item
    Present (Present)
    C25626 (NCI Thesaurus)
    C0150312 (UMLS 2011AA)
    Item
    Compared to Previous Evaluation
    text
    C25648 (NCI Thesaurus ObjectClass)
    C0439849 (UMLS 2011AA ObjectClass)
    C2991 (NCI Thesaurus ObjectClass)
    C0012634 (UMLS 2011AA ObjectClass)
    C9087 (NCI Thesaurus ObjectClass)
    C0036220 (UMLS 2011AA ObjectClass)
    C25367 (NCI Thesaurus Property)
    C49156 (NCI Thesaurus Property)
    C1707455 (UMLS 2011AA Property)
    C25688 (NCI Thesaurus ValueDomain)
    C0449438 (UMLS 2011AA ValueDomain)
    CL.2
    Code List
    Compared to Previous Evaluation
    CL Item
    Better (Better)
    CL Item
    Same (Same)
    CL Item
    Worse (Worse)
    C71686 (NCI Thesaurus)
    C1457868 (UMLS 2011AA)
    Item
    Photos Taken
    text
    C16960 (NCI Thesaurus ObjectClass)
    C0030705 (UMLS 2011AA ObjectClass)
    C25367 (NCI Thesaurus Property)
    C9305 (NCI Thesaurus Property)
    C0006826 (UMLS 2011AA Property)
    C86035 (NCI Thesaurus Property)
    C0441468 (UMLS 2011AA Property)
    C38147 (NCI Thesaurus ValueDomain)
    C1512698 (UMLS 2011AA ValueDomain)
    CL.10
    Code List
    Photos Taken
    CL Item
    No (No)
    C49487 (NCI Thesaurus)
    C1298908 (UMLS 2011AA)
    CL Item
    Yes (Yes)
    C49488 (NCI Thesaurus)
    C1705108 (UMLS 2011AA)
    PatientPhotographMalignantNeoplasmAssessmentDate
    Item
    Photos Taken Date
    date
    C16960 (NCI Thesaurus ObjectClass)
    C0030705 (UMLS 2011AA ObjectClass)
    C25367 (NCI Thesaurus Property)
    C9305 (NCI Thesaurus Property)
    C0006826 (UMLS 2011AA Property)
    C86035 (NCI Thesaurus Property)
    C0441468 (UMLS 2011AA Property)
    C25164 (NCI Thesaurus ValueDomain)
    C0011008 (UMLS 2011AA ValueDomain)
    Item
    Physical findings
    text
    C25648 (NCI Thesaurus ObjectClass)
    C0439849 (UMLS 2011AA ObjectClass)
    C2991 (NCI Thesaurus ObjectClass)
    C0012634 (UMLS 2011AA ObjectClass)
    C9087 (NCI Thesaurus ObjectClass)
    C0036220 (UMLS 2011AA ObjectClass)
    C32622 (NCI Thesaurus ObjectClass)
    C0016504 (UMLS 2011AA ObjectClass)
    C25367 (NCI Thesaurus Property)
    C38147 (NCI Thesaurus ValueDomain)
    C1512698 (UMLS 2011AA ValueDomain)
    CL.4
    Code List
    Physical findings
    CL Item
    No (No)
    C49487 (NCI Thesaurus)
    C1298908 (UMLS 2011AA)
    CL Item
    Yes (Yes)
    C49488 (NCI Thesaurus)
    C1705108 (UMLS 2011AA)
    KaposiSarcomaRelatedFootDiseaseAssessmentSpecify
    Item
    Specify (If Yes,)
    text
    C25648 (NCI Thesaurus ObjectClass)
    C0439849 (UMLS 2011AA ObjectClass)
    C2991 (NCI Thesaurus ObjectClass)
    C0012634 (UMLS 2011AA ObjectClass)
    C9087 (NCI Thesaurus ObjectClass)
    C0036220 (UMLS 2011AA ObjectClass)
    C32622 (NCI Thesaurus ObjectClass)
    C0016504 (UMLS 2011AA ObjectClass)
    C25367 (NCI Thesaurus Property)
    C25685 (NCI Thesaurus ValueDomain)
    C1521902 (UMLS 2011AA ValueDomain)
    C25401 (NCI Thesaurus ValueDomain)
    C0205161 (UMLS 2011AA ValueDomain)
    Item Group
    Unnamed2
    Item
    Are there any oral cavity lesions present at this evaluation (If NO, go to GI EVALUATION section)
    text
    C25180 (NCI Thesaurus ValueDomain)
    C1522602 (UMLS 2011AA ValueDomain)
    C25367 (NCI Thesaurus Property)
    C27641 (NCI Thesaurus ObjectClass)
    C0026636 (UMLS 2011AA ObjectClass)
    CL.5
    Code List
    Are there any oral cavity lesions present at this evaluation (If NO, go to GI EVALUATION section)
    CL Item
    No (No)
    C49487 (NCI Thesaurus)
    C1298908 (UMLS 2011AA)
    CL Item
    Not Evaluated (Not evaluated)
    CL Item
    Yes (Yes)
    C49488 (NCI Thesaurus)
    C1705108 (UMLS 2011AA)
    KaposiSarcomaMalignantNeoplasmElevatedCount
    Item
    Total Number Raised Lesions
    double
    C9305 (NCI Thesaurus ObjectClass)
    C0006826 (UMLS 2011AA ObjectClass)
    C9087 (NCI Thesaurus ObjectClass)
    C0036220 (UMLS 2011AA ObjectClass)
    C25493 (NCI Thesaurus Property)
    C0205250 (UMLS 2011AA Property)
    C25256 (NCI Thesaurus Property)
    C1265611 (UMLS 2011AA Property)
    C25463 (NCI Thesaurus ValueDomain)
    C0750480 (UMLS 2011AA ValueDomain)
    KaposiSarcomaMalignantNeoplasmFlatCount
    Item
    Total Number Flat Lesions (which are countable or measurable)
    double
    C9305 (NCI Thesaurus ObjectClass)
    C0006826 (UMLS 2011AA ObjectClass)
    C9087 (NCI Thesaurus ObjectClass)
    C0036220 (UMLS 2011AA ObjectClass)
    C25256 (NCI Thesaurus Property)
    C1265611 (UMLS 2011AA Property)
    C0205324 (NCI Metathesaurus Property)
    C25463 (NCI Thesaurus ValueDomain)
    C0750480 (UMLS 2011AA ValueDomain)
    Item
    Photos Taken
    text
    C16960 (NCI Thesaurus ObjectClass)
    C0030705 (UMLS 2011AA ObjectClass)
    C25367 (NCI Thesaurus Property)
    C9305 (NCI Thesaurus Property)
    C0006826 (UMLS 2011AA Property)
    C86035 (NCI Thesaurus Property)
    C0441468 (UMLS 2011AA Property)
    C38147 (NCI Thesaurus ValueDomain)
    C1512698 (UMLS 2011AA ValueDomain)
    CL.10
    Code List
    Photos Taken
    CL Item
    No (No)
    C49487 (NCI Thesaurus)
    C1298908 (UMLS 2011AA)
    CL Item
    Yes (Yes)
    C49488 (NCI Thesaurus)
    C1705108 (UMLS 2011AA)
    Item
    Is non-measurable disease present?
    text
    C38148 (NCI Thesaurus ValueDomain)
    C1512699 (UMLS 2011AA ValueDomain)
    C25626 (NCI Thesaurus Property)
    C0150312 (UMLS 2011AA Property)
    C2991 (NCI Thesaurus ObjectClass)
    C0012634 (UMLS 2011AA ObjectClass)
    C25589 (NCI Thesaurus ObjectClass)
    C1518373 (UMLS 2011AA ObjectClass)
    CL.6
    Code List
    Is non-measurable disease present?
    CL Item
    No (No)
    C49487 (NCI Thesaurus)
    C1298908 (UMLS 2011AA)
    CL Item
    Yes (Yes)
    C49488 (NCI Thesaurus)
    C1705108 (UMLS 2011AA)
    PatientPhotographMalignantNeoplasmAssessmentDate
    Item
    Photos Taken Date
    date
    C16960 (NCI Thesaurus ObjectClass)
    C0030705 (UMLS 2011AA ObjectClass)
    C25367 (NCI Thesaurus Property)
    C9305 (NCI Thesaurus Property)
    C0006826 (UMLS 2011AA Property)
    C86035 (NCI Thesaurus Property)
    C0441468 (UMLS 2011AA Property)
    C25164 (NCI Thesaurus ValueDomain)
    C0011008 (UMLS 2011AA ValueDomain)
    Item
    Are oral symptoms related to Kaposi's Sarcoma
    text
    C25648 (NCI Thesaurus ObjectClass)
    C0439849 (UMLS 2011AA ObjectClass)
    C9087 (NCI Thesaurus ObjectClass)
    C0036220 (UMLS 2011AA ObjectClass)
    C27641 (NCI Thesaurus ObjectClass)
    C0026636 (UMLS 2011AA ObjectClass)
    C25367 (NCI Thesaurus Property)
    C25180 (NCI Thesaurus ValueDomain)
    C1522602 (UMLS 2011AA ValueDomain)
    CL.7
    Code List
    Are oral symptoms related to Kaposi's Sarcoma
    CL Item
    No (No)
    C49487 (NCI Thesaurus)
    C1298908 (UMLS 2011AA)
    CL Item
    No Symptom (No symptoms)
    CL Item
    Yes (Yes)
    C49488 (NCI Thesaurus)
    C1705108 (UMLS 2011AA)
    NotKaposiSarcomaRelatedOralCavityDisorderAssessmentText
    Item
    Explain (If not,)
    text
    C25648 (NCI Thesaurus ObjectClass)
    C0439849 (UMLS 2011AA ObjectClass)
    C25594 (NCI Thesaurus ObjectClass)
    C1518422 (UMLS 2011AA ObjectClass)
    C9087 (NCI Thesaurus ObjectClass)
    C0036220 (UMLS 2011AA ObjectClass)
    C27641 (NCI Thesaurus ObjectClass)
    C0026636 (UMLS 2011AA ObjectClass)
    C25367 (NCI Thesaurus Property)
    C25704 (NCI Thesaurus ValueDomain)
    C1527021 (UMLS 2011AA ValueDomain)
    Item
    Oral Site
    text
    C25341 (NCI Thesaurus Property)
    C0450429 (UMLS 2011AA Property)
    C37901 (NCI Thesaurus ValueDomain)
    C0205145 (UMLS 2011AA ValueDomain)
    C25421 (NCI Thesaurus Property)
    C0002808 (UMLS 2011AA Property)
    C27641 (NCI Thesaurus ObjectClass)
    C0026636 (UMLS 2011AA ObjectClass)
    CL.8
    Code List
    Oral Site
    CL Item
    Buccal Mucosa (Buccal mucosa)
    C12505 (NCI Thesaurus)
    C1578559 (UMLS 2011AA)
    CL Item
    Floor Of Mouth (Floor of mouth)
    C0026638 (NCI Metathesaurus)
    CL Item
    Gingiva (Gingiva/gums)
    C32677 (NCI Thesaurus)
    C0017562 (UMLS 2011AA)
    CL Item
    Hard Palate (Hard palate)
    C12230 (NCI Thesaurus)
    C0226901 (UMLS 2011AA)
    CL Item
    Pharynx (Posterior pharynx)
    C12425 (NCI Thesaurus)
    C0031354 (UMLS 2011AA)
    CL Item
    Soft Palate (Soft palate)
    C12231 (NCI Thesaurus)
    C0030219 (UMLS 2011AA)
    CL Item
    Tongue (Tongue)
    C12422 (NCI Thesaurus)
    C0040408 (UMLS 2011AA)
    CL Item
    Tonsil (Tonsils)
    C12802 (NCI Thesaurus)
    C0836921 (UMLS 2011AA)
    CL Item
    Uvula (Uvula)
    C12232 (NCI Thesaurus)
    C0042173 (UMLS 2011AA)
    Item
    Kaposi's Sarcoma present
    text
    C38147 (NCI Thesaurus ValueDomain)
    C1512698 (UMLS 2011AA ValueDomain)
    C25626 (NCI Thesaurus Property)
    C0150312 (UMLS 2011AA Property)
    C9087 (NCI Thesaurus ObjectClass)
    C0036220 (UMLS 2011AA ObjectClass)
    CL.9
    Code List
    Kaposi's Sarcoma present
    CL Item
    No (No)
    C49487 (NCI Thesaurus)
    C1298908 (UMLS 2011AA)
    CL Item
    Yes (Yes)
    C49488 (NCI Thesaurus)
    C1705108 (UMLS 2011AA)
    Item
    Oral lesions
    text
    C25367 (NCI Thesaurus Property)
    C25688 (NCI Thesaurus ValueDomain)
    C0449438 (UMLS 2011AA ValueDomain)
    C27641 (NCI Thesaurus ObjectClass)
    C0026636 (UMLS 2011AA ObjectClass)
    CL.11
    Code List
    Oral lesions
    CL Item
    A Resolution Of All Oral Lesions Since Baseline (A resolution of all oral lesions since baseline)
    CL Item
    A Worsening Of Oral Lesions Since Baseline Or Best Response (A worsening of oral lesions since baseline or best response)
    CL Item
    An Improvement Of Oral Lesions Since Baseline (An improvement of oral lesions since baseline)
    CL Item
    New Oral Lesions (New oral lesions)
    CL Item
    None Of The Above (None of the above)
    Item Group
    Unnamed3
    Item
    Are there any gastrointestinal (GI) lesions present at this evaluation (If NO, go to PULMONARY EVALUATION section)
    text
    C25180 (NCI Thesaurus ValueDomain)
    C1522602 (UMLS 2011AA ValueDomain)
    C25367 (NCI Thesaurus Property)
    C13359 (NCI Thesaurus ObjectClass)
    C0521362 (UMLS 2011AA ObjectClass)
    C2991 (NCI Thesaurus ObjectClass)
    C0012634 (UMLS 2011AA ObjectClass)
    CL.12
    Code List
    Are there any gastrointestinal (GI) lesions present at this evaluation (If NO, go to PULMONARY EVALUATION section)
    CL Item
    No (No)
    C49487 (NCI Thesaurus)
    C1298908 (UMLS 2011AA)
    CL Item
    Not Evaluated (Not evaluated)
    CL Item
    Yes (Yes)
    C49488 (NCI Thesaurus)
    C1705108 (UMLS 2011AA)
    Item
    Are there gastrointestinal (GI) symptoms related to Kaposi's Sarcoma
    text
    C38147 (NCI Thesaurus ValueDomain)
    C1512698 (UMLS 2011AA ValueDomain)
    C25367 (NCI Thesaurus Property)
    C5529 (NCI Thesaurus ObjectClass)
    C1333776 (UMLS 2011AA ObjectClass)
    CL.13
    Code List
    Are there gastrointestinal (GI) symptoms related to Kaposi's Sarcoma
    CL Item
    No (No)
    C49487 (NCI Thesaurus)
    C1298908 (UMLS 2011AA)
    CL Item
    Yes (Yes)
    C49488 (NCI Thesaurus)
    C1705108 (UMLS 2011AA)
    GastrointestinalNotKaposiSarcomaDiseaseAssessmentText
    Item
    Explain (If not,)
    text
    C13359 (NCI Thesaurus ObjectClass)
    C0521362 (UMLS 2011AA ObjectClass)
    C25594 (NCI Thesaurus ObjectClass)
    C1518422 (UMLS 2011AA ObjectClass)
    C2991 (NCI Thesaurus ObjectClass)
    C0012634 (UMLS 2011AA ObjectClass)
    C9087 (NCI Thesaurus ObjectClass)
    C0036220 (UMLS 2011AA ObjectClass)
    C25367 (NCI Thesaurus Property)
    C25704 (NCI Thesaurus ValueDomain)
    C1527021 (UMLS 2011AA ValueDomain)
    Item
    Method of Evaluation
    text
    C25284 (NCI Thesaurus ValueDomain)
    C0332307 (UMLS 2011AA ValueDomain)
    C20989 (NCI Thesaurus ObjectClass)
    C0031809 (UMLS 2011AA ObjectClass)
    C16847 (NCI Thesaurus Property)
    C0449851 (UMLS 2011AA Property)
    CL.19
    Code List
    Method of Evaluation
    CL Item
    Chest X-ray (Chest x-ray)
    CL Item
    Ct Scan (CT scan)
    Item
    Performed
    text
    C38147 (NCI Thesaurus ValueDomain)
    C1512698 (UMLS 2011AA ValueDomain)
    C25367 (NCI Thesaurus ObjectClass)
    C38000 (NCI Thesaurus Property)
    C0884358 (UMLS 2011AA Property)
    C9087 (NCI Thesaurus ObjectClass)
    C0036220 (UMLS 2011AA ObjectClass)
    CL.20
    Code List
    Performed
    CL Item
    No (No)
    C49487 (NCI Thesaurus)
    C1298908 (UMLS 2011AA)
    CL Item
    Yes (Yes)
    C49488 (NCI Thesaurus)
    C1705108 (UMLS 2011AA)
    LesionAssessmentDate
    Item
    Assessment Date (mm/dd/yyyy)
    date
    C25164 (NCI Thesaurus ValueDomain)
    C0011008 (UMLS 2011AA ValueDomain)
    C3824 (NCI Thesaurus ObjectClass)
    C0221198 (UMLS 2011AA ObjectClass)
    C20989 (NCI Thesaurus Property)
    C0031809 (UMLS 2011AA Property)
    C25367 (NCI Thesaurus ValueDomain)
    GastrointestinalDiseaseAssessmentSpecify
    Item
    Findings
    text
    C25685 (NCI Thesaurus ValueDomain)
    C1521902 (UMLS 2011AA ValueDomain)
    C25367 (NCI Thesaurus Property)
    C13359 (NCI Thesaurus ObjectClass)
    C0521362 (UMLS 2011AA ObjectClass)
    C2991 (NCI Thesaurus ObjectClass)
    C0012634 (UMLS 2011AA ObjectClass)
    Item Group
    Unnamed4
    Item
    Are there any pulmonary Kaposi's Sarcoma (KS) lesions present at this evaluation (If NO, go to EDEMA EVALUATION section)
    text
    C25180 (NCI Thesaurus ValueDomain)
    C1522602 (UMLS 2011AA ValueDomain)
    C25367 (NCI Thesaurus Property)
    C13304 (NCI Thesaurus ObjectClass)
    C2709248 (UMLS 2011AA ObjectClass)
    C2991 (NCI Thesaurus ObjectClass)
    C0012634 (UMLS 2011AA ObjectClass)
    CL.16
    Code List
    Are there any pulmonary Kaposi's Sarcoma (KS) lesions present at this evaluation (If NO, go to EDEMA EVALUATION section)
    CL Item
    No (No)
    C49487 (NCI Thesaurus)
    C1298908 (UMLS 2011AA)
    CL Item
    Not Evaluated (Not evaluated)
    CL Item
    Yes (Yes)
    C49488 (NCI Thesaurus)
    C1705108 (UMLS 2011AA)
    Item
    Indicate if the lesions are measurable or non-measurable
    text
    C2991 (NCI Thesaurus ObjectClass)
    C0012634 (UMLS 2011AA ObjectClass)
    C37894 (NCI Thesaurus ObjectClass)
    C1513040 (UMLS 2011AA ObjectClass)
    C8503 (NCI Thesaurus ObjectClass)
    C1516986 (UMLS 2011AA ObjectClass)
    C25626 (NCI Thesaurus Property)
    C0150312 (UMLS 2011AA Property)
    C25284 (NCI Thesaurus ValueDomain)
    C0332307 (UMLS 2011AA ValueDomain)
    CL.17
    Code List
    Indicate if the lesions are measurable or non-measurable
    CL Item
    Measurable Disease (Measurable)
    C8507 (NCI Thesaurus)
    C1513041 (UMLS 2011AA)
    CL Item
    Non-measurable (Non-measurable)
    C25589 (NCI Thesaurus)
    C1518373 (UMLS 2011AA)
    CL Item
    Both Measurable And Non-measurable (Both Measurable and Non-measurable)
    Item
    Are the pulmonary symptoms related to Kaposi's Sarcoma
    text
    C38147 (NCI Thesaurus ValueDomain)
    C1512698 (UMLS 2011AA ValueDomain)
    C25367 (NCI Thesaurus Property)
    C3551 (NCI Thesaurus ObjectClass)
    C0153564 (UMLS 2011AA ObjectClass)
    CL.18
    Code List
    Are the pulmonary symptoms related to Kaposi's Sarcoma
    CL Item
    No (No)
    C49487 (NCI Thesaurus)
    C1298908 (UMLS 2011AA)
    CL Item
    Yes (Yes)
    C49488 (NCI Thesaurus)
    C1705108 (UMLS 2011AA)
    PulmonaryNotKaposiSarcomaDiseaseAssessmentText
    Item
    Explain (If not,)
    text
    C13304 (NCI Thesaurus ObjectClass)
    C2709248 (UMLS 2011AA ObjectClass)
    C25594 (NCI Thesaurus ObjectClass)
    C1518422 (UMLS 2011AA ObjectClass)
    C2991 (NCI Thesaurus ObjectClass)
    C0012634 (UMLS 2011AA ObjectClass)
    C9087 (NCI Thesaurus ObjectClass)
    C0036220 (UMLS 2011AA ObjectClass)
    C25367 (NCI Thesaurus Property)
    C25704 (NCI Thesaurus ValueDomain)
    C1527021 (UMLS 2011AA ValueDomain)
    Item
    Method of Evaluation
    text
    C25284 (NCI Thesaurus ValueDomain)
    C0332307 (UMLS 2011AA ValueDomain)
    C20989 (NCI Thesaurus ObjectClass)
    C0031809 (UMLS 2011AA ObjectClass)
    C16847 (NCI Thesaurus Property)
    C0449851 (UMLS 2011AA Property)
    CL.19
    Code List
    Method of Evaluation
    CL Item
    Chest X-ray (Chest x-ray)
    CL Item
    Ct Scan (CT scan)
    Item
    Performed
    text
    C38147 (NCI Thesaurus ValueDomain)
    C1512698 (UMLS 2011AA ValueDomain)
    C25367 (NCI Thesaurus ObjectClass)
    C38000 (NCI Thesaurus Property)
    C0884358 (UMLS 2011AA Property)
    C9087 (NCI Thesaurus ObjectClass)
    C0036220 (UMLS 2011AA ObjectClass)
    CL.20
    Code List
    Performed
    CL Item
    No (No)
    C49487 (NCI Thesaurus)
    C1298908 (UMLS 2011AA)
    CL Item
    Yes (Yes)
    C49488 (NCI Thesaurus)
    C1705108 (UMLS 2011AA)
    LesionAssessmentDate
    Item
    Assessment Date (mm/dd/yyyy)
    date
    C25164 (NCI Thesaurus ValueDomain)
    C0011008 (UMLS 2011AA ValueDomain)
    C3824 (NCI Thesaurus ObjectClass)
    C0221198 (UMLS 2011AA ObjectClass)
    C20989 (NCI Thesaurus Property)
    C0031809 (UMLS 2011AA Property)
    C25367 (NCI Thesaurus ValueDomain)
    Item
    Pleural Effusion
    text
    C38148 (NCI Thesaurus ValueDomain)
    C1512699 (UMLS 2011AA ValueDomain)
    C12468 (NCI Thesaurus ObjectClass)
    C0024109 (UMLS 2011AA ObjectClass)
    C3003 (NCI Thesaurus Property)
    C0013687 (UMLS 2011AA Property)
    C25223 (NCI Thesaurus Property)
    C1522720 (UMLS 2011AA Property)
    CL.21
    Code List
    Pleural Effusion
    CL Item
    No (NO)
    CL Item
    Yes (YES)
    LesionCount
    Item
    Specify number of lesions
    double
    C3824 (NCI Thesaurus ObjectClass)
    C0221198 (UMLS 2011AA ObjectClass)
    C25463 (NCI Thesaurus ValueDomain)
    C0750480 (UMLS 2011AA ValueDomain)
    C25256 (NCI Thesaurus Property)
    C1265611 (UMLS 2011AA Property)
    KaposiSarcomaMalignantNeoplasmNewCount
    Item
    Total Number New Lesions
    double
    C9305 (NCI Thesaurus ObjectClass)
    C0006826 (UMLS 2011AA ObjectClass)
    C9087 (NCI Thesaurus ObjectClass)
    C0036220 (UMLS 2011AA ObjectClass)
    C25586 (NCI Thesaurus Property)
    C0205314 (UMLS 2011AA Property)
    C25256 (NCI Thesaurus Property)
    C1265611 (UMLS 2011AA Property)
    C25463 (NCI Thesaurus ValueDomain)
    C0750480 (UMLS 2011AA ValueDomain)
    Item Group
    Lesion Measurements
    LesionSite
    Item
    Site of Lesion
    text
    C13717 (NCI Thesaurus ValueDomain)
    C1515974 (UMLS 2011AA ValueDomain)
    C3824 (NCI Thesaurus ObjectClass)
    C0221198 (UMLS 2011AA ObjectClass)
    C25341 (NCI Thesaurus Property)
    C0450429 (UMLS 2011AA Property)
    TumorLargestDimensionMeasurement
    Item
    Dimension 1 (cm)
    double
    C25209 (NCI Thesaurus ValueDomain)
    C0242485 (UMLS 2011AA ValueDomain)
    C3262 (NCI Thesaurus ObjectClass)
    C0027651 (UMLS 2011AA ObjectClass)
    C25550 (NCI Thesaurus Property)
    C0443228 (UMLS 2011AA Property)
    C25483 (NCI Thesaurus Property)
    C0439534 (UMLS 2011AA Property)
    TumorSecondDimensionMeasurement
    Item
    Dimension 2 (cm)
    double
    C25209 (NCI Thesaurus ValueDomain)
    C0242485 (UMLS 2011AA ValueDomain)
    C3262 (NCI Thesaurus ObjectClass)
    C0027651 (UMLS 2011AA ObjectClass)
    C25666 (NCI Thesaurus Property)
    C0205436 (UMLS 2011AA Property)
    C25483 (NCI Thesaurus Property)
    C0439534 (UMLS 2011AA Property)
    Item Group
    Bronchoscopy And Other Tests
    Item
    Bronchoscopy Performed
    text
    C38147 (NCI Thesaurus ValueDomain)
    C1512698 (UMLS 2011AA ValueDomain)
    C16366 (NCI Thesaurus ObjectClass)
    C0006290 (UMLS 2011AA ObjectClass)
    C38000 (NCI Thesaurus Property)
    C0884358 (UMLS 2011AA Property)
    CL.22
    Code List
    Bronchoscopy Performed
    CL Item
    No (No)
    C49487 (NCI Thesaurus)
    C1298908 (UMLS 2011AA)
    CL Item
    Yes (Yes)
    C49488 (NCI Thesaurus)
    C1705108 (UMLS 2011AA)
    BronchoscopyPerformedDate
    Item
    Date the bronchoscopy was performed (mm/dd/yyyy)
    date
    C25164 (NCI Thesaurus ValueDomain)
    C0011008 (UMLS 2011AA ValueDomain)
    C16366 (NCI Thesaurus ObjectClass)
    C0006290 (UMLS 2011AA ObjectClass)
    C38000 (NCI Thesaurus Property)
    C0884358 (UMLS 2011AA Property)
    BronchoscopyOtherFindingProcedure
    Item
    Findings
    text
    C17649 (NCI Thesaurus Property)
    C0205394 (UMLS 2011AA Property)
    C16366 (NCI Thesaurus ObjectClass)
    C0006290 (UMLS 2011AA ObjectClass)
    C25218 (NCI Thesaurus ValueDomain)
    C1948041 (UMLS 2011AA ValueDomain)
    C3367 (NCI Thesaurus Property)
    C0037088 (UMLS 2011AA Property)
    Item
    Any Other Tests Performed
    text
    C38147 (NCI Thesaurus ValueDomain)
    C1512698 (UMLS 2011AA ValueDomain)
    C17649 (NCI Thesaurus ObjectClass)
    C0205394 (UMLS 2011AA ObjectClass)
    C16960 (NCI Thesaurus ObjectClass)
    C0030705 (UMLS 2011AA ObjectClass)
    C25367 (NCI Thesaurus Property)
    CL.23
    Code List
    Any Other Tests Performed
    CL Item
    No (No)
    C49487 (NCI Thesaurus)
    C1298908 (UMLS 2011AA)
    CL Item
    Yes (Yes)
    C49488 (NCI Thesaurus)
    C1705108 (UMLS 2011AA)
    OtherPatientAssessmentText
    Item
    Other Tests
    text
    C25704 (NCI Thesaurus ValueDomain)
    C1527021 (UMLS 2011AA ValueDomain)
    C17649 (NCI Thesaurus ObjectClass)
    C0205394 (UMLS 2011AA ObjectClass)
    C16960 (NCI Thesaurus ObjectClass)
    C0030705 (UMLS 2011AA ObjectClass)
    C25367 (NCI Thesaurus Property)
    OtherPatientAssessmentSpecify
    Item
    Findings
    text
    C17649 (NCI Thesaurus ObjectClass)
    C0205394 (UMLS 2011AA ObjectClass)
    C16960 (NCI Thesaurus ObjectClass)
    C0030705 (UMLS 2011AA ObjectClass)
    C25367 (NCI Thesaurus Property)
    C25685 (NCI Thesaurus ValueDomain)
    C1521902 (UMLS 2011AA ValueDomain)
    C25406 (NCI Thesaurus ValueDomain)
    C1524062 (UMLS 2011AA ValueDomain)
    Item Group
    Footer Module
    ResearchCommentsText
    Item
    Comments
    text
    C25704 (NCI Thesaurus ValueDomain)
    C1527021 (UMLS 2011AA ValueDomain)
    C15319 (NCI Thesaurus ObjectClass)
    C25393 (NCI Thesaurus Property)
    C0282411 (UMLS 2011AA Property)
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