ID

3148

Descripción

AMC-051 Evaluation of Edema Form (RK4) Sirolimus in Treating Patients With HIV-Related Kaposi's Sarcoma Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=2FF95103-FCF4-6437-E044-0003BA3F9857

Link

https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=2FF95103-FCF4-6437-E044-0003BA3F9857

Palabras clave

Versiones (1)
  1. 19/9/12 19/9/12 -
Subido en

19 de septiembre de 2012

DOI

Para solicitar uno, por favor iniciar sesión.

Licencia

Creative Commons BY-NC 3.0 Legacy
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Sarcoma NCT00450320 On-Study - AMC-051 Evaluation of Edema Form (RK4) - 2636874v1.0

Inglés

No Instruction available.

1 formularios  
  1. StudyEvent: AMC-051 Evaluation of Edema Form (RK4)
    1. No Instruction available.
Header Module
Descripción

Header Module

Visit number
Descripción

HospitalAdmissionOrdinalNumber

Tipo de datos

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
Descripción

Unnamed1

Is there any tumor-associated edema at this evaluation (If NO, go to EVALUATION OF EXTREMITY EDEMA section)
Descripción

KaposiSarcomaRelatedEdemaAssessmentInd-2

Tipo de datos

text

Alias
NCI Thesaurus ObjectClass
C25648
UMLS 2011AA ObjectClass
C0439849
NCI Thesaurus ObjectClass
C3002
UMLS 2011AA ObjectClass
C0013604
NCI Thesaurus ObjectClass
C9087
UMLS 2011AA ObjectClass
C0036220
NCI Thesaurus Property
C25367
NCI Thesaurus ValueDomain
C38147
UMLS 2011AA ValueDomain
C1512698
Edema Site
Descripción

KaposiSarcomaRelatedEdemaAnatomicSite

Tipo de datos

text

Alias
NCI Thesaurus ObjectClass
C25648
UMLS 2011AA ObjectClass
C0439849
NCI Thesaurus ObjectClass
C3002
UMLS 2011AA ObjectClass
C0013604
NCI Thesaurus ObjectClass
C9087
UMLS 2011AA ObjectClass
C0036220
NCI Thesaurus Property
C25341
UMLS 2011AA Property
C0450429
NCI Thesaurus Property
C25421
UMLS 2011AA Property
C0002808
NCI Thesaurus ValueDomain
C37901
UMLS 2011AA ValueDomain
C0205145
Other, specify
Descripción

KaposiSarcomaRelatedEdemaAnatomicLocationSpecify

Tipo de datos

text

Alias
NCI Thesaurus ObjectClass
C25648
UMLS 2011AA ObjectClass
C0439849
NCI Thesaurus ObjectClass
C3002
UMLS 2011AA ObjectClass
C0013604
NCI Thesaurus ObjectClass
C9087
UMLS 2011AA ObjectClass
C0036220
NCI Thesaurus Property
C25341
UMLS 2011AA Property
C0450429
NCI Thesaurus Property
C25421
UMLS 2011AA Property
C0002808
NCI Thesaurus ValueDomain
C25685
UMLS 2011AA ValueDomain
C1521902
Edema Present
Descripción

KaposiSarcomaRelatedEdemaPresentInd-2

Tipo de datos

text

Alias
NCI Thesaurus ObjectClass
C25648
UMLS 2011AA ObjectClass
C0439849
NCI Thesaurus ObjectClass
C3002
UMLS 2011AA ObjectClass
C0013604
NCI Thesaurus ObjectClass
C9087
UMLS 2011AA ObjectClass
C0036220
NCI Thesaurus Property
C25626
UMLS 2011AA Property
C0150312
NCI Thesaurus ValueDomain
C38147
UMLS 2011AA ValueDomain
C1512698
Compared to Previous Evaluation
Descripción

KaposiSarcomaRelatedDiseaseComparisonAssessmentStatus

Tipo de datos

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
Edema evaluation
Descripción

KaposiSarcomaRelatedEdemaAssessmentStatus

Tipo de datos

text

Alias
NCI Thesaurus ObjectClass
C25648
UMLS 2011AA ObjectClass
C0439849
NCI Thesaurus ObjectClass
C3002
UMLS 2011AA ObjectClass
C0013604
NCI Thesaurus ObjectClass
C9087
UMLS 2011AA ObjectClass
C0036220
NCI Thesaurus Property
C25367
NCI Thesaurus ValueDomain
C25688
UMLS 2011AA ValueDomain
C0449438
Unnamed2
Descripción

Unnamed2

Status of extremity edema
Descripción

KaposiSarcomaRelatedLimbEdemaAssessmentStatus

Tipo de datos

text

Alias
NCI Thesaurus ObjectClass
C25648
UMLS 2011AA ObjectClass
C0439849
NCI Thesaurus ObjectClass
C3002
UMLS 2011AA ObjectClass
C0013604
NCI Thesaurus ObjectClass
C9087
UMLS 2011AA ObjectClass
C0036220
NCI Thesaurus ObjectClass
C12429
UMLS 2011AA ObjectClass
C0015385
NCI Thesaurus Property
C25367
NCI Thesaurus ValueDomain
C25688
UMLS 2011AA ValueDomain
C0449438
Specific Location
Descripción

KaposiSarcomaRelatedLimbEdemaAnatomicLocationSpecify

Tipo de datos

text

Alias
NCI Thesaurus ObjectClass
C25648
UMLS 2011AA ObjectClass
C0439849
NCI Thesaurus ObjectClass
C3002
UMLS 2011AA ObjectClass
C0013604
NCI Thesaurus ObjectClass
C9087
UMLS 2011AA ObjectClass
C0036220
NCI Thesaurus ObjectClass
C12429
UMLS 2011AA ObjectClass
C0015385
NCI Thesaurus Property
C25341
UMLS 2011AA Property
C0450429
NCI Thesaurus Property
C25421
UMLS 2011AA Property
C0002808
NCI Thesaurus ValueDomain
C25685
UMLS 2011AA ValueDomain
C1521902
Limb Girth (cm)
Descripción

KaposiSarcomaRelatedLimbEdemaCircumferenceAssessmentMeasurement

Tipo de datos

double

Unidades de medida
  • cm
Alias
NCI Thesaurus ObjectClass
C25648
UMLS 2011AA ObjectClass
C0439849
NCI Thesaurus ObjectClass
C3002
UMLS 2011AA ObjectClass
C0013604
NCI Thesaurus ObjectClass
C9087
UMLS 2011AA ObjectClass
C0036220
NCI Thesaurus ObjectClass
C12429
UMLS 2011AA ObjectClass
C0015385
NCI Thesaurus Property
C25367
NCI Thesaurus Property
C64265
UMLS 2011AA Property
C0332520
NCI Thesaurus ValueDomain
C25209
UMLS 2011AA ValueDomain
C0242485
cm
Other Findings
Descripción

KaposiSarcomaRelatedLimbEdemaAssessmentSpecify

Tipo de datos

text

Alias
NCI Thesaurus ObjectClass
C25648
UMLS 2011AA ObjectClass
C0439849
NCI Thesaurus ObjectClass
C3002
UMLS 2011AA ObjectClass
C0013604
NCI Thesaurus ObjectClass
C9087
UMLS 2011AA ObjectClass
C0036220
NCI Thesaurus ObjectClass
C12429
UMLS 2011AA ObjectClass
C0015385
NCI Thesaurus Property
C25367
NCI Thesaurus ValueDomain
C25685
UMLS 2011AA ValueDomain
C1521902
NCI Thesaurus ValueDomain
C25401
UMLS 2011AA ValueDomain
C0205161
Unnamed3
Descripción

Unnamed3

Photos Taken
Descripción

PatientPhotographMalignantNeoplasmAssessmentInd-2

Tipo de datos

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
Descripción

PatientPhotographMalignantNeoplasmAssessmentDate

Tipo de datos

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
Descripción

KaposiSarcomaRelatedOrbitEdemaAssessmentInd-2

Tipo de datos

text

Alias
NCI Thesaurus ObjectClass
C25648
UMLS 2011AA ObjectClass
C0439849
NCI Thesaurus ObjectClass
C3002
UMLS 2011AA ObjectClass
C0013604
NCI Thesaurus ObjectClass
C9087
UMLS 2011AA ObjectClass
C0036220
NCI Thesaurus ObjectClass
C12347
UMLS 2011AA ObjectClass
C0029180
NCI Thesaurus Property
C25367
NCI Thesaurus ValueDomain
C38147
UMLS 2011AA ValueDomain
C1512698
Specify (If yes,)
Descripción

KaposiSarcomaRelatedOrbitEdemaAssessmentSpecify

Tipo de datos

text

Alias
NCI Thesaurus ObjectClass
C25648
UMLS 2011AA ObjectClass
C0439849
NCI Thesaurus ObjectClass
C3002
UMLS 2011AA ObjectClass
C0013604
NCI Thesaurus ObjectClass
C9087
UMLS 2011AA ObjectClass
C0036220
NCI Thesaurus ObjectClass
C12347
UMLS 2011AA ObjectClass
C0029180
NCI Thesaurus Property
C25367
NCI Thesaurus ValueDomain
C25685
UMLS 2011AA ValueDomain
C1521902
NCI Thesaurus ValueDomain
C25401
UMLS 2011AA ValueDomain
C0205161
Unnamed4
Descripción

Unnamed4

Photos Taken
Descripción

PatientPhotographMalignantNeoplasmAssessmentInd-2

Tipo de datos

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
Descripción

PatientPhotographMalignantNeoplasmAssessmentDate

Tipo de datos

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
Descripción

KaposiSarcomaRelatedGenitaliaEdemaAssessmentInd-2

Tipo de datos

text

Alias
NCI Thesaurus ObjectClass
C25648
UMLS 2011AA ObjectClass
C0439849
NCI Thesaurus ObjectClass
C3002
UMLS 2011AA ObjectClass
C0013604
NCI Thesaurus ObjectClass
C25177
UMLS 2011AA ObjectClass
C0017420
NCI Thesaurus ObjectClass
C9087
UMLS 2011AA ObjectClass
C0036220
NCI Thesaurus Property
C25367
NCI Thesaurus ValueDomain
C38147
UMLS 2011AA ValueDomain
C1512698
Specify (If yes,)
Descripción

KaposiSarcomaRelatedGenitaliaEdemaAssessmentSpecify

Tipo de datos

text

Alias
NCI Thesaurus ObjectClass
C25648
UMLS 2011AA ObjectClass
C0439849
NCI Thesaurus ObjectClass
C3002
UMLS 2011AA ObjectClass
C0013604
NCI Thesaurus ObjectClass
C25177
UMLS 2011AA ObjectClass
C0017420
NCI Thesaurus ObjectClass
C9087
UMLS 2011AA ObjectClass
C0036220
NCI Thesaurus Property
C25367
NCI Thesaurus ValueDomain
C25685
UMLS 2011AA ValueDomain
C1521902
NCI Thesaurus ValueDomain
C25401
UMLS 2011AA ValueDomain
C0205161
Evaluation Of Visceral Disease
Descripción

Evaluation Of Visceral Disease

Has a visceral disease evaluation been done since the last Kaposi's Sarcoma (KS) evaluation (If NO, please stop here. If NO, at Follow-up, go to the section titled INTERVENTIONS on the Intervention Form. Be sure to indicate the procedure used to document presence, absence or resolution of disease)
Descripción

KaposiSarcomaRelatedVisceralDiseaseAssessmentInd-2

Tipo de datos

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
C25315
UMLS 2011AA ObjectClass
C0442045
NCI Thesaurus Property
C25367
NCI Thesaurus ValueDomain
C38147
UMLS 2011AA ValueDomain
C1512698
Visceral Disease Site
Descripción

KaposiSarcomaRelatedVisceralDiseaseAnatomicSite

Tipo de datos

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
C25315
UMLS 2011AA ObjectClass
C0442045
NCI Thesaurus Property
C25341
UMLS 2011AA Property
C0450429
NCI Thesaurus Property
C25421
UMLS 2011AA Property
C0002808
NCI Thesaurus ValueDomain
C37901
UMLS 2011AA ValueDomain
C0205145
Site of Lesion
Descripción

LesionSite

Tipo de datos

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
Kaposi's Sarcoma present
Descripción

KaposiSarcomaPresentInd-2

Tipo de datos

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
Visceral Evaluation
Descripción

KaposiSarcomaRelatedVisceralDiseaseAssessmentStatus

Tipo de datos

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
C25315
UMLS 2011AA ObjectClass
C0442045
NCI Thesaurus Property
C25367
NCI Thesaurus ValueDomain
C25688
UMLS 2011AA ValueDomain
C0449438
Method of Evaluation
Descripción

AssessmentMethodType

Tipo de datos

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
Other Specify
Descripción

AssessmentMethodSpecify

Tipo de datos

text

Alias
NCI Thesaurus ValueDomain
C25685
UMLS 2011AA ValueDomain
C1521902
NCI Thesaurus ObjectClass
C20989
UMLS 2011AA ObjectClass
C0031809
NCI Thesaurus Property
C16847
UMLS 2011AA Property
C0449851
Date of Evaluation
Descripción

LesionAssessmentDate

Tipo de datos

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
Footer Module
Descripción

Footer Module

Comments
Descripción

ResearchCommentsText

Tipo de datos

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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1 formularios
  1. StudyEvent: AMC-051 Evaluation of Edema Form (RK4)
    1. No Instruction available.
Name
Tipo
Description | Question | Decode (Coded Value)
Tipo de datos
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
Is there any tumor-associated edema at this evaluation (If NO, go to EVALUATION OF EXTREMITY EDEMA section)
text
C25648 (NCI Thesaurus ObjectClass)
C0439849 (UMLS 2011AA ObjectClass)
C3002 (NCI Thesaurus ObjectClass)
C0013604 (UMLS 2011AA ObjectClass)
C9087 (NCI Thesaurus ObjectClass)
C0036220 (UMLS 2011AA ObjectClass)
C25367 (NCI Thesaurus Property)
C38147 (NCI Thesaurus ValueDomain)
C1512698 (UMLS 2011AA ValueDomain)
CL.1
Code List
Is there any tumor-associated edema at this evaluation (If NO, go to EVALUATION OF EXTREMITY EDEMA section)
CL Item
No (No)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
CL Item
Yes (Yes)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
Item
Edema Site
text
C25648 (NCI Thesaurus ObjectClass)
C0439849 (UMLS 2011AA ObjectClass)
C3002 (NCI Thesaurus ObjectClass)
C0013604 (UMLS 2011AA ObjectClass)
C9087 (NCI Thesaurus ObjectClass)
C0036220 (UMLS 2011AA ObjectClass)
C25341 (NCI Thesaurus Property)
C0450429 (UMLS 2011AA Property)
C25421 (NCI Thesaurus Property)
C0002808 (UMLS 2011AA Property)
C37901 (NCI Thesaurus ValueDomain)
C0205145 (UMLS 2011AA ValueDomain)
CL.2
Code List
Edema Site
CL Item
Abdomen (Abdomen)
C12664 (NCI Thesaurus)
C0230168 (UMLS 2011AA)
CL Item
Back (Back)
C13062 (NCI Thesaurus)
C0205095 (UMLS 2011AA)
CL Item
Chest (Chest)
C25389 (NCI Thesaurus)
C0817096 (UMLS 2011AA)
CL Item
Genital Area (Genital)
CL Item
Head (Head)
C12419 (NCI Thesaurus)
C0018670 (UMLS 2011AA)
CL Item
Left Arm (Left arm)
CL Item
Left Foot (Left foot)
CL Item
Left Hand (Left hand)
CL Item
Left Leg (Left leg)
CL Item
Neck (Neck)
C13063 (NCI Thesaurus)
C0027530 (UMLS 2011AA)
CL Item
Other (Other)
C17649 (NCI Thesaurus)
C0205394 (UMLS 2011AA)
CL Item
Periorbital (Periorbital)
CL Item
Right Arm (Right arm)
CL Item
Right Foot (Right foot)
CL Item
Right Hand (Right hand)
CL Item
Right Leg (Right leg)
CL Item
Total Body (Total body)
KaposiSarcomaRelatedEdemaAnatomicLocationSpecify
Item
Other, specify
text
C25648 (NCI Thesaurus ObjectClass)
C0439849 (UMLS 2011AA ObjectClass)
C3002 (NCI Thesaurus ObjectClass)
C0013604 (UMLS 2011AA ObjectClass)
C9087 (NCI Thesaurus ObjectClass)
C0036220 (UMLS 2011AA ObjectClass)
C25341 (NCI Thesaurus Property)
C0450429 (UMLS 2011AA Property)
C25421 (NCI Thesaurus Property)
C0002808 (UMLS 2011AA Property)
C25685 (NCI Thesaurus ValueDomain)
C1521902 (UMLS 2011AA ValueDomain)
Item
Edema Present
text
C25648 (NCI Thesaurus ObjectClass)
C0439849 (UMLS 2011AA ObjectClass)
C3002 (NCI Thesaurus ObjectClass)
C0013604 (UMLS 2011AA ObjectClass)
C9087 (NCI Thesaurus ObjectClass)
C0036220 (UMLS 2011AA ObjectClass)
C25626 (NCI Thesaurus Property)
C0150312 (UMLS 2011AA Property)
C38147 (NCI Thesaurus ValueDomain)
C1512698 (UMLS 2011AA ValueDomain)
CL.3
Code List
Edema Present
CL Item
No (No)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
CL Item
Yes (Yes)
C49488 (NCI Thesaurus)
C1705108 (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.4
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
Edema evaluation
text
C25648 (NCI Thesaurus ObjectClass)
C0439849 (UMLS 2011AA ObjectClass)
C3002 (NCI Thesaurus ObjectClass)
C0013604 (UMLS 2011AA ObjectClass)
C9087 (NCI Thesaurus ObjectClass)
C0036220 (UMLS 2011AA ObjectClass)
C25367 (NCI Thesaurus Property)
C25688 (NCI Thesaurus ValueDomain)
C0449438 (UMLS 2011AA ValueDomain)
CL.5
Code List
Edema evaluation
CL Item
A Resolution Of All Tumor-associated Edema Since Baseline (A resolution of all tumor-associated edema since baseline)
CL Item
A Worsening Of Tumor-associated Edema Since Baseline Or Best Response (A worsening of tumor-associated edema since baseline or best response)
CL Item
An Improvement Of Tumor-associated Edema Since Baseline (An improvement of tumor-associated edema since baseline)
CL Item
New Tumor-associated Edema (New tumor-associated edema)
CL Item
No Change (No change)
Item
Status of extremity edema
text
C25648 (NCI Thesaurus ObjectClass)
C0439849 (UMLS 2011AA ObjectClass)
C3002 (NCI Thesaurus ObjectClass)
C0013604 (UMLS 2011AA ObjectClass)
C9087 (NCI Thesaurus ObjectClass)
C0036220 (UMLS 2011AA ObjectClass)
C12429 (NCI Thesaurus ObjectClass)
C0015385 (UMLS 2011AA ObjectClass)
C25367 (NCI Thesaurus Property)
C25688 (NCI Thesaurus ValueDomain)
C0449438 (UMLS 2011AA ValueDomain)
CL.6
Code List
Status of extremity edema
CL Item
Absent (Absent)
C48190 (NCI Thesaurus)
C0332197 (UMLS 2011AA)
CL Item
Present (Present)
C25626 (NCI Thesaurus)
C0150312 (UMLS 2011AA)
KaposiSarcomaRelatedLimbEdemaAnatomicLocationSpecify
Item
Specific Location
text
C25648 (NCI Thesaurus ObjectClass)
C0439849 (UMLS 2011AA ObjectClass)
C3002 (NCI Thesaurus ObjectClass)
C0013604 (UMLS 2011AA ObjectClass)
C9087 (NCI Thesaurus ObjectClass)
C0036220 (UMLS 2011AA ObjectClass)
C12429 (NCI Thesaurus ObjectClass)
C0015385 (UMLS 2011AA ObjectClass)
C25341 (NCI Thesaurus Property)
C0450429 (UMLS 2011AA Property)
C25421 (NCI Thesaurus Property)
C0002808 (UMLS 2011AA Property)
C25685 (NCI Thesaurus ValueDomain)
C1521902 (UMLS 2011AA ValueDomain)
KaposiSarcomaRelatedLimbEdemaCircumferenceAssessmentMeasurement
Item
Limb Girth (cm)
double
C25648 (NCI Thesaurus ObjectClass)
C0439849 (UMLS 2011AA ObjectClass)
C3002 (NCI Thesaurus ObjectClass)
C0013604 (UMLS 2011AA ObjectClass)
C9087 (NCI Thesaurus ObjectClass)
C0036220 (UMLS 2011AA ObjectClass)
C12429 (NCI Thesaurus ObjectClass)
C0015385 (UMLS 2011AA ObjectClass)
C25367 (NCI Thesaurus Property)
C64265 (NCI Thesaurus Property)
C0332520 (UMLS 2011AA Property)
C25209 (NCI Thesaurus ValueDomain)
C0242485 (UMLS 2011AA ValueDomain)
KaposiSarcomaRelatedLimbEdemaAssessmentSpecify
Item
Other Findings
text
C25648 (NCI Thesaurus ObjectClass)
C0439849 (UMLS 2011AA ObjectClass)
C3002 (NCI Thesaurus ObjectClass)
C0013604 (UMLS 2011AA ObjectClass)
C9087 (NCI Thesaurus ObjectClass)
C0036220 (UMLS 2011AA ObjectClass)
C12429 (NCI Thesaurus ObjectClass)
C0015385 (UMLS 2011AA ObjectClass)
C25367 (NCI Thesaurus Property)
C25685 (NCI Thesaurus ValueDomain)
C1521902 (UMLS 2011AA ValueDomain)
C25401 (NCI Thesaurus ValueDomain)
C0205161 (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.9
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)
C3002 (NCI Thesaurus ObjectClass)
C0013604 (UMLS 2011AA ObjectClass)
C9087 (NCI Thesaurus ObjectClass)
C0036220 (UMLS 2011AA ObjectClass)
C12347 (NCI Thesaurus ObjectClass)
C0029180 (UMLS 2011AA ObjectClass)
C25367 (NCI Thesaurus Property)
C38147 (NCI Thesaurus ValueDomain)
C1512698 (UMLS 2011AA ValueDomain)
CL.8
Code List
Physical findings
CL Item
No (No)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
CL Item
Yes (Yes)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
KaposiSarcomaRelatedOrbitEdemaAssessmentSpecify
Item
Specify (If yes,)
text
C25648 (NCI Thesaurus ObjectClass)
C0439849 (UMLS 2011AA ObjectClass)
C3002 (NCI Thesaurus ObjectClass)
C0013604 (UMLS 2011AA ObjectClass)
C9087 (NCI Thesaurus ObjectClass)
C0036220 (UMLS 2011AA ObjectClass)
C12347 (NCI Thesaurus ObjectClass)
C0029180 (UMLS 2011AA ObjectClass)
C25367 (NCI Thesaurus Property)
C25685 (NCI Thesaurus ValueDomain)
C1521902 (UMLS 2011AA ValueDomain)
C25401 (NCI Thesaurus ValueDomain)
C0205161 (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.9
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)
C3002 (NCI Thesaurus ObjectClass)
C0013604 (UMLS 2011AA ObjectClass)
C25177 (NCI Thesaurus ObjectClass)
C0017420 (UMLS 2011AA ObjectClass)
C9087 (NCI Thesaurus ObjectClass)
C0036220 (UMLS 2011AA ObjectClass)
C25367 (NCI Thesaurus Property)
C38147 (NCI Thesaurus ValueDomain)
C1512698 (UMLS 2011AA ValueDomain)
CL.10
Code List
Physical findings
CL Item
No (No)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
CL Item
Yes (Yes)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
KaposiSarcomaRelatedGenitaliaEdemaAssessmentSpecify
Item
Specify (If yes,)
text
C25648 (NCI Thesaurus ObjectClass)
C0439849 (UMLS 2011AA ObjectClass)
C3002 (NCI Thesaurus ObjectClass)
C0013604 (UMLS 2011AA ObjectClass)
C25177 (NCI Thesaurus ObjectClass)
C0017420 (UMLS 2011AA ObjectClass)
C9087 (NCI Thesaurus ObjectClass)
C0036220 (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
Evaluation Of Visceral Disease
Item
Has a visceral disease evaluation been done since the last Kaposi's Sarcoma (KS) evaluation (If NO, please stop here. If NO, at Follow-up, go to the section titled INTERVENTIONS on the Intervention Form. Be sure to indicate the procedure used to document presence, absence or resolution of disease)
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)
C25315 (NCI Thesaurus ObjectClass)
C0442045 (UMLS 2011AA ObjectClass)
C25367 (NCI Thesaurus Property)
C38147 (NCI Thesaurus ValueDomain)
C1512698 (UMLS 2011AA ValueDomain)
CL.11
Code List
Has a visceral disease evaluation been done since the last Kaposi's Sarcoma (KS) evaluation (If NO, please stop here. If NO, at Follow-up, go to the section titled INTERVENTIONS on the Intervention Form. Be sure to indicate the procedure used to document presence, absence or resolution of disease)
CL Item
No (No)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
CL Item
Yes (Yes)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
Item
Visceral Disease Site
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)
C25315 (NCI Thesaurus ObjectClass)
C0442045 (UMLS 2011AA ObjectClass)
C25341 (NCI Thesaurus Property)
C0450429 (UMLS 2011AA Property)
C25421 (NCI Thesaurus Property)
C0002808 (UMLS 2011AA Property)
C37901 (NCI Thesaurus ValueDomain)
C0205145 (UMLS 2011AA ValueDomain)
CL.12
Code List
Visceral Disease Site
CL Item
Abdomen (Abdomen)
C12664 (NCI Thesaurus)
C0230168 (UMLS 2011AA)
CL Item
Back (Back)
C13062 (NCI Thesaurus)
C0205095 (UMLS 2011AA)
CL Item
Chest (Chest)
C25389 (NCI Thesaurus)
C0817096 (UMLS 2011AA)
CL Item
Genital Area (Genital)
CL Item
Head (Head)
C12419 (NCI Thesaurus)
C0018670 (UMLS 2011AA)
CL Item
Left Arm (Left arm)
CL Item
Left Foot (Left foot)
CL Item
Left Hand (Left hand)
CL Item
Left Leg (Left leg)
CL Item
Neck (Neck)
C13063 (NCI Thesaurus)
C0027530 (UMLS 2011AA)
CL Item
Periorbital (Periorbital)
CL Item
Right Arm (Right arm)
CL Item
Right Foot (Right foot)
CL Item
Right Hand (Right hand)
CL Item
Right Leg (Right leg)
CL Item
Total Body (Total body)
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)
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.13
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
Visceral 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)
C25315 (NCI Thesaurus ObjectClass)
C0442045 (UMLS 2011AA ObjectClass)
C25367 (NCI Thesaurus Property)
C25688 (NCI Thesaurus ValueDomain)
C0449438 (UMLS 2011AA ValueDomain)
CL.14
Code List
Visceral Evaluation
CL Item
A Complete Resolution Of Visceral Disease Since Baseline (A complete resolution of visceral disease since baseline)
CL Item
A Decrease In Visceral Disease Since Baseline (A decrease in visceral disease since baseline)
CL Item
A Worsening Of Visceral Disease Since Baseline, Or Since The Best Response (A worsening of visceral disease since baseline, or since the best response)
CL Item
Evidence Of A New Site Of Visceral Disease Since Baseline, Or Since The Best Response (Evidence of a new site of visceral disease since baseline, or since the best response)
CL Item
No Change (No change)
CL Item
Not Applicable (Not applicable)
C48660 (NCI Thesaurus)
C1272460 (UMLS 2011AA)
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.15
Code List
Method of Evaluation
CL Item
Upper Endoscopy Esophagogastroduodenoscopy (Upper endoscopy)
CL Item
Colonoscopy (Colonoscopy)
C16450 (NCI Thesaurus)
C0009378 (UMLS 2011AA)
CL Item
Sigmoidoscopy (Sigmoidoscopy)
CL Item
Chest X-ray (Chest x-ray)
CL Item
Bronchoscopy (Bronchoscopy)
C16366 (NCI Thesaurus)
C0006290 (UMLS 2011AA)
CL Item
Not Applicable (Not applicable)
C48660 (NCI Thesaurus)
C1272460 (UMLS 2011AA)
AssessmentMethodSpecify
Item
Other Specify
text
C25685 (NCI Thesaurus ValueDomain)
C1521902 (UMLS 2011AA ValueDomain)
C20989 (NCI Thesaurus ObjectClass)
C0031809 (UMLS 2011AA ObjectClass)
C16847 (NCI Thesaurus Property)
C0449851 (UMLS 2011AA Property)
LesionAssessmentDate
Item
Date of Evaluation
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 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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