Has the fresh sample been sent?
Item
Has the fresh sample been sent?
boolean
C2827486 (UMLS CUI [1])
If the fresh sample has been sent, record date of sending
Item
If the fresh sample has been sent, record date of sending
date
C2827486 (UMLS CUI [1])
C0011008 (UMLS CUI [2])
Has a tumor sample been received for MAGE-A3 expression? (Derived from R&D Database)
Item
Has a tumor sample been received for MAGE-A3 expression? (Derived from R&D Database)
boolean
C0475358 (UMLS CUI [1])
C0962473 (UMLS CUI [2,1])
C0017262 (UMLS CUI [2,2])
C0242356 (UMLS CUI [3])
If a tumor sample has been received for MAGE-A3 expression, enter date of patient's birth
Item
If a tumor sample has been received for MAGE-A3 expression, enter date of patient's birth
date
C0475358 (UMLS CUI [1])
C0962473 (UMLS CUI [2,1])
C0017262 (UMLS CUI [2,2])
C0421451 (UMLS CUI [3])
If a tumor sample has been received for MAGE-A3 expression, enter date of reception
Item
If a tumor sample has been received for MAGE-A3 expression, enter date of reception
date
C0475358 (UMLS CUI [1])
C0962473 (UMLS CUI [2,1])
C0017262 (UMLS CUI [2,2])
C0544683 (UMLS CUI [3,1])
C0011008 (UMLS CUI [3,2])
If a tumor sample has been received for MAGE-A3 expression, enter date of result
Item
If a tumor sample has been received for MAGE-A3 expression, enter date of result
date
C0475358 (UMLS CUI [1])
C0962473 (UMLS CUI [2,1])
C0017262 (UMLS CUI [2,2])
C1274040 (UMLS CUI [3,1])
C0011008 (UMLS CUI [3,2])
Item
MAGE-A3 expression test result
integer
C0962473 (UMLS CUI [1,1])
C0017262 (UMLS CUI [1,2])
C1274040 (UMLS CUI [2])
Code List
MAGE-A3 expression test result
CL Item
MAGE-A3 positive (1)
CL Item
MAGE-A3 negative (2)
CL Item
Sample not valid (3)
Has a new fresh biopsy been collected?
Item
Has a new fresh biopsy been collected?
boolean
C0005558 (UMLS CUI [1,1])
C2827486 (UMLS CUI [1,2])
Date of biopsy (fresh biopsy):
Item
Date of biopsy (fresh biopsy):
date
C0005558 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
C0005558 (UMLS CUI [2,1])
C2827486 (UMLS CUI [2,2])
Requisition number (fresh biopsy):
Item
Requisition number (fresh biopsy):
text
C1514821 (UMLS CUI [1,1])
C0237753 (UMLS CUI [1,2])
C0005558 (UMLS CUI [2,1])
C2827486 (UMLS CUI [2,2])
Item
Tumor biopsy type (fresh biopsy):
integer
C0475358 (UMLS CUI [1,1])
C0005558 (UMLS CUI [1,2])
C0332307 (UMLS CUI [1,3])
C0005558 (UMLS CUI [2,1])
C2827486 (UMLS CUI [2,2])
Code List
Tumor biopsy type (fresh biopsy):
Has a new Formalin fixed Paraffin embedded (FFPE) been collected?
Item
Has a new Formalin fixed Paraffin embedded (FFPE) been collected?
boolean
C0475358 (UMLS CUI [1,1])
C2711483 (UMLS CUI [1,2])
Date of biopsy (FFPE):
Item
Date of biopsy (FFPE):
date
C0005558 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
C2711483 (UMLS CUI [2])
Requisition number (FFPE):
Item
Requisition number (FFPE):
text
C1514821 (UMLS CUI [1,1])
C0237753 (UMLS CUI [1,2])
C2711483 (UMLS CUI [2])
Item
Tumor block or tumor slides (FFPE)?
integer
C0475358 (UMLS CUI [1,1])
C1265611 (UMLS CUI [1,2])
C2317347 (UMLS CUI [1,3])
C0027651 (UMLS CUI [2,1])
C0026017 (UMLS CUI [2,2])
C2711483 (UMLS CUI [3])
Code List
Tumor block or tumor slides (FFPE)?
Number of tumor slides sent (FFPE)
Item
Number of tumor slides sent (FFPE)
integer
C0027651 (UMLS CUI [1,1])
C0026017 (UMLS CUI [1,2])
C0237753 (UMLS CUI [1,3])
C2711483 (UMLS CUI [2])
Does the FFPE come from the same lesion as the fresh biopsy?
Item
Does the FFPE come from the same lesion as the fresh biopsy?
boolean
C2711483 (UMLS CUI [1])
C0677862 (UMLS CUI [2,1])
C2827486 (UMLS CUI [2,2])
C0221198 (UMLS CUI [3,1])
C0445247 (UMLS CUI [3,2])
Item
FFPE sample type:
integer
C2711483 (UMLS CUI [1,1])
C0456204 (UMLS CUI [1,2])
Code List
FFPE sample type:
Has the fresh sample been sent?
Item
Has the fresh sample been sent?
boolean
C2827486 (UMLS CUI [1])
If the fresh sample has been sent, record date of sending
Item
If the fresh sample has been sent, record date of sending
date
C2827486 (UMLS CUI [1])
C0011008 (UMLS CUI [2])
Has a tumor sample been received for MAGE-A3 expression? (Derived from R&D Database)
Item
Has a tumor sample been received for MAGE-A3 expression? (Derived from R&D Database)
boolean
C0475358 (UMLS CUI [1])
C0962473 (UMLS CUI [2,1])
C0017262 (UMLS CUI [2,2])
C0242356 (UMLS CUI [3])
If a tumor sample has been received for MAGE-A3 expression, enter date of patient's birth
Item
If a tumor sample has been received for MAGE-A3 expression, enter date of patient's birth
boolean
C0475358 (UMLS CUI [1])
C0962473 (UMLS CUI [2,1])
C0017262 (UMLS CUI [2,2])
C0421451 (UMLS CUI [3])
If a tumor sample has been received for MAGE-A3 expression, enter date of reception
Item
If a tumor sample has been received for MAGE-A3 expression, enter date of reception
date
C0475358 (UMLS CUI [1])
C0962473 (UMLS CUI [2,1])
C0017262 (UMLS CUI [2,2])
C0544683 (UMLS CUI [3,1])
C0011008 (UMLS CUI [3,2])
If a tumor sample has been received for MAGE-A3 expression, enter date of result
Item
If a tumor sample has been received for MAGE-A3 expression, enter date of result
date
C0475358 (UMLS CUI [1])
C0962473 (UMLS CUI [2,1])
C0017262 (UMLS CUI [2,2])
C1274040 (UMLS CUI [3,1])
C0011008 (UMLS CUI [3,2])
Item
MAGE-A3 expression test result
integer
C0962473 (UMLS CUI [1,1])
C0017262 (UMLS CUI [1,2])
C1274040 (UMLS CUI [2])
Code List
MAGE-A3 expression test result
CL Item
MAGE-A3 positive (1)
CL Item
MAGE-A3 negative (2)
CL Item
Sample not valid (3)
Item
Prior Surgery Type
integer
C0744961 (UMLS CUI [1,1])
C0332307 (UMLS CUI [1,2])
Code List
Prior Surgery Type
CL Item
Excision/wide excision of primary (1)
CL Item
Sentinel lymph node biopsy (2)
CL Item
Lymphadenectomy (3)
CL Item
Excision of local recurrence (4)
CL Item
Excision of satellite or in-transit metastases (5)
CL Item
Excision of distant metastases (6)
CL Item
Other, specify (7)
Date of last surgery
Item
Date of last surgery
date
C0543467 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
C1517741 (UMLS CUI [1,3])
Has patient recovered from past surgery?
Item
Has patient recovered from past surgery?
boolean
C0543467 (UMLS CUI [1,1])
C2826210 (UMLS CUI [1,2])
1) Prior adjuvant treatment with Interferon?
Item
1) Prior adjuvant treatment with Interferon?
boolean
C0087111 (UMLS CUI [1,1])
C1522673 (UMLS CUI [1,2])
C0021747 (UMLS CUI [2])
Date of last dose (Interferon):
Item
Date of last dose (Interferon):
date
C1762893 (UMLS CUI [1,1])
C0021747 (UMLS CUI [1,2])
Did the patient receive more than one treatment line?
Item
Did the patient receive more than one treatment line?
boolean
C1522541 (UMLS CUI [1])
2) Prior treatment with cancer vaccine?
Item
2) Prior treatment with cancer vaccine?
boolean
C1514463 (UMLS CUI [1])
C0920425 (UMLS CUI [2,1])
C0042210 (UMLS CUI [2,2])
Date of last dose (cancer vaccine):
Item
Date of last dose (cancer vaccine):
date
C1762893 (UMLS CUI [1])
C0920425 (UMLS CUI [2,1])
C0042210 (UMLS CUI [2,2])
3) Prior treatment with anti-CTL-A4 based therapy?
Item
3) Prior treatment with anti-CTL-A4 based therapy?
boolean
C1514463 (UMLS CUI [1,1])
C4289973 (UMLS CUI [1,2])
Date of last dose (anti-CTL-A4):
Item
Date of last dose (anti-CTL-A4):
date
C1762893 (UMLS CUI [1,1])
C4289973 (UMLS CUI [1,2])
4) Prior treatment with radiotherapy?
Item
4) Prior treatment with radiotherapy?
boolean
C0279134 (UMLS CUI [1])
Date of last dose (radiotherapy):
Item
Date of last dose (radiotherapy):
date
C1762893 (UMLS CUI [1,1])
C0279134 (UMLS CUI [1,2])
5) Prior isolated limb perfusion?
Item
5) Prior isolated limb perfusion?
boolean
C0396670 (UMLS CUI [1])
Date of last dose (isolated limb perfusion):
Item
Date of last dose (isolated limb perfusion):
date
C1762893 (UMLS CUI [1,1])
C0396670 (UMLS CUI [1,2])
6) Prior treatment with systemic chemotherapy?
Item
6) Prior treatment with systemic chemotherapy?
boolean
C1514463 (UMLS CUI [1,1])
C1883256 (UMLS CUI [1,2])
Date of last dose (systemic chemotherapy):
Item
Date of last dose (systemic chemotherapy):
date
C1762893 (UMLS CUI [1,1])
C1883256 (UMLS CUI [1,2])
7) Prior treatment with systemic immunosuppressants within 6 months?
Item
7) Prior treatment with systemic immunosuppressants within 6 months?
boolean
C1514463 (UMLS CUI [1,1])
C0021079 (UMLS CUI [1,2])
C0205373 (UMLS CUI [1,3])
Item
Trade/ Generic Name
integer
C0013227 (UMLS CUI [1,1])
C2360065 (UMLS CUI [1,2])
Code List
Trade/ Generic Name
CL Item
Anti-lymphocytes Immunoglobulin (2)
CL Item
Bethamethasone (5)
CL Item
Dexamethasone (8)
CL Item
Methylprednisolone (13)
CL Item
Mycophenolate (15)
CL Item
Prednisone/prednisolone (16)
CL Item
Triamcinolone (19)
Other immunosuppressant
Item
Other immunosuppressant
text
C0021081 (UMLS CUI [1,1])
C0205394 (UMLS CUI [1,2])
Max. daily dose
Item
Max. daily dose
float
C2348070 (UMLS CUI [1,1])
C0806909 (UMLS CUI [1,2])
Unit
Item
Unit
text
C1519795 (UMLS CUI [1])
Immunosuppressant start date
Item
Immunosuppressant start date
date
C0021081 (UMLS CUI [1,1])
C0808070 (UMLS CUI [1,2])
Immunosuppressant stop date
Item
Immunosuppressant stop date
date
C0021081 (UMLS CUI [1,1])
C0806020 (UMLS CUI [1,2])
Immunosuppressant ongoing?
Item
Immunosuppressant ongoing?
boolean
C0021081 (UMLS CUI [1,1])
C0549178 (UMLS CUI [1,2])