Informed Consent Date
Item
Informed Consent Date
date
C2985782 (UMLS CUI [1])
Did the patient allow a new biopsy to collect some more cancer tissue in the rare case the analysis of the first specimen biopsy would give an inconclusive result?
Item
Did the patient allow a new biopsy to collect some more cancer tissue in the rare case the analysis of the first specimen biopsy would give an inconclusive result?
boolean
C0005558 (UMLS CUI [1])
C0040300 (UMLS CUI [2,1])
C1516225 (UMLS CUI [2,2])
C1629507 (UMLS CUI [3])
Item
Did the patient agree that her/his blood samples may be used by GSK Biologicals for “additional research on the MAGE-A3 ASCI product and melanoma”, if new developments make this desirable? Testing on the heredity or testing for AIDS or HIV infection will not be done.
text
C3641827 (UMLS CUI [1])
C0178913 (UMLS CUI [2])
C0035168 (UMLS CUI [3,1])
C1524062 (UMLS CUI [3,2])
C0677907 (UMLS CUI [4])
C0025202 (UMLS CUI [5])
C0220848 (UMLS CUI [6])
C0001175 (UMLS CUI [7])
C0019693 (UMLS CUI [8])
Code List
Did the patient agree that her/his blood samples may be used by GSK Biologicals for “additional research on the MAGE-A3 ASCI product and melanoma”, if new developments make this desirable? Testing on the heredity or testing for AIDS or HIV infection will not be done.
Item
Did the patient agree that her/his blood samples may be used by GSK Biologicals for further research that is NOT RELATED to the MAGE-A3 ASCI product or melanoma? This will be done on an anonymous basis (meaning that any identification linking the patient to the sample is destroyed). Testing on the heredity or testing for AIDS or HIV infection will not be done.
text
C3641827 (UMLS CUI [1])
C0178913 (UMLS CUI [2])
C0035168 (UMLS CUI [3,1])
C1524062 (UMLS CUI [3,2])
C0677907 (UMLS CUI [4])
C0025202 (UMLS CUI [5])
C2346787 (UMLS CUI [6])
C0220848 (UMLS CUI [7])
C0001175 (UMLS CUI [8])
C0019693 (UMLS CUI [9])
Code List
Did the patient agree that her/his blood samples may be used by GSK Biologicals for further research that is NOT RELATED to the MAGE-A3 ASCI product or melanoma? This will be done on an anonymous basis (meaning that any identification linking the patient to the sample is destroyed). Testing on the heredity or testing for AIDS or HIV infection will not be done.
Center number
Item
Center number
text
C1301943 (UMLS CUI [1,1])
C0600091 (UMLS CUI [1,2])
Date of Birth
Item
Date of Birth
date
C0421451 (UMLS CUI [1])
Item
Gender
text
C0079399 (UMLS CUI [1])
If female, is the patient of childbearing potential?
Item
If female, is the patient of childbearing potential?
boolean
C3831118 (UMLS CUI [1])
Item
Ethnicity
integer
C0015031 (UMLS CUI [1])
CL Item
American Hispanic or Latino (1)
CL Item
Not American Hispanic or Latino (2)
Item
Race
integer
C0034510 (UMLS CUI [1])
CL Item
African Heritage / African American (1)
CL Item
American Indian or Alaskan Native (2)
CL Item
Asian - Central/South Asian Heritage (3)
CL Item
Asian - East Asian Heritage (4)
CL Item
Asian - Japanese Heritage (5)
CL Item
Asian - South East Asian Heritage (6)
CL Item
Native Hawaiian or Other Pacific Islander (7)
CL Item
White - Arabic / North African Heritage (8)
CL Item
White - Caucasian / European Heritage (9)
CL Item
Other, specify (10)
If other race, specify
Item
If other race, specify
text
C0034510 (UMLS CUI [1,1])
C0205394 (UMLS CUI [1,2])
C2348235 (UMLS CUI [1,3])
Date of diagnosis of metastatic disease
Item
Date of diagnosis of metastatic disease
date
C2316983 (UMLS CUI [1,1])
C0027627 (UMLS CUI [1,2])
Item
Pathological disease stage (pTNM)
integer
C1319019 (UMLS CUI [1])
Code List
Pathological disease stage (pTNM)
If N3: In-transit metastasis?
Item
If N3: In-transit metastasis?
boolean
C1319019 (UMLS CUI [1])
C2985554 (UMLS CUI [2])
Item
Pathological disease stage (AJCC)
integer
C0441915 (UMLS CUI [1])
Code List
Pathological disease stage (AJCC)
Is disease amenable to curative treatment with surgery?
Item
Is disease amenable to curative treatment with surgery?
boolean
C0012634 (UMLS CUI [1,1])
C0543467 (UMLS CUI [1,2])
C1880198 (UMLS CUI [1,3])